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-   -   Doctors wont prescribe Insulin for me (https://www.diabetesforum.com/diabetes/1689-doctors-wont-prescribe-insulin-me.html)

Ulysses 11-29-2009 16:55

Doctors wont prescribe Insulin for me
 
Hi, I'm a new Diabetic age 32 with GERD. I was recently diagnosed about 3 months ago. Since that time they had me on the big pill Metformin. This kept my bloodsugars in the good ranges but it has irritated my GERD. I've had to completely stop the medicine. I ended up in the hospital emergency because of my GERD. When I was released I went to see a nurse practitioner in my Family Docter's clinic. This nurse told me I had to remain on Metformin and refused to give me Insulin or any alternatives to pills. I ended up in the emergency room again because of my GERD. I went back and saw a doctor in the clinic and she refused to put me on Insulin. I told her it upsets my GERD when I take pills. She put me on the smallest dose of Glyburide but this still upsets my GERD. So I have stopped all pills to treat my Diabetes because Doctors are refusing to give me, in my case, the right medication.

At anyrate I'm wondering what gives them the right to refuse to give me Insulin? It solves two problems for me. 1. It doesn't irritate my GERD and 2. It treats my Diabetes.

Also, I'm wondering are their any Advocates and/or Lawyers who can be more presuasive than I can to get them to concede that I need a medicine that works with both of my diseases? I'm really thinking about lawsuits at this point. I really don't know what to do right now.

diabetes709 12-01-2009 00:53

Can you tell us what your BG numbers are? A1c and morning fasting? Are you a T2?

Many T2's can keep their numbers pretty good with diet and exercise. Not saying that is for you, but just curious as it would seem the best solution if it could be done.

I don't know anything about the legal aspects of it all. Sorry....

Expect more of this, when the government begins to run our healthcare, certainly not less.

John

Ulysses 12-02-2009 22:47

Quote:

Originally Posted by diabetes709 (Post 7061)
Can you tell us what your BG numbers are? A1c and morning fasting? Are you a T2?

Many T2's can keep their numbers pretty good with diet and exercise. Not saying that is for you, but just curious as it would seem the best solution if it could be done.

I don't know anything about the legal aspects of it all. Sorry....

Expect more of this, when the government begins to run our healthcare, certainly not less.

John

I'm T2 and my morning bloodsugar level is 80-90 usually. I was recently diagnosed 3 months ago and it was like 14-18 A1c or something. Doctor said it must have been over 400 for atleast 3 months. That is what he told me anyways. Anyhow, I am dieting and excercising but I've been eating like mostly meats. I was also taking those pills for awhile until they started causing GERD problems. I'm not really sure what my numbers are like while off those meds.

I just saw a new Endocrinologist today, I've got to test myself 2 hours after every meal and keep a record of it. I have to go back on the 21st.

diabetes709 12-02-2009 23:07

Quote:

Originally Posted by Ulysses (Post 7094)
I'm T2 and my morning bloodsugar level is 80-90 usually. I was recently diagnosed 3 months ago and it was like 14-18 A1c or something. Doctor said it must have been over 400 for atleast 3 months. That is what he told me anyways. Anyhow, I am dieting and excercising but I've been eating like mostly meats. I was also taking those pills for awhile until they started causing GERD problems. I'm not really sure what my numbers are like while off those meds.

I just saw a new Endocrinologist today, I've got to test myself 2 hours after every meal and keep a record of it. I have to go back on the 21st.

Most T2's A1c numbers are off the charts when they are dx'd :-) It seems from what I have read of other's experience, that the number nosedives as soon as they kick the junk food, sugary candy, cake, cookies, ice cream, etc. Not saying you were on those things, just pointing out that they really elevate the BG numbers, and once cut out, things drop pretty fast.

Your morning numbers are great. The doc has you going the right way no, watching were you go after you eat. With those AM numbers, your A1c is coming way down.

I have an opinion that I never hesitate to share, even when not asked :-) so you get to hear that <g>

Testing two hours after you eat doesn't tell you how far your meal sent your numbers, since most of the peak occurs about an hour later. In addition, knowing where you are in two hours, doesn't tell you how much the meal increased your numbers, if you don't know where you were when you started. You may, for some reason, be at 120 when you start dinner, and end up a 160. That 160 looks bad, but its only a 40 point rise, which wouldn't be bad if you started at 85.

