I don't know what to expect

Detrice
By Detrice Latest Reply 2011-04-04 13:27:08 -0500
Started 2011-04-02 15:41:36 -0500

I was diagnosed with type 2 diabetes a week and a half ago. I have no insurance and am currently filing for disability for another reason. Since I've been diagnosed, my blood glucose readings have been hanging around 4 and 5 hundred. I know this is high and my doctor prescribed insulin (Novelog three times daily 5 units right before meals, and Levemir 8 units at bedtime). I take my readings three times daily between meals. I was suppose to report my readings to him yesterday over the phone, but he didn't return neither of my three calls. I don't know what to do. Lack of insurance is a factor and the clinic is for low income patients like myself. Can anyone suggest something?


27 replies

Dr Gary
Dr GaryCA 2011-04-04 13:27:08 -0500 Report

Hi Detrice,

First, it is great to have you here on Diabetic Connect.

Receiving a medical diagnosis can be overwhelming, especially when you immediately have to make drastic changes to you life -- checking your blood, taking medication, getting a different diet, and on and on. I suspect a lot of question have come up for you, along with a lot of uncertainties. So what you don't need is a doctor who tells you to check in and then doesn't return calls.

Getting a treatment plan and a routine in place always takes time and patience. In your situation, it might also require some additional persistence. So I would encourage you to be the "squeaky wheel" and keep calling your doctor until you get an answer. You might also consider asking to speak to his nurse and see if you can get help that way.

I am sorry to hear that you are going through this right now. Not getting the attention you need makes a difficult situation more difficult.

It's important to get lots of support during this time. Is there a class for newly-diagnosed diabetics that you could take? A support group that you could join? This could be a great way to get educated and supported. A lot of emotions are going to come up for you, so make sure that you have people around who can be caring, listening ears for you.

And stay in touch with your friends on Diabetic Connect. We are here for you!

Gary

vicjesus2001
vicjesus2001 2011-04-03 23:28:29 -0500 Report

if you live in Michigan we have a clinic called hope clinic and if you need to go to hospital there's a thing thats called charity they helped me and my husband pay for his they will help you also if you need it all you do is s ask for it and they will help you. and you take the same ones my husband takes and he takes 20 units of Novelog with every meal and takes 500units metformin in the morning and at night and 65 units levemire at night also and takes his reading 4 x times aday as directed by doctor and he also looks at labels and eats 100% hole wheat bread veg and fruits and and for breakfast he eats oat meal and toast with coffee and drinks diet drinks and lots of water and walking helps bring down the sugar also

Detrice
Detrice 2011-04-04 11:47:36 -0500 Report

Thanks for your comment. It further makes me think that I'm not getting the correct amount of units for my condition. I only take 5 units of Novelog before meals and 8 units of Levemir before bedtime and nothing before breakfast. I think the dr. doesn't know what he's doing, and that might be why he hasn't returned my calls. I see that I can't rely on him and will seek some other solution for my problem. My husband will be here for lunch soon and we'll have to go to the er. Thanks again vicjesus2001

vicjesus2001
vicjesus2001 2011-04-04 12:01:20 -0500 Report

they will check you to see what your #'s are and will fix it for you ask them where you can go to get classes for free or a low cost i know most hospitals do have classes on it and will let you know what to do and not do also get gluclose tabs and have them on hand just in case your sugar level goes down and than get some protain in you to subtain the level of sugar in your system .that helps my husband alot i went to a class at my church when the nutrion came there for the class its a volenteeer class that the hospital can set up for the church ask if your church is a small one we did it because there is alot in our church that are diabetic thats how we found out about what to do and some doc offices have classes too Detrice if you want to add me as friend feel free to add me

nanaellen
nanaellen 2011-04-03 20:31:57 -0500 Report

Any time your sugar goes over 400 you should go to the ER!! As MY Dr. would say that's a stroke lookin' to happen!! And besides that if you go to the ER the hospital usually has some kind of program to help pay! When I was discharged from the hospital they paid for my insulin!! They also gave me a place to go for diabetic supplies for free or next to free!! You take a different insulin than I do but check into the company that makes yours and see if they have a patient advocate. I sent to mine and they send you paper work to fill out and your Dr. signs it and they send you a 3months supply to your doctors office and it's usually good for a year!! Good luck I'll be thinkin' bout ya!! Ellen

Detrice
Detrice 2011-04-04 11:49:17 -0500 Report

I definitely don't want a stroke, and you opened my eyes or scared the crap out of me lol. I will be at the er shortly. You may have saved my life. Thanks

Detrice
Detrice 2011-04-03 18:39:56 -0500 Report

Thanks squog master, Nova69, and Gabby, all of your suggestions are great and all are greatly appreciated. I have thought about all of these things and will get on each one tomorrow. I will speak to my disability representative and go to the clinic and if all else fails I will go to the er. Thanks so much!!! One of the reasons I think it's high is not that I don't know how to take the injections, but that the units that I am required to take are not enough. He is so afraid of it dropping too low that he doesn't want to give me too much. Either way, I will see him tomorrow and we'll get to the bottom of this problem.

