Endocrinologist - Yes / No

Pastor C
By Pastor C Latest Reply 2013-05-28 10:20:10 -0500
Started 2013-05-24 09:15:16 -0500

What are the advantages of working with an Endocrinologist?

15 replies

Type1Lou 2013-05-28 10:20:10 -0500 Report

It could be life or death. In 2010, I was being followed by my PCP for my Type 1 diabetes after moving permanently to Florida from the Northeast where I had been followed by an endocrinologist. After suffering recurring severe morning low BG's while on MDI (Multiple Daily Injections) my PCP kept on increasing my Lantus dose while advising me to cut back on my minimal Novolog boluses. After a very low BG while on vacation in Idaho landed me in the ER with admission to the hospital, upon returning home I requested a referral to an endocrinologist since I had no confidence in my PCP's ability to help manage my diabetes. This endo immediately REDUCED my Lantus dosage and changed it from evening to morning and reeducated me about sliding scales for bolus insulin. After 9 months, they suggested an insulin pump which is working wonderfully. An endo has the specialized knowledge to deal with your diabetes that many PCPs just aren't equipped to handle. In my case, I believe that it saved my life and has given my husband greater peace of mind since he no longer has to deal with the hypoglycemic crises I was experiencing.

Kats49 2013-05-26 15:26:58 -0500 Report

I have to day Yes the are advantages. an Endocrinologist deals with the entire endocrine system of diseases, and knows how to handle them. When My primary was treating me…my blood sugars were not regular at all. Since I now see a Endocrinologist…I have much better control…Plus I can call every Friday Afternoon…to have my blood sugars analyzed and she tell s to add or to subtract what ever the case may be. I checks all my systems every three months. Oh, and She took me off the Primary care's recommended insulin and put me on one insulin and one Basal insulin. I feel better…lost weight…A1C is back to 6.5 instead of 7.3

re1ndeer 2013-05-25 23:57:09 -0500 Report

I have to say both, yes and No. An Endocrinologist deals with the entire endocrine system of diseases, and knows how to handle them.
If your Primary doctor has a slight background in the teachings of the endocrine system, he could treat you as well. (This could be checked by looking at his/or her record)
Sometimes other than testing for the regular A1C, they order tests that are not necessary.
But, going to endocrinologist, they check your thyroid, your feet, heart, kidneys,etc.
It's a personal choice, and you have the right to go to either a regular (primary ), or to endocrinologist. Sometimes cost is more to see the specialist.

denipink 2013-05-25 16:13:55 -0500 Report

Hi, i just saw an Endo for the first time last week and she was great! Very thorough, asked lots and lots of questions about my history, etc. She immediately took my off my current insulin saying it was not working and put me on 2 new insulins. Both are working great. My blood sugars have dropped to where they are supposed to be and i can now sleep at night not worrying about why my blood sugars are so darn high all the time. I used to feel sick to my stomach a lot on my old insulin. That has completely stopped. :)

All in all a very good experience and i would recommend a trip to the Endo to anyone even as much as curious…can't hurt that is for sure.


jigsaw 2013-05-25 13:51:40 -0500 Report

I found that the two endocrinologists that I saw, were much more experienced at treating diabetes than the primary care physicians that I have seen over the years. They seemed to be much more helpful at prescribing the best and most helpful medications. These endocrinologists are both also diabetes specialists, and work with a team of dieticians and diabetes educators.
After twenty years of dealing with diabetes, I still see an endo, but not as frequently as I did in the past. My health is still good and I have not experienced any complications from diabetes. I believe these are a few good reasons.

TsalagiLenape 2013-05-25 12:24:36 -0500 Report

Well so far I am unsure but I do have an Endocrinologst. In the meantime, I have followed up with a Diabetic Nutritionist as well.

Gwen214 2013-05-25 08:03:04 -0500 Report

An endocrinologist studies and specializes in the endocrine system. The hormone insulin which related to diabetes. The primary doctor handles everything else. They know a little about everything, sort of like a jack of trades, but master at none. Unless, they personally study further on their own. Usually, if the issue is complex, they refer to a specialist. I saw my primary for my diabetes for about 5 years, until she referred me to an endo, now besides going through stress, my BG are okay.

Pastor C
Pastor C 2013-05-25 10:08:36 -0500 Report

Thank you, Gwen. Take care of yourself. I know all to much about stress. I am care-giver for a 94 year old father-in-law and a special needs son who is 25 years old. When you need encouragement, rely on your DC friends. I' m here if you need to share.

Pastor C

Gwen214 2013-05-25 11:54:38 -0500 Report

Thank you, I'm taking baby steps, it's more health issues that worry me the most. As soon as I can balance things out again, I'll be fine.

Pastor C
Pastor C 2013-05-24 18:58:23 -0500 Report

I appreciate all the responses. I was diagnosed T2 in 1994. I've managed fairly well up until 2010. At that point, I started seeing the numbers climb and felt an Endo may be necessary. Having completed a residency as Hospital Chaplain, I became aware of many diabetics who were having greater success with the Endo route. Given your responses, I will probably request a referral.


GitchyMe 2013-05-24 15:29:17 -0500 Report

My family doc diagnosed me as T2. After 4 months of "treatment" and no improvement I asked for a referral to an endo and asked for a c-peptide blood test. That confirmed I was actually T1! Since starting with endo, my treatment is now effective and monitored more closely than with the family doc. Highly recommend endo over family practice doctor.

Blueyees91 2013-05-24 16:55:45 -0500 Report

I too was diagnosed as T2, but my PCP is the one who sent me to the endo because he did not know what to do for me.

Mikeal72 2013-05-24 10:28:12 -0500 Report

Yes I have one and I believe the main advantage is a more targeted view of the disease. All diabetics suffer from some degree of hormonal and metabolic dysregulation, so having someone trained in the dark arts of hormones is helpful IMHO. :)

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