Endocrinologist

Mirena
By Mirena Latest Reply 2013-03-09 16:09:39 -0600
Started 2013-03-07 12:36:52 -0600

I am going to set up an appointment to see an Endocrinologist. For those who have seen one. What kind of questions did you ask? What can I expect for my first visit?


6 replies

davidhogan
davidhogan 2013-03-07 19:58:42 -0600 Report

Mine jumped right in with bloodwork and we used an online patient portal over a period of 4-6 weeks while I sent in what I ate and BG levels for awakening, before every meal, after every meal, before exercising, after exercising and bedtime.

We see-sawed back and forth until we worked out a carb/formula that works for me and I still alter it with extra exercise and other factors always keeping him in the loop. Our formula is complicated and uses a higher bolus dose at breakfast than I do at other meals as I continually showed spikes after eating almost anything at breakfast where that wasn't the case for lunch and dinner. He worked with me through all of it until we got it right.

We wanted below 120 awakening bg levels, and before meal bg levels between 90 and 100 and I maintain that and have for 2 years now. It's work, but it's worth and I know I feel better.

Just the tingling in my arms and hands stopping was worth all of it.

There were time I would provide too much information for meals as I was using a high end nutrition software and he quickly let me know it was the carbs that was his main concern.

I actually got upset with him during one of the first meetings as I thought he was blowing off nutrition and other things just to get the carb formula right and he admitted he DID indeed.

THEN he explained to me that my bg levels were out of control and his FIRST priority was to get those down and then we can work on everything else.

I've had A1C's around 5 for the past 2 years and seeing an endo was the best thing I ever did.

Best of luck to you!

Mirena
Mirena 2013-03-07 20:07:34 -0600 Report

So what kibd of questions did you ask?

davidhogan
davidhogan 2013-03-07 22:23:51 -0600 Report

LOL sort of missed that but there were not many, I knew I was not doing good and he had my bloodwork before our first meeting. I asked why I had been exercising, taking meds for years , eating right and not getting any better. His reply was my pancreas was not and had not made insulin for some time, the rest I wrote above for you. There is NOT a silver bullet, it's constant management and I hope you see from what I wrote it CAN be done and you get get better. Ask what bothers you about your diabetes and what you can do about it. Hope it goes well and if he does prescribe a carb formula I hope that helps to know what to expect. ;-)

jayabee52
jayabee52 2013-03-07 13:14:43 -0600 Report

Good for you Mirena. With a Blood Glucose (BG) level in the 200 to 300 region, while still taking a type of insulin, I think a Endo is warranted.

I think that you should be prepared by bringing your BG readings and any food logs you might have. or Perhaps write down what a typical day's meals is like for you.

The obvious questions of why is my BG so high even though I am taking insulin, and how do I get my BG down to normal levels, will be already on your lips.

Best wishes in your visit

James

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