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Old 10-01-2015, 17:19   #1
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So, I had my vitrectomy yesterday. So far, no pain, just some itchiness under the patch. I leave for the post op apt in about 30 minutes.

In the hospital, I drew a crowd of doctors and nurses who haven't seen the Animas Ping/Dexcom combo in action. My anesthesiologist in particular was fascinated, peppered me with questions, and wanted more info. I showed him how to check the CGM readings and the 1 hour trend for the actual surgery. By the end of my stay, he was advocating the use of CGM for every diabetic surgical patient, and wanted to know if there were studies done on CGM and surgical patients. I smell an RFP coming on! During my procedure, he said he checked my glucose every 5 minutes to see the changes and to monitor me.

One eye down, one to go.

Gastroparesis workup continues next week with the nuclear med gastric emptying study.

The journey continues.

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Old 10-02-2015, 01:55   #2
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Day after surgery post-op update:

Vision is 20/20 in the right eye, with no black holes from the blood!! I am ecstatic and could not have hoped for a better outcome. Went ahead and scheduled the left eye for 3 weeks from now.

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Old 10-03-2015, 16:06   #3
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Anyone else ever feel like they are teaching the HCPs about managing this disease?

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Old 10-03-2015, 16:23   #4
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I'd like to be in a position to say that this issue is purely one for the USA but my mum would tell me off for telling fibs.

The approach in the UK and France is completely in line with the ADA guidelines. Eat a strarvation diet, high in carbs and chase your blood sugar with meds. Back in 2010, the hospital endo nearly had a fit when I gave her my meal breakdown from my weekend at home - "where were the starches?" - she wrote to my GP warning him of my "unbalanced diet".

The one positive side here is that both my previous doctor and my new one seem to accept the philosophy that if it's not broke, they don't try to fix it. In other words, they let me manage it without interference. But passing on the ideas to other patients? Not a chance.

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Old 10-04-2015, 05:47   #5
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Quote:
Originally Posted by John.in.France View Post
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The one positive side here is that both my previous doctor and my new one seem to accept the philosophy that if it's not broke, they don't try to fix it. In other words, they let me manage it without interference. But passing on the ideas to other patients? Not a chance.
I've posted this before but it seems to fit well here too. My PCP's nurse is a good personal friend of mine. After a trying appt with the PCP regarding statins, I asked her how many of his diabetic patients took statins. She said pretty much all of them. Then I asked her how many were in good control. She said "besides you? None!" and I do it without any meds. He knows I do lc/hf/mp/keto but does he share with his other patients? Nope, he can't. It is so sad...

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