What questions should I ask my Primary Care Physician on my firstvisit since being diagnosed?

Hi all,

Looking for advice as to questions I should ask my primary care
physician on my first visit to him since being diagnosed.

I do plan on asking him about Metformin and if it would be appropriate
for me to be on it. Will also show him my log book and will discuss my
prescriptions.

And I will ask him to do the Micoalbuminuria test.

Thanks

Dale

--
Diagnosis TII on 04-07-07 - A1C 14.2
Novolog, Lantus, D&E

http://TheColony.com/
Community site for people living or working in The Colony, TX and
surrounding communities! Free blogs, classifieds, clubs and more.

"Dale" <nntp@example.com> wrote in message
news:f1d4ga02lsb@news4.nntpjunkie.com...
> Hi all,
>
> Looking for advice as to questions I should ask my primary care physician
> on my first visit to him since being diagnosed.
>
> I do plan on asking him about Metformin and if it would be appropriate for
> me to be on it. Will also show him my log book and will discuss my
> prescriptions.
>
> And I will ask him to do the Micoalbuminuria test.
>
> Thanks

Hi Dale,
a new Hba1c (?)
All your cholesterol values as T2D is both in carbohydrates and fat (?)

I wish you lots of success
Gys

"Dale" <nntp@example.com> wrote in message
news:f1d4ga02lsb@news4.nntpjunkie.com...
> Hi all,
>
> Looking for advice as to questions I should ask my primary care physician
> on my first visit to him since being diagnosed.
>
> I do plan on asking him about Metformin and if it would be appropriate
> for me to be on it. Will also show him my log book and will discuss my
> prescriptions.
>
> And I will ask him to do the Micoalbuminuria test.
>
> Thanks
>
> Dale
>
> --
> Diagnosis TII on 04-07-07 - A1C 14.2
> Novolog, Lantus, D&E

Blood workup: A1C, Full thyroid panel, Full metobolic panel.
What Opthomologist does s/he recommend?
What Dentist does s/he recommend?
Do they recommend for you to see a podiatrist?
All diabetics should be on a BP med as it's great Kidney protection. Are
you on one?
Have they done a c-peptide to see if you're making enough insulin or too
much? (this does chart the course of treatment imho)
Have they checked for neuropathy? Or at best the starting of it? Most T2's
have had high bg's for a long time and have mild neuropathy already.
If you are a T2, and are in good control now, about reducing/removing
Insulin -- since often if you have too much insulin already, it's not good
for your heart/arteries overall. (why the c-peptide comes into play)
Are there any local support groups?
Ask to see a dietician if you haven't done so already.
Ask to get their CDE's infomation in case of quick questions or problems
they don't have time to solve. (many don't too)

I'm sure there are more, I just can't remember anymore right now.

Good luck.

RK, T1

On Thu, 3 May 2007 13:46:17 -0400, "rk"
<p_haha_medium@gmail.com> wrote:

>"Dale" <nntp@example.com> wrote in message
>news:f1d4ga02lsb@news4.nntpjunkie.com...
>> Hi all,
>>
>> Looking for advice as to questions I should ask my primary care physician
>> on my first visit to him since being diagnosed.
>>
>> I do plan on asking him about Metformin and if it would be appropriate
>> for me to be on it. Will also show him my log book and will discuss my
>> prescriptions.
>>
>> And I will ask him to do the Micoalbuminuria test.
>>
>> Thanks
>>
>> Dale
>>
>> --
>> Diagnosis TII on 04-07-07 - A1C 14.2
>> Novolog, Lantus, D&E
>
>Blood workup: A1C, Full thyroid panel, Full metobolic panel.
>What Opthomologist does s/he recommend?
>What Dentist does s/he recommend?
>Do they recommend for you to see a podiatrist?
>All diabetics should be on a BP med as it's great Kidney protection. Are
>you on one?
>Have they done a c-peptide to see if you're making enough insulin or too
>much? (this does chart the course of treatment imho)
>Have they checked for neuropathy? Or at best the starting of it? Most T2's
>have had high bg's for a long time and have mild neuropathy already.
>If you are a T2, and are in good control now, about reducing/removing
>Insulin -- since often if you have too much insulin already, it's not good
>for your heart/arteries overall. (why the c-peptide comes into play)
>Are there any local support groups?
>Ask to see a dietician if you haven't done so already.
>Ask to get their CDE's infomation in case of quick questions or problems
>they don't have time to solve. (many don't too)
>
>I'm sure there are more, I just can't remember anymore right now.
>
>Good luck.
>
>RK, T1
>

I think rk's pretty well covered it; I'd just add a full
lipid panel to that (unless that's included in "metabolic"
over there). Lipids are your cholesterol numbers.

