My Doctor's Goal

Gabby
By GabbyPA Latest Reply 2016-09-20 15:05:39 -0500
Started 2010-08-24 20:27:47 -0500

Is to get me off my meds. Wow!! was I shocked to hear that.

I went to the doctor this week and asked him about insulin. He told me that I was one of maybe 5 people who had a positive outlook on insulin. I told him that I wanted to use it because it has less side effects.

He looked at me and said "No, not for you." I was surprise, but then delighted to hear him say the reason is because he wants to see me get off meds all together. I had a less than stellar lab report this visit, and I know it is all my fault. So he wants me to get back to what I was doing and keep the numbers going down as I was before this visit.

Ah, with new determination, I set sail. I was pleasantly surprised to hear that was his goal. It made me very happy to hear him say it, because so many doctors just want to give you a pill and pat you on the butt and send you on your way. I have found a gem of one. He is great.


55 replies

revmiguel2000
revmiguel2000 2016-09-13 09:45:07 -0500 Report

Good luck, Gaby! I wish every dictor's goal was to get their diabetic patients off their meds in the right way! I'll be trying on my own to do that!

Gabby
GabbyPA 2016-09-20 15:05:39 -0500 Report

Actually, I no longer have this doctor because things go weird after I got a second opinion about my feet.

I have however gotten off all my oral meds and am working hard to get off insulin now. My new doctor has similar goals and told me if it works for me and my ranges are good, then she is all for it. I like that.

So I have gotten myself down to 25 units of long lasting insulin 2 times a day. I was at 35 at one point twice a day. My goal is to get to 10, and then get off of it. But it's been hard.

LabRat90
LabRat90 2011-03-28 11:43:44 -0500 Report

Way to go! Sail on! Your doctor's goal should also be yours. My dad was on insulin for a long time. Just before he died he was in the hospital and the nurse refused to give him his insulin. She said it would kill him since it was so high. But that's what he needed to keep his blood sugar under control. He had deteriorated that much. Not long after, he died of congestive heart failure. Insulin is not a cure-all. Try to keep your under control without meds. That's the best goal of all.

jayabee52
jayabee52 2011-03-28 15:50:58 -0500 Report

When my bride Jem's momma was dying in home hospice due to non-Hodgkins Lymphoma, the hospice RN told us we no longer needed to inject her with insulin, or take her Blood Glucose numbers ("BG#s"), as they wanted her to be as comfortable as possible. "MommaG's" BG#s were usually pretty high, but as she was about to pass on, there was no need to control her DM

Type1Lou
Type1Lou 2011-03-17 16:53:04 -0500 Report

It's SOOOO difficult to stay on that straight and narrow path we diabetics must all tread to gain better control! What wonderful news & goals your doctor has given you. We all slip off that path now and then but the important part is getting back on it and keeping at it. Sounds like he's given you the motivation. Best wishes for better control and dumping the meds. Hugs!

Gabby
GabbyPA 2011-03-18 06:07:37 -0500 Report

I find I stick to the straight and narrow much better before I was put on meds. I have let the meds make me lazy in my efforts. My numbers are better, but I know I am not as diligent as I was when I was working on it with diet and exercise only.

MewElla
MewElla 2011-01-17 16:09:52 -0600 Report

My dr is also very supportive about keeping me off meds. He lets me ask questions until I am satisfied and he can see I really understand him. Makes a great support system for me. Glad your dr is working to get you off meds…Good Luck to you.

Gabby
GabbyPA 2011-01-18 14:17:25 -0600 Report

I have been using the 21 days guide here on the site to get me back into the habit of journaling and getting more discipline back on board. It is helping a lot.

Ashhyatt
Ashhyatt 2010-08-31 16:07:55 -0500 Report

My doctor had a goal for me to get off my meds. Which was the best thing in the world for me (cause I don't like taking pills). But its really great that the doctor wants you to work to get of you med. Good Luck!!!

Ralph
Ralph 2010-08-28 22:01:25 -0500 Report

I wish I could get off of my meds. My wife has been off of her meds for around 2yr. I had her start working out with me at the YMCA and in less than a year she was off her meds. Also she changed her diet to a more dibetic friendly diet. Good luck to you cause it can be done.

Gabby
GabbyPA 2010-08-29 06:38:03 -0500 Report

Thank you. I am looking into some of my old notes that I had back when I was working really hard on my diet and exercise. I need to bring back some of the old habits (good ones) that I let slide. I am more determined now than ever.

bbw38
bbw38 2010-08-28 10:24:16 -0500 Report

Good for you Gabby…you are going to do well in your road to better health. You are right to realize that you are forever a diabetic. Denial is hard to get past and I struggle with it every day of my life and I have had 20 years of type 2 diabetes.

I take 3 to 4 insulin shots a day and would give anything to have your doctors support. I can't take Metformin but do take Januvia with the insulin. I max out my prescription insurance by every September. I have drastically cut down my food intake, eliminated almost all bread, pasta, rice, and potatoes( keep NO candy or cookies in the house) but have a terrible time losing weight and blood sugar control is…well, out of control.

