Thread: Diabetes and Soreness question?

Hi I have been having a High lipase reading for a couple of months now. Pain was so bad Dr. thought I gallstones after a day in ER & ca scan no gallstones. the lipase that measures pancreas levels is still elevated got refered to a GI dr. He said it could be the start of Diabetes or a few other things...A friend was saying just before she got dianosed with Diabetes she was sore all over her stomache has anyone expieirenced this. I no longer have the sharp pains just a soreness that is pretty debilatating & comes & goes? Is this a pre factor in diabetes? this is what I want to know.He is doing a fating glucose next week on me but, if it is an infection won't glucose levels be high anyway?

It's not diabetes that causes the pancreatitis, it's the other way around. When diabetes results from pancreatitis, it often goes away when the infection subsides, so that's good news.

Here's some info about hyperamylasemia (high lipase levels):

What is hyperamylasemia?

Hyperamylasemia may be described as an excess of the pancreatic enzyme - amylase in the blood.

Digestion of your dietary intake of carbohydrates and fat relies on the action of amylase, found in the saliva, to begin the digestion of starches. At the same time, lipase from your gastric secretions breaks down the fat in your food.

Blood amylase and lipase levels are most frequently drawn to diagnose pancreatitis. When the pancreas is inflamed, increased blood levels of amylase and lipase, pancreatic enzymes, will result.

The normal level for amylase is 0-137 U/L. Normal values may vary from laboratory to laboratory.

There are many causes of hyperamylasemia. Some may include:

Pancreatitis - also known as inflammation of the pancreas. This can cause amylase and lipase levels to be increased up to 3 times the normal limit. Both values should be increased, in order to carry the diagnosis of pancreatitis.
Tumors - Amylase enzyme levels may be increased in some pancreas, salivary, prostate, lung and ovarian tumors.
Gall bladder infection - Inflammation of the gall bladder (cholecystitis), may cause increased amylase levels, causing hyperamylasemia.
Kidney failure can result in hyperamylasemia.
Recent Endoscopic Retrograde Cholangio-Pancreatography (ERCP) procedure can result in hyperamylasemia.
Medications - some medications may lead to pancreatitis, which could cause hyperamylasemia and hyperlipasemia.
Your doctor or healthcare provider will diagnose hyperamylasemia or hyperlipasemia by drawing a tube of blood. If there is a suspicion of gall bladder, pancreas or kidney problems, an ultrasound of the gall bladder or pancreas, or a CAT scan of your abdomen, may also be performed.
You may be at risk for pancreatitis, including hyperamylasemia and hyperlipasemia, if you are:
Extremely overweight (obese)
Have high triglyceride levels in your blood
Drink too much alcohol
Have been diagnosed with gall bladder stones (which may block the flow of secretions from the pancreas to the intestines)
Or have a family history of pancreatitis.
What are some symptoms of hyperamylasemia to look for?

There are oftentimes no symptoms of hyperamylasemia, unless you develop pancreatitis or some other condition that may cause you to have pain, nausea or vomiting.
If your pancreas is inflamed due to pancreatitis, and your pancreas unable to produce insulin, you may have symptoms of diabetes. These include excessive thirst, frequent urination, extreme tiredness (fatigue), and weight loss. This is often temporary.
Symptoms of pancreatitis may include nausea, sweating and weakness. You may also notice pain in the middle of your chest, which may move or radiate to your back.
Things you can do to avoid/mitigate hyperamylasemia:

Avoiding alcohol, and taking all the prescribed medications are the primary treatments for high blood amylase levels, if you are being followed in the outpatient department, and you have not been diagnosed with any kind of pancreatitis. Follow all of your healthcare provider's instructions.
If you are diagnosed with pancreatitis, your healthcare provider may admit you to the hospital. There, they will give you lots of fluids in your vein (IV), provide medication to control your pain, and give you medication to control you nausea and vomiting. You may not be able to eat at first, to give your stomach a rest, but then you will be ordered a diet of foods that can be easily digested.
Avoid alcohol. Alcohol use will irritate your pancreas and liver, and may cause interactions with medications.
Follow a diet that is low in fat, low in red meat, and high in fiber.
Make sure you tell your doctor, as well as all healthcare providers, about any other medications you are taking (including over-the-counter, vitamins, or herbal remedies). These can cause interactions with other medications.
Remind your doctor or healthcare provider if you have a history of diabetes, liver, kidney, or heart disease.
Keep yourself well hydrated. Drink two to three quarts of fluid every 24 hours, unless you are instructed otherwise.
If you experience symptoms or side effects, especially if severe, be sure to discuss them with your health care team. They can prescribe medications and/or offer other suggestions that are effective in managing such problems.
Keep all your appointments.
Drugs that may be prescribed by your doctor to treat hyperamylasemia:

If you are experiencing high blood amylase levels, and are without symptoms, you doctor or healthcare provider may tell you to avoid alcohol and narcotics, and they may closely monitor your laboratory values and symptoms. Medications used to aid in digestion include:

Non-steroidal anti-inflammatory (NSAID) agents and Tylenol® - such as naproxen sodium and ibuprofen may provide relief of pain related to your inflamed pancreas.
If you are to avoid NSAID drugs, because of your type of cancer or chemotherapy you are receiving, acetaminophen (Tylenol®) up to 4000 mg per day (two extra-strength tablets every 6 hours) may help.
It is important not to exceed the recommended daily dose of Tylenol®, as it may cause liver damage. Discuss this with your healthcare provider.
Pancreatic enzymes - Your pancreas may not be able to produce enzymes necessary for fat digestion. This may be due to surgery, cancers, or pancreatitis. Enzymes are available in a pill form, such as pancrease. Taken with meals, this will help you to digest fats. Side effects, such as diarrhea, nausea or stomach pain should be reported to your healthcare provider.
When to call your doctor or health care provider:

Nausea that interferes with your ability to eat, and is unrelieved by prescribed medication.
Diarrhea (4-6 episodes in a 24-hour period), unrelieved with taking anti-diarrhea medication and diet modification.
Abdominal pain, sweating, or fever (may be pancreatitis)
Any new rashes - if on new medications
Any unusual condition or problem that is concerning to you.

http://64.233.179.104/search?q=cache...s&ct=clnk&cd=2

Hope you feel better soon!

Linda

Hey thanks that was nice of you! they said I don't have pancreatittis per say cause levels are high but not quite in that range but I am not digesting fat & all redy did a liver cleanse. the Dr. said it could be the start of Diabetes which I really don't want. So good to know that even if my glucose is higher not necessarily permanent. My glucose was 139 fasting during this but it was 116 the fasting 2 weeks prior they have been doing weekly tests throughout ince my pain started. Well about a 3 weeks after my pain started. At first they said it was just back pain. Then after 4 visits they ran the right blood work & sent me to ER. So thanks again! I really couldn't handle Diabetes diagnosis!