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Medical Forum / Diseases and Disorders / Diabetes / August 2005Third trip to County Med Center
Went to County Medical Center for my second refill of Metformin. SEVEN hours later... The triage nurse took a reading... used a blade style lancet. Pressed sooo hard before triggering it, I can probably still squeeze blood out 9 hours later! After a 12 hour fast (3 hours after taking 3 500mg metformin pills), I was at 132 (139 per my 1Touch ultra). (I really need to work on getting more exercise.) Neither she nor the doctor thought it was "too bad"!!!??!! And I found out that in spite of it being routine for first time Diabetes diagnosis, an A1C was NOT DONE 2 months ago! ARRGH! And they wouldn't do one now :( Would it be useful to know at this time, considering I KNOW I've been elevated for two of the last 3 months that an A1C test covers? (The test kits aren't TOO expensive at Rite-Aid, IIRC.) But at least the Doc was nice enough to give me a 2 month supply of 3x pills daily (up from the last Rx of 2 pills daily for only ONE month). (And the very first Rx of 1 pill daily / 1 month.) Was really hoping he would go for 4 pills a day, but he wanted to take it one step at a time. [end rant mode] ... >Went to County Medical Center for my second refill of Metformin. >SEVEN hours later... [quoted text clipped - 7 lines] > >Neither she nor the doctor thought it was "too bad"!!!??!! Is that good or bad compared to your dx levels? Use your own lancet next time to provide the sample. Rant all you like:-) Cheers Alan, T2, Australia.  SignatureEverything in Moderation - Except Laughter. > Use your own lancet next time to provide the sample. The nurse does a bg when I go to my endo (hospital based). She won't let me do my own lancing if she's doing the test, but she will let me do my own lancing & test on my meter & accept the results. I think that's a bit weird. bj That is wierd. Did she mention why? I'm curious. I always do my own lancing at the doctor office. -- Cheri bj wrote in message ... >The nurse does a bg when I go to my endo (hospital based). She won't let me >do my own lancing if she's doing the test, but she will let me do my own >lancing & test on my meter & accept the results. >I think that's a bit weird. >bj No. She didn't answer when I expressed a surprised "how come". I just let it go, do my own test (I've even gotten away with "I just tested 5 min ago, which was true), & report my results. She hasn't even found it necessary to actually look at my meter, just took my word for it. bj > That is wierd. Did she mention why? I'm curious. I always do my own > lancing at the doctor office. [quoted text clipped - 9 lines] >>I think that's a bit weird. >>bj >> Use your own lancet next time to provide the sample. > [quoted text clipped - 3 lines] >I think that's a bit weird. >bj If her technique is OK, no problem. If not, I'd dig my heels (and my own lancet) in. I'm sure the doc would support you if you objected - but I understand that sometimes things aren't worth the hassle. Cheers Alan, T2, Australia. SignatureEverything in Moderation - Except Laughter. >>Went to County Medical Center for my second refill of Metformin. >>SEVEN hours later... [quoted text clipped - 9 lines] > >Is that good or bad compared to your dx levels? "Dx"? ... >Use your own lancet next time to provide the sample. > >Rant all you like:-) > >Cheers Alan, T2, Australia. >>>Went to County Medical Center for my second refill of Metformin. >>>SEVEN hours later... [quoted text clipped - 9 lines] >> >>Is that good or bad compared to your dx levels? > "Dx"? Diagnosis, mayhap? In the past month I've learned all sorts of interesting terms. Wild Monkshood > ... > [quoted text clipped - 3 lines] >> >>Cheers Alan, T2, Australia. <snip> >>>Is that good or bad compared to your dx levels? >> >> "Dx"? > > Diagnosis, mayhap? In the past month I've learned all sorts of >interesting terms. Yep - diagnosis. Cheers Alan, T2, Australia. SignatureEverything in Moderation - Except Laughter. ><snip> >>>> [quoted text clipped - 8 lines] > >Cheers Alan, T2, Australia. AH! Well, June 10 2005 I was Dx'd at 300. (FIVE years of no checkups, preceded by normal glucose response for the previous 5+ years.) I am now getting down into the 120-140 range on a fasting check. (With the help of Metformin. And, um, oh yeah, exercise. Yeah. No, really!) But almost anyone here would comment that anything over 90 isn't good. Right? Hmmmm..... I just looked at my LifeScan logbook again, and in the opening section it has a chart showing the following: 90-120 Excellent 150-180 Good 210-240 Fair 270-300 Poor Someone here needs to put this in perspective for me now. :( ... okay...see below SignatureColleen "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 >><snip> >>>>> [quoted text clipped - 31 lines] > 210-240 Fair > 270-300 Poor 210-240 Fair???? Even 180 isn't fair. 150 I think is fair control. Oh, and readings above 90 are okay. Shouldn't go above 140 is you desire normal #'s. Even ADA recommends <180 2hr.PP > Someone here needs to put this in perspective for me now. :( > > ... >Oh, and readings above 90 are okay. Shouldn't go above 140 is you desire >normal #'s. Even ADA recommends <180 2hr.PP Under 180?!?!?!!? Good grief, that's high! If I'm over 120 PP my insulin chart calls for a shot. >Well, June 10 2005 I was Dx'd at 300. >(FIVE years of no checkups, preceded by normal glucose response for [quoted text clipped - 3 lines] >(With the help of Metformin. And, um, oh yeah, exercise. Yeah. No, >really!) I'm in the same boat as you. I was DX'd July 23rd, at mid 600's The FBG seems to be my biggest obstacle, too. >But almost anyone here would comment that anything over 90 isn't good. >Right? I wish I could help, I'm trying to figure that out myself. The best reference I've seen so far is Jennifer's page. http://www.alt-support-diabetes.org/NewlyDiagnosed.htm I hope Jennifer won't mind, but here are the suggested levels; FBG under 110 One hour after meals under 140 Two hours after meals under 120 On Tue, 02 Aug 2005 00:24:51 GMT, noneyabusiness <snip> >Well, June 10 2005 I was Dx'd at 300. >(FIVE years of no checkups, preceded by normal glucose response for [quoted text clipped - 6 lines] >But almost anyone here would comment that anything over 90 isn't good. >Right? Wrong. I'd be thrilled to be under 90(5) more often and I rarely see it as a FBG number. See below. >Hmmmm..... > [quoted text clipped - 9 lines] > >... OK. Go to Joslins page titled: Goals for Blood Glucose Control http://joslin.org/511_523.asp I hope Palm is reading this post. "People who have diabetes should be testing their blood glucose regularly at home. Regular blood glucose testing helps you determine how well your diabetes management program of meal planning, exercising and medication (if necessary) is doing to keep your blood glucose as close to normal as possible. The results of the nationwide Diabetes Control and Complications Trial (DCCT) show that the closer you keep your blood glucose to normal, the more likely you are to prevent diabetes complications such as eye disease, nerve damage, and other problems." <snip> I've modified the table slightly to fit here. I'll repeat that last phrase "the closer you keep your blood glucose to normal, the more likely you are to prevent diabetes complications". For that reason, my goals are the non-diabetic numbers, not the diabetic ones. ............................non-diabetic...diabetic "Before breakfast (fasting).....< 110......90 - 130 Before lunch, supper and snack..< 110......90 - 130 Two hours after meals...........< 140.......< 160 Bedtime.........................< 120......110 - 150 A1C (also called glycosylated hemoglobin A1c, HbA1c or glycohemoglobin A1c).............< 6%........< 7%" Cheers Alan, T2, Australia. SignatureEverything in Moderation - Except Laughter. |
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