Ha1c = 12.1 and Doc still won't give me any meds...

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Ha1c = 12.1 and Doc still won't give me any meds...


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Old 08-02-2011, 05:53   #1
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Default Ha1c = 12.1 and Doc still won't give me any meds...

Hello, I'm new here. Actually this is my first post. I am getting very frustrated and just to get some feedback from other people with Diabetes. I was diagnosed with Diabetes Type 2, 14 years ago. My Ha1c has been steadily rising every year with my last lab work performed yesterday showing my Ha1c is 12.1. It had been hovering in the 10.5 - 11.5 range for the past several years.

I was just wondering how long can a Doctor withhold medication for Diabetes treatment?

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Old 08-02-2011, 06:20   #2
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Quote:
Originally Posted by MsTCB
Hello, I'm new here. Actually this is my first post. I am getting very frustrated and just to get some feedback from other people with Diabetes. I was diagnosed with Diabetes Type 2, 14 years ago. My Ha1c has been steadily rising every year with my last lab work performed yesterday showing my Ha1c is 12.1. It had been hovering in the 10.5 - 11.5 range for the past several years.

I was just wondering how long can a Doctor withhold medication for Diabetes treatment?
I would be looking for a new doctor if possible. Those numbers are doing damage to your body.

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Old 08-02-2011, 06:24   #3
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WHAT? Welcome to the forum! WHAT?

Are you serious? Your doc won't give you any meds with that A1C? What sort of doctor is this? What is the stated rationale?

The solution is easy: change docs. Now. Seriously. That's stunning.

The first thing I would do tomorrow morning is make an appt with another doc. The next thing I would do is fix myself some eggs and bacon/sausage - that's it. I would not have juice or cereal or bread or grits. And I would cut carbs as completely as possible until I got in to see a new doc.

If I didn't already have a meter, I'd get in my car and be at Walmart by 9:00 AM buying a ReliOn meter and some strips (the meter costs $9 - strips cost 50-cents each - $10 for a pack of 20 - no need for lancets yet, they'll come in the box with your meter.) I would take my blood sugar before and after meals and watch my numbers drop as I cut out carbs.

My reading material would be Blood Sugar 101, and I'd ask questions right here in this forum.

That's what I'd do )

Welcome to the forum - so very glad you're here.

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Dx'ed Feb 2011 w/ BS > 600
A1C: . . . . . . . . . . . . . . . Other Stuff
2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds
9/5/12 .... 5.8 . . . . . . . No statin

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Old 08-02-2011, 06:32   #4
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Welcome to the Forum!

And ... what Moon said.

(If I add my opinion on your doc's mode of care, I'll be banned from all cyberspace.)

You've come to the right place! Ask away, and do plenty of searches.

Looking forward to getting to know you better!

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Old 08-02-2011, 06:37   #5
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I have to agree with our fellow PWDs (persons with diabetes) and say find a new doc as quickly as possible, and until you can get in, slash the carbs from your diet as completely as possible. He's getting paid but he isn't treating you - what's up with that?

Moon has sketched out a darn good plan . . . that's what I'd do too!

While you're looking for your new doc, remember to interview the candidates too . . . tell them why you left the old doc & what you expect of them. They don't get to be god, they need to be accountable.

I'm glad you're here - I wish you good luck in fixing this outrageous problem, and success with low-carbing. It's a wonderful way-of-eating.

Quote:
Originally Posted by MsTCB View Post
Hello, I'm new here. Actually this is my first post. I am getting very frustrated and just to get some feedback from other people with Diabetes. I was diagnosed with Diabetes Type 2, 14 years ago. My Ha1c has been steadily rising every year with my last lab work performed yesterday showing my Ha1c is 12.1. It had been hovering in the 10.5 - 11.5 range for the past several years.

I was just wondering how long can a Doctor withhold medication for Diabetes treatment?

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Old 08-02-2011, 07:45   #6
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Default Thanks!!

Thanks for all the wonderful replies. Re: What is my Doc's rationale. Every time I have asked for meds (which has been often), he has told me things like: "If you get rid of your belly fat, then you will not have Diabetes. [Pointing to my stomach] "This is where Diabetes lives."
"I believe you can lose the weight and if I give you medications, then I am sending you the opposite message." "The meds will only make you gain even more weight and keep you Diabetic." "The meds also will just speed up the burning out of your Pancreas which will lead to being on Insulin which will make you gain even more weight."
These are just a few of his comments to me.

