What could be the cause of a blood sugar level of 410 and pain in my pancreas?

Not good: Please contact your doctor right away. If you have abdominal pain and this degree of high blood sugar you may be quite ill. It isn't possible to figure out what's going on with so little information, but you need a doctor right away.

DiabetesPancreatitis: Diabetes is a likely cause of elevated blood sugar. Pancreatic pain is usually severe mid abdominal pain which radiates to the back. This scenario requires urgent medical evaluation in an Emergency Room.