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Re: [IP] Doctors needing control (was:Sliding Scale Insulin Dose)



I tried out the new endo in town.  He immediately put me on 70/30 and said
don't change the dosage for two weeks.  I tried to talk to him again before
I left, and the nurse said he was busy.  I went back one more time to try to
talk to him, and that was enough.  I think he wanted me on the regimen he
was familiar with.  

We are the consumers.  We don't have to put up with it.

>At 10:43 2/21/98 -0800, Janine wrote:
>>John,
>>
>>I think that you are right about the doctors wanting to have some control.
>>The last endo I had tried to get me off the pump, after 13 years! on to MDI
>>- set daily dose, no sliding scale, adjust your life to the insulin, not
>>the other way round (because it is "cheaper and just as effective as the
>>pump")  :'P  You have defined something that I am having a problem with
>>now.  My endo wants me on one basal rate, so that he always knows what my
>>rate is, regardless of the time of day.  He moved me from 4 basal rates to
>>one, and it is not working!
>>
>>At least, I think it isn't - he is okay with the fact that my sugars are
>>now ranging 12-21 mmol/l (216-378 mg/dl) instead of the 5.5-8 mmmol
>>(100-150 mg) that I had before.  He is still working on this but after a
>>month, I was dangerously close to giving up on the whole control thing. I
>>made it through the last crisis with the help of Janet and Mary Jean.  This
>>group is what is keeping me going, not the "professional" help.  I have my
>>"Pumping Insulin" book out and am considering my options.  If he doesn't
>>like what I choose, which will likely be to go back to 4 rates and modify
>>from there, I will drop him.
>>
>>I think we really need to pay attention to how we feel and make our views
>>known, even though that can be hard sometimes.  We have the right to have
>>control, and the doctors will just have to learn to live with people having
>>input into their diabetes treatment.
>>
>>Janine
>>type 1, 18 years
>>pump, 13 years
>
>Insulin-Pumpers website   http://www.bizsystems.com/Diabetes/
>
>
<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->
Michael Strong
Fayetteville, NC
Email: email @ redacted
<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->=<->

Insulin-Pumpers website   http://www.bizsystems.com/Diabetes/