MD Visits

Debe Pendice
By Debe Pendice Latest Reply 2008-12-13 12:58:26 -0600
Started 2008-12-10 06:28:03 -0600

I would like to know what some of you do for each MD's visit?

35 replies

GabbyPA 2008-12-11 14:26:42 -0600 Report

Today I took all of those things to my appointment along with my foot temps and meter so I could compare. Zip, Zilch, Nada...she didn't even care. I was shocked, then so upset I couldn't stand it. I mentioned my logs, and all the info I brought her to help catch her up on where I was....nothing.

I didn't know what to do. I realize that a clinic is different from a regular office, but really. Here I had all my stuff, and she wasn't even interested. That really bummed me out.

Goddess 2008-12-11 14:43:58 -0600 Report

Did she do anything at all for you?

GabbyPA 2008-12-11 16:17:46 -0600 Report

She perscribed Metformin which I was grateful for, then she added Lisinopril and I asked her why and she told me every diabetic should be on it. No explination, so I knew where I could do my own research and decide for myself.

I looked it up here and then also talked to the Pharmisit about it. Not thrilled to be taking it becaue I don't have high blood pressure, but if it is good for my kidneys then I'm okay with that.

Her manner was just awful. I won't see her again and I hope the doctor I see after my full labs is better and easier to talk to. was sucky.

Goddess 2008-12-11 17:47:46 -0600 Report

It might not have been great but at least you're getting the necessary thing for your diabetes. I'm glad you finally got to someone.

GabbyPA 2008-12-11 17:51:02 -0600 Report

Yeah, I agree. It is just so loving and caring here, and out there is was so opposite it was a shock. I could not imagine if I didn't know I had diabetes and had that shock as well.

Yes, I did get metformin and lisinopril for now and my full labs will be done in 2 weeks, then a follow-up with the doctor. I think I will be mentally set for that and come ready to get what I need. I don't know why I was so emotional about it. I guess I just had such high expectations.

GabbyPA 2008-12-12 10:32:59 -0600 Report

She is starting me off on 500mg once a day in the morning. I have full labs in 2 weeks and I suppose they will look at how things are going.

kdroberts 2008-12-12 10:40:44 -0600 Report

Figured as much based on what you said. It will take a couple of weeks to get going but I would doubt you will see any meaningful results with a dose that low. Knowing what you have posted about your numbers I would have thought they would start you on 1000mg for a week and if you were not getting sick then bump you to 1500mg and see how that goes for a month or so and then maybe go to 2000mg if needed. But I'm not a doctor.

GabbyPA 2008-12-12 10:46:43 -0600 Report

Aparantly either is she. She wouldn't even look at my log books. I was so mad. I told her that I started in the 300's, but she didn't bat an eye. I told her that I already had neuropothy in my feet and she didn't care. She just wanted to give me a perscription and get me out.

Anonymous 2008-12-12 10:51:36 -0600 Report

I want to let you know that it may cause you stomach problems when you begin but I promise it will go away. And I found that if I eat alot of fatty foods(i try not too) it will cause me to go to the bathroom(if you know what I mean).

GabbyPA 2008-12-12 11:56:52 -0600 Report

That is the metformin? I figure that they are starting me low and will build it up. I suppose that will help. I have not had any issues with my tummy so far and I took it yesterday and today. So we will see. The lisinopril did make me a little sleepy, but I am not sure it was just me being tired at the end of my hellatious day. LOL. I figured I would take that one in the evenings so I don't have any driving issues.

kdroberts 2008-12-12 12:08:19 -0600 Report

Number 1 problem with metformin is GI problems. Around 60% of people taking it have some sort of problem like that. None of it is really serious in terms of health. It can be pretty horrific though and you have to come off it. Most people find they get a little discomfort and it goes away or is so minor it doesn't bother them. Sometimes it happens on 500mg, sometimes it won't until you hit 2000 or higher.

