What do you tell the doctor....

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What do you tell the doctor....


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Old 12-20-2013, 03:45   #1
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Default What do you tell the doctor....

...when you've fallen off your wagon? I was diagnosed in April and lowered my fbg and weight greatly the first 4 mos. with LCHF and walking, no meds (but they were prescribed). A couple of years ago, I lowered my fbg from 190 to 104 in 3 mos. by doing the same.

But since August I have gone my merry way, including two trips, and paid NO attention to my habits whatsoever. I ate whatever I wanted, whenever, stopped walking, stopped reading this forum.

I've crawled back up on the wagon and must see my doctor in one month to continue with all prescriptions (thyroid, blood pressure). I know I can succeed if I stay on my regimen!

What do you say to the doctor when they read your blood test, you tell them you're not taking the meds, etc.? Is it best just to remain silent, nod and listen?

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Old 12-20-2013, 03:51   #2
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Tell your doctor the truth, that you succumbed to being human. Tell him that you would like to try following his advice for a few months and see how that works. You are not the first patient to fall off the wagon. In fact, my doctor told me that 90% of his patients do not change their behavior at all after diagnosis.

The fact that you admit to falling off the wagon at all speaks volumes. Most never get on a wagon.

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Old 12-20-2013, 03:56   #3
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Thx so much. It's just that they push meds, meds and more meds. Of course, that is their training and I respect that, but she doesn't even want to listen to my previous success or any other input. Nothing was ever mentioned about walking, food choices, etc. I feel like a child sitting there getting a lecture but have discovered/proven what works with diet/lifestyle changes.

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Old 12-20-2013, 04:17   #4
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Now, I didn't say you have to follow her advice, especially when it contradicts your activities that WORK. I am just saying that if and when your numbers come up skewed, you admit that you did not watch your diet or exercise. If you need to take meds to get back on track, do so. If not, just go back to what worked.

I adopted a diet and exercise regimen that paid off handsomely, but my doc did not take me off the metformin 500mg. I intend to experiment with not taking it after the holidays, now that I have some experience in controlling my BS. But, I tell my doc what I do, even if sometimes he is unimpressed.

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Old 12-20-2013, 04:19   #5
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BTW, my doc did not recommend diet or exercise either when I was diagnosed. Did not even tell me to get a meter. I learned all of that here.

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Old 12-20-2013, 04:30   #6
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I tell my doc the truth, and he's supportive - he treats me like a human being and an intelligent adult - even like a friend. That being said, if your doc is condescending and patronizing, I wouldn't tell her a damn thing and I'd have a new doc waiting in the wings. As long as I'm paying them for treatment (and I am, by paying my insurance premiums), they can treat me with respect or not treat me at all.




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Old 12-20-2013, 09:01   #7
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Noncompliance is a very big deal to docs. So much so that I believe they expect it rather than not.

Best to tell the truth and let the chips fall where they may. You'll find out interesting qualities about your doc, and, as Shanny points out, if those qualities aren't good you can hire another mechanic, so to speak.

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Old 12-20-2013, 10:35   #8
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Quote:
Originally Posted by Shanny View Post
they can treat me with respect or not treat me at all.
This is the best line ever regarding doctors of any type, treating any person. Thanks Shanny.

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Old 12-22-2013, 12:53   #9
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I tell all my patients that falling off the wagon is a part of their treatment. I discuss at time of diagnosis and counseling because it is inevitable. It is a stage we all go through some longer than others but to understand it happens, accept it, and get back on the wagon as soon as possible. I much rather have a patient come in and tell me that then try to BS their way through telling me they are very strict and have gained 20 pounds and labs look like crap.

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Old 12-22-2013, 17:57   #10
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I'm completely honest with my doctor. It doesn't serve me well not to be.

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