From Raven, Virginia, USA:
My husband is 36 years old. His grandmother has high blood sugar, but to our knowledge no one else in his family has problems with their sugar (high or low). Recently he went for a pre-employment physical and the only thing the employer told him that showed up from his physical was an enlarged pancreas, high cholesterol (260) and low blood sugar (52). During the physical, blood work was done and an abdominal ultrasound. Could his enlarged pancreas have anything to do with his low sugar? Approximately 2 years ago, after a bout with the flu, his sugar was tested along with other blood work and his count came back as 42. During the last 15 or so years, he has had problems occasionally (about every month or two) with stomach pain, diarrhea after eating fatty foods and night sweats. Can you help us with some information or suggestions about a follow-up doctor visit?
From the few things you report, it seemed to me that the most likely cause might be some form of chronic pancreatitis that was causing your husband to have an enlarged pancreas and the occasional gastrointestinal symptoms. This may be due to alcohol use or other reasons (but I have not been told about this); but as part of the pancreatitis there may have been some damage to islet cells, perhaps enough to cause some delay in first phase insulin release. But the low blood sugars might also be due to either liver (such as chronic hepatitis) or alpha cell involvement.
I suppose I would want insulin and glucagon challenge tests and ultimately a biopsy to help make a diagnosis.
Original posting 21 Apr 2000
Posted to Diagnosis and Symptoms
|Return to the Top of This Page|
Last Updated: Tuesday April 06, 2010 15:09:10
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.