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Grrrrrrrr

This is a discussion on Grrrrrrrr within the Type 2 Diabetes forums, part of the Diabetes category; What can I do to get my Dr. to give me meds. for diabetes?This morning fbg was 178 I 've ...

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    1. #1
      sweetypie is offline Junior Member
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      Angry Grrrrrrrr

      What can I do to get my Dr. to give me meds. for diabetes?This morning fbg was 178 I 've got sences to know thats not right.All she wants to go by is the A1C which was 5.6 last time checked.

    2. #2
      jbmacomber is offline Senior Member I am a: Type 2
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      Maybe it's time to find a new Dr.? Keep track of all your fasting BG's, before meals and at least 2 hours after meals for a couple of weeks or more to show trends/proof if needed of higher numbers. the more documentation the better. Dr.s look at trends versus single numbers.
      Jan74br likes this.
      Diagnosed 2004
      A1C 2/12 7.4
      A1C 6/12 6.1
      A1C 11/6 12 5.6
      Started Insulin 2/12
      Started Pump and CGM 5/12
      Medtronic Minimed Pump and CGM
      Meds:
      Novolog, Lisinopril
      1/1/2013 246

    3. #3
      patricia52 is offline Senior Member I am a: Type 2
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      I agee. If your doctor is not taking care of you it is time to fire her.
      jbmacomber likes this.
      Patricia
      Today is the first day of the rest of my life.


      Lantus
      Humalog
      Diet & Exercise
      Most recent A1C 5.6

    4. #4
      sweetypie is offline Junior Member
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      I am suppose to back in sept.but thanking about going sooner,this just aint right.It came down a little,but still 140.

    5. #5
      jillybean's Avatar
      jillybean is offline Senior Member I am a: Type 2
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      If your A1C isn't high, doc may be concerned that you're having some lows that sort of balance out the highs, and meds might make the lows worse. You'd have to be careful which meds you take and carefully monitor, and, quite frankly, a lot of patients don't monitor closely enough, which could obviously have some scary results. But you obviously DO monitor pretty well, so, as others have said, if doc isn't listening, find one who will!
      Ela and jbmacomber like this.
      *Jill*
      Diagnosed Type 2 May 21, 2008, A1C 9.5, Fasting Glucose 214
      Had Duodenal Switch (DS) surgery to resolve diabetes on March 27, 2009.
      Most recent A1Cs prior to surgery: 8.1 and 7.9 while on 2500mg metformin and 50mg Januvia (sitagliptin)
      A1C on 7/10/2009: 5.4
      A1C on 12/3/2010: 4.9 (off all meds)
      6/9/2011: A1C of 4.6, fasting: 70, fasting insulin: 2
      A1C on 10/13/11: 4.8 (fasting: 60)
      A1C in August 2012: 4.9
      A1C on 3/11/2013: 4.8

    6. #6
      gphx is offline Senior Member
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      You may wish to share with your doctor this study from the ADA Journal which says 60-70% of diabetics properly diagnosed by FBG and OGTT had normal A1C results. In other words for 60-70% of the diabetics in the study A1C was useless at detecting existing full blown diabetes.

      How Do We Diagnose Diabetes and Measure Blood Glucose Control?
      jbmacomber likes this.
      T2, diet and exercise, 5'11" and 152 lbs.
      if I vary from a very low carb diet my bg can range from 50s-280s in one day despite a now barely normal A1C
      under control at the moment thanks to low carb but diabetic for life

    7. #7
      sweetypie is offline Junior Member
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      Thanks for the link,going to give this to my doctor.
      I have learned one thing and that is I can't eat after about 6 in the pm,if I do my reading in the am is terrible.
      I have always had an apple or something a couple hrs before bed.If I don't have a snack I am starveing in the am.

