Is waiting a few weeks to start testing okay? Leaving soon for 3 wks vacay.

By EllenW Latest Reply 2009-09-20 10:18:57 -0500
Started 2009-09-02 19:44:44 -0500

I was diagnosed on 8/24. No info from the doc, just an offer to set up a meeting with someone to give me meter training. I decided in the meantime, based on how unhelpful my doc was upon my diagnosis (when I had to ask her twice about the 133 on my glucose test and she said, "oh you have diabetes." duh, thanks for the phone call after my labs came back weeks earlier…) to switch docs. I had been meaning to anyway. I don't see him (PCP) until 9/14 for an initial consult BUT I leave for a 3 wk vacation to Europe on the 18th. No time to see a dietitian or for testing instruction between the 14th and 18th unless by some miracle someone can squeeze me in. Sooo…3 wks in Europe. No testing but I'm following the ADA diet I was instructed on 4 yrs ago pre-diabetes counseling (I fell off the wagon lately.) I am currently eating 9 carb exchanges, 2 dairy, 3 fruit, 5 vegs, 5 grains, 4 meats and minimal fats. Eating three meals and three snacks at the same times daily. I write down everything I eat, work out 30 minutes daily, and have lost 10lbs since my 54th b-day 2.5 wks ago. Is the current ADA diet the same as 4 yrs ago? Am I going in the right direction and can I put off testing or should I be pushy tomorrow and get someone to see me before I go on the 18th??

Thanks so much for all the valuable information. I had a nice pity party until I read in Gretchen Becker's book, "Can anything taste better than the cake at your grandchild's first birthday party?" (or similar). THAT got my attention!!

12 replies

judyb 2009-09-20 10:18:57 -0500 Report

You're on the right track about changing your Dr. I had to do the same thing as well. Just diagnosed Aug. 6th. New Dr is doing a complete physical, labs, etc in October to make sure everything is on track. When i complained to my previous Dr about lightheadnesses all the time, he simply said that's Diabetes and not your meds. New Dr. did an EKG on the spot when I complained about lightheadedness and discovered that my heart rate was only 40; so he reduced my blood pressure medicine. I have found you have to take control of your health yourself and get a Dr. that listens and doesn't ignore the obvious issues instead of just saying it's Diabetes, suck it up and live with it (My prev Dr's words!)

PAT L 2009-09-05 00:11:28 -0500 Report


EllenW 2009-09-05 19:43:58 -0500 Report

I appreciate all your help, i really do, but this is overwhelming. How on earth am I to know what the numbers mean in relation to what I eat without instruction? It isn't like one food is eaten at a time so something that affects me more than something else can be isolated. The insurance company will have my meter to me by Wednesday. I can't see how rushing out to buy something I know nothing about and especially knowing nothing about how to use it can benefit me. This is just making me all upset and I just want to forget about the trip as it seems as though everyone thinks without dropping everything and testing right this minute I'll keel over or something. I have a fasting level of 133…but I don't know what I should even shoot for at this point. i can see right now this family vacation we have worked so hard for and waited so long for is doomed to my new obsession with trying to figure out what to eat in foreign countries and then figure out how to test my blood and then what to do with the results. Did you all learn this overnight? I have drastically changed my diet and not missed a day of exercise in three weeks. I haven't eaten one thing more than the diabetes diet allows. I am totally frustrated and depressed. This is all just too, too much.

Jipwhip 2009-09-05 20:05:16 -0500 Report

I am sorry that you are overwhelmed. I know you my not understand what the numbers mean right now. But by checking them and keep a record of them you can help the doctor see where you are at. No I did not learn this overnight no one expects you to either. We are just concerned for you. For we have seen or know someone who waited too long before they took their diabetes seriously. I just don't want to see that happen to you. For you are the only you there is and you need to take care of yourself. Just take one day at a time. You will make it through this and you are not alone.

Vicrgreen 2009-09-05 20:27:28 -0500 Report

If you have a meter coming Wed wait til Wed. Those few days won't make a difference. Waiting until you get back from Europe could.