I find it's best to take it during a meal, not before or after. If I don't I often feel bloated about an hour after taking it. When my wife took it she had issues when she ate iceberg lettuce. You'll get something no doubt, but it may only last a couple of days and not bother you or may come and go every now and again.

GabbyPA 2008-12-12 12:51:54 -0600 Report

I always take my supplements and meds during my meals. I usually eat about half way thru, take a pill moment and finsih. That also keeps the fish burps to a minimum. LOL

I figure if I can get thru my Chia seed episode where I was eating too much...I can get thru anything. That was nasty.

Anonymous 2008-12-12 13:35:54 -0600 Report

I take the metformin during a meal too. I am up to 2 a day. 1000mg. Not really a serious thing like KD said but when I first started I made sure I ate those meals at home. But it went away. Now I am fine as long as I take when I eat.

Debe Pendice
Debe Pendice 2008-12-12 15:42:24 -0600 Report

I want to know with the medication that they gave you are you still going to take your supplements with it. Or will it hurt you on that medication. I'm only asking because I have no clue about your medicine and maybe you can google it with you different supplements and see if they work together. I am sure the way she treated you, if you called to find out, she probably wouldn't have a clue. Or call your local pharmacist? Just want you to be careful, I care about you…Debe

GabbyPA 2008-12-12 17:25:12 -0600 Report

Hi Debe,
I was not cautioned and I brought in my list of all my supplements and how much I take (just another paper that she probably didn't even look at)

I am going to the pharmacy tomorrow to pick up stuff for my hubby, so I will talk to her then. She is great. I have not felt any ill effects so far, but it has only been two days.

BUT I did have a great before dinner reading!! 125!! now we will see how much it goes up after dinner. KD said I probably won't see any benefits of the metformin for a couple of weeks, specially since I am on such a low dose, so that gives me hope.

Debe Pendice
Debe Pendice 2008-12-13 06:23:47 -0600 Report


I really feel bad your first experience at the clinic as a diabetic was terrible. I was just sitting here thinking. Maybe when you see the "MD" he will look at your logs and give you a thorough check up, including checking your feet etc. They need to get all that done now while you are first diagnosed. Than they will have something to refer to if a problem arrives. If he wants you to see a dietitian, do they have one at the clinic for you to see free. Also I really don't know much on clinics, so are you able to have your eye checked their and so on. I'm curious?…Debe

GabbyPA 2008-12-13 08:10:48 -0600 Report

Hey Debe,

I don't think they have a dietition or eye doctor on staff. I just had my eyes done last year, so I will be doing that early next year. That is not so bad on cost.

The clinic gave me a packet of things to read, "What is Diabetes". I read it yesterday and it prompted a couple of posts I put up here. But most of it was pretty out dated. They were pushing carbs in the meal plan like nobody's business. So, me and my synical self, made notes on the packet. Wrote down some of my questions and plan to hand it back to them for updating. LOL!

I hope the doctor is better or at least more attentive and will talk to me. I know they are busy, and they probably are not used to having someone who really does want to follow doctors directions. So we will see.

Oh, and thank you so much for the Cards. They are very heart warming, and I did pretty good on the birthday cake. LOL. You are a dear.

ancoto 2008-12-10 21:03:51 -0600 Report

like everyone else I bring my log book and a list of questions with me. My doctor prefers to do my blood work after I see her just in case we need to do something else too like recheck my thyriod levels. I always get weighed and my blood pressure checked ususally no change there.

GabbyPA 2008-12-10 19:53:03 -0600 Report

this is a great post thanks. I have my first visit tomorrow and it is at a walk-in clinic, so I don't know how much time they will give me, so I will have to be rapid fire. LOL

I am taking my log book(s)
my list of meds and supplements that I take
my new foot temperature log (only two days, but hey)
I don't have my A1c results back yet, but I am sure they will want to do their own anyway.
I expect they will weigh me and check my blood pressure.
When I used to go to my regular doctor, I always had my cholesterol and tryclicerides done. They also checked my thyroid and my iron. I hope that the clinic will do that also.
This is the first time I have ever gone to a doctor with a "goal" in mind. I have always been generally healthy and never had to do so many things.