So, I usually leave his office feeling like a complete failure despite my relentless efforts to lose weight.

I'm afraid that the complications have already started. I have an ulcer on my right ankle that just won't heal. I've been trying to get skin to grow for the past 3 months. I am seeing a wound doctor this Thursday for that. I have also lost most of the feeling in my lower legs just above my ankles. So many times the white part of my eyes bulge out and they look horrible.

He has had me try many things over the years: Cinnamon capsules, Krill Oil, etc. But, they don't bring down my numbers.

I do have a home monitor and have used it for the past 14 years to record my numbers - for what it's worth.

I feel like he's just been monitoring my degeneration. When I got my Ha1c numbers today, I just wondered how long Doctor's let people go on like this before they prescribe meds.

I appreciate all your suggestions and will return to the low-carb diet plan. I do feel good when I'm on it. The biggest problem I have right now is lack of money for good groceries. Protein is expensive and most food pantries don't offer it.

My Doc has the best bed-side manner and takes time to listen, but I'm afraid that I might end up blind like my mother. It runs in our family very heavily: 3 out of 4 siblings have it + my mother.

Thanks again for all the support and advice. MUCH appreciated.

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Old 08-02-2011, 08:15   #7
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Oh MsTCB, I'm so very sorry you've gone through this. Are you sure your doc has a medical license? What you are telling us is unconscionable. I'd say it's actionable. But moving forward ...

I would never see that doc again, for anything. If he can be that stupid (the kindest statement I could possibly make) then I wouldn't want him near my common cold.

The good news about diabetes medication is that Metformin is cheap. It's generic, and if your new doc doesn't start you on that first I'd ask why not. It's a very good med, and beginning on the extended release version is a good idea as it reduces the disagreeable gastric effects that are common with metformin. It does not further burn out your beta cells because it does not stimulate the pancreas to produce more insulin. Your doc isn't even up on his medications! A great side effect of metformin is that it has an appetite suppressant aspect, and coupled with a low-carb diet you =will= lose weight. I lost almost 50 lbs this year without even trying.

About your appointment this week - what is a 'wound' doctor? It sounds like what you need is one good physician. Is that doctor a family practitioner, internist, or ...?

Oh my I'm glad you're here. And so very glad you're going to get some help. Let us know who you choose as your new doc

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Dx'ed Feb 2011 w/ BS > 600
A1C: . . . . . . . . . . . . . . . Other Stuff
2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds
9/5/12 .... 5.8 . . . . . . . No statin

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Old 08-02-2011, 08:29   #8
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The biggest problem I have right now is lack of money for good groceries. Protein is expensive and most food pantries don't offer it.
Eggs will be your friend. Eggs are inexpensive, a lot of bang for the buck, and there's a lot you can do with an egg. A can of tuna is loaded with protein - and an egg/tuna salad with full-fat mayo can go far in filling a belly, and it's healthy for us. If you can stay away from carbs, you will feel less hunger and not eat the quantity of food you might be eating now (that's the case with me) while still getting adequate calories from fat and protein.

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Dx'ed Feb 2011 w/ BS > 600
A1C: . . . . . . . . . . . . . . . Other Stuff
2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds
9/5/12 .... 5.8 . . . . . . . No statin

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Old 08-02-2011, 08:36   #9
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Thank you, Moon. I'm glad I found you all during my "google" search this evening. I'm starting to feel more hopeful already.

Congrats on your weight loss. I hope I can get on this Metformin and lose weight on it as well.

Sorry about the confusion with the "wound" doctor - that's just what I called him. My Doc was on vacation, so I saw his Physician Assistant about the ankle ulcer. She said she didn't want to do anything to it (I think she was afraid - which is understandably considering how bad it looks). She wanted to refer me to a place called the Wound Clinic. I was hoping to get in right away, but found out that they are only open on Tuesdays and Thursdays. I looked up the doctor and found out that he is a D.O.

My regular Doc is a Family Doctor.
I'll keep you posted.
I am grateful for the support.
I was just reading the "101" articles. Wow!
I can hardly wait to wake up in the morning so I can dive into all those articles.
What a blessing.

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Old 08-02-2011, 08:40   #10
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Thanks for the egg and tuna idea. I love tuna salad but had forgotten about it. I also think there's tuna at the food pantry. Wonderful idea!!

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