Doctor visit - good news, mostly

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Community > Diabetes Treatment

Diabetes Treatment As there is currently no cure for the chronic, Diabetes mellitus – the emphasis must be on treatment and management to avoid complications. Please use this section to discuss how you carefully control and manage your Diabetes. Please let us know what is and isn’t working for you. Feel free to discuss all areas of treatment and management of Diabetes including diet, exercise, weight loss, insulin usage, oral drugs and more.


Like Tree21Likes
  • 8 Post By Gregory100
  • 3 Post By John.in.France
  • 2 Post By mbuster
  • 2 Post By David Burke
  • 4 Post By Gregory100
  • 2 Post By silvertiger

Doctor visit - good news, mostly


Closed Thread
 
Shared Thread Thread Tools
Old 10-02-2014, 23:24   #1
Senior Member
 
Join Date: Sep 2012
Location: Maryland, USA
Posts: 127

Member Type
Type 2
Diagnosed in 2011

237 likes received
99 likes given
Default Doctor visit - good news, mostly

I've been doing LCHF seriously since January, and I could not be happier with it. My carb intake has crept a bit from 20-30 g/day in the spring to 30-40 g most days in the summer, caused mostly by an increase in fruit consumption, and eating more peanuts than I should. LCHF has ben wonderful for me: I've lost 56 pounds since mid-January, my cholesterol numbers are fantastic, my blood pressure is stellar and my blood sugar is great.

My doctor is a good guy. He seems well read, and when he asked me today how I had managed nine months of continuing weight loss, I told him. And not only did he not freak out about it, he was completely supportive of eating low carb, and said that he would brag about me to other patients and colleagues.

He reduced my BP meds in June and again today. I'm typically running 115/65 these days.

He reduced my cholesterol meds today, but not the statin, which he believes I need to be on due to being diabetic.

He also suggested going off Lantus completely (I'm only taking 21 units). That's my goal, eventually, too, but I had been stepping down over the past few months, and am a bit nervous about what kind of spike I may see in my fasting if I just quit altogether. My A1C is 5.5, which he thinks is too low and likely to make me hypo. I know it likely won't, but there was no convincing him of that today; he thinks that I'm probably already going hypo, but that my liver is compensating enough that I don't notice it. He'd rather see me in the 6s.

So, he's generally supportive of reducing and eliminating meds and he supports low carb eating. Since I also want to reduce and eliminate meds, I'm going to go ahead and quit Lantus and see what happens. He seems to think my pancreas will kick in and work better if the insulin injections disappear. I know that decreasing insulin will also help with weight loss.

We've agreed that if my fasting goes up above 120, I can add some Lantus back in, so I don't think I have much to lose, but I'm seeking input from those of you who have gotten yourselves off long-lasting insulin. Did you do it all at once? Or did you wean yourself off, bit by bit, as I had been doing?

If nothing else, this will probably give me the push I'm needing to get back from LCHF to VLCHF.

Gregory100 is offline  
Old 10-03-2014, 11:26   #2
Active Member
 
Join Date: Sep 2010
Posts: 8,607


10903 likes received
1862 likes given
Default

Gregory - Well done!

As regards the Lantus, I had a similar situation with my initial treatment (using Levemir). The rules I got were - 3 days running below 80, cut dose by two units. 3 days running above 120, increase dose by 2 units. It took me from mid August to the end of October to get down to zero dose.

Your HbA1c figure of 5.5% is quite respectable and given you're eating low carb, you are not in danger of going hypo (just as you say) but that does seem to be the one holdover your doctor has from the traditional dogma.

That detail notwithstanding, it sounds like your doctor is a keeper!

Good that he is supportive of low carb and well done to you on your success. As you say, stick with it

grammaB, hitcheca and macksvicky like this.
John.in.France is offline  
Old 10-03-2014, 12:51   #3
Moderator
 
mbuster's Avatar
 
Join Date: Sep 2011
Location: SW Arkansas
Posts: 9,205

Member Type
Type 2
Diagnosed in Feb. 2012

11105 likes received
6344 likes given
Default

Now you need to work on enlightening his view of statins. Diabetics need statins - BS. Kind of like we can't have sugar diabetes without sugar.

skb and gotsomeold like this.
__________________
Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
mbuster is online now  
 
Old 10-03-2014, 16:08   #4
Inactive Member
 
David Burke's Avatar
 
Join Date: Dec 2011
Posts: 5,318

Member Type
Type Undiagnosed
Diagnosed in None

5321 likes received
Default

Nice job!

