Posttransplant Diabetes Mellitus is a new type of diabetes. ADA Standard of Care 2017. December 22, 2016

Recommendations: Patients should be screened after organ transplantation for hyperglycemia, with a formal diagnosis of posttransplantation diabetes mellitus being best made once a
patient is stable on an immunosuppressive regimen and in the absence of an acute infection.

It is recommendations of ADA Standard of Care. Now the question is, how it is possible that Pancreas transplant is cure for diabetes?

After surgical technical problems
were worked out in the canine model (summarized in Ref. 6), the first attempt to treat human diabetes mellitus with pancreas transplantation was carried out on December 17, 1966, by William Kelly and Richard Lillehei (7) at the University of Minnesota. The patient died after two months. The same Minneapolis team recorded the first success on June 3, 1969 (8). "Success" during this pioneer period came to be defined as patient and functional graft survival for at least one year.  (The History of Pancreas TransplantationThomas E. Starzl, Ngoc Thai, and Ron Shapiro Thomas E. Starzl Transplantation Institute. University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A. )

Recently someone posted in blog about this event, and there were hundreds of  'bravo' and 'great success' comments. No one looks saw that patient died after two month. Now, 50 years later, the same 'success' counted if patient survived within one year. Really, is this 'success' can be we are looking for? Transplant presented as 'cure' for diabetes. In contrary, insulin which keep diabetics alive one year after another, functional, and even reverse diabetes type 1 when diabetic enter in 'honeymoon phase', considered 'not cure but treatment'. How 'transplant' can be seen as 'cure' if rejection medicine, very difficult to adapt and poisonous for patient must be taken for the rest of short patient's life?
       Why diabetics take this transplant in first place? Wrong info medical team present. Diabetic and diabetic's family do not really know what is all this about. They hope it is 'cure' and this 'cure' would safe life loved one. Usually, it is very young people. The victim of first 'successful transplant' was 28 years old woman.
     Transplant presented that it is 'healthy organ from death body', still, there is no one test run to control how diabetic's pancreas, alive diabetic pancreas, healthy or not. No one test. I am diagnosed diabetic type 2. No one test for pancreas and how my pancreas secret insulin, in sufficient amount or not, ever. I do not think I am different from all diabetic population. ANd I am very skeptical to believe that transplanted pancreas was really 'healthy'. Anyway, when I look at ADA recommendations there is no one mention how to take care for diabetic's pancreas. All treatment options only to reduce level of sugar in blood. No one mention to check up level of insulin in blood. No one mention of health diabetic's pancreas and its ability to secret insulin healthy or not. Pancreas never mentioned in diagnostic criteria for diabetes.
      The same in the  recommendations of ADA to screen for diabetes  after organ transplant. It would be level of sugar in blood, but not any test to check up if pancreas is healthy or not.
       Pay attention in this recommendations. It is not the case that transplanted organ pancreas. There are other organs can be transplanted. So, before transplant surgery patient was not diabetic. Now ..... what is now? Now it is possibility to have  Posttransplant Diabetes Mellitus. So, together with rejection medicine patient must take insulin for the rest of his or her short life.
      The question still stand. Why take pancreas transplant surgery in first place? Why it is presented as 'cure' for diabetics type 1? What type of 'cure' it is when patient die one year after 'successful transplant surgery'? At the same time, there is no any studies how dose insulin, how level of sugar in present time can be connected with insulin injection needed to take right now, and what type of insulin to inject according to the level of sugar in blood? In present time all injections based on the meal and amount of carbs diabetic is going to eat. No one direction how to inject insulin according to the level of sugar in blood right now. If so then say me, if it is possible to trust in doctors who see 'success' in the Death short after they placed hand on the victim?   

via Ravenvoron