Doctor wrong advice?

Anonymous
By Anonymous Latest Reply 2014-05-13 21:29:21 -0500
Started 2014-05-10 22:30:00 -0500

I just got my test results back. My a1c is awful, the highest it has ever been, at a 12.6.( any advice to get it down would be great) my doctor advised me the usual;check more, give insulin earlier before meals, and the like. However, his last bit if advice came as a bit of a shock to me. I am 15 years old, 5'4", 110 lbs. he advised me to lose weight. Around 15-20 plus pounds. I find it to be strange, as I am already pretty thin. Should I listen? I feel that I would be TOO thin…

Tags: doctor

8 replies

Jeanette Terry
Jeanette TerryPA 2014-05-13 21:29:21 -0500 Report

Do you have Type 1 or Type 2 diabetes? Either way you probably shouldn't be losing that much weight at age 15. But it seems that there can be some confusion with Type 2 diabetes and what doctors recommend. The treatment for type 1 and type 2 can be very different, so make sure your doctor has their facts right.

wraithmb
wraithmb 2014-05-12 09:02:28 -0500 Report

I agree with gg777 on this one, I'm not of the opinion that you should lose weight. Look more at your dosages of insulin and what you are eating. Are you injecting or pumping? If injecting are you remembering all of your basal and bolus doses? How about your insulin to carb ratios as suggested before? Regular testing? I go as far as testing before and 2 hrs after meals just to check on my ratios. I'm currently trying to bring my a1c Dow from a little over 11…

gg777
gg777 2014-05-11 15:46:52 -0500 Report

Um no. I think your doctor might be confused with type 1 vs type 2 or has not looked at your chart. I have had doctors try to tell me if I lost weight I wouldn't need insulin and immediately retract the statement when I've asked them to review my chart and C-peptide test to see that my pancreas is not producing insulin. Perhaps your insulin dose and type of insulin needs to be looked at again? Maybe your insulin to carb ratio is off, you are not getting enough basal insulin, etc. I would definitely discuss it with your parents and doctor.

Gabby
GabbyPA 2014-05-11 12:37:32 -0500 Report

I don't see how you would need to loose 15-20 pounds? That puts a growing teen under 100 pounds. That seems a bit odd, specially if you are a male. Did you ask him why he made that suggestion? Perhaps he meant for you to have more exercise? That might cause a little loss, or muscle gain...perhaps he was looking for a transfer that way?

diabeticdummy
diabeticdummy 2014-05-11 01:58:19 -0500 Report

Hi, My mom and dad responded to you earlier and said i had same issue as you when i was 18 going into the army i was 5'-5" tall and 105 they made me gain 5 pounds or i could not go to basic training cause i was under weight for height and age well im in medical school in the army now and 3 years after joining i still have to get my weight back to 110 pounds to pass my physicals but they are correct talk to your doctor as to why he wants so much weight gone.

good luck DiabeticDummy's daughter Rachel
Sergent U.S. Army Medic

Trudie Ann
Trudie Ann 2014-05-13 00:38:25 -0500 Report

Hi Rachel, I also had to gain 5 lbs before I was able to qualify to go into the Army. I was in the WAC's (Womens Army Corp) back in 1969. I was 95 lbs. and 5"2 and had to be 100 lbs. I truly loved my time in the Army. It was totally different then, than it is now. We were the last group to go through basic's that had to wear the pantaloons for PE. I am glad to hear you stuck with it.
Anonymous; take Rachel's advice, and if all else fails get another doctors opinion.

diabeticdummy
diabeticdummy 2014-05-10 23:38:28 -0500 Report

IM NO EXPERT BY ANY MEANS BUT DOCTORS HAVE TOLD MY DAUGHTER SAME THING ALL HER LIFE SO WE LOOKED IT UP AND FINALLY CHANGED HER DOCTOR AS BMI AND WEIGHT TO HEIGHT RACIOS WERE SAYING SHE WAS ACTUALLY UNDER WEIGHT AND MY WIFE LOOKWED UP YOUR AGE HEIGHT WEIGHT ONLINE AT BMI CALCULATOR AND IT SAYS YOUR BMI IS 18.9 OR 35TH PERCENTILE OR AVERAGE CHECK OUT THE CALCULATOR ONLINE THERE ARE THOUSANDS OF THEM FREE THEN TALK TO YOUR DOCTOR AND DONT BE AFRAID TO ASK WHY IF THEY TELL YOU SOMETHING YOU DONT UNDERSTAND HAVE YOUR MOM OR DAD GO WITH YOU ALSO MAYBE YOU SHOULD GET AN ENDO AND DIATICIAN TO HELP WITH YOUR MEDS AND BG LEVELS ALONG WITH A1C

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