When you can ask your Endo, talk to him/her about testing more often. If you have enough strips with your prescription, just start doing it yourself. Its your disease, and you have to do the work to get it under control. The Endo is good support, and gets you the tools you need, but you have to take ownership of this, and so read, ask, and learn as much as you can, so you can interpret what he/she tells you, and ask questions that will show him/her that you are really committed to getting this tightly controlled.

Morning numbers are good to know. What you want to know most of all, is what is the highest level you hit after you eat, as exceeding 140 is when things get damaged. Therefore, you should test before you eat, an hour later, and then two hours later. Then you have real numbers that will teach you about what you can, and cannot eat.

As an example, there are foods I would eat that starting at about 90, I would end up at 100 two hours later. Seems good, right? Well, a one hour test shows that such food sends me close to 170 in the first hour, and that is what you are trying to avoid. This causes damage to organs, and mangles your A1c which doctors live and die by, even tho its not the end-all number for diabetics. Without the one hour test, I would just go ahead and eat that food, without realizing I was spiking way too high in the first hour, blindly thinking all was well since I would be 100 after an hour. Long term result is damage, meds, and insulin.

The mantra of the diabetic wanting tight control is, test, test, test, and then test some more. Until you know what foods you can eat that don't "hurt" you, test, test, test. Then, next month, eating the same food, test, test, test, because things change. Time of day matters, as well as when you exercise.

Hopefully you can eliminate the meds with diet and exercise. If not, then I hope you are trying different times of day to take the pills to see if that helps your GERD symptoms. If you are not on the pills, and can keep from spiking over 140, you are doing great.

Also, note that quite a few T2's seem to have trouble handling carbs early in the morning, so watch out for that when you make breakfast.

Come on back with those numbers, and let us know how you are doing, what you are eating, and what the results are. We all are constantly learning, and are interested in what works for you, so perhaps we can learn something new ourselves.

hang tuff,

John

"in the book of life, the answers are not in the back"
Charlie Brown

breezeonby 01-13-2010 18:00

I would see another doctor. I am not able to take any diabetes medication or insulin that causes gastro problems. I have to take insulin. I have gained 40 pounds since starting back on insulin 4 months ago. You may not need insulin right now. There are pills that do not cause gastro problems.

Richard157 01-14-2010 01:20

I gained 57 pounds when I started modern day insulins in the 1990's. I had to cut my daily carb intake to 130g per day and increase my exercise. I lost 34 pounds and need to lose 23 more. This is a very common side effect of using insulin. If you lose weight by eating low carb and exercising then you will need less insulin. The less insulin you use, the easier it will be to lose more weight.

endtimer 01-29-2010 04:40

metformin is hard on your stomache i have been on 2000mgs a day for ayear now and it still gives me gas and the back door trots. your diet really counts if you havent changed it then you need to change it now. there are different ones that really help us controll our bg levels
try this one Vegetarian Diet and Lifestyle: Hallelujah Acres it is said that a raw food diet and exercise can get you off the meds if you are t2. i havent tried it because i like meat to much to give it up just yet (only wild game and organic).

wish 01-30-2010 01:00

I have a small hiatal hernia and had a terrible time swallowing Metformin. Also, it made me sick. When I told my endo, he switched me to Actos, and that seems to be working for me.

Richard157 01-30-2010 15:38

Actos
 
Quote:

Originally Posted by wish (Post 8024)
I have a small hiatal hernia and had a terrible time swallowing Metformin. Also, it made me sick. When I told my endo, he switched me to Actos, and that seems to be working for me.

That is good that Actos is helping you. I am using Avandia and it has been good for me for 10 tears now. Avandia and Actos are very similsr Type 2 meds. Some of us Type 1's have to use Type 2 meds if we have insulin resistance. Actos did not work for me. It is funny how we can be so different in that respect.

I hope your Actos continues to work for you.

wish 01-30-2010 23:45

I also have drastically changed my eating habits, so who knows whether it is the meds or the diet? Anyhoo, at least I am not taking the Metformin which made me sick.


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