General Practioners vs. Endocrinologists

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Regular Member

Date Joined Dec 2006
Total Posts : 406
   Posted 6/25/2007 8:47 AM (GMT -6)   
Ok. Poll time. Who goes to what?

I go to a GP with an interest in diabetes but am wondering if I should be going to an endo!
Cheers -


age 52/Type 2 diabetic/"controlled" by diet and exercise

Forum Moderator

Date Joined Nov 2006
Total Posts : 5305
   Posted 6/25/2007 10:05 AM (GMT -6)   

I go to our GP, but would choose an endo if 1) I couldn't continue to control my blood sugar myself, or 2) I started exhibiting symptoms of diabetes complications, or 3) she wanted me to go on meds.  Any one of the three because I would feel more comfortable with an endo if my diabetes progressed to any of those points.  No offense to our dear physician though.


"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds

Regular Member

Date Joined Aug 2006
Total Posts : 477
   Posted 6/25/2007 10:25 AM (GMT -6)   
My doctor is an internist- but she is a type 2 with a type 1 daughter- I feel confident in the treatment I get from her. She has offered to send me to an endo in the past- but I see no need at this time since my BG levels are fairly well-behaved.
I just want to live happily ever after-every now and then. Jimmy Buffett

Mormor Vicky
Veteran Member

Date Joined Mar 2007
Total Posts : 684
   Posted 6/25/2007 11:26 AM (GMT -6)   
My PCP is an internal medicine physician. She is handling my diabetes. I will go see an Endo if I start feeling like she is not up to speed on everything. Right now, she knows my history and has helped me tremendously.
DX'd with Crohn's August 2006 during a resection
DX'd with Steriod induced Diabetes November 2006
Currently only on 4000mg of Pentasa
6-MP caused Bone-Marrow Suppression

Veteran Member

Date Joined May 2006
Total Posts : 547
   Posted 6/25/2007 8:14 PM (GMT -6)   
Hi Ruth... I went to my GP for initial Diabetes care. I was referred to the Endo when diet, exercise, and ever increasing meds and dosages were not bringing my sugars down. I see my Endo every 3 months.

- 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

Veteran Member

Date Joined Oct 2005
Total Posts : 534
   Posted 6/26/2007 2:56 AM (GMT -6)   

I go to an Endo for a couple of reasons.  1st I am more involved with my diabetes treatment and I probably know more about meds and treatment plans than the vast majority of internists (not because Im a doctor, just because I've done my homework).  The Internists I've had tend to treat me like the typical diabetes patient. "Do it because I say so" and they don't really want to engage in any kind of a discussion or explanation of what they are doing for you.

So I go to an Endo that will at least treat me as an intelligent patient and will explain why he thinks I should do this or that vs. the alternatives.  Secondly, I find that the Endo's have much more knowledge about the side effects and nuances of the different drugs and their interactions than the Internists do.  My internist was adamant about keeping me on Avandia.  My Endo put me on Byetta and took me off Avandia right away.  The end result is my BS is now about 100 all the time vs never under 120 and usually over 150 with the internist.

For those of you that have good caring internists and your BS is well controlled, that is probably all the medical help you need.  My situation was, I was not well controlled and my internist was not nearly as good as the Endo guy I see now. So this tells me that when things start to go from normal to worse, find a good Endo.

scool Warren
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