Talking to nurses is like talking to a brick wall

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Talking to nurses is like talking to a brick wall


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Old 04-30-2013, 16:01   #1
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Default Talking to nurses is like talking to a brick wall

I am trying to tell her that my BG levels went up, I am explaining how they we were way down the first few days of Lantus, but now they are high again, etc.... And she is insisting that a fasting of 145 is "not that high" and 2 hours after meals is the peak time, so it is fine to see a 151 then. She could not understand why I was concerned about these numbers. I was told that while a goal of never going over 120 is a good goal it is a bit unrealistic.

I just want to scream!

I just wanted her to help me figure out why they went up suddenly and what we could do about it, not argue with me about what BG numbers are ok or not.

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Old 04-30-2013, 16:14   #2
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LOL! i can understand your frustration. My FIL (who is a diagonised diabetic) is trying to convince me that post meal of 140 means that you dont have a chance of being a diabetic ever. Also, taking medication does not make sense as you take medicines only twice a day and you eat several times a day. So what sense does it make to lower BG twice when rest of the times you will be elevated? Any talks of LCHF, and i feel like i am talking to walls.

Right now he (and my blessed dog) are having icecream and i am the one on the diabetes forum!

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Old 04-30-2013, 16:25   #3
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Quote:
Originally Posted by 3babygirls View Post
I am trying to tell her that my BG levels went up, I am explaining how they we were way down the first few days of Lantus, but now they are high again, etc.... And she is insisting that a fasting of 145 is "not that high" and 2 hours after meals is the peak time, so it is fine to see a 151 then. She could not understand why I was concerned about these numbers. I was told that while a goal of never going over 120 is a good goal it is a bit unrealistic.

I just want to scream!

I just wanted her to help me figure out why they went up suddenly and what we could do about it, not argue with me about what BG numbers are ok or not.
Wow, you just summed up all of the conversations I had with my previous endocrinologist and I in one posting. I totally agree on the 120. Seems too unrealistic for me, at this point. I'd hate to see what the nurse considers a high FBS. Hopefully this isn't what they're teaching these days in nursing school. I hope you have better luck reaching out to the doctor.

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Old 04-30-2013, 16:36   #4
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I am still trying to calm down! LOL Whatever the numbers are, a 40 pt jump in one day is concerning. I couldn't get her to see that, see was so focused on the numbers that she didn't consider high.

I think it is b/c we dropped the met from 2000 to 1000 when I started the Lantus on Thursday. Can I just go back to 2000 on my own?

I may also have an infected tooth, so I have a dentist appt next Thursday.

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Old 04-30-2013, 16:40   #5
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It's crazy - it's almost like diabetics need a freaking chemistry degree to regulate their own BS. I'm sure someone on insulin will be along shortly to answer the medication question as far as increasing/decreasing on your own. I will tell you that I had a bad infection about a month ago, and it did contribute to higher BS numbers that week. Once your tooth infection is resolved, you also may be a slight drop (as I did) from the infection.

Best of luck.

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Old 04-30-2013, 18:54   #6
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Sounds like its the infection.

You will probably get better advice here on the forum than you will from medical personnel. Afterall, they don't have diabetes and aren't faced with the day-in and day-out management of it.

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Old 04-30-2013, 19:25   #7
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Yup. That infection may be your culprit.

As for levels ... I was "taught" that post-prandial levels of 160-180 were ideal; the whole point being, to avoid lows.

Safety concerns are, indeed, more immediate with a low. But damage is inevitable with highs. Plus, there's no way I could meet their A1c goals with post-prandials so high! But that is my insurer's company policy.

Fortunately, I was also taught how to adjust my own insulin doses. And I found this place, so I learned how to adjust my diet. I can make my own choices.

Metformin's fixed pill sizes may make adjustment a bit trickier than they are for a liquid like insulin. But my husband's doc likes to adjust doses in 1/2- or even 1/4-pill increments. Pill choppers are cheap.

Anyway, the nurse may not be authorized to make any prescription changes. If your levels are stubborn, is there a way to contact the doc directly?

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Old 04-30-2013, 23:58   #8
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These nurses can get jaded and become the anvil that will wear out many a hammer. Your predicament reminds me of a conversation turned confrontation with a nurse/educator at my endos office. Apparently my questions regarding my BGs over 200 at the time annoyed her. That was 10 months ago, my A1c was 13. I resolved to make my own adjustments in small increments, as of my last visit earlier this month Im at an A1c of 6.1 and my numbers are trending downward still. Funny thing is, they regard me as a stand out patient. Not a lot of thanks to the grouchy nurses. Ha ha.
Its up to you, but I know Im better off making my own adjustments. Best of health to you.
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Old 05-01-2013, 01:05   #9
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Many similarities with my experience with my doc on Monday. Check my post in the Lounge. I totally get that they (medical professionals) are really busy but not being heard is so frustrating. I have decided to take the plunge and move to a doctor nearer home, currently driving accross town. I feel that I can most likely find a doc who doesn't have time to listen just around the corner so that would be more convenient and I would be no worse off. BUT maybe just maybe I will find one with a little more time. I chose a small practice and rang to book an appointment with a view to becoming a patient. Didn't go into to details just explained it was about managing my diab. In a big positive sign (Ithink) the receptionist offerred me the option of a "long appointment" which I can't currently get. I jumped at that even though it will cost me more because even if my assumptions are wrong I just want an educated opinion on them.

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Old 05-01-2013, 02:28   #10
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During a short visit with my sister-in-law (who is a nurse practitioner) a couple weeks ago, I told her about my suspected diabetes and particularly the reading I got of 335 2 hours after eating 8 jellybeans and 2 peanut butter cups. Her response was "Oh yeah, jellybeans would do that to anybody." I told her my husband had eaten 3 times as much as me and his BG was something like 112. Didn't matter, it was like talking to a wall.
My mom was a nurse and I have a lot of respect for some nurses but, wow, that was annoying.
Sorry you had to deal with such an uninformed individual as well.
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