To Endo or not To Endo....

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To Endo or not To Endo....


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Old 02-10-2011, 13:36   #1
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Default To Endo or not To Endo....

By all rights, I have my diabetes well controlled. My sugars are running in the low-80's consistently and I'm getting a handle on which foods spike me and reducing/adjusting my carbs accordingly. As a result, my A1c has steadily decreased from diagnosis to a 6.1. I'm shooting for a sub-6 at my next in March. Thanks largely to my own research, this board and a db education course I'm completing, I feel well informed.

My GP is fairly knowledgeable, but I question his decision not to put me on Metformin at diagnosis (375 mg/dl) and he sometimes "forgets" I'm a diabetic. (I stay on top of it and make sure I ask lots of questions).

So the question is this, is it worth the time, effort and money to meet with an endo and review everything I've done to this point? Since endo's are better trained in the management of the disease, is it worth it? What are the benefits I might get?

Appreciate the input.

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Old 02-10-2011, 13:41   #2
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I don't use an endo because I am not on insulin and like you am fairly well controlled. Since we have to buy our insurance on the individual market, it is very expensive for lousy high Deductible insurance. So we pay the full price of the doctor, lab and Rx until we meet deductible which is $6000. So my internist charges $89, while the Endo would be $400 or more. That is how I make my decision. There is no guarantee that an Endo would give you better care and most are booked up for months and give you much less time at a visit. I think just like GP's and Internist's there are good and bad Endos. I would imagine most push a lot of the newer expensive drugs as opposed to controlling this with food choices and exercise.

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metformin-2550
low carb organic diet
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moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

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Old 02-10-2011, 15:02   #3
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I needed an Endo, but that is because I had T1.5 and knew insulin was in my immediate future.

I would say if you are happy with your current management and your generalist, save the money and effort!

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Old 02-10-2011, 23:28   #4
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endos know tons about diabetes. it may be worth a trip for yourself

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SWM/42/NY
DxT2: 1/26/2010: 6'2" 268lbs. A1C 7.8, FBG 266
A1C: 1/2010: 7.8 ; 6/2010: 4.7 ; 9/2010: 5.1 ; 12/2010: 5.2 ; 4/2011: 5.3 ; 9/2011: 5.3

Completely Off Medication December, 2010.

9/2011 Lab Work Results (4/2011 in parenthesis)
A1C: 5.3 (5.3)
Cholesterol: HDL 134 (133) LDL: 53 (53)
Triglycerides: 29 (30)
Current Weight: 195

I am sometimes too "harsh". I feel that sometimes one must be "harsh" to get the point across.
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Old 02-11-2011, 00:14   #5
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Unless you are having problems don't bother. I have been to 2 endos in my entire diabetic carrer.

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Old 02-11-2011, 02:24   #6
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I was playing tennis today with some other ladies. It was very cold and I had a hard time warming up. One of my partners asked if I had told my Endo about being cold. I told her I have never seen an Endo. She was shocked, her husband is a type 2 and always see an endo. She made me feel terrible because I didn't see an endo. I told her I was very well controlled, most bgs under 100 and very few spikes. I also am a low carber which I know endos don't like. I see an Internist who is a friend and get him to write my Rx's, and write my scrips for labs. That is all I need a doctor for right now. She told me Endos may see things ordinary doctors don't. I felt like telling her to mind her own business. I'm sure I am in much better control than many people who see endos.

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diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
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Old 02-11-2011, 16:15   #7
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I see an Endo only because he does know more about Diabetes and the insulin pump than my NP does. Because Medicare helps pay for my pump supplies, I am required to see an Endo every 3 months - or at least that is what I was told. So basically all I need him for is to write the Rx for my insulin and pump supplies. He is one of the better ones though because people drive for a long distance just to see him, and he does take time to 'listen' to his patients.

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Old 02-22-2011, 12:41   #8
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Ditto strawberry. I just see my endo because in order to get my pump supply RX and a new pump when it's time I have to. But I can tell you a little story of what happened to me when I stopped seeing my endo around a year ago... My primary doc wanted to manage my diab and me to stop seeing my endo. I said, "sure". When it came time to get more glucose strips, I called his office and he called in a strip refill for: testing to be done no more than 4 times a day!!! I immediately called his office knowing this had to be a mistake. Nope, no mistake the nurse said. I said, well you know I am type 1 and on a pump don't you? They said yes but there is NO REASON for a diabetic to test more than 4 times a day! I quickly call my endo and explain what had happened and set up an appt with them asap. My primary wouldn't budge on RX
ing more strips for me and my only recourse was going back to my endo for diabetes care. Can you believe it?

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Old 02-22-2011, 13:26   #9
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Countrygal -

Yes, I can believe it because the same thing happened to me......only it happened with my Endo. I received my last shipment of pump supplies and test strips which were sent by the pump company. I called them to inquire why the amount of my supplies was not shipped the same as before? Their response was "Your Endo said you only need "x" number of infusion sets and you only need to test 5 times a day." Called the Endo's office and NEVER did get a call back from the Nurse (who handles all phone questions). So now I have to buy a box of infusion sets online plus my own test strips. Never mind that the insurance company would pay for a few more infusion sets plus more test strips.........the Endo forgot to put the proper amount down on the fax to the pump company - OR - his Nurse forgot too. Each of them could point the finger at the other.

I believe Adjitater has it right "don't bother unless you are having problems".

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Old 02-24-2011, 10:20   #10
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Strawberry, unbelievable Im back with my endo but if he tried the same stunt as my primary did, I'd quit and find a new doc.. I'd have to, and that reminds me.. I got a letter the other day from our INS company that they were limiting every diabetic subcriber to 200 strips per month!!! Can you believe that?

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Fish Oil 3000MG, Synthroid: 100 mcg daily, Low Dose Aspirin, Tried statins and quit them in favor of the fish oil
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