I really do recommend that you think in terms of using diet and exercise instead of going to insulin. Not only is the expense horrible but the hassle with traveling and even remembering to test and take the shots when you are active and distracted with family and friends is a major problem.

Good luck to you and everyone who has responded here.

leolioness
leolioness 2010-08-27 21:29:17 -0500 Report

What a timely discussion, for this is the conversation that I want to have with my doctor on my next visit on 9/2/10 or next week. I am reading an awesome book titled, "Diabetes Without Drugs" by Suzy Cohen, RPh and it is FULL of wonderful suggestions on how to achieve this. Kudos to your doctor (except for the pat on the butt when he sends you on your way! LOL). Since my diagnoses in early June I have dropped 23 pounds, am extremely active now, and also lost a total of 7.5 inches in my first 30 days at CURVES. I am 2 lbs shy of a goal to lose a total of 25 lbs by next weeks visit (and I even had a mini-vacation last week in Santa Fe, NM at the 2010 Annual Indian Market!). Just had some new lab work done this week for that visit, so I am hoping to see marked improvement on the results.

Gabby
GabbyPA 2010-08-28 08:21:01 -0500 Report

That is great. That book sounds very interesting, have you posted it in our Book Club section? If it is not already there, please do, and if it is, please add your review. I may have to check that one out. Thanks!

jeffrey9127
jeffrey9127 2010-08-25 20:51:06 -0500 Report

I also went to the Dr.'s office this week (yesterday) and told that I was showing progress with my A1C number and that it was my third appointment in a row where I had lost weight. I was also told that he felt that getting me off of "sugar pills" was an attainable goal, and it should be my goal. I felt very good when I left his office, and very determined to achieve this in hopefully the near future.

Gabby
GabbyPA 2010-08-25 20:53:44 -0500 Report

Funny how that little bit of incentive really helps get us going. Great job for you and I hope that you will get rid of your "sugar pills" (love that term)

jason123
jason123 2010-08-25 13:55:01 -0500 Report

Gabby, congrats on doing well and your doctor seem to have a lot of faith in you. But remember one thing, it is his goal, but your work. You know what that means right? more exercise, less carbs, tighter control and more testing if you want to maintain the same bg level as before…I was taken off Metformin 9 monthes ago, kicking and screaming…I remember I racked up over 200 finger sticks per month for the first 2 monthes, there was a week, I actually had problem staying under 140…It is like I was a new diabetic all over again…My A1C did stablize and now almost as good as before, but I am still struggling with the spikes as my body is becoming more sensitive without metformin…so, I just have one question for you Gabby: ready to be a diabetic all over again?

Gabby
GabbyPA 2010-08-25 14:21:26 -0500 Report

I am still one, no matter what I do. So if it is my goal to take me off meds, then I will work toward that. If the loss of meds remind me again that I cannot do it without them, then I will insist on insulin from that point. I never stop being diabetic, it then just becomes whether I am one who has good control.

cograndma
cograndma 2011-03-17 13:27:37 -0500 Report

Here is one for the books!!! the father of a friend of mine could not take any of the diabetic medications, they would always drop his sugars too low. He always had to be a diet controlled diabetic…How unusual…

kdroberts
kdroberts 2010-08-25 10:38:32 -0500 Report

That's cool, but also a little weird. It's seems like it would be a lot easier to get off meds if you are taking insulin since the dosing changes can be made in much smaller increments and immediately rather than have to fit in with pill doses and effect times. Unless his idea is to have you off meds soon then it might be worth talking again about using insulin and lowering the dose as you get more control until you are off it completely.

Gabby
GabbyPA 2010-08-25 12:34:55 -0500 Report

He said that once you are on insulin that you cannot come off? I thought that to be a strange comment, but if his goal is to drop my doses, then I am going to keep working in that direction. He also said he would keep me on the metformin even if I was on insulin, so for now, I will wait.

cograndma
cograndma 2011-03-17 13:31:55 -0500 Report

I am proof that is an old wives tale. NOt true!!!…I was on insulin for several years and juggling the doses, even mixing types of insulin and still had very high numbers in the morning. I changed doctors and he immediately took me off insulin and put me on Byetta… what a big difference!!!! more constant numbers, if my diet was not extreme. the only thing with byetta is that you have to eat your meal within 1/2 to 1 hour after injection. My girlfriend has to eat right at the hour mark otherwise she gets horrible diarrhea and throws up a lot…but if she watches her time, she is OK…I love byetta!!!

kdroberts
kdroberts 2010-08-25 12:39:24 -0500 Report

Plenty of people come off insulin once they start it, not type 1's or type 2's with no insulin production but any other diabetic always has that option.

