What Kind of Doctor do You See for Your Diabetes?

Jeanette Terry
By Jeanette TerryPA Latest Reply 2013-09-21 09:20:46 -0500
Started 2013-01-28 12:30:07 -0600

Recently we posted a community poll on the homepage asking the community what kind of doctor they see for diabetes. The majority of the community has responded that they see their primary care physician for the treatment of their diabetes.

It would be interesting to know why?

Is it that your doctor just didn't refer you to an endocrinologist? Or is there not one in your area? This would be great informatoin for all of us in the community to learn how we all came to the conclusion on the kind of doctor we currently see.

Please Share your experience.

29 replies

lorider70 2013-09-21 09:20:46 -0500 Report

Started with primary car physician and 25 years later I am still with the same Dr. No desire to change, and no suggestion from my Dr. to see anyone else. Often wonder why anyone would change or add another physician if they're not having additional problems.

Beepath - 70510
Beepath - 70510 2013-09-14 22:26:26 -0500 Report

I have a cousin, an ARNP, who suggested I have no business seeing an ARNP. That I should see an internist. So, off II went to find an internist. The internist was pretty dangerous. Took her three weeks to renew my lisinopril…that I'd been on for years. This quack is still working at my clinic. I warn staff and anyone who'll listen. Now, I have a pediatrition and she's just great. When I come in with my cockamamy desires to try some OTC junk I got from spam, she steers me clear. Before I was seeing her my A1C was 8.0 in December, when I was still seeing that quack. Since seeing the pediatrition, my A1C is now 5.6 and she cut me back on the glipiziide. I kid her that if she's "real good" she'll quit and go somewhere better. But if she's bad, she'll stay. So when she walks in, I say, "you're still here? UH OH!" But she knows I'm teasing and laughs with me, she's just fine.

red flower lady
red flower lady 2013-02-04 15:20:26 -0600 Report

I have an endocrinologist, but my primary dr has all labs, etc sent to him so that he can stay in the know in case anything should pop up. It really does take a team and having one you get along/work with is essential :)

runthe 2013-01-31 22:29:35 -0600 Report

I see a endo for my type 2 diabetes. I was seeing a nurse edcuator at first but since my a1c was always high and she kept increasing my meds and my blood sugar was still high, I was sent to a endo.

Type1Lou 2013-01-31 09:46:09 -0600 Report

Back in 2010, I switched from my PCP to an endocrinologist because I had no confidence in the path my PCP was pursuing in treating my diabetes. He kept on increasing my Lantus dose and told me to decrease or eliminate my meal-time Novolog. I had been experiencing higher (above 7) A1c's and severe hypoglycemic episodes. In August 2010, I was admitted to a hospital due to severe hypoglycemia while vacationing in Idaho. When I saw my PCP upon returning home to Florida, he advised no change in my insulin. This was the breaking point for me. The endo actually reduced my Lantus, changed the time of day I was taking it (from evening to morning), and re-educated me on a sliding scale for my Novolog. Under the endo's care, I began using an insulin pump in the fall of 2011 and have virtually eliminated those severe low blood sugars. My last A1c was 6.8. I don't know if I'd be here now had I stayed with my PCP for my diabetes care.

JSJB 2013-01-31 04:49:47 -0600 Report

I was seeing my PCP for this condition but my last appointment was Sept 2012 and he called to cancel. I haven't see a doctor since. I was pre diagnosed and my last visit he said was great and to keep doing what I am doing. My BS is between 100 and 121 and my A1c is 5.4 to 5.7 (I use the formula to get the A1c). There are times when I go off the meds and my readings are ok. I test every morning but am thinking about doing every 2nd or 3rd day unless I pig out on food and want to see the damage. As far as how I am feeling, no problems. I feel the same now as I did before I got this condition. I guess when I run out of meds I will call for a checkup.

CAT1949 2013-01-31 02:18:16 -0600 Report

I just go to my primary care physician, my type 2 diabetes isn't really bad. I don't test as often as I should and I forget my medication a lot. I have got to get back on program. I cannot take metform it makes me sick so Im on glyconol. (spelled wrong) finding this board may just be the kick I need to get me back on tract.

nanaellen 2013-01-30 23:55:43 -0600 Report

I see my primary but only because there hasn't been an Endo in our area until recently.. got an appt. to see her Friday! First time to see an Endo since I started almost 7 years ago!!

old biker
old biker 2013-01-30 10:25:30 -0600 Report

I have been T2 for 12 years and I have never felt the need to see a endo. For the last 8 years I have been going to a walk in clinic, The Doctor in charge there also a medical emergency specialist and a diabetic himself.
Once again we are reminded that there is not one size fits all treatment involved with successful diabetes management..I am one of the lucky ones that responds very well to your basic diabetes management plan.
If a time comes when I can no longer the results I'm looking for I will go to a Endo..Until then, if it's not broke I'm not going to try an fix it

mhcfc13 2013-01-30 12:38:08 -0600 Report

I know the issue of no insurance. I have to see an internal medicine also for low T. The nice thing about a small town like mine is Dr. still have a bed side manner and common sense for empathy of a patient's situation. We also have access for patient financial assistance programs, but I am not knowing about these things in other areas of the country. Insurance is beginning to become an issue for everyone. Insurance companies are increasing cost and reducing benefits, doctors are a major cost for minor things, and those with conditions that are pre-existing and life long are the ones that will still pay for the natural and environmental issues that predicated the conditions.
We have a community clinic here, and I may have to revert to them in order to receive affordable care, versus the familiar care I have with my physician. Untill the end of the year, if I get insurance now, I have to wait a year to have the pre-existing covered; or wait till 2014 to get insurance and pay a higher premium and deductable like everyone else and have immediate coverage for the no longer pre-existing. When we live in a utilitarian society where the ends benefit only me, we leave behind the few things that have made us who we are. Sounds like a soap box, but unfortunately this is becoming our reality.