As your A1c was over 14 IIRC, you might also add a cardiac
specialist to that list of ophthalmologist, dentist,
podiatrist and dietician.

I don't quite agree "that All diabetics should be on a BP
med" but it's certainly a question worth discussing with the
doc.

Make sure you obtain and keep copies of all your lab
reports. It helps you to analyse things yourself and is
invaluable if you decide to see other doctors or
specialists. The same applies to films of x-rays, cat-scans,
ultrasounds etc.

Run your full list of supplements and medications, including
any you take for other conditions or ailments, through the
medscape interaction checker
http://www.medscape.com/druginfo/dru...hecker?cid=med
and discuss any anomalies with the doctor. Register if you
need to, it's free and spam-free.

If he/she prescribes meds, ask questions: what is it for,
how long before it takes effect, what side effects to watch
for, what risks it involves, does it restrict you for things
like alcohol use or driving, what timing should you use to
take it and so on. Don't just accept it and wonder later
about those things.

And write notes to remind you of all the questions you want
to ask. In my early days of seeing doctors more often I
usually ended up saying "doh! Why didn't I ask..." to the
steering wheel as I drove away.


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com/
http://loraltravel.blogspot.com/
latest: Athens and The Adriatic

Alan S <loralgtweightandcarbs@gmail.com> wrote:
> On Thu, 3 May 2007 13:46:17 -0400, "rk"
> <p_haha_medium@gmail.com> wrote:

>>"Dale" <nntp@example.com> wrote in message
>>news:f1d4ga02lsb@news4.nntpjunkie.com...
>>> Hi all,
>>>
>>> Looking for advice as to questions I should ask my primary care physician
>>> on my first visit to him since being diagnosed.
>>>
>>> I do plan on asking him about Metformin and if it would be appropriate
>>> for me to be on it. Will also show him my log book and will discuss my
>>> prescriptions.
>>>
>>> And I will ask him to do the Micoalbuminuria test.

>>Blood workup: A1C, Full thyroid panel, Full metobolic panel.
>>What Opthomologist does s/he recommend?
>>What Dentist does s/he recommend?
>>Do they recommend for you to see a podiatrist?
>>All diabetics should be on a BP med as it's great Kidney protection. Are
>>you on one?
>>Have they done a c-peptide to see if you're making enough insulin or too
>>much? (this does chart the course of treatment imho)
>>Have they checked for neuropathy? Or at best the starting of it? Most T2's
>>have had high bg's for a long time and have mild neuropathy already.
>>If you are a T2, and are in good control now, about reducing/removing
>>Insulin -- since often if you have too much insulin already, it's not good
>>for your heart/arteries overall. (why the c-peptide comes into play)
>>Are there any local support groups?
>>Ask to see a dietician if you haven't done so already.
>>Ask to get their CDE's infomation in case of quick questions or problems
>>they don't have time to solve. (many don't too)
>>
>>I'm sure there are more, I just can't remember anymore right now.
>>
>>Good luck.
>>
>>RK, T1

> I think rk's pretty well covered it; I'd just add a full
> lipid panel to that (unless that's included in "metabolic"
> over there). Lipids are your cholesterol numbers.

Agreed. Excellent summary by RK, and a good example that you don't
necessarily have to be a type X to offer good technical advice on type
X.

> As your A1c was over 14 IIRC, you might also add a cardiac
> specialist to that list of ophthalmologist, dentist,
> podiatrist and dietician.

> I don't quite agree "that All diabetics should be on a BP
> med" but it's certainly a question worth discussing with the
> doc.