Nova69
Nova69 2011-04-03 18:21:38 -0500 Report

Hi,

You need to meet with a dietician who can advise you as to what you should be eating. The clinic may have one or may be able to steer you to a free program. In the meantime, check the carb content of anything you eat by reading the labels carefully and try to avoid high carb foods as much as possible. Newly diagnosed diabetics often work on avoiding sugar but carbs of any type can make your glucose levels rise dramatically.

Good Luck.

Detrice
Detrice 2011-04-04 11:54:19 -0500 Report

The doc was suppose to send me to a diabetes seminar where I would have access to a dietician who can put me on the right track, but my problem is not carbs or sugar I have never been fond of either one, I eat and love meat and veggies and do drink a lot of water. I was also dieting before I found out I had the disease. I think my problem is the amount of insulin I was prescribed to take. I'll let you know what happens when I come from the er. Thanks Nova69

krystalm
krystalm 2011-04-03 20:38:54 -0500 Report

u are so right nova, its hard to remember that breads and potatoes and stuff have all those carbs that turn into sugar in the body when it wasnt something you knew before hand

Gabby
GabbyPA 2011-04-03 16:56:29 -0500 Report

I know you are not insured, but a visit to the ER might be what you need to do. 400-500 is very high and can be very dangerous. If you cannot get your doctor's attention, you need to take care of yourself. Do it as a choice before you black out or something worse.

The other thing is that you are new to it and maybe the insulin is not being injected properly or maybe you are just still eating too many carbs. There is a huge learning curve and I'm glad your doctor wanted you to call, but he or his staff needs to get back with you. Sometimes you have to be kind of pushy with that.

Drink a lot of water and keep an eye on things. Exercise can be good, but if your numbers are over 300 it is not recommended that you exercise until you are below that mark.

Hang in there. It's all new and can make you crazy. There are tons of folks here who can help you out.

blessedbeing
blessedbeing 2011-04-03 13:43:00 -0500 Report

Keep trying to get a hold of the doctor but in the meantime, cut out as many carbs as you can and get exercise. Cutting your carbs, exercising, losing weight and not over eating are the best things you can do for yourself. Three small meals and two snacks in between or cut out the snacks if you don't need them.

Good luck.

Detrice
Detrice 2011-04-04 12:01:51 -0500 Report

Thanks I was at 240 around Xmas now and now I'm down to 217 so I'm loosing and I hate sugary stuff and starches like rice and pasta. I am a meat and potatoes person. I gained weight because I have been out of work due to another illness that caused me to become less mobile. 240 is the most I've ever weighed in life my weight usually hangs around 165 to 180. Thats why I think I developed this condition in the first place. I will go to the er and thank you for you're support blessedbeing, by the way I love your user name.

blessedbeing
blessedbeing 2011-04-04 12:08:17 -0500 Report

I was at 253 on January 21st. and now I'm at 219 by following a low carb diet. My blood pressure and glucose reading are getting better and better. Good luck, hon!

realsis77
realsis77 2011-04-03 13:23:03 -0500 Report

I would continue to try to contact your doctor or make an appointment to see him and let him know you can not contact him on the phone! That's probably the best thing to make another appointment. I wish you the very best and hope you can get control of your sugar soon! Best wishes and God bless!

Kirla
Kirla 2011-04-02 22:48:10 -0500 Report

Feb 2009 I was diagnosed with a fasting blood sugar of 366 and A1C of 14.1. Started to eat a salad every day at supper. Also started to eat lots of low carb vegetables like broccoli, cauliflower, cabbage, cucumbers, spinach, pickles and sauerkraut. Started to drink 8+ glasses of water every day.

I then bought a meter and started to test my blood sugar before and after each meal. At first I was testing 2 hours after each meal and when my numbers dropped a lot I started testing 1 hour after meals. I was testing 5-7 times a day. I cut back or eliminated foods that spiked my blood sugar more than 50 points after eating.

By testing I found that foods like bread and most foods made of grains along with pasta, rice, corn, potatoes, oatmeal, cereals, chips, crackers, cakes, cookies, candy, soda, fruits, fruit juices, milk and most foods that contain more than 5-6 net carbs per serving as found on the package label all spiked my blood sugar. Some people can cut back on these foods and some people like me have to stop eating them.

After about 6-8 weeks my blood sugar readings were almost normal levels. After 7 weeks I quit all meds and my numbers continued to get better and better.

I found by reducing and eliminating high carb starchy foods helped me a lot. By adding small amounts of chicken, beef, pork or a hard boiled egg to my meals helped reduce blood sugar spikes also.

Good luck
Kevin
http://kirla.wordpress.com/

RAYT721
RAYT721 2011-04-02 18:46:09 -0500 Report

There are many patient advocacy programs out there and a few discussions have been started and contributed to here. Check the archives as a search on the discussions page using keywords like "help" or "no insurance" or related search topics. MAYS has compiled some very thorough resource lists that may be able to help.

pkwillhoite
pkwillhoite 2011-04-02 18:00:21 -0500 Report

I know how you feel my blood sugar wasnt that high tho. I had to go apply for medi cal and they aproved me. I was unable to pay for the dr visits because we are not making enough money to cover bills. I am trying very hard to get a job and it seems impossible. I hope things work out for you and keep your spirits up. You did a good thing by joining this community. Its just like family because we all care about the success of every one on here.