To your question on reducing insulin, I spent 6months reducing mine. I went from ADA diet and dropped my carbs by 1 serving (15g) per week until I reached my current level. Going slowly like that I could adjust basal (I was using lantus as well) very easily. Bolus (novolog) was easier.

Like I said it took me 6 months but it's been worth it!

Sent from my iPhone

grammaB and gotsomeold like this.
David Burke is offline  
Old 10-03-2014, 16:29   #5
Senior Member
 
silvertiger's Avatar
 
Join Date: Nov 2011
Location: Saskatchewan, Canada
Posts: 3,861

Member Type
Type Pre
Diagnosed in 2011

4282 likes received
5061 likes given
Default

Good work! Did you mention the high fat part to the doc? That's the part I find they usually argue about.

__________________

View silvertiger's full Diabetes Forum profile here.
silvertiger is offline  
Old 10-06-2014, 16:45   #6
Senior Member
 
Join Date: Sep 2012
Location: Maryland, USA
Posts: 127

Member Type
Type 2
Diagnosed in 2011

237 likes received
99 likes given
Default

Quote:
Originally Posted by silvertiger View Post
Good work! Did you mention the high fat part to the doc? That's the part I find they usually argue about.
I will admit I kept that part to myself.

Shanny, mbuster, grammaB and 1 others like this.
Gregory100 is offline  
Old 10-06-2014, 17:42   #7
Senior Member
 
silvertiger's Avatar
 
Join Date: Nov 2011
Location: Saskatchewan, Canada
Posts: 3,861

Member Type
Type Pre
Diagnosed in 2011

4282 likes received
5061 likes given
Default

Yeah I have to admit I mumble the "high fat" part. Once I have lost more weight I will talk to my doc about it more candidly.

Shanny and grammaB like this.
__________________

View silvertiger's full Diabetes Forum profile here.
silvertiger is offline  
Old 11-01-2014, 16:39   #8
Senior Member
 
Join Date: Jan 2013
Posts: 374

Member Type
Type 2
Diagnosed in 2013

430 likes received
84 likes given
Default

Yeah, when I talked to my Dr. I said," similar to Adkins", and he said "oh, high protein, low carb.", I didn't bother to correct his misinterpretation.

__________________
David
Dx Jan. 8, 2013
Apercula is offline  
Old 11-01-2014, 16:45   #9
Inactive Member
 
David Burke's Avatar
 
Join Date: Dec 2011
Posts: 5,318

Member Type
Type Undiagnosed
Diagnosed in None

5321 likes received
Default

Quote:
Originally Posted by Apercula View Post
Yeah, when I talked to my Dr. I said," similar to Adkins", and he said "oh, high protein, low carb.", I didn't bother to correct his misinterpretation.
You should have at least corrected his thought of "high protein". You could have said that you said "similar to atkins" so moderate protein.

But then again it probably wasn't worth the fight. Lol

Sent from my iPhone

David Burke is offline  
Old 11-01-2014, 20:47   #10
Senior Member
 
grammaB's Avatar
 
Join Date: Feb 2012
Location: Beautiful Big Sky Montana, USA
Posts: 7,783

Member Type
Type 2
Diagnosed in 2012

7323 likes received
13044 likes given
Default

Well done Gregory!!

It is too bad we can't always be 100% honest with our drs. Some will just not tolerate the hf component of lc/hf and never will. There are some gems out there that will, I just wish there were enough of them to go around for all of us!!

My PCP takes a don't ask, don't tell attitude. I did tell him in the very beginning at the 3 mo check up that I did vlc/hf and he has never asked or said anything else. My Medical Oncologist is always asking about lc/hf/ketogenic even to the point of asking for a recipe. He is pondering CO right now and its effects on my lipids. He can't understand just eating it... I actually drink it in my Bullet Proof Coffee in the morning.

__________________

View grammaB's full Diabetes Forum profile here.
grammaB is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
A visit to the doctor. Philip Diabetes Forum Lounge 10 05-05-2014 17:05
Good Visit with Doctor fangirl Diabetes Forum Lounge 16 06-28-2013 01:09
Doctor visit LaJuan Diabetes Forum Lounge 10 10-11-2012 03:20
Doctor visit abigail307 Diabetes News 16 06-04-2012 21:02
Doc visit - good news A1C LarryT Diabetes 3 07-05-2011 20:50

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 06:18.




Powered by vBulletin®
Copyright ©2000 - 2020, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.