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07-14-2008, 10:27 AM
|  | Junior Member
I am a: Type 2 | | Join Date: Jun 2008 Location: Oklahoma City
Posts: 50
| | | GP or Endocrinologist ? Which do you see ? My Dr is a General Practitioner and has been treating my diabetes for about 8 years. Overall I have been pretty satisfied with the treatment he has provided. It has helped that he is diabetic and up on the latest drugs. But now that I am taking insulin I am thinking that if my insurance will allow me to I should switch to a specialist.
This is partly due to the very minimal instructions he provided on how to calculate the insulin dosage and give the shots.
Who do you all go to ? A GP or a specialist ?
Anyone from Oklahoma City that can suggest a Dr here in OKC
Thanks
__________________
Type 2 since 1998.
Janumet 50-1000mg x2
Lantus 70 units
Started Novolog 7/4/08
Averaging 25-30 units per day
| 
07-14-2008, 10:36 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 1,724
| | I see my Endo every 6 months and my GP/Family Doctor more frequently than that. Endo looks after my D primarily, while GP is good for everything else, especially refilling prescriptions.
The way I look at is this: GP = General Practitioner... no matter how skilled or well intentioned they are, they cannot possibly keep up to date with all the latest studies and literature on every condition and treatment option out there... that is why there are specialists. At the same time, I also make sure that I keep up to date in the latest to do with my own condition(s). 
__________________ ~ Frank Metabolic Syndrome Dx'd March 2003. Started MM 712 Pump April 2004. MM 722 + Contour Link April 2008. "...type 2 diabetes is associated with obesity... [so] most people assume that the excess weight causes the diabetes. But... it's possible that diabetes causes obesity" "One of the causes of your diabetes is a poor choice of ancestors." - Gretchen Becker - The First Year: Type 2 Diabetes: An Essential Guide for the Newly Diagnosed | 
07-14-2008, 10:39 AM
|  | Super Moderator
I am a: Type 2 | | Join Date: Dec 2006 Location: Knoxville, TN
Posts: 6,211
| | | I follow up with the internist who diagnosed me, and have had no problems thus far. However, if/when I start insulin I would definitely want to be seen by an endocrinologist. I feel most of us T2's are "thrown to the wolves" as far as being given adequate information by our docs, so if taking insulin (or if something happened and my meds became ineffective), i'd want to learn from the experts.
In general, i've learned far more about diabetes here than from my doctor.
__________________ T2, diagnosed 8/31/06.
Byetta 5 mcg
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (right after dealing with shingles and bronchitis) | 
07-14-2008, 10:46 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Feb 2007 Location: Spotsylvania, VA (USA)
Posts: 1,233
| | | I just see a GP, and am happy. | 
07-14-2008, 10:56 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Aug 2007 Location: North Texas
Posts: 1,812
| | | I stick to my GP. He has a great Endo I could see that he consults with in the same clinic. The GP has great "bedside" manner, and a sister w/Type 1. I learn a lot here on DF and don't feel the huge drive to see the Endo. I may one day decide to the the Endo . . . don't know!
__________________ Type 1 since 1979
Pumping with MM 522 since Feb '08
HbA1c 6.1 - April '08 | 
07-14-2008, 10:59 AM
|  | Senior Member | | Join Date: Nov 2006 Location: Texas
Posts: 576
| | | My GP is the main man.....I get an immediate referral to the endo if something doesn't look right.
__________________ 
Cozmo 1800 Volcano Black
Pumping since Jan 4 2007
A1C: 7.0 on 7/28/08 | 
07-14-2008, 11:01 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Aug 2007 Location: North Texas
Posts: 1,812
| | | Sorry . . . this was a Type 2 thread! I look at New Posts, and don't always look at which thread. To me it's like one big forum, instead of lots of mini-forums.
Sorry for the intrusion!
__________________ Type 1 since 1979
Pumping with MM 522 since Feb '08
HbA1c 6.1 - April '08 | 
07-14-2008, 11:10 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 1,724
| | Quote:
Originally Posted by Jan B Sorry . . . this was a Type 2 thread! I look at New Posts, and don't always look at which thread. To me it's like one big forum, instead of lots of mini-forums | I agree that DF is just one big forum and value the opinions of everyone here... 
