What type doctor should a new diabetic find?

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James C.
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Date Joined Aug 2007
Total Posts : 4460
   Posted 3/30/2010 3:26 PM (GMT -7)   
Family Practioner, specialist, (which one) , GP, Nurse Practioner? Which do you use and why?

James, thinking I may be approaching pre-diabetic status....maybe....

LanieG
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Date Joined Nov 2006
Total Posts : 5408
   Posted 3/30/2010 6:11 PM (GMT -7)   
Hi James.  First, why do you think you're approaching diabetes?  Family history?  Excessive thirst?  Vision (blurry) problems?  To determine whether or not you're diabetic or having problems that you think are leading to diabetes, you should start with your GP.  Your family doctor would most likely order blood tests:  perhaps that very day just to see what your blood sugar is at that time (a random reading) and an A1c (another blood test) which will tell him what your blood sugar was averaging over the past 3 months.  Then, depending on those results, he might ask you to come in one morning fasting, having nothing but water from the night before, to see what your fasting blood sugar is.  Depending on those results, and if he really suspects diabetes or borderline diabetes, he might order a glucose tolerance test (GTT).  Family doctors (GPs) are well-prepared to order and interpret all those tests and to give advice about diet for diabetics and to prescribe meds if necessary.  Endocrinologists are specialists whose expertise is the endocrine system which includes the pancreas.  If your family doctor does diagnose you as diabetic and if you prefer to see a specialist, then you would see the endocrinologist.   Chris and I are controlling diabetes with diet and exercise.  Jeannie takes meds and we three are type 2.   So, why do you suspect you might be one of us?  wink
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4460
   Posted 3/31/2010 6:19 AM (GMT -7)   
Laney, mother and brother are diabetics, although brother has stopped insulin since gastric bypass surgery. Diabetes common on mothers side of family. I'm currently about 30 pounds overweight, according to common standards, blood sugar fasting has been slowly creeping up for past 10 years. I have blood work done each 6 months for heart monitoring, so it was 138 last time. I have high blood pressure, high chlorestrol. My eating habits aren;t the healthiest, love the good ole southern standard food groups of flour, sugar, grease and milk, all fried... smilewinkgrin I've ordered a meter to start monitoring my levels closer. I have no current symptoms of diabetes, other than getting a little' shaky late afternoon if I skip lunch. I normally have a 1030am or so brunch and then don't eat again until 430pm. I figure I'm just running out of food when I start the shakes around 4pm.

The reason I ask, my current doctors are a GP/Family Practioner who I have been with for 32 years, and a Urologist. I can't say that I have a lot of faith that the FP can do a good job helping manage a diabeties condition, going by his track record with his reaction to my PSA climb. If, and a big IF, I do have to face the diabetes situation, then I am gonna go elsewhere, I think, and was wondering which one to look for. I don't necessarily want to stop the FP and go with a new person for alll my doctor needs. There's advantages to having a long term relationship with a doctor, at least for general health issues.

Yes, I know the diet and exercise routine and am doing it, so my expectation may be premature, but just looking for some info about what my future steps MAY be. My next blood work is next week. Thanks...

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 3/31/2010 6:46 AM (GMT -7)   
I think you're very wise to be concerned before it becomes a reality.  As you realize, there are several factors that tip us off:  family history of type 2 and excess weight, diet and lifestyle.  Since you're going to be testing your blood sugar with the meter you've ordered, you'll be able to see what your readings are fasting in the morning and 2 hours after eating.  You may see higher than normal readings.  If you do, sometimes a lifestle change can control the diabetes, so read the two stickies above: TV Editor's testimony and the other one with resources and other information about what makes the blood sugar rise.  The reason you are getting shaky in the afternoon might be that the blood sugar is getting low after lunch.  A reason for this could be lots of carbs for lunch and then a big drop in blood sugar a couple of hours later.  This could be because your body isn't metabolizing carbs normally.  What do you normally eat for lunch?  In fact, what do you normally eat for breakfast and dinner?  I know it will be hard to make changes but when it's done gradually, it works best, especially when you're using your new best friend, the meter.   
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10392
   Posted 3/31/2010 7:54 AM (GMT -7)   
James, another good doctor choice is an internist as a PCP. They specialize in adult medicine, and see lots of people with type II, so most are good with it. My doctor in Austin didn't mess around at all. I had a fasting glucose above 110, she had it repeated and then did a workup. I started with diet and exercise then (1999) and managed my glucose that way until December 2009, when I had to start on oral medication. I feel I've been served well by internists, and they can also help manage my other issues.
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