Hi there!
So yes we all pretty much have failed pancreases. However, the pancreas is more than just an enzyme-producing organ- it also produces things like hormones, ions, and mucous.
In the pancreas, the beta cells are the ones that produce insulin (a hormone that promotes cellular uptake of glucose, and lowers blodd sugar) and glucagon (a hormone that inhibits cellular glucose intake, and therefore raises blood sugar). These are the cells that are affected in diabetics. Because the pancreas is a distribution of all these different types of cells, it is possible to be enzymatically deficient and still have some control over beta cells- they just haven't scared over.
Unlike Type I diabetes, where the beta cells are specifically targeted by the immune system, in CF it is sort of a crap shoot. If the pancreas has enough cells to produce these hormones, and enough healthy tissue to distribute it, you will either be normal or borderline diabetic.
Hope that explains things a little.
So yes we all pretty much have failed pancreases. However, the pancreas is more than just an enzyme-producing organ- it also produces things like hormones, ions, and mucous.
In the pancreas, the beta cells are the ones that produce insulin (a hormone that promotes cellular uptake of glucose, and lowers blodd sugar) and glucagon (a hormone that inhibits cellular glucose intake, and therefore raises blood sugar). These are the cells that are affected in diabetics. Because the pancreas is a distribution of all these different types of cells, it is possible to be enzymatically deficient and still have some control over beta cells- they just haven't scared over.
Unlike Type I diabetes, where the beta cells are specifically targeted by the immune system, in CF it is sort of a crap shoot. If the pancreas has enough cells to produce these hormones, and enough healthy tissue to distribute it, you will either be normal or borderline diabetic.
Hope that explains things a little.