__________________ ~ Frank Metabolic Syndrome Dx'd March 2003. Started MM 712 Pump April 2004. MM 722 + Contour Link April 2008. "...type 2 diabetes is associated with obesity... [so] most people assume that the excess weight causes the diabetes. But... it's possible that diabetes causes obesity" "One of the causes of your diabetes is a poor choice of ancestors." - Gretchen Becker - The First Year: Type 2 Diabetes: An Essential Guide for the Newly Diagnosed | 
07-14-2008, 11:18 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Oct 2007 Location: Vermont
Posts: 1,181
| | | So far just a GP. I'm making it way too easy for her by staying on top of things so I don't really know how good she is. When I want some additional blood test she goes along for the ride.
__________________ Diagnosed Type 2 on Sept 11, 2007 - A1c 8.8, Dec 2007 A1c 6.0, Apr 2008 A1c 5.7
No meds, daily 81mg aspirin and multivitamin, nutrition & exercise. Lacto-ovo vegetarian since Sept 1986You can call me  | 
07-14-2008, 11:20 AM
| | Junior Member
I am a: Type 1 | | Join Date: Jul 2008 Location: birmingham, uk
Posts: 97
| | | i dont see my GP for my diabetes at all, i go to the diabetes clinic at my local hospital. | 
07-14-2008, 11:52 AM
|  | Junior Member
I am a: Type 2 | | Join Date: Jun 2008 Location: Oklahoma City
Posts: 50
| | Quote:
Originally Posted by Jan B Sorry . . . this was a Type 2 thread! I look at New Posts, and don't always look at which thread. To me it's like one big forum, instead of lots of mini-forums.
Sorry for the intrusion! | Jan it's doesn't matter what kind we have we all have similar problems. In fact since I am shooting insulin  now many of my questions have been answered by people with Type I.
Thanks
__________________
Type 2 since 1998.
Janumet 50-1000mg x2
Lantus 70 units
Started Novolog 7/4/08
Averaging 25-30 units per day
| 
07-14-2008, 02:48 PM
| | Junior Member
I am a: Type 2 | | Join Date: Jun 2008 Location: England
Posts: 19
| | | Don't think we have quite the same choices in the UK, general pattern is see the diabetes clinic at the hospital when diagnosed then handed back to the GP as soon as possible.
I have a check up with the practice nurse at the GP surgery every 6 months (full blood test, feet, BP and a chat) only see the GP if there's a problem.
Started with problems last year, GP referred me to the hospital, where I saw ..... a GP who does one session at the hospital! I had about 10 minutes with her, she altered my tablets and refered me back to GP. To be honest I had a lot more confidence in my GP who had only referred me to the hospital as he thought insulin might be needed, and protocols meant he had to refer me for that.
No improvement (not a great surprise there) so GP refered me back to hospital, asked if I'd like to see Dr or diabetic specialist nurse. I chose the nurse, who needed a little pursuation that the GP was right, now she's been convinced its fine, I get anything up to an hour for an appointment, and phone calls inbetween while we're getting me to the right dose of insulin.
Not sure how all that sounds, but the system usually works well. I'm better with someone who knows me (as a type 2 without complications I only ever get to see the more junior hospital Drs who move on too quickly)
__________________
Type 2 on insulin
| 
07-15-2008, 05:46 AM
|  | Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Sarasota (sort of) Florida
Posts: 268
| | | 35 year old internist. He's great.
His practice has an endo if I need one.
Art
__________________
My plan is to live forever.
So far, So good
| 
07-15-2008, 06:08 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Nov 2007 Location: Dublin, Ireland
Posts: 1,935
| | Quote:
Originally Posted by fgummett I agree that DF is just one big forum and value the opinions of everyone here...  |
I always think that anyone can have a helpful idea/hint/tip, please don't stay away from us T2's Jan, I know you have given me good information and help.
__________________
It's a pity that common sense isn't a very common thing.
" The only true wisdom is in knowing you know nothing." - Socrates
Diagnosed Type II on 26th November 2007
Metformin 500mg twice daily
Enap 5mg
Initial A1c (14th Dec07): 11.6%
15th Jan'08: 9% 
3rd March'08 6.8% 
6th June'08 6.1% | 
07-15-2008, 06:09 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Nov 2007 Location: Dublin, Ireland
Posts: 1,935
| | | Oh yeah, forgot to answer the question.
I only see my GP, if/when things progress then I'll look at seeing an Endo but for the moment me and my GP are doing a good job together.
__________________
It's a pity that common sense isn't a very common thing.
" The only true wisdom is in knowing you know nothing." - Socrates
Diagnosed Type II on 26th November 2007
Metformin 500mg twice daily
Enap 5mg
Initial A1c (14th Dec07): 11.6%
15th Jan'08: 9% 
3rd March'08 6.8% 
6th June'08 6.1% |  | | | Thread Tools | | | | Display Modes | Linear Mode |
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