I agree. Definitely worth considering, but BP meds in some cases have
side effects which may outweigh the benefits. We must also bear in
mind that the drug companies have wet dreams about discovering a drug
which some large fraction of the population would be well advised to
take for the rest of their lives, and quite understandably get a
little over-excited about the fantastic benefits and absence of
problems when they think they might have found one. It would put them
in a bit of a quandary if psychiatric research ever discovered a
drug which cures unprincipled greed :-)

> Make sure you obtain and keep copies of all your lab
> reports. It helps you to analyse things yourself and is
> invaluable if you decide to see other doctors or
> specialists. The same applies to films of x-rays, cat-scans,
> ultrasounds etc.

> Run your full list of supplements and medications, including
> any you take for other conditions or ailments, through the
> medscape interaction checker
> http://www.medscape.com/druginfo/dru...hecker?cid=med
> and discuss any anomalies with the doctor. Register if you
> need to, it's free and spam-free.

> If he/she prescribes meds, ask questions: what is it for,
> how long before it takes effect, what side effects to watch
> for, what risks it involves, does it restrict you for things
> like alcohol use or driving, what timing should you use to
> take it and so on. Don't just accept it and wonder later
> about those things.

A simple question I find very useful is to ask the doc "And what would
happen if I didn't take this?"

And if you have suspicions don't just accept the doc's word about side
effects. I once got very dangerously over-excited and slow in
reactions on a drug a doc said wouldn't affect my driving at all, and
was once ridiculed by a doc for suggesting that a drug was causing me
scary episodes of seeing purple fringes round things, when it had
already become a well known side effect in supprt groups, and was
later added to the official list of side effects.

Support groups are a good place for finding out things which docs
don't tell you.

> And write notes to remind you of all the questions you want
> to ask. In my early days of seeing doctors more often I
> usually ended up saying "doh! Why didn't I ask..." to the
> steering wheel as I drove away.

Another way of doing it is to ask a trusted friend or relative to chum
you through the consultation. That's ok if you give explicit
permission for them to know everything. Even if all they do is sit
quietly with pen and notebook in hand they can be both a good aide
memoire, and their simple presence can remind a hurried and distracted
doctor to give your case the attention it deserves.

Even if you're not a bit confused by age, drugs, or disease, hearing
bad news from the doc can stun and disorient any of us.

Finally, no need to panic. Although T2 diabetes can be a killer, it's
a very slow killer, has already taken years to get this far, and
you've got plenty of time to make mistakes and get your act together.

--
Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205
IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Hi Gys,



Gys de Jongh wrote:
> "Dale" <nntp@example.com> wrote in message
> news:f1d4ga02lsb@news4.nntpjunkie.com...
>> Hi all,
>>
>> Looking for advice as to questions I should ask my primary care physician
>> on my first visit to him since being diagnosed.
>>
>> I do plan on asking him about Metformin and if it would be appropriate for
>> me to be on it. Will also show him my log book and will discuss my
>> prescriptions.
>>
>> And I will ask him to do the Micoalbuminuria test.
>>
>> Thanks
>
> Hi Dale,
> a new Hba1c (?)
> All your cholesterol values as T2D is both in carbohydrates and fat (?)

I don't recall them off the top of my head, but my cholesterol numbers
were on target.

I will summarize in a later post the results of the appointment.


> I wish you lots of success
> Gys
>
>

--
Diagnosis TII on 04-07-07 - A1C 14.2
Novolog, Lantus, D&E

http://TheColony.com/
Community site for people living or working in The Colony, TX and
surrounding communities! Free blogs, classifieds, clubs and more.

HI rk,

rk wrote:
> "Dale" <nntp@example.com> wrote in message
> news:f1d4ga02lsb@news4.nntpjunkie.com...
>> Hi all,
>>
>> Looking for advice as to questions I should ask my primary care physician
>> on my first visit to him since being diagnosed.
>>
>> I do plan on asking him about Metformin and if it would be appropriate
>> for me to be on it. Will also show him my log book and will discuss my
>> prescriptions.
>>
>> And I will ask him to do the Micoalbuminuria test.
>>
>> Thanks
>>
>> Dale
>>
>> --
>> Diagnosis TII on 04-07-07 - A1C 14.2
>> Novolog, Lantus, D&E
>
> Blood workup: A1C, Full thyroid panel, Full metobolic panel.
> What Opthomologist does s/he recommend?

Have actually already been to one. And have a new perscription. Seems I
have a little bit of permanent damage to my vision, but also some that
should be reversible (which I have already noticed getting better).

