GRRRRRR!!!!!!!! Now I am officially grumpy for the day. (Rant)

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Veteran Member

Date Joined Jul 2009
Total Posts : 2042
   Posted 7/28/2009 9:32 AM (GMT -7)   
The NP I just started seeing made me an appointment with a diabetes nurse educator. I just got back from that appointment and it would be so nice if everyone in the health care profession would get on the same page when it comes to recommendations and guidelines to controlling diabetes.

Since this little "sugar" odyssey started 10 years ago I have seen 3 nurse educators, several dietitians, 2 endocrinologists, 1 GP, and now a NP, and soon another GP.

Anyway to date I have been told to:

Eat 45 grams of carbs, eat 60 grams of carbs, eat 80 grams of carbs per meal, and to eat no more than 75-80 grams of carbs per day.

Since going on insulin I have been told:

Not to split my basal insulin dose if 100 units or less, to split it if over 50 units but take it at same time in 2 locations, to split it if over 50 and take it twice a day.

Not to adjust, on my own, my fast acting insulin, to adjust it by 3 units at a time based on my sugar levels, to use "corrective" dose calculations in addition to my normal meal time dose, to never use a corrective dose.

Of course everyone acts like I am the idiot for not following their recommendations and for following another's.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

Regular Member

Date Joined Aug 2008
Total Posts : 481
   Posted 7/28/2009 10:03 AM (GMT -7)   
"...,it would be so nice if everyone in the health care profession would get on the same page...,"
I'd be happy if they were reading the same book smilewinkgrin
Chris - Forum Moderator, Diabetes

~ Diagnosed Type 2 in July/'08
~ Dropped 40 or so pounds after following HealingWell advice
~ Diabetes under control / no meds - so far - knock on head
~ My doctor thinks HE is responsible (Don't tell him! He's happy ;)

I used to eat 100% wrong -- now I eat 95% right

Lanie G
Forum Moderator

Date Joined Nov 2006
Total Posts : 5986
   Posted 7/28/2009 2:46 PM (GMT -7)   
I'd be happy if they were on the same planetrolleyes    Seems to me an endocrinologist would know better than a GP.  And a diabetic endocrinologist would know the best.  Jim, go out and buy Diabetes Solution by Richard Bernstein.  He's an MD with type 1 diabetes.  I'm sure you could find it on Amazon.  That book is an education and a life-saver.

forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds

Post Edited (LanieG) : 7/28/2009 4:05:31 PM (GMT-6)

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