How often to Doctor?

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ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/1/2008 10:16 PM (GMT -7)   
How often does someone see their internist or endo to help control their diabetes. What would be the reason to make an appointment? What would make it an emergency office appointment so you wouldn't get into trouble with your diabetes? Thanks:)

gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 1/2/2008 10:26 AM (GMT -7)   

ceebee

When I was first diagnosed ( FBG 457, A1c=15), my doctor wanted to see me every 4 weeks. After 4 months, my A1c was down to 6.1 and she moved me  to 3 month intervals. Once I stabilized ~5.0- she started to give me the option of 3 or 4 months. I chose 4 months. If I am still at 5.0 in March- I will go to a 6-month interval. I can always go in for treatment if anything pops up otherwise. I do not see an endo- my doctor maintains a family practice but 85% of her patients are diabetics, she frequently presents at diabetes research and management conferences, she belongs to a group of diabetes specialists, is a type 2 diabetic, and has a type 1 child.

sandy


I just want to live happily ever after-every now and then. Jimmy Buffett


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 1/2/2008 8:21 PM (GMT -7)   
Ceebee, it all depends on the patient because of various factors.  When I was "caught" with high morning fasting numbers, I saw my doctor 2 months later for another blood test (A1c and cholesterol), and then 5 months later for another blood test.  The last test was much better, so it was 6 months. which is how it is now (every 6 months unless I call her because of problems).  If you're on meds or changing dosage/meds or having trouble with keeping the blood sugar under control or having unexplained symptoms that need attention, you'd be seeing the doctor more often until everything is under control.   

Lanie
forum moderator - diabetes
"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/3/2008 6:36 AM (GMT -7)   
Thanks gelchick and Lanie:) I have been able to keep my bs between 80 and 120(after eating) with the low carb diet. Mostly stay in the 90's all day. I try to get the lowest carbs I can for a day. The doctor still wants to see me every week or two. The Diabetic Clinic is every 2 months but I can call anytime day or night for help. The clicic can change meds if needed. They approve the low carb diet and both the clinic and endo said You don't need any catbs at all. The clinic told me not to make an appointment with the dietician there now as she promotes the ADA and they are hiring another one who promotes low carbs. They mentioned the ADA giving the stamp of approval for Honey Nut Cheerios as an example of that diet! Yep, if I ate that cereal my bs would be off the chart! Seems they are changing to believe in the low carb. Hard to eat even vegetables with getting no carbs. I am still losing 3 to 4 pounds a week though and doctor worries I am starving myself. I am not, just eating and following Dr Bernstiens' diet. Gees, my smallest clothes hang on me. Wish I knew of this way of eating before. I never go hungry and don't crave carbs anymore. A special thank you to Lanie for all the help in eating this way:) This forum has helped me more than any doctor has so far:)

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/3/2008 6:44 AM (GMT -7)   
Ceebee,
When I was first diagnosed my doctor had a very nonchalant attitude and he wanted to see me every three to six months with lab work before the visit. We would discuss the numbers and he would raise my medication or switch me to a different one. When his wife joined the practice she was pro-active and started me on a low dose of Lantus and asked me to fax my food journal and daily blood sugars once a week to her office. She then called me to increase my Lantus till we had it figured out and she saw that I knew how to regulate my Lantus according to my food plan and numbers. I still see her every 6 months.

When I went to the non-grain, non-tuber food plan she was encouraging and told me to keep track of my numbers. She only wanted to be alerted if something went katty wampus. Otherwise I was to do the food plan and watch my numbers. I don't have a scale and it wasn't until my clothes started falling off that I realized I was losing weight. My last visit had her grinning ear to ear. She was very encouraging and said, "Your last three labs have been excellent. I know you are insurancically challenged so let's not get new labs until May, ok?" Very cool lady! She trusts my judgement and I usually ask questions here from my HW buddies or just call the office nurse for advice.

The things that would send me to the office are a severe cold, foot sore, breast lump, or something like that. Most of my diabetes questions can be settled over the phone with her now.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross

Post Edited (Jeannie143) : 1/3/2008 6:48:50 AM (GMT-7)


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/3/2008 9:34 AM (GMT -7)   
Hi Jeannie:)

I wish your doctor was around here! I am still on the same meds I left the hospital on and nobody is adjusting them for me. I feel like I am eating to compensate the meds and not the other way around. I see the doctor today and have a lot of questions written down. I eat low carb all day but when I take the lantus 28 units at night my sugar drops 40 to 60 points and I have to eat some carbs to compensate. I am afraid to go to bed 80 or lower. I did the first time and woke up so low I almost didn't get to the OJ soon enough. Thanks for the help:)
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