don't know who to trust

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winnie1
Regular Member


Date Joined Jun 2010
Total Posts : 31
   Posted 9/8/2010 10:33 PM (GMT -7)   
Hi everyone, I need some help fast. My en. put me on leivimer 20mg at night and juivia.  I have been telling him that I have a fear of shots.  He doe not beleive me.  My heart doctor put me back on metformen 500 two times a day.  I am not looking for medical adivice, but i wanted to see if this has happened to anyone before.  The last time I went to the doctor my a1c was 5.9 and my average numbers were 112.  But I have been eating everything I want becaue I take shots and that keeps it low, but i can not stand shots.
 
by Thanks

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 9/9/2010 5:03 AM (GMT -7)   
winnie, I'm not sure I understand this.  Are you saying that your endo has prescribed two diabetes meds and your cardiologist has also prescribed meds for your diabetes?  Why are two different doctors doing this?  If this is true, I don't think this is good.  Do the doctors know that another doctor is treating you for diabetes?  (Also, I don't believe you should be eating anything you want just because you're on all those meds.  It's like the reason you're on the meds is so you can eat anything you want.  That doesn't make sense.)  Can you explain more of what you wrote?
Lanie

diabetes moderator
diabetes type 2 controlled so far by diet and exercise
very low carb way of eating

jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10392
   Posted 9/9/2010 5:36 AM (GMT -7)   
Winnie, please ignore Kramden. Every web site attracts a certain number of unpleasant people, and this one is no exception.

I'm alarmed to see you saying you're eating whatever you want because the shots keep your blood sugar down. This isn't a safe way to manage your diabetes, and I worry for your life and health. Please do elaborate for us, as we care.
Ulcerative colitis diagnosed 2001. In remission with Remicade since 2006.
Graves disease with hyperthyroidism, successfully treated with radioactive iodine.
Arthritis with global joint pain.

Co-moderator thyroid forum

Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 9/9/2010 6:50 AM (GMT -7)   
I'm confused about what you are asking, too. Do different doctors prescribe different meds? Yes. Is it up to you to inform your doctors about what other doctors are prescribing? Yes.

When it comes to your diabetes, it is your endo who calls the shots. If you don't have a primary doctor, then maybe your endo should become it. He should be advised on all other doctors reports, tests, meds, etc. One of them has to have the full picture of your medical history at all times. (Sometimes this can even be your pharmacist).

Don't be afraid of insulin injections, if that's the way you have to go. Seriously, they hurt less than the finger sticks do. The needles are so short and thin nowadays that its like poking yourself with a hair. Trust me on this, I inject 5-8 times/day :-)

Its possible that modifying your diet/lifestyle could see you avoiding or deterring insulin or extra meds. Maybe you want to try the "nothing white but cottage cheese and cauliflower" diet (no potatoes, rice, breads, pasta, etc.) for a while and see if watching your carbs and starches is enough to keep your BGLs normal.

Your A1C and average BGLs sound pretty good but, are they at this level with eating anything you want and being on meds?

winnie1
Regular Member


Date Joined Jun 2010
Total Posts : 31
   Posted 9/9/2010 8:23 AM (GMT -7)   
Thanks everyone.  I quess I'am bumbed out about taking shots.  My endo says i need to take them, but my card. says that I can stay on pills as long as I exerise.  I guess I am just  I am being a baby about shots.  I know this is another phase in diabetes.  My endo. is doing this because my cousin and I are starting to get diabetes in our thirthes.  Just being a baby.  I know i am not suppose to eat anything i want but i am just back on depokote and everything in th world taste good to me.  I could eat a stick and put butter on it and it would taste good.  I was just wonder did anyone have a problem when they changed from meds to shots and did not want to?  I hope this helps clear up some qustions i have.
 
thanks

Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 9/9/2010 10:05 AM (GMT -7)   
I certainly didn't want to take shots! I was happy taking all my oral meds but, the problem for me is that they weren't working.

I was around 35 when first diagnosed with Type 2 diabetes and put on oral meds. Turned out that I am actually a Type 1 (just took a couple of years for my beta cells to die off completely) and started on insulin the very day I dragged my sorry self to my Endo after losing 10 lbs in 3 days.

