Recurrent or chronic pancreatitis, an inflammation of the pancreas most commonly caused by alcohol or by gallstones, is the most common cause of pancreatic insufficiency. However, there is a type of pancreatic insufficiency related to ulcerative colitis, which may be autoimmune, and this may be why you developed pancreatic insufficiency. Creon is a brand of replacement pancreatic enzymes, which can dramatically improve the symptoms of insufficiency.
It is possible that you are now developing diabetes due to ongoing damage to the pancreas. It is said that 90 percent of the pancreas needs to be damaged to get loss of enzymes and 99 percent to develop diabetes.
DEAR DR. ROACH: For 20-plus years, I have been mixing butter half and half with olive oil to use in place of plain butter. I read somewhere that this is healthier than butter alone, and I do not like the taste of margarine. The bonus is that this spreads like a dream right out of the fridge! Am I deluding myself that this is good or better for me? Thank you! — K.B.
ANSWER: You are not deluding yourself. Olive oil has much more healthy monounsaturated fat than butter and much less unhealthy saturated fat, so using a mixture of olive oil and butter is much healthier than butter alone. As I have said before, a little butter isn’t the end of the world, but substituting healthier alternatives, like olive oil, is better. You’ve found a way that works for you.