Lizardfan 2013-01-30 09:38:29 -0600 Report

Both my husband and I see an endo for our type 2 diabetes. We go to the Joslin clinic and have for years. We also see our FP every three months for the rest of our care and anything not related to diabetes. Our FP decided that as we were aging we might want to switch to an endo, that way if we had issues we would have someone already in our corner. There are a whole list of support team at Joslin, I call it one stop diabetes treatment! I have found that my endo has all the latest treatment options, where my FP hasn't heard of them yet! They are so busy and see so much that they don't have time to learn about new drugs and treatments in diabetes. Just the basics for them! My FP did provide excellent care when we did see him though, when my progression started is when I switched and then hubby followed too. I couldn't be happier with our team.

jigsaw 2013-01-30 08:56:19 -0600 Report

I see an endocrinologist that incorporates an entire team of diabetic specialists. They include dieticians, diabetes educators and other endos. I also discuss my diabetes with my primary care physician.
My experience with endocrinologists that specialize in diabetes has been extremely helpful in managing my diabetes. Their skills and ability to treat my diabetes appeared to far exceed that of any primary care physician that I have ever seen as noted by my successful results. On the other hand, there were a few primary care physicians that were unable to help me with my diabetes mgmt at all.
This can be extremely detrimental, especially if the patient perceives their diabetes as being unmanageable. There were times over the years that I suspected this to be the case with my diabetes. With with the help of a good endocrinologist that specializes in diabetes, I have always found the way to good diabetes mgmt.

Lentyl 2013-01-29 18:15:01 -0600 Report

I have a good GP. He listens and is always interested when I go to him with some new information that I've discovered. My health care is a team effort. He advises, etc. and it's up to me to do the work. There is an endo here in town but she is so busy it can take up to two years to get an appointment. My Dr. is comfortable with my management. I'm in the process of fine-tuning my diet and making some changes and adjustments. When I see him in a couple of weeks we'lll discuss the changes that I'm wanting to make.

watson4042 2013-01-29 14:37:54 -0600 Report

i have kaiser heath insurance. i have a regular gp doctor with a diabetes educator to monitor my condition.

tere1351@yahoo.com 2013-01-29 19:04:45 -0600 Report

I also see my primary care physician,and she always take time to listen. I keep my blood sugar at a healthy level. I have never seen an endocrinologist

GabbyPA 2013-01-29 10:25:20 -0600 Report

For me it's not a choice. I am not allowed to see an Endocrinologist because I am a self pay patient and neither of the endos in my area will accept me without insurance. http://www.diabeticconnect.com/discussions/579-unblievable-doctor-policies

This, sadly, is a growing trend and I am afraid I will be stuck with my clinic doctor for life. He's not bad, but so much of what I share is Greek to him in many ways and my 15 minutes with him is not enough time to really get the details.

Set apart
Set apart 2013-01-28 20:28:24 -0600 Report

I see an Endo along with his staff which is my Diabetic educator every three months. I do this because my insurance first if all allows it and I want the best care for myself. I tried a PCP and my experience in my rural area he should have picked up on my D long before I got really sick since he was constantly checking my bloodwork.

granniesophie 2013-01-28 19:38:38 -0600 Report

I see an internal meds doctor on base. He hasn't referred me to an endo, preferring to screw me up himself! He sees no need for an Endo, since I am responding so well to Lantus, and can't be on any oral meds at all, according to him, after my ridiculous reaction to Met after 6 years! With the military, you must exhaust all other avenues before you can go off base to a doctor who might know what he/she is doing!!
He has, however, written a new referral for my second Gastro consult, since neither of us was happy with my first Gastro doc, and he has given up on my stomach/gluten/ad nauseum issues!!

manapua72 2013-01-28 18:12:00 -0600 Report

Prior to gaining control with my pump , my primary care doctor told me he was gonna send me to an Endo if we couldn't get my #'s to drop … Well with the pump they did … So all is good @ the moment … If I start to go out of control again I would consider seeing an Endo …

Nick1962 2013-01-28 14:29:44 -0600 Report

Luckily, I guess I’m “not diabetic enough” to need an endo, and I have a chiropractor that serves as wellness coach and nutritionist.

mhcfc13 2013-01-28 13:35:55 -0600 Report

I have not gotten into the discussion of referring. I also have another issue that I do see an endocrinologist, and am currently without insurance. I have had issues with several conditions, and I use a GP so I do not have to have multiple doctors and doctor bills.

MewElla 2013-01-28 13:05:14 -0600 Report

I see my primary care physician for my treatment of diabetes. We do have a endocrinologist in the city but was not referred to one. Every thing seems to be on track for me and the Dr and I keep a close eye on how I keep my BG#'s good and A1C good. I always take my log book in for appts that show my test #'s, food intake and exercise amount for the day. Major milestone for me early Febuary, 3 years of doing this and feel better since I really started watching my health/diabetes.