Self Diagnosis

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TVEditor
Regular Member


Date Joined Aug 2008
Total Posts : 481
   Posted 10/20/2008 7:25 AM (GMT -7)   
I've been trying to digest all the information I've been given in the past few months and come up with a plan for living well.  My doctor has never actually said that I am diabetic -- the nutritionist he sent me to did.  As I reported here earlier, at my last appointment, the doc was primarily happy with my weight loss and secondarily with my maintaining almost normal glucose levels.
 
I should be content I suppose but what bothers me is that when I asked him about future concerns or complications, he told me I have nothing to worry about.  He said this rather quickly as he was walking out of the examining room. 
 
(There is a shortage of GP's around here & in Canada generally so the ones that are available are very busy.  Appointments with doctors rarely last more than 5 minutes.)
 
Not that I'm smarter than my doctor but I think I am going assume that I am insulin resistant or pre-diabetic and continue what I am doing now, in terms of glucose testing, diet, exercise and lifestyle.  I think too that I should expect an escalation of the disease and/or complications at some point in time.
 
Realistically speaking, considering my family history of diabetes and the fact that if I eat something off the OK Foods List my BG readings double, I can't see how I can have nothing to worry about.
 
What do you think, my trusted, level-headed friends?  Am I being pessimistic?
 
Chris
 
No bum, prominent clavicle and loving it!

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 10/20/2008 8:00 AM (GMT -7)   
You're not being pessimistic.  You're being realistic.  I'm short and have been short since my 20's so I know I'm not going to grow any taller obviously.  Just as I've adjusted to being "short", like needing a stepstool for the highest kitchen shelf or hemming new pants, I've become used to the fact that I have a metabolic disorder.  Diabetes is on my mother's side.  I can't change these things but I can adjust.  For me, I have this metabolic disorder (when the pancreas cannot metabolize carbs) but I don't have diabetes yet (or maybe never.) probably like you.  If I adjust my diet (no carbs) and remain relatively active, then I won't * have full-blown diabetes needing meds but I still have the disorder.  I'll always have the disorder because I will never be able to metabolize carbs normally, never. No matter how well I control my blood sugar, the glucose tolerance test shows I am glucose intolerant.   However, if I'm careful with my diet and keep my blood sugar as near normal most of the time, then I may be able to 1) avoid diabetes complications, and, 2) avoid meds.  I'm not opposed to meds but they have their own complications and risks and I do not think eating bread and potatoes is worth taking meds for.  I figure the doctors and nutritionists who might direct me to the ADA and the food pyramid are clueless about being a diabetic and, after all, this is my life, my limbs, eyesight, heart, family, etc. and I'm doing what's best for me.  My doctor is happy with the lab tests; so am I, so this is why I'm following the low carb (no carb) diet.  My mom was on meds but she didn't eat low-carb (this wasn't an issue back in the '80's) and she still had to have her leg amputated which led to a heart attack which led to death.  I'm trying to avoid this.

* I shouldn't say "won't" - the pancreas might stop functioning effectively in the future and I will have to be on meds.

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds

Post Edited (LanieG) : 10/20/2008 9:16:38 AM (GMT-6)


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 10/20/2008 12:10 PM (GMT -7)   
Chris,
Actually, you have lots to worry about... You could be run over by a bus, eat out at a restaurant that's been cited by the health department and get e.coli, you could drive your car off a cliff or you could be abducted by aliens. Other than the aliens thing, most of these scenarios are preventable by exercising a little common sense.

I believe that what your doctor is trying to tell you is that you apparently understand diabetes and its complications and have taken all the steps possible to prevent or slow the advancement of the disease. You are light years ahead of where I was when I was first diagnosed. I stuck my head in the sand for about 10 years and got the neuropathy to prove it. In fact, I didn't really clean up my act until I was put on insulin. THAT'S when it finally migrated through my thick skull that this was up to me, not my doctor, and I had to get my rear in gear.

Just think where you would be if you had never visited the doctor! You would be moving on down the road to blindness or a heart attack and be totally unaware of the ax over your head ready to fall. You are really doing great! I think that's what your doctor meant.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"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


TVEditor
Regular Member


Date Joined Aug 2008
Total Posts : 481
   Posted 10/20/2008 12:37 PM (GMT -7)   
Yes, I think you're right about the doc's intentions.  Sometimes though, I wonder about the thoroughness of treatment at the drive-thru style clinic he works at.
 
And you're both right about what and who is at stake (me).  I had already made up my mind to stick with MY program ... just needed to bounce the idea off a couple of friends.
 
Thanks for the use of the hall Jeannie/Lanie tongue
 
Chris
 
P.S.  What do you mean the aliens thing isn't preventable?!?
       
(The guy that sold me this tinfoil hat said it was!)

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 10/20/2008 1:18 PM (GMT -7)   
Chris, Chris, Chris, tin foil has carbs.  It's a conspiracy.  I only believe the guy who sells freezer paper.  No butts about it. eyes

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 10/20/2008 5:52 PM (GMT -7)   
Chris... you are one of the lucky ones (IMHO). I my little world, anyone who has the opportunity to change their future is master of their own universe. What I mean is that you are lucky enough to catch this progressive disease at it's earliest stages - when something can best be done about it.

You KNOW your body cannot metabolize large quantities of carbs - the tests you've done before you changed your lifestyle prove that. Unquestionably. That will never change. The fork in the road had you choosing between the (easy) continue-as-before-and-use-medication route, or the (hard) I-need-to-understand-my-body-well-enough-to-know-what-best-to-feed-it route. Unfortunately, most people choose option 1. It takes courage to accept that you have the power to change the quality of your future. It can be an uphill battle sometimes but again it takes courage to dedicate the effort necessary to living the best life you can - with or without Diabetes.

Diabetes is 24/7. The sooner that's realized, the sooner and easier it is to accept that you are your own "doctor" 99.99999999% of the time. It's in your best interest to get an education on how to best do that. You're getting straight A's in my book :-) It would seem to me that your doctor feels you've got things under control, too :-)

I'm in Ottawa, Chris, so I understand what you say about the healthcare system these days. With the 15 minutes I get a few times a year with my Endo, I don't waste any time working through my laundry list. Maybe a bit dispassionate but, I literally have a point-form list we bang through rather quickly then I get about 6 minutes to "discuss" my more important points. I've never left with anything unanswered/addressed. I think we have this mutual respect that sees us more as colleagues with each other and that works perfectly fine with me. My other colleagues are my diabetic nurse and family doctor. We all have the same goals but we all know who's running the day-to-day operations.

If you want encouragement that you are on the right track... you know where you can find it (We just can't find anatomical parts :-)

Cheers,
Kris
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"

"It is impossible for a man to learn what he thinks he already knows"-Epictetus


TVEditor
Regular Member


Date Joined Aug 2008
Total Posts : 481
   Posted 10/22/2008 1:04 PM (GMT -7)   

Yes Kris, I know I'm lucky and believe I have a pretty good handle on things (so far).

You're right about the laundry list too.  Because I feel rushed, I always forget something on the list.  It is a screwy system -- the doc sent me for a stress test (treadmill) across town during a blizzard a couple of winters ago.  After a 6 week wait for my next appointment with him, he told me they lost the test results.  He asked me how I thought the test went.

I told him "I couldn't find a parking spot so I had to walk 5 blocks through heavy snow banks to the clinic for the test.  As far as I know, it went well."

"Well, obviously your heart is OK", he replied.

I thought "(Who does he think he is?  Henny Youngman?!?)"

Chris

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