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Medical Forum / Diseases and Disorders / Diabetes / July 2005

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Just got back from the Doc

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Chris J. - 29 Jul 2005 22:24 GMT
I've just returned from my first post-hospital Doctor's appointment.

The Doctor said she was very pleased with my log of BG readings and
injections, especially the last 24 hours and the overall strong trend.
She said she was surprised that I'd been testing as often as I had (my
original orders were for three times a day, I've been doing eight as a
minimum). She did look at my fingers and confirm that I was doing no
harm with the extra testing, so I'm happy about that.

I was originally scheduled to see her again early next week, and she
re-scheduled it for two and a half weeks. I was also originally
scheduled to get a lab blood test later today, and she said to wait
one month on that.

She doubled my dose (from 1000 to 2000mg per day) of Metfromin, and
said that, later, she may want to try me on another drug (which I
can't recall the name of). She also said she was "Fairly sure" I was
type 2, not type one (I'm not getting my hopes up on that yet,
though). She said she wants me off insulin as soon as possible, and to
just keep using my meter and insulin dose chart.

As for my current diet, she said "it sure seems to be working" and
said it was ok, but needs to be "broadened".
They checked my weight with a ballance-beam scale,
and compared it to my hospital admission weight from six days ago. She
said I've lost seven pounds, which she feels is a bit high but some
could be just due to water loss. She said it would be ok to lose at
whatever rate I can, but a steady rate is better and her
recommendation is a pound a week. She also did recommend a dietician
for me, someone she works with for her personal health. I'm trying to
get an appointment ASAP.  

I was also told that the wound on my back (where I had surgery on an
abscess) is doing very well and healing quickly.  She said it was OK
to use a rowing machine and other exercise gear, it won't hurt it. So,
I'll be using the rowing machine more, in addition to my hill hiking.
and the pain from it isn't meaning anything bad.  

This went (I think) far better than I was thinking. I've been dreading
this checkup, but I'm relieved now.

Oh, one other thing she said; "Calm down!". :-)
palm - 29 Jul 2005 22:52 GMT
So, your doctor decided to risk her licence and law suit from you, by
recommending you weird, dangerous and not endorsed by American Diabetic
Association  regimen of treatment?
Troll.

<<She said she was surprised that I'd been testing as often as I had
(my
original orders were for three times a day, I've been doing eight as a
minimum). She did look at my fingers and confirm that I was doing no
harm with the extra testing, so I'm happy about that. >>
rich - 29 Jul 2005 23:21 GMT
says it all

Rich
Alan S - 30 Jul 2005 01:45 GMT
>So, your doctor decided to risk her licence and law suit from you, by
>recommending you weird, dangerous and not endorsed by American Diabetic
>Association  regimen of treatment?

You know more about this patient than his doctor? You're
getting into very dangerous legal territory here Palm. You'd
better start adding some form of disclaimer to your sig.

Alan, Australia
palm - 30 Jul 2005 08:22 GMT
Don't worry Allan, only mythical doctors in troll's posts advice
patients to follow ignorant recommendations "from Internet".
So, legally, I am ok.

> >So, your doctor decided to risk her licence and law suit from you, by
> >recommending you weird, dangerous and not endorsed by American Diabetic
[quoted text clipped - 5 lines]
>
> Alan, Australia
Bailey's Girl - 30 Jul 2005 14:01 GMT
>So, legally, I am ok.

You're a legal expert now, too?  

Looks like you're pulling your legal and medical knowledge from the
same place -- the area just south of your belt line.  