    8. #8
      modcarb is offline Senior Member I am a: Type 2
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      Quote Originally Posted by sweetypie View Post
      Thanks for the link,going to give this to my doctor.
      I have learned one thing and that is I can't eat after about 6 in the pm,if I do my reading in the am is terrible.
      I have always had an apple or something a couple hrs before bed.If I don't have a snack I am starveing in the am.
      Try eating some cheese or peanut butter with your apple. Your snack should be a mix of carbs, protein and some healthy fat.

    9. #9
      NickP's Avatar
      NickP is offline Senior Member I am a: Type 2
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      Quote Originally Posted by sweetypie View Post
      What can I do to get my Dr. to give me meds. for diabetes?This morning fbg was 178 I 've got sences to know thats not right.All she wants to go by is the A1C which was 5.6 last time checked.
      Hey Sweetypie!

      Why are you asking for meds? I have taken control of my Diabetes naturally using a Low Carb High Fat Diet.

      Pick up a copy of Dr Bernstein's book! (I have it listed below).

      It's time for you to take charge of your health, and start correcting your metabolism. The good news is that your A1C is still pretty good, so you still probably have good insulin production, but probably have some insulin resistance issues.

      Minimizing your carb intake is the key to controlling and maintaining a health BG level. It may sound tough, but many of us have done it.

      You still have a good chance to take control and be healthy. Unfortunately, for me, I will always be metabolically damaged because I waited too long before I began my LCHF journey. But, by staying on my LCHF lifestyle, I am able to keep normal BG levels and lead a healthy and active life.

      You can too! While I agree with the other (FIRE YOUR DOCTOR!), I also think that you have the tools necessary to take control of your life.

      Restrict your carbs, start testing your BG more often, find out what your body is doing, experiment and test, and keep doing this. It is your body and your health! Take control!

      When you have more questions, post them here....there are many folks here that can help!
      Nick
      Feb 17, 2010 - Initial A1C 9.3 Weight 238
      Apr 14, 2010 - A1C 6.7
      May 26, 2010 - A1C 6.0
      Aug 20, 2010 - A1C 5.6
      Nov 19, 2010 - A1C 5.8
      Mar 1, 2011- A1C 5.7 (No Meds)
      Jun 3, 2011 - A1C 5.7 (No Meds)
      Oct 31, 2011 - A1C 5.3
      Nov 6, 2012 - A1C 5.3 Weight 195

      Current Meds:
      Metformin 500mg x 2

      Please Support my Ride to Stop Diabetes!
      http://main.diabetes.org/site/TR/Tou...nal&fr_id=8580

    10. #10
      Dan Karnes is offline Junior Member I am a: Type 2
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      I agree with NickP...if you can be healthy without meds you should try to go that route.

      Once you start you may end up getting stuck in the pharmacuetical vortex. I'm in the process of figuring out how I can safely tapper to less or even no meds.

      D
      Moonpie and jbmacomber like this.

    11. #11
      Moonpie's Avatar
      Moonpie is offline Senior Member I am a: Type 2
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      I agree, a low carb diet can work wonders on ones blood sugars. I was on Met for 7 months, but came off it, & now I get even better numbers with no D meds just diet & lifestyle change.
      jbmacomber likes this.
      09/15/2009 DX
      A1C Sept 2009 7.7 . March 2012 5.2
      A1C Nov 2009 6.4 July 2012 5.4
      A1C 01/15/2010 5.6 12/12 5.4
      A1c May 2010 5.6
      A1c July ( 10 weeks no meds) 5.9
      A1c Dec 2010 5.6 no meds since May
      A1c March 2011 5.7
      A1C Aug 2011 5.5
      A1C Dec 2011 5.2
      came off Metformin 500mg on 05/11/2010 to control with diet & exercise.
      Previously 50 to 100 carbs now I try to limit it to under 50 per day.

    12. #12
      jbmacomber is offline Senior Member I am a: Type 2
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      Quote Originally Posted by Dan Karnes View Post
      I agree with NickP...if you can be healthy without meds you should try to go that route.

      Once you start you may end up getting stuck in the pharmacuetical vortex. I'm in the process of figuring out how I can safely tapper to less or even no meds.

