Orthopedic surgeon

By typeIImom Latest Reply 2014-06-24 11:17:07 -0500
Started 2014-06-19 20:31:29 -0500

Saw my ortho. He proceeded to lecture me about eating 70 grams of carbs a day. Told me carbs have no nutritional value and I should go to TWO grams per meal. My endo and nutritionist have something very different to say. My BG are 80-100. My weight is perfect. A1C is 5.7 but he tells me I'm not doing it right. I could have punched him.

Tags: insulin

23 replies

notawittykitty 2014-06-24 01:50:31 -0500 Report

I would have asked him "What I am I not doing right- you tell me what the specs should be then." Your doing great - like mine. My weight is what I'm working on but little by little I am losing weight because I'm not eating as much as I was and the right things, which you must be because look at your A1C count. Dang doctors…next time take one boxing glove with you, you don't wanna hurt him to badly! So what was the conclusion…that was it? He is not your ortho he is now your punching bag! Take care and keep up the good work!

lindainJapan 2014-06-23 06:17:00 -0500 Report

Ps. I have done extreme low carb when I had Diabetes 2 and liked it and it's effect on my weight loss, but now I have 1, and I'm half my former self, my healthy choices are really different.

lindainJapan 2014-06-23 06:13:01 -0500 Report

Punching him won't help. He needs education. Sadly doctors seem to be so specialized these days that they can't keep up with issues in other specialties. When I have doctors giving me advice I know is counter indicated for well controlled diabetes, I give them my little sweetness speech, "doctor, I really appreciate your kind advice but alas it is not something I can do because of other advice from the endocrinologist treating my diabetes. I'd like to hear if there is an alternate suggestion - perhaps … That will keep all my doctors happy. Thank you so much for understanding.

Type1Lou 2014-06-20 13:49:47 -0500 Report

It might have been interesting to ask him for the studies done upon which he was basing his advice…6 grams per day seems ludicrous. I would have also asked him why he thought reducing your carb intake was necessary since your A1c is great and you don't need to lose weight. I limit myself to 120 grams per day which works for me.

typeIImom 2014-06-20 13:51:34 -0500 Report

He was so pompous and arrogant with me, too. I told him I have an endo and a nutritionist. Thank you for your support, Lou!

neverlowbg 2014-06-20 11:31:39 -0500 Report

Wow my dr's and nutritionist for my activity level everyday I lift weights for 1.5 hrs a day I have a home business that keeps me going 5-10 hrs a day and a grandson that's 1.5 yrs old keeps me going the rest of the time I sleep 4 hrs a day I've tried more but can't sleep but if am told to eat 55-65 g carb at every meal 3 a day and 15-20 g at snacks 3 a day even when I've been in hospital snacks for my diet were 10-15 and meals were 55 g now I know there is a difference between men and women for daily carbs, but even at ten g per day take away all nutrient rich foods and calories that go with those carbs now I'm no doctor but at 2 g a day you would die in a couple weeks or so and your weight lose would be so unhealthy and damaging to body you'd end up in er or worse plus you would never need diabetic drugs I think it was misunderstanding or if that is really what he wants he's whacked stay away from him just my opinion good luck

Nick1962 2014-06-20 10:07:59 -0500 Report

I think I’d ask him again, there might have been some misunderstanding. Hate to think an educated person like himself could be so very misinformed. Yes, SOME carbs have no nutritional value, but others that pull along the fiber and protein do. 70/day is already pretty low – but I suspect with all the unseen and fractional ones you’re probably getting close to 100.

Is it possible he meant two SERVINGS per meal which would equal 30g?. Unless you drink nothing but water and eat nothing but meat, 2 grams is impossible.

typeIImom 2014-06-20 10:12:00 -0500 Report

He wrote it down for me. Spelling out two and underlining it

Nick1962 2014-06-20 10:28:23 -0500 Report

Wow, I guess I’d ask him to show me how. I know just one vitamin tablet can contain 3 g carbs alone. I had fish oil that was 15g per gel cap.

funnygirl98 2014-06-20 09:21:03 -0500 Report

My dietician tells me to eat at least 45to60 grams of protien a day. She tells me that the protien helps to regulate my bloodsugars. U might want to try this I know it helps me when I'm able to get that much protien into my body. FYI… I would of punched him as well lol I hate dr's that think they r so cocky and make us feel like we're stupid which we r far from it.

wraithmb 2014-06-20 08:10:07 -0500 Report

I've had the same experience myself, where my new family doctor suggested that I start taking some regular insulin along with my humalog and (at the time) levemir. I said thank you, got up, and left his office - without the physical that I had went for. Since then I only see a GP at the walk-in clinic down the street.

Just Joyce
Just Joyce 2014-06-19 20:56:30 -0500 Report

He is an orthopedic surgeon not a registered dietitian and your Endo. If this is a one time thing where you will see him for surgery and never again, why are you listening to him? If you have ongoing problems, that will require future care, tell him since he is NOT your Endo that you will not be taking his advice.

In order to advocate for yourself you have to speak up for yourself. No one is going to defend you as well as you will defend yourself. I do not listen to anyone when it comes to my health but my immediate medical team. Anyone else must consult with them.

Chevy Vega
Chevy Vega 2014-06-19 21:01:46 -0500 Report

Joyce wrote; " I do not listen to anyone when it comes to my health but my immediate medical team. Anyone else must consult with them."

This interests me greatly, as my insurer wants to "help" me. I haven't accepted the offer, as I feel I have enough guidance with my health, between my GP and my Rheumatologist.

typeIImom 2014-06-19 20:59:20 -0500 Report

I'm not taking his advice. It was shocking to me.

Just Joyce
Just Joyce 2014-06-19 21:12:47 -0500 Report

Very little shocks me. A doctor looked at me without asking a question or examining me and told me my swollen and infected Saliva gland was Cancer. That was a shocker. When I recovered from that I chewed her out so bad I almost felt sorry for her. At the end of the examination I told her she will never see me again in life as my doctor. I could tell her feelings were hurt but I did not care at all.

typeIImom 2014-06-19 20:58:48 -0500 Report

I told him I was going to stick with what I knew was working. Believe me, I stuck up for myself. My shock was the gall he had in talking to me this way.