I was without question a Type 1 and started my new life by being handed a bunch of needles and insulin and told to give myself my first shot that night (no more meds). Talk about scared! I think it took me about 45 minutes to do the first one (I'd never seen it done and only had my "how to inject" guidebook as my companion). By the of the first week it was already routine.

It does get easier to inject. What's a whole lot harder is modifying lifestyle (diet, exercise). For a lot of Type 2 diabetics, this is enough to avoid/postpone/reduce meds.

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 9/9/2010 12:30 PM (GMT -7)   
They wouldn't let me walk out of the hospital, after I was diagnosed with type 1, before I could prove them that I could inject myself..

My diet was already somewhat ok before diagnosis and I was lightweight, just not doing enough exercise, and I still am not. I just went cycling a week ago trying to improve my habits - and caught yet another bad flu.. These are starting to frustrate me a little bit. I barely recovered from the last one.

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 9/9/2010 1:33 PM (GMT -7)   
winnie, the problem I see is not that you don't want to take shots.  The problem is you have two different doctors prescribing diabetes medication to you.  Frankly, I don't understand why the cardiologist is prescribing for you if you already have an endocrinologist.  This is not right.  It's the endo who should be the one treating you for diabetes, not the heart doctor.  As far as taking shots, talk to your endo and get this duplication of meds solved first.  That is what should make you concerned, not whether or not you have to have shots.  How old are you?
Lanie

diabetes moderator
diabetes type 2 controlled so far by diet and exercise
very low carb way of eating

Chaul22
Regular Member


Date Joined May 2010
Total Posts : 200
   Posted 9/10/2010 1:17 PM (GMT -7)   
I only have one main doctor, and this one is specialized in diabetes. Maybe it's my bad English, but I don't even know what an endo is or does. Cardiologist must have something to do with the heart, but I've technically never met one either. I've had some monitoring of my heart done though, but that was just a lab assistant doing that. I get to meet a podiatrist, food therapist and get my eyes photographed every so often too.

The different doctors do need some common base and knowledge of already existing medication possibly prescribed by other doctors.. All the different therapists and doctors do have access to general database or something, as long as I give them permission to access it, so I can in a way assume that they already know about my medical history before meeting with me..

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 9/10/2010 2:30 PM (GMT -7)   
An endocrinologist treats problems of organs that produce hormones, like thyroid, pancreas, etc., so this is the specialist that a diabetic would go to.  If the family doctor (or GP, general practitioner) feels that the diabetes case is beyond his knowledge, then he'd refer the patient to the "endo".  The puzzle here is why winnie's heart doctor is prescribing diabetes medication if she's also going to an endo.  Something is not right here because doctors wouldn't do this and specialists always work with and send reports to the GP.  So, this is strange.  (There's nothing wrong with your English! yeah )
Lanie

diabetes moderator
diabetes type 2 controlled so far by diet and exercise
very low carb way of eating

Chaul22
Regular Member


Date Joined May 2010
Total Posts : 200
   Posted 9/11/2010 5:15 AM (GMT -7)   
Ok. I don't get any hits on online translators for that word, so I was confused. It must be a further specialized internal medicine specialist, right? I do have a general word for that.. I've just never heard my doctor call herself an endocrinologist, just a doctor for diabetes. However, I guess, in effect, she is an endocrinologist after all. She does have the last word for medication for my diabetes, even if they discussed in a group what to do with me first..

mzizgayle
New Member


Date Joined Sep 2010
Total Posts : 3
   Posted 9/16/2010 9:30 AM (GMT -7)   
You need to take control of your care...one doctor to treat the diabetes and if you are having heart issues, then he/she must treat the heart, these two doctors must begin to talk with each other. Having diabetes is nothing to play with, and when you develop diabetes, you are liable to end up with a team of doctors. When one wants to add meds you need to ask what is it for? who decides this new med, have you discussed with other doctor?

And the fact you can eat whatever you want because you are on all this medication for diabetes is also not good.
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