> What Dentist does s/he recommend?
> Do they recommend for you to see a podiatrist?
> All diabetics should be on a BP med as it's great Kidney protection. Are
> you on one?

Not at the moment.

> Have they done a c-peptide to see if you're making enough insulin or too
> much? (this does chart the course of treatment imho)
> Have they checked for neuropathy? Or at best the starting of it? Most T2's
> have had high bg's for a long time and have mild neuropathy already.

Good idea (haven't been checked for that yet)

> If you are a T2, and are in good control now, about reducing/removing
> Insulin -- since often if you have too much insulin already, it's not good
> for your heart/arteries overall. (why the c-peptide comes into play)

For an unrelated reason I had a heart cath last August and everything
(According to the cardiologist) was great.

> Are there any local support groups?

Looking for one.

> Ask to see a dietician if you haven't done so already.

Have seen one already.

> Ask to get their CDE's infomation in case of quick questions or problems
> they don't have time to solve. (many don't too)

What is a CDE?

> I'm sure there are more, I just can't remember anymore right now.

Great recommendations! Thank you very much!

> Good luck.
>
> RK, T1
>
>

--
Diagnosis TII on 04-07-07 - A1C 14.2
Novolog, Lantus, D&E

http://TheColony.com/
Community site for people living or working in The Colony, TX and
surrounding communities! Free blogs, classifieds, clubs and more.

Hi Alan,

Alan S wrote:
> On Thu, 3 May 2007 13:46:17 -0400, "rk"
> <p_haha_medium@gmail.com> wrote:
>
>> "Dale" <nntp@example.com> wrote in message
>> news:f1d4ga02lsb@news4.nntpjunkie.com...
>>> Hi all,
>>>
>>> Looking for advice as to questions I should ask my primary care physician
>>> on my first visit to him since being diagnosed.
>>>
>>> I do plan on asking him about Metformin and if it would be appropriate
>>> for me to be on it. Will also show him my log book and will discuss my
>>> prescriptions.
>>>
>>> And I will ask him to do the Micoalbuminuria test.
>>>
>>> Thanks
>>>
>>> Dale
>>>
>>> --
>>> Diagnosis TII on 04-07-07 - A1C 14.2
>>> Novolog, Lantus, D&E
>> Blood workup: A1C, Full thyroid panel, Full metobolic panel.
>> What Opthomologist does s/he recommend?
>> What Dentist does s/he recommend?
>> Do they recommend for you to see a podiatrist?
>> All diabetics should be on a BP med as it's great Kidney protection. Are
>> you on one?
>> Have they done a c-peptide to see if you're making enough insulin or too
>> much? (this does chart the course of treatment imho)
>> Have they checked for neuropathy? Or at best the starting of it? Most T2's
>> have had high bg's for a long time and have mild neuropathy already.
>> If you are a T2, and are in good control now, about reducing/removing
>> Insulin -- since often if you have too much insulin already, it's not good
>> for your heart/arteries overall. (why the c-peptide comes into play)
>> Are there any local support groups?
>> Ask to see a dietician if you haven't done so already.
>> Ask to get their CDE's infomation in case of quick questions or problems
>> they don't have time to solve. (many don't too)
>>
>> I'm sure there are more, I just can't remember anymore right now.
>>
>> Good luck.
>>
>> RK, T1
>>
>
> I think rk's pretty well covered it; I'd just add a full
> lipid panel to that (unless that's included in "metabolic"
> over there). Lipids are your cholesterol numbers.
>
> As your A1c was over 14 IIRC, you might also add a cardiac
> specialist to that list of ophthalmologist, dentist,
> podiatrist and dietician.

I do have one already, but great suggestion for anyone without one.

> I don't quite agree "that All diabetics should be on a BP
> med" but it's certainly a question worth discussing with the
> doc.
>
> Make sure you obtain and keep copies of all your lab
> reports. It helps you to analyse things yourself and is
> invaluable if you decide to see other doctors or
> specialists. The same applies to films of x-rays, cat-scans,
> ultrasounds etc.

Good idea, this is part of the reason I am in this position, no one told
me about my high blood sugars last fall. And I didn't know enough to ask.

> Run your full list of supplements and medications, including
> any you take for other conditions or ailments, through the
> medscape interaction checker
> http://www.medscape.com/druginfo/dru...hecker?cid=med

Sounds like a great resource. I will check this out (I am not on any
other meds at this time).