July Goals:    BGL normal range; Not hungry, don't eat
Weight:        21 pounds gone (whoop!)
Measurements:  8 inches gone 06/19/2005
Cholesterol:   145
FBG:           <100 since 07/01/2005  A1c 6.8!
palm - 29 Jul 2005 22:56 GMT
I would like to worn you, and not to change your testing or medication
regimen on advice
from people you don't know.  This "test eight times a day" theory is
"home made" and
recommended to you by people who have no medical education and no clue.
It is based on
"testimonials" of less then dozen people, some of them with
complications of diabetes, that
may or may not be true, and, even when true, may depend on other
factors, like genetic make
up, type of diabetes, age of onset and so on, and was never proven or
even assessed by
medical professionals.
This is just their opinion and in now way is supported by medical
establishment.
In contrary, American Diabetic Association (ADA) recommends lower
number of testing, one-two
or less, for stable diabetics on pills and 3-4 for diabetics on
insulin. This numbers will
be followed by your doctor and adjusted  according to your condition,
diabetic  medication
you take, other medications you take and laboratory results.
Till new, "noninvasive" Glucometers, be available, you will be using
invasive procedure to
check your blood sugar. And, though, it is very important to test and
be informed about your
blood sugar levels, testing is not save or harmless. As any invasive
procedure it has it's
risks, like infection, bleeding and, by repeating stress, inducing
neuropathy, with bleeding
(bruising) more common, but infection much more dangerous.
Numbers of testing, recommended by ADA are not just "dreamed up", but
based on scientific
research and balance of benefits and risks of testing.
Before you even think about changing your testing and/or medication
regimen on advice from
"somebody from Internet", please, please, check with your doctor or
Diabetes Educator and
read this:
1)Frequent testing do not improve blood sugars.
"the frequency of self-monitoring was not related to glycemic control"
http://tinyurl.com/9ds79
2)"Tight control of diabetes" in not the same as "testing eight times a
day", as some will
try to confuse you. Tight control is  about diet, exercise and your
medication.
http://tinyurl.com/9k84p
3)As a diabetic, you prone to infections, of skin, among others. Every
time you penetrate
your skin, you risk contamination.
"Diabetes Sets Stage For Heightened Risk Of Infections"
http://tinyurl.com/cvjco
4)There are many instances of infection, even when people don't test
unreasonably often.(by
increasing number of test 4 to 8 times, you increasing probability of
infection 4 to 8
times,respectively).
"Japanese Doctors Warn of Dangers of Blood Sampling from Fingers"
http://tinyurl.com/ay34g
5)People have been hurt following ignorant and irresponsible advice
from this board.
http://tinyurl.com/bj3je
6)You don't need and can't  make your "personal" "Clycemic Index"
charts. They exist, easily
available, and you can't do them better then they done, for example, at
laboratories of
Sydney University. And if you go to the extreme,as some suggest here,
of stabbing your
finger of more then thirty imes, do all tests right, for each food item
(14.000 on Sydney
University chart), you will get numbers that will correlate with
"university" chart. Duh!
http://tinyurl.com/9ab6u
I would recommend you to go to American Diabetes Association web site,
where you can get
information that you can trust.
http://www.diabetes.org/home.jsp
There is, also, message board, endorsed by ADA and moderated by health
professionals, so all
"get rid of diabetes quick, easy and for sure" schemes are weeded out.
If you have
questions, you can ask there.
http://tinyurl.com/7vtuy
You are up for a long haul. Choose your advisers carefully.
Good luck.
rich - 29 Jul 2005 23:22 GMT
says it all

Rich
Tiger Lily - 29 Jul 2005 23:47 GMT
so, you are telling me that my endo who endorses 5
to 6 tests a day for intensive testing days is
liable for not providing me valid information???

i'll take his 35 years of experience over your
trolling palm

why don't you just go away....... you provide NO
information of any value here

kate
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I have no medical qualifications beyond my own
experience.
Choose your advisers carefully, because experience
can be
an expensive teacher.

> I would like to worn you, and not to change your testing or medication
> regimen on advice
[quoted text clipped - 81 lines]
> You are up for a long haul. Choose your advisers carefully.
> Good luck.
palm - 30 Jul 2005 01:16 GMT
No, I am telling you the opposite.
I am telling to follow advice of your doctor, not the fake
"testimonials" from the Internet.
And if your doc will tell you to test even more then six times, on the
base of your condition, listen to your doc.
<<so, you are telling me that my endo who endorses 5
to 6 tests a day for intensive testing days is
liable for not providing me valid information???

i'll take his 35 years of experience over your
trolling palm

why don't you just go away....... you provide NO
information of any value here >>
palm - 29 Jul 2005 23:19 GMT
Next time you can surprise your doctor even more, by telling her, that
instead 1000 mg of Metformine regimen recommended by ADA,  you decided
to increase dose by eight times and taking 8000 mg a day. She will
touch the place were your liver used to be, and will tell you "Calm
down".
> I've just returned from my first post-hospital Doctor's appointment.
>
> She said she was surprised that I'd been testing as often as I had (my
> original orders were for three times a day, I've been doing eight as a
> minimum). She did look at my fingers and confirm that I was doing no
> harm with the extra testing, so I'm happy about that.
Chris J. - 29 Jul 2005 23:53 GMT
>Next time you can surprise your doctor even more, by telling her, that
>instead 1000 mg of Metformine regimen recommended by ADA,  you decided
>to increase dose by eight times and taking 8000 mg a day. She will
>touch the place were your liver used to be, and will tell you "Calm
>down".