Is there anything else I should take?

Debe Pendice
Debe Pendice 2008-12-10 20:24:21 -0600 Report

Even tho your taking your foot thermometer I think you should ask him to check your feet, since it will be the first time your feet has been check since diabetes. Its a matter of taken off your shoes and socks and him making sure everything is ok. I hope that helped…Debe

GabbyPA 2008-12-10 20:30:42 -0600 Report

Oh yes, you bet. Those bother me the most. I had another sleepless night a few nights ago. They just could not get warm. I think I have found a remedy for that thoug. I have that rice bag that I have been using to relax I heat it up before bed, put it at the foot of the bed and cozy my toes up into it. Works like a charm. It keeps warm for up to two hours and that is great for me. Of course tongight, we have our windows open and the fans running, it was HOT. Sheesh! Tomorrow it will drop again.

Debe Pendice
Debe Pendice 2008-12-10 20:39:57 -0600 Report

You know after you mentioned your rice bag, I went and had m Mother dig ours out of the closet. I always used it on my neck, arms or back. But I tried it on my foot and it felt great. I did have to put a dry washcloth on my foot first because of the numbness I didn't want to burn my foot and not know it while in all that glory…Debe

kdroberts 2008-12-10 12:39:15 -0600 Report

I have a list of questions that I've had between visits and I go through them with him and don't stop until I understand the answers. I take my meter that gets downloaded and we go over readings. Have my weight and blood pressure checked. Have my feet checked and a general exam of the thyroid and abdomen. We talk about current research and any recent media coverage that has come out and stuff like that. He goes over any test results and I tell him my opinion of them. We do talk chit chat as well.

We also discuss things such as general well being and how I feel. This led to my endo saying something to me that I will never forget or ignore.

"We manage diabetes to live, we don't live to manage diabetes."

Debe Pendice
Debe Pendice 2008-12-10 12:45:18 -0600 Report

You have really added alot and very well said. Thank God we don't have the same MD, he would probably close his office because he would be able to handle all the questions we throw at him.(LOL) But truthfully in my support group I can't tell you how many go to their MD and don't ask them any questions at all. They do whatever their MD's say. It would be a cold day in hell before I go to the MD's without any questions. If I don't hae any questions, why am I going?…Debe

Anonymous 2008-12-10 11:42:56 -0600 Report

For me I am able to send my blood sugar readings by e-mail to my doctor each week. So he already has them. If I have questions I have them written down. They check my weight, blood pressure and if it is time for my A1C test. I do that about 1 week before so he will have the results when i go. He always checks my feet. I have neuropathy so he uses that pointy tool to see if it has changed. We discuss all the readings and tests and meds to see if they need to be adjusted. For me going to the doctor is not bad anymore. I like that.

Debe Pendice
Debe Pendice 2008-12-10 06:34:08 -0600 Report

I do a routine regimen for every diabetic MD visit:
* I take my BS log book with me
* I ask about my AiC level so when I have my next visit with him , what should my goal be.
* I have my MD check my feet. No reason for him to ask about it, because my shoes and socks are off before he enters the room. That how my MD wants to see all his diabetic patients.
* Always have my blood pressure checked.
Is there something else I should ask him? Let me know…Debe

2008-12-10 09:37:15 -0600 Report

Jim goes alone, and then the doctors call me with results; very happy time for me to hear he is doing so well.

2008-12-10 10:41:52 -0600 Report

I have the same routine except they also weigh me every time. It's been going downward each time so we're all happy…!! LOL


Sparrow - 16557
Sparrow - 16557 2008-12-12 08:10:42 -0600 Report

I would ask about your creatinine level. This is what measures kidney function. It wouldn't hurt to know cholesterol and triglycerides, either. All of these things are important for diabetics.