      D
      Like the term, pharmacuetical vortex!! Isn't that so true. Seems the more you take the more you need. While there are some I need, I try to keep off as many as possible.
      Diagnosed 2004
      A1C 2/12 7.4
      A1C 6/12 6.1
      A1C 11/6 12 5.6
      Started Insulin 2/12
      Started Pump and CGM 5/12
      Medtronic Minimed Pump and CGM
      Meds:
      Novolog, Lisinopril
      1/1/2013 246

    13. #13
      sweetypie is offline Junior Member
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      I will do as Nick suggested,I will go back to low carb high fat.I will get the book and read and read it.I don't want to take med. it just scares the patootie out of me when the #s go high.I am going to need lots of help from you people.But I know I can do this without meds.
      Moonpie and jbmacomber like this.

    14. #14
      Scotty13's Avatar
      Scotty13 is offline Junior Member I am a: Type 2
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      I wouldn’t worry about a single high or few highs. Many diabetic just have a random highs ever now and then. As long as your over all numbers are good....as long as you have good control most of the time...don’t sweat a spike too much. However, if it is a trend you need to take action. Keep track of your numbers so you can tell how your doing. Doctors are always overly cautious. Remember the doctor works for you....if they don’t get the job done..then you fire them and move on. Control is the name of the game for taming the beast. Diet and exercise are as important as the meds are.
      Moonpie and jbmacomber like this.
      Metformin 2000mg, Lantius insulin 15 units
      A1C May 2011 13.2 A1C 5.5 for a year and a half
      Walk a hour and a half most days...at Basset hound speed, ellipitical machine at times.

    15. #15
      dallasdiabetic is offline Junior Member
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      With a low A1c, I wouldn't be too worried, desite a study to the contrary. Are you being treated by an endocrinologist or your family doctor?

      There are some good family docs that are skilled in treating diabetes. In my case, I was being treated by a family doc who game me multiple meds and after looking some of them up, I realized her education was being provided by the drug reps. One of my meds had been on the market for only 2 weeks!

      I went to see an endocrinologist who explained that all my levels were out of whack because my blood sugar was out of whack and if I got that under control, the rest would probably normalize. This endocrinologist specializes in diabetes. If your insurance allows, go see a specialist.

      The downside to being on meds: hypoglycemia; i.e. low blood sugar crashes. Very scary when they happen. I was on Metformin alone and had a few of them because I was being so strict on my diet. A low blood sugar crash is very scary and if no one is around to help you, could prove lethal. My endo said those are rare on just metformin, but the meter didn't lie. The point is, there are side affects to meds and I would chill on the hurry to get on them. Focus on changing the way you see food and what you consume. I think of food as fuel. I wouldn't put bad fuel in my car, so why would I put it in my body? However, my own plan did not eliminate any food items, I just eat the bad stuff a whole lot less often and in a lot lower quantities; i.e. a burger once a week and only a few fries, a pizza 2 or 3 times a year, etc.... Switched to diet drinks and other beverages besides sodas.

      Only you know if what I did is applicable to you. Everybody is different and meds may or may not be inevitable. But lifestyle changes are the most important thing you can do. Changing the way you eat and exercising are very important; with or without meds.


      I have a good friend with type 2 diabetes. He has had open heart surgery, several eye operations for bleeding in his eyes, and has neuropathy in his feet. He is on insulin but eats like s**t and does not exercise and is still obese. I explained that bouncing his blood sugar up and down is not healthy. Just because he is on insulin does not mean he can have a triple cheeseburger, fries and a shake from Brahms most nights for dinner. Keeping your BS from getting too high regularly via a healthy lifestyle is better than regulating it with or without meds, if you can. many people like myself, have been able to get off of the meds with weight loss and leading a healthy lifestyle.

      Best of luck to you. Diabetes is manageable and I believe the associated risks of major health problems are avoidable; but you have to take control, get educated, and follow a plan.
      Moonpie likes this.

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