Kudos to my diabetes educator and Endo...

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Kudos to my diabetes educator and Endo...


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Old 04-26-2011, 23:56   #1
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Default Kudos to my diabetes educator and Endo...

I have read on other forums as well as this one that a large amount of diabetics are dissatisfied with their educator and/or Endo. As important as it is to make others aware of issues or negative trends that occur in our treatment, I think it is also important to recognize those that really go out of their way for us.

I was originally diagnosed by my family physician. She is a fantastic general practitioner (actually a D.O.) that treats our entire family. When she saw my HbA1C level at 15.4 she immediately thought type 2 diabetes (as this is what she sees the most with newly diagnosed adults).

Two weeks later she sent me to a diabetes educator, in my case an RN/CDE who happens to have type 1 as well. She spent about 2 hours with me in her office, discussing what this means, different ways to treat it, learning what I needed and what I was feeling. Based on our discussion, she had doubts about my type 2 diagnoses and ordered more blood tests. She was correct, I was actually type 1.

I had another 2 hour session with her, where she spoke with me at length about the advised diet for diabetics and how it is not necessarily what works for everyone. I explained that I was already doing low carb, which she agreed was a great way to eat for a diabetic. She then helped me get an appoinment with a fantastic Endo.

My experience with my Endo has been just as good. My Endo also has type 1 and is also a believer in eating lower carb, no matter which type of diabetes you have.

Just yesterday I was thinking how I needed to send my educator an update on how I was doing. About 15 minutes later I received an email from her asking how I was doing. Thought I would share it.

==
Hey Jeremy,
Been wondering how my star patient is doing? What was follow up at U of W like and what information did they add to what we were already doing? Also curious if Benaroya Research had anything you could participate in. I've had two more patients with scenarios similar to yours within the past month and am always wanting to learn more. Adult onset type 1 seems to be a burgeoning field and I'd love to learn how the specialists in the industry are handling your case.

Hope all is well with your family and health,

Best regards,
==

I called her and we chatted for about half an hour. I feel truly blessed to have health professionals that really do care and are open to doing what is best for "me" not what the ADA necessarily dictates. I hope many of you have a similar experience over the course of our diabetic lives...if not, I am happy that we have a common place such as this forum to go to for support.

Cheers,

Jeremy

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A1C @ DX (Feb 10th 2011) >15.4%
A1C (May 5th 2011) = 6.7%
A1C (Aug 8th 2011) = 6.2%
A1C (Nov 8th 2011) = 5.9%
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Old 04-27-2011, 00:10   #2
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Man, I wish I could say the same about my Dr., dietician and the educators around here! Gratz to yours!

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As of Apr 23, 2013: 14-day Avg Fasting BG: 4.7 (85), A1c (Dec21): 5.1%, Stats: 230lb, 6'3" now with 37" waist

Low-Carb (Usually < 45-60g per day on a 3,000+ calories daily diet)

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Old 04-27-2011, 00:25   #3
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Yep, those are intelligent professionals keeping an open mind . . . huge props to them. And lucky YOU, Jeremy!




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Old 04-27-2011, 03:39   #4
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Would you be willing to share the name of your endo? I haven't gone to one yet but I assume someday I'll need to.
I really lucked out with my doctor too... first thing he advised me to do was "go on Atkins, you'll need to go low-carb anyway". He knows all the studies that have been done and understands that the ADA is pretty much worthless. He listens and considers my point of view too - we really actually decide together what is right for me. He already knows he can't order me around, hehe.

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Old 04-27-2011, 05:38   #5
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Quote:
Originally Posted by Wink View Post
Would you be willing to share the name of your endo? I haven't gone to one yet but I assume someday I'll need to.
I really lucked out with my doctor too... first thing he advised me to do was "go on Atkins, you'll need to go low-carb anyway". He knows all the studies that have been done and understands that the ADA is pretty much worthless. He listens and considers my point of view too - we really actually decide together what is right for me. He already knows he can't order me around, hehe.
That's great, I am glad that you have a great doctor! I go to the University of Washington Medicine Endocrynology dept. It is headed up by Dr. Irl Hirsch, a leader in diabetes treatment and research (Hirsch, Irl B. - UW Medicine Biographies). He is involved in all patient care at the clinic, but is not currently accepting new patients. Here is a great interview with him. Taking Control Of Your Diabetes - Talking With Irl

You can see that he is very passionate about proper diabetes education.

