Endocrinologist?

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JGriffin
Regular Member


Date Joined Jan 2006
Total Posts : 104
   Posted 1/13/2006 9:33 AM (GMT -7)   
I have read from several of you that you see an endocrinologist. I am newly diagnosed type II, see an internist and a nutrionitst/educator. What does an endocrinologist do that an internist does not? I seem to be getting a handle on my BG with the two experts I am seeing. Will I have to be thinking of adding an endocrinologist down the road? Just asking for opinions and information on how an endocrinologist helps those of you who have more experience with this disease than I do.

Warren
Veteran Member


Date Joined Oct 2005
Total Posts : 534
   Posted 1/13/2006 9:56 AM (GMT -7)   
An internist takes care of lots of different problems and is a general doctor for the heart, kidneys, nerves, stomach, hormones, etc. An endocrinologist is an internist who received special training (minimum of 2 years) in the field of endocrinology. A diabetologist is an endocrinologist super specializing in diabetes, which is one of several conditions within the field of endocrinology.
 
Your interenist can recognize the symptoms of Diabetes and get you on Metformin (the diabetes "starter" drug of choice).  An Endocrinologist or a diabetologist is a MUCH better choice to take you beyond the metformin when this drug and your dietary controls stop working or simply aren't doing enough.
 
scool  Warren

steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/14/2006 3:27 PM (GMT -7)   
I saw an endocronoligist for the first time in 7 years since diagnosed with Diabetis. She ordered a C Peptide test and Thyroid Stimulating Test. To see how my thyroid and how much C Peptide I'm making. I think there is a corelation to C Peptide to insulin production. These are 2 specific things. I have another appointement in march/

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/15/2006 2:08 AM (GMT -7)   
Good for you Steven... let us know how it goes.
~ Jeannie

"As one goes through life one learns if you don't paddle your own canoe you don't move."
-Katherine Hepburn


"Madness takes its toll.
Please have exact change."


steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/15/2006 9:24 AM (GMT -7)   
Thank you Jeannie. You know everyone in this forum is in different situations and different circumstances. Some are type 1 , some are type 2 , some are trying to control it with diet and exercise. some are tryling to control it withdiet,,exercise and meds. some are taking 1 shot of insulin, some 2, 3 and 4 . Everyone is different here. I'm trying like heck to stay off of insulin. Barely dodged it 6 months ago. Maxed out right now on glyberide, advantia, and metoformin. When my doctor was thinking about putting me on 1 shot of lantus at night, I stopped walking around life with my eyes closed. Lost 35 pounds, got A1C down from 7.8 to 6.0 Started regimented exercise program. (treadmill) I feel some cammarade with the people here. Even though I never met or seen anyone. I guess the only judge and jury who determines if we are mismanageing this disease or are a non complient is our Physicians. This is a disease that is notorius for mismanagement and non-complance. I'll let you know how I make out.

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/16/2006 10:25 AM (GMT -7)   
Steven,
Don't feel so bad if you do need to start Lantus. It's simple to take at bedtime and easier than when you were 14 and learning to shave. Honest!

I was very compliant with my program and meds, swimming 1/3 mile three times a week, doing yoga, doing my 1200 to 1500 calorie balanced diet... really doing all I should and my morning sugars were in the 180's. I was so bummed... felt like a failure. I was already a member of HW on the Fibromyalgia forum and started peeking over here to see what I could learn. Reading about everyone's different situations kind of gave me the kick in the butt I needed to call my doc and get my meds changed. That's when she started me on Lantus. I was scared and worried but everyone here coached me along and I started getting wonderful numbers like 107! I was so happy the day I had the first 107 that I posted it like it was my birthday or something (LOL!)

Sometimes you just can't get there from here with diet and exercise but that's just the way it is... I can't be mad at the way my body works. I'm just grateful that there are new meds around to help me live longer. Take care.
~ Jeannie

"As one goes through life one learns if you don't paddle your own canoe you don't move."
-Katherine Hepburn


"Madness takes its toll.
Please have exact change."


steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/16/2006 11:13 AM (GMT -7)   
Jeannie Thank you kindly for the kind words. I'm a worrier to begin with. I'll have to just make the transition if necessary.. I'm much more educated about this disease now. if insulin I' now have a better idea how to corelate my food intake with what my body is doing. Everyone says the finger pokes hurt worst. I'm just afraid of insulin reactions. I know insulin is something that has to be fined tuned. Did you get any coaching how to use it?. Hopefully they just didn't give you a prescription and told you to follow instruciton. When I got this disease and I 'm not blaming anyone but myself, I was not properly trained ,because there is alot of help out here if you know where to look and want it. I just want bo be sure I'm properly trained. It' doesn't seem that hard . I guess it is like the James Ingram song . If it comes to that I did my best but m best was not good enough.

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 1/18/2006 11:01 AM (GMT -7)   
Steven,
First off, something you need to know. You were born with a predisopsition to diabetes and there is no blame to be assigned. We had a wife of a patient at one of our classes and the educator said, "We could give Mrs. Watson here two snickers bars to eat and in about two hours her blood sugar would be about 110. Then we could feed her two more. We could do that every two hours for three days and the only thing she would 'get' is sick of snickers! She wouldn't get diabetes! You can't give yourself diabetes."

That was the greatest load off my mind because I was feeling that I somehow 'aquired' diabetes by the way I lived. More than likely I was type 2 as a teen and walking to school and high school athletics kept it in check. Same with walking in college. I had all the symptoms for over 20 years before they lowered the cutoff point on the numbers and I was diagnosed.

As far as insulin goes... the Lantus that I take is a long acting med that works in your body over a 24 hour period. Unless I am so busy in my bakery that I forget to eat I have no problems with low blood sugar reactions. I started with a very tiny dose, just 6 units every night and kept adding a bit at a time until I got my numbers right. I'm now at 15 units at bedtime and it seems to be doing the trick. If you should have to start insulin I hope your experience is as easy as mine was.
~ Jeannie

"As one goes through life one learns if you don't paddle your own canoe you don't move."
-Katherine Hepburn


"Madness takes its toll.
Please have exact change."


steven k
Regular Member


Date Joined Nov 2005
Total Posts : 58
   Posted 1/18/2006 12:09 PM (GMT -7)   
Thank you that is reassuring. I'm just making things bigger than they are. I sometimes have a tendency to do that. I suppose it's not uncommon for people to be afraid of insulin. Maybe it is? My doctor did mention the 1 shot at night for a 24 hour period. She even gave me the VHS about it.
. If it comes to that I'm not going to second guess myself. I'm making an effort . Actually if you ever read Gretchen Becker's book Type 2 Diabetis the first year. She actually had to beg her Physician to put her on it. She prefered insulin,feeling she had more control. Maybe some type 2 actually do prefer it.? Thank you once again
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