Post-subtotal pancreatectomy diabetes
My dad had part of his pancreas removed 5 years ago. Recently he's lost a lot of weight. He is a patient of the VA. His labs done in early August showed a blood glucose of 491. I saw those labs the next day and sent him to the VA urgent care. They gave him fluids and an Rx of Semglee 10 units before bed.
I just saw that his labs taken at urgent care on 8/5 recorded the results of a Hgb A1C test 5 days later on 8/10; his result was >14.
Since his urgent care visit, his sugars have continued to be all over the place - all above 250 but for example he said it was 427 this morning and 327 this afternoon. These numbers in the tens and ones place may not be completely accurate as he has not been thinking clearly and also had a severe stroke a couple years ago leaving him nearly paralyzed on one side of this body.
I am wondering if it's normal to not be called in for correction and stabilization of blood sugars IMMEDIATELY for a new diabetic. I say new but looking deeper into his labs, his A1C July of 2025 was 6.8 yet not a word of diabetes was mentioned by his doctor about this. I found it myself looking into his chart.
I have to add a flair. I am adding type 1.5/LADA but I do believe there could be some damage to his pancreas making an adequate amount of insulin since his surgery.
Should we demand of endocrinology appt? Or trust this primary who missed his diabetic A1C level last year? Again, he goes through the VA.