Interesting, then, that her comment was "fantastic!" She said the
reason why she recommends three checks is that she has trouble getting
people to do even that many.
palm - 30 Jul 2005 00:25 GMT
Did she explain you that regimen, she advised, recommended by ADA on
the base of studies that include thousands of diabetics? Did she
explain to you all benefits and risks of the procedure?
Did she explain to you that increase of testing regimen by eight times
will increase dangers of complication of procedure by eight times,
without any benefits, and is as stupid, as increasing dose of
medication by eight times on advice of some Joe Shmoe from Interenet?
> Interesting, then, that her comment was "fantastic!" She said the
> reason why she recommends three checks is that she has trouble getting
[quoted text clipped - 9 lines]
> reason why she recommends three checks is that she has trouble getting
> people to do even that many.
rich - 30 Jul 2005 20:19 GMT
Tiger Lily - 29 Jul 2005 23:23 GMT
first hurdle down Chris....... you can make it and
you are doing well........ i bet your Dr was
pleased about your testing and how seriously you
were taking the diagnosis, but they also don't
want us to become obsessive......... i think a
little obsession at first doesn't hurt at
all......... especially if you are logging
everything to see how foods affect you and what
you can or cannot eat............

moderation is the key

come join us in chat..... let off steam or ask
questions
take care
kate
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http://www.diabetic-talk.org/freeveggies.htm
I have no medical qualifications beyond my own
experience.
Choose your advisers carefully, because experience
can be
an expensive teacher.

> I've just returned from my first post-hospital Doctor's appointment.
>
[quoted text clipped - 38 lines]
>
> Oh, one other thing she said; "Calm down!". :-)
Chris J. - 30 Jul 2005 00:06 GMT
>first hurdle down Chris....... you can make it and
>you are doing well........ i bet your Dr was
[quoted text clipped - 3 lines]
>little obsession at first doesn't hurt at
>all.........

I'm not usually prone to obsessive behavior, but I have been regarding
this a bit.

I'm MUCH more relaxed now I've seen the doc!  

BTW, The Doc was delighted with the testing frequency.  

>come join us in chat..... let off steam or ask
>questions
>take care
>kate

I'll try that soon, thanks!!!
Loretta Eisenberg - 29 Jul 2005 23:25 GMT
Chris J it sounds ike you had a very positive experience.  I hope you
feel that way each time you go to the doctor.  

You are really doing great for a newbie.

Loretta

--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.
Chris J. - 30 Jul 2005 00:08 GMT
>Chris J it sounds ike you had a very positive experience.  I hope you
>feel that way each time you go to the doctor.  
>
>You are really doing great for a newbie.
>
>Loretta

Thanks!!

I'm phobic of doctors and hospitals (especially the latter) so prior
to this, just going to see a doctor was a massive stress event for me.
This time was more so because so much was riding on it.
However, I think I'll be just fine next time!
Bailey's Girl - 30 Jul 2005 00:09 GMT
>I've just returned from my first post-hospital Doctor's appointment.
>
[quoted text clipped - 38 lines]
>
>Oh, one other thing she said; "Calm down!". :-)

Hi, Chris --

I don't think I said, "Hi!" yet, but I have been following your posts
and this is wonderful news.  I'm especially glad that your fingers
aren't gangrenous from all that testing!  LOL!  

I'm pretty new here, too, so can't really tell you anything the more
experienced people haven't, except that you DO need to "calm down" and
take a deep breath -- I hope this good news from your doctor helps you
do that.  Personally, there's nothing worse than being in a panic, and
you can't effectively evaluate everything that's being thrown at you
that way.  :-)

For me, it was kind of like a first grader being dropped into an
advanced Calc class mid-term.  And I didn't have anywhere near the
scare YOU did, so I can only imagine how it's been.  

You seem to have a lot of common sense and you're using it to your
best advantage.  And I wish you the best of luck.  :-)

July Goals:    BGL normal range; Not hungry, don't eat
Weight:        21 pounds gone (whoop!)
Measurements:  8 inches gone 06/19/2005
Cholesterol:   145
FBG:           <100 since 07/01/2005  A1c 6.8!
Chris J. - 30 Jul 2005 00:39 GMT
>I don't think I said, "Hi!" yet, but I have been following your posts
>and this is wonderful news.  I'm especially glad that your fingers
>aren't gangrenous from all that testing!  LOL!  

ROFL!

I think they came close! The first few days I had a faulty lancet pen,
and I'd end up doing several jabs with insufficient blood for each
test. I'd get fed up and just manually push in a lancet, slowly, as
that was the only sure way I knew (and that does hurt).

>I'm pretty new here, too, so can't really tell you anything the more
>experienced people haven't, except that you DO need to "calm down" and
>take a deep breath -- I hope this good news from your doctor helps you
>do that.

Immensely!!! I've even stopped gritting my teeth as I watch my meter
count down to giving me it's reading.