> and discuss any anomalies with the doctor. Register if you
> need to, it's free and spam-free.
>
> If he/she prescribes meds, ask questions: what is it for,
> how long before it takes effect, what side effects to watch
> for, what risks it involves, does it restrict you for things
> like alcohol use or driving, what timing should you use to
> take it and so on. Don't just accept it and wonder later
> about those things.

Great ideas. My regular doctor is great as is his staff. Quite unlike
the other doctors involved so far.

> And write notes to remind you of all the questions you want
> to ask. In my early days of seeing doctors more often I
> usually ended up saying "doh! Why didn't I ask..." to the
> steering wheel as I drove away.

I did this My doctor even asked if he could keep a copy of my printed
questions for my file.

Thanks!

>
> Cheers, Alan, T2, Australia.
> d&e, metformin 1500mg, ezetrol 10mg
> Everything in Moderation - Except Laughter.
> --
> http://loraldiabetes.blogspot.com/
> http://loraltravel.blogspot.com/
> latest: Athens and The Adriatic

--
Diagnosis TII on 04-07-07 - A1C 14.2
Novolog, Lantus, D&E

http://TheColony.com/
Community site for people living or working in The Colony, TX and
surrounding communities! Free blogs, classifieds, clubs and more.

"Dale" <nntp@example.com> wrote in message
news:f1h37f115q8@news2.nntpjunkie.com...
> Hi Gys,
>
>
>
> Gys de Jongh wrote:
> > "Dale" <nntp@example.com> wrote in message
> > news:f1d4ga02lsb@news4.nntpjunkie.com...
> >> Hi all,
> >>
> >> Looking for advice as to questions I should ask my primary care
physician
> >> on my first visit to him since being diagnosed.
> >>
> >> I do plan on asking him about Metformin and if it would be appropriate
for
> >> me to be on it. Will also show him my log book and will discuss my
> >> prescriptions.
> >>
> >> And I will ask him to do the Micoalbuminuria test.
> >>
> >> Thanks
> >
> > Hi Dale,
> > a new Hba1c (?)
> > All your cholesterol values as T2D is both in carbohydrates and fat (?)
>
> I don't recall them off the top of my head, but my cholesterol numbers
> were on target.

Interesting, are you overweight?

Some of your profile so far is more indicative of type 1.

Hi,

Ozgirl wrote:
> "Dale" <nntp@example.com> wrote in message
> news:f1h37f115q8@news2.nntpjunkie.com...
>> Hi Gys,
>>
>>
>>
>> Gys de Jongh wrote:
>>> "Dale" <nntp@example.com> wrote in message
>>> news:f1d4ga02lsb@news4.nntpjunkie.com...
>>>> Hi all,
>>>>
>>>> Looking for advice as to questions I should ask my primary care
> physician
>>>> on my first visit to him since being diagnosed.
>>>>
>>>> I do plan on asking him about Metformin and if it would be appropriate
> for
>>>> me to be on it. Will also show him my log book and will discuss my
>>>> prescriptions.
>>>>
>>>> And I will ask him to do the Micoalbuminuria test.
>>>>
>>>> Thanks
>>> Hi Dale,
>>> a new Hba1c (?)
>>> All your cholesterol values as T2D is both in carbohydrates and fat (?)
>> I don't recall them off the top of my head, but my cholesterol numbers
>> were on target.
>
> Interesting, are you overweight?

Yes, have always been beefy. Years ago when I was about 195 lbs, most
people thought I was sick (I wasn't) as you could see my ribs sticking out.

My goal is to get to down to about 240 - which may seem high to some for
a 6' tall guy, but much under that and I don't look or feel all that great.

Current goal is to lose at least 40lbs by year end (which will take me
1/2 to the ultimate weight loss goal)

>
> Some of your profile so far is more indicative of type 1.

What parts seem to indicate that?

--
Diagnosis TII on 04-07-07 - A1C 14.2
Novolog, Lantus, D&E

http://TheColony.com/
Community site for people living or working in The Colony, TX and
surrounding communities! Free blogs, classifieds, clubs and more.

