Diabetes Support - How to find a good doctor




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bcort
07-25-2011, 01:00 PM
I just tested myself, & found that my resting glucose levels are around 200. I don't want to turn immediately to medicine, & was wondering the best way to find a supportive, understanding doctor. Do you have any suggestions? And is 200 a terrible number? I don't know enough about it, but am quickly reading as many books as our library has.

Thanks,
Beth


enchantedonyx
07-26-2011, 10:55 AM
Hate to be the bearer of bad news but a fasting glucose of 200 is almost definitely a diabetes diagnosis. In fact, I think it's around 140 that doctors get concerned.

Honestly, I didn't want medicine either. But here's the thing, my body doesn't work anymore. On diet alone, i cannot get my sugar low enough because 2.5 hours after a meal, my liver goes into panic mode and dumps glucose into my system and my BS skyrockets again. This happens no matter what I eat. There is a chance that losing weight will decrease my insulin resistance and it won't be as bad and maybe I can come off the meds. But right now, no, I need metformin to keep my liver from dumping too much glucose. It still does it too much and I might even need a stronger dose (I see my doctor next week to discuss).

Before I was diagnosed and on meds, I was exhausted, starving, and thirsty all the time. No amount of food, water, or sleep alieviated that. In April, I couldn't walk 5 blocks without feeling like I was going to die. Now, I still struggle, but thanks to good care from my doctor, metformin, and a major diet overhaul, I still drink like a camel (at least a gallon a day, I quit measuring) but it's because I want to, not because I need to, but I'm not starving all the time, I have tons of energy, and walked over 4 miles last night, with energy to spare. But it's not just about "right now". Good control NOW means fewer complications down the road. I, for one, don't plan to lose a foot, go blind, or end up on dialysis because I couldn't put down the donuts (God, I miss donuts...) or wouldn't take a little pill every day.

This disease sucks. and managing it sucks even more. But it's the hand I've been dealt and I still want to play.

I do think you should see a doctor. You should know what your a1c is and see what s/he recommends. At this point, I am using just a GP who has phenomenal bedside manner and really cares about her patients.
But in the end, our diabetes management is down to us. You make the choices and every bite you put in your mouth/every step of exercise you take affects your blood sugar and influences potential complications down the road.

I wish you the best of luck. Try www.diabetes.org forums, too. Folks there aren't as "supportive" as they are here at 3FC but they sure are knowledgable. And forget what the ADA says about dietary guidlines. Seriously, no diabetic can eat that much bread/pasta and expect to keep their blood sugar under control. Low-carb all the way!

bcort
07-28-2011, 10:48 PM
Thanks for the input.


misstraveller
08-19-2011, 02:37 PM
Any general practitioner can run the hemoglobin A1C test, the standard for initial diagnosis. That's the funny thing about diabetes, you can have it for YEARS and never know, while it's damaging all of your body systems, blood vessels etc. Get checked and then find a diabetes doctor. Your GP might be able to recommend one if they are not an internal medicine specialist.