Medical Forum / Diseases and Disorders / Diabetes / July 2005
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 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 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
 Signature Join us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ 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 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
 Signature Join us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org --- /join #Diabetic-Talk More info: http://www.diabetic-talk.org/ 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
 Signature "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.
 Signature A1c 10.5/5.6/<6 T2 DX 05/2004 1g Metformin, 100ug Thyroxine 95/76/72Kg
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