What you are shooting for is to keep your numbers near 100, if possible. There is a video posted about using your meter that gives you good information about what to look for go to that section of this site and watch it. Amy is very knowledgeable and her information is very straightforward.

The best thing that metering during your vacation will do for you is that you will be logging your numbers and that will give your new doc a base from which to work. Mine are all over the place. I've waked up in ER with a Blood Glucose (BG) of 36 and other times it has been as high as 500+. Now my doc knows where he is starting. Some people's highs are in the 200-300 range, that to is information the doctor needs.

When I first started the doctor had me doing my BG upon awakening (fasting) and before I went to bed. Now he has me on insulin and I test more often. If you test before you eat and 2 hours after you have some idea of what that meal did to your BG and how your body has handled it. You might even want to note down what you ate. Eventually your doctor might ask you to do that anyway, but if you do it now you have a headstart and you and your doctor can get a better handle on things going in.

It isn't like you are going to die if you don't do this. It is just that you will be better prepared if you do. The consquences of having diabetes are not necessarily bad, if you take care of it. They are death and dismemberment if you don't. We just want you to get the best start you can get.

Vicrgreen 2009-09-04 22:47:53 -0500 Report

You might want to think about going to WalMart for their cheap meter and strips. It would give you something to go on with while you are away. It would also give your doctor some numbers to work with when you see him/her.

It is my understanding that the WalMart meter (I believe it is RelyOn) is not covered by insurance so it would only be a stopgap measure until you can get a prescription for a different one.

I would not go without testing. Probably initaially at least first thing in the AM when you get up and before you eat and the very last thing at night. Your doctor will want to set up a testing schedule when you get back but your preliminary numbers will give him/her something to work with.

Good luck and enjoy your trip.

Jipwhip 2009-09-04 10:52:51 -0500 Report

I would not wait to test. But that is your decsion. As for your diet the only way to know how food affects you is to test. Most of us have found out that food effects everyone differently. So we have to figure out what works best for us. But don't delay in getting help the sooner you do the better you will feel.

Crashnot 2009-09-04 08:17:48 -0500 Report

Having been testing regularly (usually 8+x a day the past 6 years) I would lean toward saying Just Test! If you indulge and your sugars go high, at least you'll know why you're tired, cranky and not enjoying your trip. Use your test results as feedback on how you've been doing, not a 10-minute challenge to run off the high until the next one. If you're going to Europe, I hope you'll be doing lots of walking about old buildings and scenery, so that will be a big help right there. Keep watching your diet, as you seem to have training in, eat complex instead of simple carbs, and you should have a wonderful trip. Test to see what a difference you have after a rich meal versus a wholesome meal, and you'll be in great shape to take on the dietician when you get back.

EllenW 2009-09-04 08:02:29 -0500 Report

So is the consensus on this board that the ADA diet is junk? I found out today that protocol must be followed to have the insurance cover the cost of testing and supplies, namely that the doc has to prescribe the meter and the meter is ordered by the insurance company.

kdroberts 2009-09-04 08:21:19 -0500 Report

Anything you need covered by insurance needs to be prescribed by a doctor. You can just go and buy the meter and strips but you would have to pay full price. Unless dictated by your insurance you should just be able to take a prescription for testing supplies to a pharmacy rather than go directly via the insurance company.

As far as the ADA diet. When it comes to diabetes I say any diet aimed at over 20 million people is junk. Diabetes is so individual and each person has their own lifestyle and other issues to consider that a one size fits all diet is useless. For instance to follow that diet I would need to eat an average of 75g of carb at each meal plus 2-3 snacks of 45g carb. I tried that and I was taking a whole load of medication and my blood sugars were not good. I came up with my own diet and I am now on a small dose of insulin only and my numbers are good.

kdroberts 2009-09-03 09:00:58 -0500 Report

You don't need to go to classes to know how to test. Read this and it should tell you everything you could want to know.

As for what you eat, you'll only know if it's right for you by testing your blood sugar to find out. I will say that the exchange system is junk in my opinion and it's far more worthwhile to just read nutrition labels and count things accurately.

Harlen 2009-09-03 09:26:29 -0500 Report

theres nothing to add
good luck
I would not put it off
but its your life to live or give up

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