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uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 5/27/2010 11:07 PM (GMT -7)   
Ok, after a year of ups and higher ups with blood sugar my Family Dr. finally threw in the towel and referred me to an Endocrinologist....What I have been pushing for for over 5 months!!!  I asked him about puting me on Premixed Insulin and he just said "you'll have to see a specialist for that"...  I hate to say it, I love my Family Dr....believe me...but he's out of his freakin mind!!!  I see him at least once each month, and at first he was great...then about 5 months ago he acted "Funny"... he didn't remember what meds he put me on... I had started out on regular Metformin 500 mg., then 1000 mg. then 1500 mg.  Then he changed it to Metformin ER 1000 mg. then 1700 mg. At my last visit he said he wanted to put me on Gluchophage XR....500 mg X 2 at night.... I thought....ok.  When I got home I realized he didn't change me, it was what I was already on....when I called he changed it to 1500 mg. again!!!  He even forgot I was already taking Lantus.....that started at 15 units at night, I am now on 70 units at night....along with the Glipizide...
 
He's also very moody, and has made me cry by being so rude to me...  So, I think it's best that I see a specialist...I mean, this is very important, if not life-threatening..and I don't need a nut case trying to treat me.
 
So, what should I expect?  I have never seen an Endocronologist before....
 
Me.

I have been a spectator for so long..Now it's time to participate.......
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/  30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1700 mg. at night..Glipizide 10mg. 2X in the morning and bedtime
Lantus 50 units at bedtime with Solostar Pen
Byetta 5 mcg. 2X daily                                                                   

 


Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 5/28/2010 6:42 AM (GMT -7)   
Breath a sigh of relief - you'll be in good hands soon.

Sorry you had to go through such difficulties with your GP. Sounds like you've got a few more things to address than he could handle but, he's doing the right thing by referring you now. To be fair, most GPs follow a pretty standard protocol when faced with patients with blood sugar issues. Most patients get with the program fine but, there are some with added issues that would require a specialist. Lucky you :-)

The Endo is the endocrine and metabolism specialist. I like to think of them as the "hormone" docs. He may order more blood tests to check thyroid and cholesterol levels and/or urine tests to check kidney function if you haven't had them already done. He'll basically get an idea of how your body functions metabolically, look at the meds you're on, and determine the best course of action. Keep in mind that sometimes it is trial and error and that changes in regimen (meds, diet) can take some time to get figured out. Everyone is unique when it comes to the D.

Keep your GP for the aches, pains and colds but the blood pressure, diet, and meds will be in the hands of your Endo.

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


Chaul22
Regular Member


Date Joined May 2010
Total Posts : 200
   Posted 5/28/2010 9:26 AM (GMT -7)   
Hmm, I have a doctor who has specialized in diabetes. That's not exactly a GP, or is it. She refers me to a podiatrist, dietitian or an eye care professional if need be. I don't need to meet her that often though. The next visit is coming up some time during the Fall. I don't know exactly, is it her who decides to put me on medication or is that decided in a specialist group, but she does write the prescription in the end anyhow and orders all the annual lab tests etc. Maybe it's different here, and lucky me for state funded healthcare in this country.

Joan123
Regular Member


Date Joined Aug 2006
Total Posts : 191
   Posted 5/29/2010 4:41 PM (GMT -7)   
You can expect to spend some time giving your history including meds and then probably do bloodwork and urine sample. Your weight and height will also be taken along with the usual blood pressure and pulse. After that, if the results don't come back immediately, you will probably have another appointment to discuss results and changes in meds. That follow-up may even be done over the phone.
Joan
 
History of Hashimoto's Thyroid Disease and Thyroid cancer.  Treated with surgeries and RAI.
Type II Diabetes diagnosed April 2010
Meds:  Lantus, Metformin, Levothyroxine, Lisinipril w HCZ, and Lasix.
 


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 6/1/2010 9:37 AM (GMT -7)   
I cannot wait to see the Endo...I have issues with sweating (I had a hysterectomy in 1995 but left one ovary), and HBP, Diabetes, CP.....oh the list is long..... it's odd that the sweating bothers me the most...it's horrible....I wake up in a puddle....ha ha
 
I know that Diabetes is the reason I am being referred to him, but I hope he'll let me talk about other issues as well... My Family Dr. would only talk to me about Diabetes when I went in for a follow up...his nurse once told me to make sure and tell the desk exactly what I needed to talk about so I wouldn't put him behind schedule....HUH???
 
I felt like I was bothering them.....but now I got what I wanted....I'll fill you all in after....
 
Thanks,
Me.

I have been a spectator for so long..Now it's time to participate.......
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/  30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1700 mg. at night..Glipizide 10mg. 2X in the morning and bedtime
Lantus 50 units at bedtime with Solostar Pen
Byetta 5 mcg. 2X daily                                                                   

 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 6/2/2010 7:59 AM (GMT -7)   
I think the endo would evaluate everything going on in your system, not just the diabetes.  I'm just amazed at the list of diabetes meds you're on but there's still no control!  So, best of luck! 
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


uniquelyme
Veteran Member


Date Joined Nov 2008
Total Posts : 1037
   Posted 6/9/2010 7:55 PM (GMT -7)   
Well, I went to the Endo today...he changed me to Novolin and Novolin R. I take a total of 4 shots a day now!!!

Oh man....be careful what you wish for? He also took blood to test me for menapause. I sweat all the time...it can be 60 degrees and I'll still sweat like you would not believe....

So, I took my first shot before dinner...my blood level was only 111....it has never been that low....but I hadn't eaten so that's why....not, after a couple of hours it is 170...not bad for me.

I take the insulin as follows.... Novolin 50-0-50-50
Novolin R 0-50-0-0

I keep taking the Metformin Er...but that's all. So, we'll have to wait and see...

Me.
I have been a spectator for so long..Now it's time to participate.......
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/  30 mg. Oxycodone as needed(up to 4 x a day)
High Blood Pressure: Lisinopril HCTZ 10 mg. daily
Type 2 Diabetes: (March 16, 2009)
Metformin HCL ER 1700 mg. at night..Glipizide 10mg. 2X in the morning and bedtime
Lantus 50 units at bedtime with Solostar Pen
Byetta 5 mcg. 2X daily                                                                   

 


Chaul22
Regular Member


Date Joined May 2010
Total Posts : 200
   Posted 6/11/2010 10:59 PM (GMT -7)   
Type 1; I'm taking 2 shots of long acting insulin a day plus rapid insulin 4 times a day before each meal.. total of 6.

I remember times about 20 years ago before we had these prefilled pens, I had to mix the insulin myself from small bottles of actrapid and protaphan into the same syringe, but at least I only had to do that 2 times a day.

Taking multiple injections a day works better though. It mimics the natural rhythm more accurately. I was given a guideline, as type 1, that when before and after (+2h) BGL is a close match, my insulin doseage is sufficient. If it was already quite low before meal, that kind of guideline wouldn't make much sense though, would it.
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