Gabby
GabbyPA 2010-08-25 12:48:57 -0500 Report

Well I take glypizide and that is supposed to increase my production, so I still am producing at this point. I might bring it up again in 3 months when I go back. He is a clinic doctor, and I am surprised he knows as much as he does. Those we have had a few teaching sessions where I am the teacher. LOL. He is a great guy though, and I do like him.

kdroberts
kdroberts 2010-08-25 12:54:55 -0500 Report

Glipizide and metformin are likely a lot cheaper than insulin for one but the option should still be there!

cograndma
cograndma 2011-03-17 13:33:28 -0500 Report

I am one of the goofballs whose system cannot handle Metformin. It just goes right through me and I have uncontrollable diarrhea. I wish I could take it because a lot of the other drugs are made to work with metformin…

LabRat90
LabRat90 2011-03-28 11:37:26 -0500 Report

I had severe diarrhea problems with metformin, too. Then I added fiber-all twice a day. As my system adjusted I didn't have to take as much fiber. Now I don't take the fiber at all and still don't have the diarrhea problems.

kdroberts
kdroberts 2011-03-17 13:48:15 -0500 Report

There is no drug that is made specifically to work with metformin. Doctors often use metformin in addition to others because it's very old, very cheap and does a good job for a lot of patients, but every other diabetic drug can be used on their own or with drugs other than metformin.

Gabby
GabbyPA 2010-08-25 12:59:27 -0500 Report

Yep, I actually checked into a program that is for uninsured people and they said I was preapproved for an insulin program that would cost me $99 the first month and then $40 every month after for two insulins (fast and 24 hour) and no matter how much I required. Cost is what prevented me from even asking before, but with this program, while it is still MUCH more than my pills, it is in reach and safer. At least that is my understanding.

cograndma
cograndma 2011-03-17 13:35:42 -0500 Report

talk with the people at SCBN ( part of ExpressScripts) and see what they say. I am getting my drugs at $20 for each one they help me with getting from the pharmacy company.

tweetydele
tweetydele 2011-03-26 15:55:30 -0500 Report

i get all my scripts from express scripts.. they r great and im on automatic refill list for all mine also. if my script runs out they just fax my dr. get new script and send it on…

grannyhorine
grannyhorine 2010-08-25 10:15:50 -0500 Report

Gabby that is good news, the less meds the better for you and your body I know at one time I was taking 6 meds including Insulin, as I started to exercise and lose the weight after my weigh in and I was at 298 lbs I opened my eyes and took this serious. As I lost the weight my #'s came down but my DR. would not take me off or reduce any of my meds my #'s were in the 90's and I was always light headed and shaky after I fell down our stairs several times it was time for a new Dr and like you I have found a Gem she ran my labs listen to me and dropped all meds but 2, I feel great now weight is still coming off and I hope to run in a marathon next year don't care if I am last just want to say I DID IT.

Gabby
GabbyPA 2010-08-25 12:33:19 -0500 Report

That is a great aspiration! It is so funny how we wait until we are sick to get better habits in our lives.

cograndma
cograndma 2011-03-17 13:36:52 -0500 Report

you are right because we don't see the effects of our bad habits, so we don't think they are hurting us…until we get sick!!

cassikota
cassikota 2010-08-25 07:31:56 -0500 Report

That's awesome news. Keep up the good work. I myself made the decision late last night to take my body back. Now begins the long days if dieting and exercising.

cograndma
cograndma 2011-03-17 13:38:23 -0500 Report

Remember that it is not dieting, but changing eating habits for a life long eating style…I preach this, but I too sometimes forget…Let's do this together, all of us!!!

Gabby
GabbyPA 2010-08-25 12:38:12 -0500 Report

I try not to focus on the "long days" and just know that I will have more days if I do what is best for my body. I kind of lost that this past year, so now I feel re-inspired.

bettymachete
bettymachete 2010-08-24 23:58:23 -0500 Report

Gabby that is fantastic news! I heard from my doctor today and she said I am due for my next A1c in 2 weeks. I told her I was excited to get it done and find out how I've progressed. She told me that she is expecting good things too. I am so happy for you! It gives me hope.

cograndma
cograndma 2011-03-17 13:39:04 -0500 Report

fingers crossed and good luck. My A1c creeped up this last time, so I have to watch my eating better

Kaiyle
Kaiyle 2010-08-24 21:59:19 -0500 Report

My friend, this is fantastic news. I am confident in your determination to do this and come off of those pills soon. Boy I see those sails in the wind, pushing towards the finish line of accomplished victory!!!!

Gabby
GabbyPA 2010-08-25 12:39:31 -0500 Report

I hope so. I kind of set myself back a little bit, but I will push forward and if he is eager for it, then so am I.

MAYS
MAYS 2010-08-24 21:19:20 -0500 Report

It's all to your advantage, so take advantage of the motivation that he gives.

~Mays~

RAYT721
RAYT721 2010-08-24 21:06:48 -0500 Report

YAY!!! That's about all I can say. Keep up the good work. You've even had alot on your mind lately and doing it. You see, dear, attitude is a strong medicine.

Gabby
GabbyPA 2010-08-25 12:36:26 -0500 Report

Attitude is the best medicine or the worst illness. I hope mine will keep me going in the right way.

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