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Hypoglycemia and chronic pancreatitis

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I have been having episodes of low blood sugar with shaking, irratability, and more naseau. I do have a glucometer, (4 year old is type I) and my sugars have been running 34 to 58, I am unable to eat, eating causes exreme pain and vomiting, I have tried drinking gatorade, pop, candies, all of them make me throw up or in pain. I have mentioned my low sugar to my PCP, but haven't seen my GI yet, but I think right now he is just trying to find out why my alt, ast, and alk phos have been elevated since June. Before then it was my amalayse and lipase since 11/2006 they no longer elevate. But for me with everything else I have to deal with, the low blood sugars very distressing. The only recommendations I have seen is eating or glucose (tried the tablet, threw them up) I have been to the hospital and ER 5 times to receive IV's, but the effect does not last.
So my ? is what can I do, and are there any long term effects to low blood sugar?

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replied December 24th, 2008
Hypoglycemia Answer A5148
Current medical status: I have had my gallbladder removed in 6/18/2008, ERCP with dual spinchterotomy and stent placement on 8/2008, and EUS on 11/2007, a adominal u/s with dopplers on 12/2008 (no results yet) MRCP on 11/2008 normal findings. I had genetic testing done to determine the SPINK1 defect for pancreatitis. Due to the inabbilaty to eat, excessive vomiting, and possible pancreas damage, my blood sugars have been very low.

Current medical treatment: Immitrex, Fentanyl 50 mch patch every 72 hours, 5 mg imm rel cap, ativan, zofran (ins only covers 15 per month), compazine, reglan, and phenergan.

It doesn't seem likely that your hypoglycemia is the result of pancreatitis. Chronic pancreatitis damages the insulin production and in time will cause hyperglycemia (diabetes). It seems that your hypoglycemia is due to a kind of liver damage. Elevated ALT, AST and alkal phosphatase indicates liver damage. Additional laboratory tests (albumins, bilirubin, γ-GT, fibrinogen…) and imaging tests (CT or MRI scan) could be necessary to find out what is going on.

You could consult a gastro-entero-hepatologist about your condition.

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