Can I get my pancreas back to a better state to where it produces insulin better? I have accute pancreatitis and recently was diagnosed with type 2 diabetes. But I have lost weight, I eat right and exercise, and I've lowered my glucose numbers from 256 to lowest reading of 109. Will my pancreas eventually give up completely and make me dependent on insulin one day?

Dr. William Sullivan


If you develop diabetes related to pancreatitis (inflammation of the pancreas), then it would be called “pancreatogenic diabetes” rather than type 2 diabetes. This is considered a separate category from type 1 or type 2 diabetes. Diabetes that is related to pancreatitis can follow a variable course. If there is recurrent pancreatitis or severe pancreatitis, the course of diabetes may depend on the severity of inflammation. If there is significant damage to the pancreas, then the diabetes may be more difficult to control. It is reassuring that your blood glucose levels have improved. You ought to discuss with your healthcare provider the severity of your pancreatitis and your long-term prognosis with regard to your diabetes.