New Endocrinologist

riquelskyy
By riquelskyy Latest Reply 2012-03-19 12:13:32 -0500
Started 2012-03-16 22:27:34 -0500

Between moving and medical insurance and having trust in an endocrinologist I am going to see one on Wednesday. I'm excited and nervous at the same time. I've been writing down questions to ask the doctor. I'm type 1 and I know my A1c is like 12. Right now I am on carb counting and I am on a sliding scale. Is there any questions I should ask my new doctor???


4 replies

riquelskyy
riquelskyy 2012-03-17 22:05:38 -0500 Report

The thing is the doctor I was seeing gave me the carb ratio of 1:10 for every meal and 35 units of Lantus at night my numbers are all over the place. I have logs to show him so hopefully we can figure it out.

door331
door331 2012-03-19 12:13:32 -0500 Report

Glad to hear you are keeping logs- that will help you and your doctor a lot to get everything under control. IMO 35 is a lot of lantus— if your numbers are fluctuation too much this may need to be reduced or at the very least split into 2 injections (morning/night). 1:10 carb ratio is pretty standard starting point.

As for questions- there is so much. If you are new to carb counting you might ask to talk to a nutritionist or even as a refresher. I would suggest inquiring about a pump if you feel it is difficult to manage daily injections with your lifestyle but honestly it will be more beneficial to wait and get your numbers under control with your current system before looking into a pump system.

Good luck with your appointment!
-Eric

BobbieNJ1000
BobbieNJ1000 2012-03-17 21:26:26 -0500 Report

I'm pretty new at this and I feel that way whenever I have an appointment - with an educator or the endo!

I really hope the new doctor can help you manage more effectively. I've been looking over my BG logs before my appointments so I can ask about specific problems I see. Are there times of day that you are always too high? Are you using an I:C ratio and is it working for you? Is there something you need to make your insulin dosing work better for you?

I have an appointment this week too, and I'm glad because my numbers have been all over the place; I know I need help! I've started my question / request list already too.

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