> Personally, there's nothing worse than being in a panic, and
>you can't effectively evaluate everything that's being thrown at you
>that way.  :-)

But as I've tried to tell people here, Panicking is sugar-free, so
surely it's ok? :-)

>For me, it was kind of like a first grader being dropped into an
>advanced Calc class mid-term.  And I didn't have anywhere near the
>scare YOU did, so I can only imagine how it's been.  

>You seem to have a lot of common sense and you're using it to your
>best advantage.  And I wish you the best of luck.  :-)

Thanks, and you too!!!

>July Goals:    BGL normal range; Not hungry, don't eat
>Weight:        21 pounds gone (whoop!)
>Measurements:  8 inches gone 06/19/2005
>Cholesterol:   145
>FBG:           <100 since 07/01/2005  A1c 6.8!

Wow, that's fantastic!!!
Susan - 30 Jul 2005 01:54 GMT
> But as I've tried to tell people here, Panicking is sugar-free, so
> surely it's ok? :-)

Actually, stress is associated with rises in bg levels... so RELAX.

You're really doing very well, and this will all be second nature and
under control very soon.

Susan
Bailey's Girl - 30 Jul 2005 02:45 GMT
>>I don't think I said, "Hi!" yet, but I have been following your posts
>>and this is wonderful news.  I'm especially glad that your fingers
[quoted text clipped - 6 lines]
>test. I'd get fed up and just manually push in a lancet, slowly, as
>that was the only sure way I knew (and that does hurt).

Ouch!  Yes, it would!  I hope you've got that straightened away now?
And I think I've seen you mention that you're read the back posts, so
you've seen Alan's painless testing messages?  

>>I'm pretty new here, too, so can't really tell you anything the more
>>experienced people haven't, except that you DO need to "calm down" and
[quoted text clipped - 3 lines]
>Immensely!!! I've even stopped gritting my teeth as I watch my meter
>count down to giving me it's reading.

LOL!  Good thing!  We don't want your GP happy and your dentist
cussing you out!  :-)

>> Personally, there's nothing worse than being in a panic, and
>>you can't effectively evaluate everything that's being thrown at you
>>that way.  :-)
>
>But as I've tried to tell people here, Panicking is sugar-free, so
>surely it's ok? :-)

LOL!

>>For me, it was kind of like a first grader being dropped into an
>>advanced Calc class mid-term.  And I didn't have anywhere near the
[quoted text clipped - 4 lines]
>
>Thanks, and you too!!!

Thanks.  :-)

July Goals:    BGL normal range; Not hungry, don't eat
Weight:        21 pounds gone (whoop!)
Measurements:  8 inches gone 06/19/2005
Cholesterol:   145
FBG:           <100 since 07/01/2005  A1c 6.8!
Chris J. - 30 Jul 2005 03:24 GMT
>>I think they came close! The first few days I had a faulty lancet pen,
>>and I'd end up doing several jabs with insufficient blood for each
[quoted text clipped - 4 lines]
>And I think I've seen you mention that you're read the back posts, so
>you've seen Alan's painless testing messages?  

Alan and others here helped me figure it out, and I have seen his old
posts on the subject. Washing my hands in warm water was one of his
suggestions and seems to have helped a lot, too. I've gotten more
blood than needed every time since trying that, so I'm going to try
lowering the setting a bit (it's at max now).
Colleen - 30 Jul 2005 01:09 GMT
Sounds like a totally positive experience.  I'm with the doc.  I think your
progress is fantastic.

You also do seem calmer from when you first started to post.  There's sooooo
much to learn.

Signature

Colleen

"See, in my line of work you got to keep repeating things
over and over and over again for the truth to sink in,
to kind of catapult the propaganda."

G.W. Bush
Greece, N.Y., May 24, 2005

> I've just returned from my first post-hospital Doctor's appointment.
>
[quoted text clipped - 38 lines]
>
> Oh, one other thing she said; "Calm down!". :-)
Alan S - 30 Jul 2005 01:42 GMT
>Oh, one other thing she said; "Calm down!". :-)

Sounds like you have a "keeper" for a doc - good news and
listen to that last piece of advice:-)

Cheers Alan, T2, Australia.
Signature

Everything in Moderation - Except Laughter.

Priscilla Ballou - 31 Jul 2005 19:26 GMT
> >Oh, one other thing she said; "Calm down!". :-)
>
> Sounds like you have a "keeper" for a doc - good news and
> listen to that last piece of advice:-)

I second the motion.

Priscilla
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"Inside every older person is a younger person -- wondering what
the hell happened."  -- Cora Harvey Armstrong

Nicky - 30 Jul 2005 08:58 GMT
> I've just returned from my first post-hospital Doctor's appointment.

Good - that sounds like a quack worth keeping! I'm glad. Hope the dietician
is good too.

Nicky.

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A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/76/72Kg

 
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