Have you ever had that nagging feeling that what your doctor told you to do just wasn't quite right? In the past year, it's happened to me twice. Once when my GP kept increasing my Lantus dose (even after repeated episodes of scary morning lows..the last landing me in the hospital for 1.5 days) and the other, yesterday when my endo's office told me no changes were in order after only 2 weeks on my insulin pump.
In the GP case, his advice and seeming lack of concern drove me to request a referral to an endocrinologist. When I saw the endo last December, they decreased my Lantus dose, changed the time of day I was taking it from evening to morning,and gave me a sliding scale for my NovoLog. The MDI worked better but eventually, they recommended an insulin pump that I started on August 16.
After sending the endo my last 10 days of BG's, with elevated pre and post meal readings, I was surprised to receive a call from them advising that no changes were indicated. After mulling this over for several hours, I called the endo's office back and asked them to re-examine the data I had sent them since it appeared to me that my basal levels needed adjusting at the very least. Several hours later, they called back to advise that I add another basal interval, increasing the dosage by .05 units/hour. This is giving me the heebie-jeebies! Why should I have to ask them to check their recommendations? (I need to control this STRESS…since it's not good for my BG!)
My point is, TRUST YOUR GUT! Be an informed patient and do not hesitate to ask for explanations or question advice that just doesn't feel right. After all, it's your body and you are paying for their expertise!
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