I am seeing Dr. Lisa Gilliam (Gilliam, Lisa K. - UW Medicine Biographies). As I alluded earlier, she is fantastic and is completely open to listening to me and being open to my treatment. My diabetes educator, whom I would also absolutely recommend, is Jonna Smith at Valley Medical Center in Kent, WA.

Cheers,

Jeremy

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Type 1 Diagnosed FEB 10, 2011
BG @ DX >400
A1C @ DX (Feb 10th 2011) >15.4%
A1C (May 5th 2011) = 6.7%
A1C (Aug 8th 2011) = 6.2%
A1C (Nov 8th 2011) = 5.9%
Pumping with the Medtronic Revel 723 with Humalog

Last edited by Jeremymc1; 04-27-2011 at 05:51.
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Old 04-27-2011, 06:32   #6
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You are indeed fortunate! I enjoy hearing about enlightened clinicians. Hopefully their wisdom will spread. (And spread right quick.)

Just learned from a couple of in-laws that at least some hospitals and practices (in Nevada and Oregon) deal sensibly with diabetes and refuse to stuff their patients with carbs.

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Old 04-28-2011, 03:55   #7
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Quote:
Originally Posted by Jeremymc1

That's great, I am glad that you have a great doctor! I go to the University of Washington Medicine Endocrynology dept. It is headed up by Dr. Irl Hirsch, a leader in diabetes treatment and research (Hirsch, Irl B. - UW Medicine Biographies). He is involved in all patient care at the clinic, but is not currently accepting new patients. Here is a great interview with him. Taking Control Of Your Diabetes - Talking With Irl

You can see that he is very passionate about proper diabetes education.

I am seeing Dr. Lisa Gilliam (Gilliam, Lisa K. - UW Medicine Biographies). As I alluded earlier, she is fantastic and is completely open to listening to me and being open to my treatment. My diabetes educator, whom I would also absolutely recommend, is Jonna Smith at Valley Medical Center in Kent, WA.

Cheers,

Jeremy
Are you going to the diabetes expo at the convention center on Saturday?

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Old 04-28-2011, 04:03   #8
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Quote:
Originally Posted by Chesney

Are you going to the diabetes expo at the convention center on Saturday?
Yep, planning on it!! How bout you?

Cheers,

Jeremy

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Type 1 Diagnosed FEB 10, 2011
BG @ DX >400
A1C @ DX (Feb 10th 2011) >15.4%
A1C (May 5th 2011) = 6.7%
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Old 04-28-2011, 04:38   #9
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(if you guys get to meet up at the expo, I'm gonna sit the corner & be horribly envious . . . )




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Old 04-28-2011, 04:54   #10
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Quote:
Originally Posted by Wink View Post
Would you be willing to share the name of your endo? I haven't gone to one yet but I assume someday I'll need to.
I really lucked out with my doctor too... first thing he advised me to do was "go on Atkins, you'll need to go low-carb anyway". He knows all the studies that have been done and understands that the ADA is pretty much worthless. He listens and considers my point of view too - we really actually decide together what is right for me. He already knows he can't order me around, hehe.
Hey Vicky, are you going to the diabetes expo this Sat?

Cheers,

Jeremy

__________________
Type 1 Diagnosed FEB 10, 2011
BG @ DX >400
A1C @ DX (Feb 10th 2011) >15.4%
A1C (May 5th 2011) = 6.7%
A1C (Aug 8th 2011) = 6.2%
A1C (Nov 8th 2011) = 5.9%
Pumping with the Medtronic Revel 723 with Humalog
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