Bad - I am so glad you found a doctor that will work with you. It sounds as though you are on the right track with your meds and your determination to make this work. I'm sure when your hubby sees how determined you are and what a difference it will make in BOTH of your lives, he will be on board with NO kicking OR whinning! Good luck in your venture. Hang in there and come back and post with us often.
One day at a time; slow and easy wins the race.
I can do all things through Christ, who strengthens me. Phillipians 4:13
What a difference a decent dr makes. She was open and receptive and just great.
We discussed guidelines and parameters. She went ahead and bumped the metformin up to 2000mg a day, but if things go well that could get changed back down in 6 wks.
She truly though that even considering insulin at this point was way over board. She was like, there are so many other things that she had to work with before going that route, that she considers that to be her last resort option. And she felt that seeing a nephrologist was def jumping the gun. She agreed that only the ratio was outside the set limits but only by 6 points and the actual readings were well within normal limits. But she did agree about staying on the BP med for a little while until the bs were better under control. I asked if it was possible to get off of it and she said yes, that she personally has had patients that were way out into the 1500s and with time and management they were able to come off the med.
She was totally supportive of my goal of being med-free by the first of the year. I'd really love to by the time we go on our honeymoon cruise in September, but I'm trying to be realistic.
She said she def wanted to continue the testing in the morning faster but could continue to do 2 hrs after lunch or dinner daily if I wanted but at least 3 times a week. That would give her 3 good points to reading references.
So I see her again in 6 wks, sooner if things don't seem or feel right or bs aren't responding. Which before the meds I was in the 200-265's with in the low 100's. I think that's a response. She was glad too that I had the info before the meds that she can def see that my body instantly responded. So she seemed very hopeful. At least that's the feeling that I got.
So I need to take this weekend to make the full diet conversion. I'm most likely going to have to do all the cooking and stuff on the weekends for the whole week. We both work late and don't generally get home until 7pm or later. Many times not till after 8 so even on the earlier nights dinner isn't ready until 830 or 9 even. Which diet wise, isn't good. And I'm sure has contributed to this situation.
Before, being a widow, I got home a bit earlier, but rarely cooked. It was oatmeal, or ham & cheese roll ups or eggs & beans or something super simple. But with a man in the house, the days of not really eating are gone.
But I think this will be good for us, even if I have to drag him kicking and whining. LOL!!!
Oh yes, I gave them an earful when I called to do the PCP change. He was great when I saw him in December but all I needed was a referral to my (then new) chiro dr and he had been a patient of him and at the time the thought was that I wouldn't need him more than to get the referral.
I see the new chick on Thursday afternoon. I'm going to go ahead and cancel all the other appts I made last week. The new dr is with same hospital system I used to be with so they have their own network of drs and education centers and such. I'm kind of excited. Weird I know. LOL
I also picked up a copy of the dummies book. Figured it'd be a good refresher.
Hi Dawn, Welcome to the group. Wow, you have had a lot going on and a terrible Dr. to boot! I have to tell you I was sitting there reading your post once you started talking about your Dr. I was saying "You need a new Doc, you need a new doc!" What a nightmare he must have been. I would also call your insurance company and tell them specifically why you left him. They need to know he is not dealing with his patients the way he needs to. If they get enough complaints or investigate, they will drop him from their list. Really do this, we need to keep docs like that away from people they may harm because they don't want to put in enough time to help them. I am so glad that you are going to a new Dr. When are you suppose to see him/her? I wish you the best of luck on finding a super Dr. It is no fun when you have a bad one. I think there are more of us that have experienced a bad one at some time in our lives. You certainly had to deal with one at the absolute worst time though. Do you have any questions or concerns about diabetes at the moment? If you do, just let me know. We are lucky in that we have several knowledgeable members on this team. We would be glad to help you any way we can. Again welcome to the group. Becky
Hi I'm Dawn and I was diagnosed (this time around) on Monday (5/18/09). And if you read all of this it will be more than you ever wanted to know. What I mean by this time around is I had kind of a scare diagnosed 10 years ago. But it had been related to coming off a ton of drugs and hormones, a bout of depression from my grandmother dying the night of my last surgery (she and I were two peas in a pod), having had to give up child baring at 29, and living on almost nothing but circus peanuts (yes those weird orange marshmallow things) and coke for a couple of months. I went into my GP for a bladder infection, she says no your have diabetes, puts me on drugs and sends me to an education center, a week later I'm in her office, huh you have a bladder infection and but no sugar in the UA. Huh...well stay on the drugs and continue going to the center. So I did. It was enough of a scare, that I've not had a circus peanut in 10 years. After a few months at the center, they determine my diagnosis then to be a mistake and a result of my circus peanut habit. My A1Cs had never been elevated.
So in the past few months I knew something hadn't been right. So I bought a new meter and started testing in the mornings. Sure enough, I was running in the mid to low 200s. Not good. I ended up getting sick with a virus from a coworker had and started running fever a couple of Fridays ago, the dr couldn't get me in so I had made an appt for the next Monday in case I was still sick. I work for the state health department and with the whole swine flu thing we have protocals we have to fallow. That Saturday I ended up in the ER with a 105 temp. Yea fun.
So I kept my appt with the dr since the ER didn't do anything other than say eh a fever is a fever. So while I was there I added in that I had been monitoring my glucose and felt that I was having issues so he ran all kinds of test, full panel, you name it and a UA.
I went in on Monday to get cleared for the fevers so I could return to work and follow up to all the lab work. It was not an appt that went well. The nurse was shocked at how well my results were for my age, the glucose was high, 189, and the dr was like you have diabetes and you've damaged your kidneys, take these meds, if you don't improve by next week I'm putting you on insuline and maybe a weightloss drug.
I had to inform him that I had lost 25 pounds since I first saw him in December. He seemed shocked by this. He had his head buried in his computer, I couldn't really talked to him, he said he wanted an EKG and the nurse will teach me how to test and walked out. That was the extent of the appt. Nothing about how he wanted me to take the meds, how frequently he wanted tests, I had to pester the nurse and office staff about testing supplies, they seemed clueless. My EKG was about as perfect as it could be (so the nurse said). They sent paper work to a medical supply company and that has been a nightmare, and there still isn'g a script from the dr for the supplies.
This is already long enough I'm not going to go into details of the rest of the nightmare this office has been. Needless to say, I called to day and changed to a new PCP and will not be returning to this guy. Monday was only the 3rd time I've seen him.
But he put me on Metformin 500mg, he said I have to decide if I need 2 or 4 pills a day, but no info past that. And he put me on Lisinopril which is a blood pressure med (my bp is normal) which he said would help take the stress off my kidneys and he referred me to a nephrologist.
I got a copy of my lab results, all the kidney fuctions were within "normal" ranges, but the ratio was off, but only by 6 points. And I had been sick running an average 102 temp and dehydrated for 4 days when I gave the UA so that could very well have had a baring on the results. But we shall see. I'm not freaking out at this point. Oh I did a bit that day, but it passed.
I'm being a good girl and taking my meds, had a big long talk with the new hubby that my diet and lifestyle needs to return to what they were before he was in the picture. I was very much a South Beach babe and got up every morning at 4:30 to do yoga for an hour and then went for a walk for an hour. Not sure he'll let me out of bed at that hour. LOL!
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