On Sat, 05 May 2007 11:19:18 -0500, Dale <nntp@example.com>
wrote:

>> Interesting, are you overweight?
>
>Yes, have always been beefy. Years ago when I was about 195 lbs, most
>people thought I was sick (I wasn't) as you could see my ribs sticking out.
>
>My goal is to get to down to about 240 - which may seem high to some for
>a 6' tall guy, but much under that and I don't look or feel all that great.
>
I used to say that too - right down to "have always been
beefy". You'll surprise yourself. At diagnosis my doc told
me to lose 8% of my body weight; when I reached that I
decided not to stop there.

There are three different ways which we argue about here
sometimes to measure whether you're an overweight male
diabetic.

The first is BMI. There is a calculator here:
http://www.cdc.gov/nccdphp/dnpa/bmi/index.htm
Their official ranges are:
BMI Weight Status
Below 18.5 Underweight
18.5–24.9 Normal
25.0–29.9 Overweight
30.0 and Above Obese

However, there are some recent papers that indicate that the
longest-lived are those in the 25-29.9 category, so I'm
comfortable with that range for myself (I'm also 6' or
183cm). I could lose about 10lbs but I'm comfortable at my
present BMI of 28.5. If you succeed in your goal of 240, you
will be 32.5.

But you may be built like the governator, and BMI is
inaccurate for heavily-muscled men.

A second is very simple - girth. If your waist exceeds 40"
or 102cm then you are carrying excess abdominal fat and that
is bad news for diabetics.

The third is waist to hip ratio. IIRC the preferred limit
for a male is 0.9.

Somewhere I have references for all those; I'll look them up
if you want:-)

Do you have a plan to achieve the goal? This is the one I
designed myself, maybe it will give you some ideas:
http://loraldiabetes.blogspot.com/20...ting-plan.html
Others here have done much better than I - they might chime
in with their ideas.

>Current goal is to lose at least 40lbs by year end (which will take me
>1/2 to the ultimate weight loss goal)
>
That's an excellent goal, although a tad conservative.
>>
>> Some of your profile so far is more indicative of type 1.
>
>What parts seem to indicate that?


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com/
http://loraltravel.blogspot.com/
latest: Venice, Aquileia and Trieste

"Dale" <nntp@example.com> wrote in message
news:f1iasj029s0@news2.nntpjunkie.com...
> Hi,
>
> Ozgirl wrote:
> > "Dale" <nntp@example.com> wrote in message
> > news:f1h37f115q8@news2.nntpjunkie.com...
> >> Hi Gys,
> >>
> >>
> >>
> >> Gys de Jongh wrote:
> >>> "Dale" <nntp@example.com> wrote in message
> >>> news:f1d4ga02lsb@news4.nntpjunkie.com...
> >>>> Hi all,
> >>>>
> >>>> Looking for advice as to questions I should ask my primary care
> > physician
> >>>> on my first visit to him since being diagnosed.
> >>>>
> >>>> I do plan on asking him about Metformin and if it would be
appropriate
> > for
> >>>> me to be on it. Will also show him my log book and will discuss my
> >>>> prescriptions.
> >>>>
> >>>> And I will ask him to do the Micoalbuminuria test.
> >>>>
> >>>> Thanks
> >>> Hi Dale,
> >>> a new Hba1c (?)
> >>> All your cholesterol values as T2D is both in carbohydrates and fat
(?)
> >> I don't recall them off the top of my head, but my cholesterol numbers
> >> were on target.
> >
> > Interesting, are you overweight?
>
> Yes, have always been beefy. Years ago when I was about 195 lbs, most
> people thought I was sick (I wasn't) as you could see my ribs sticking
out.
>
> My goal is to get to down to about 240 - which may seem high to some for
> a 6' tall guy, but much under that and I don't look or feel all that
great.
>
> Current goal is to lose at least 40lbs by year end (which will take me
> 1/2 to the ultimate weight loss goal)
>
> >
> > Some of your profile so far is more indicative of type 1.
>
> What parts seem to indicate that?

This part for one:

">> I don't recall them off the top of my head, but my cholesterol numbers
>> were on target" and your low amounts of insulin which is unusual for
highly insulin resistant type 2's. But perhaps your diet has changed
dramatically for the better? Can't explain the cholesterol levels being on
target though. Do you actually have access to your lab results?

Hi Ozgirl,

Ozgirl wrote:
> "Dale" <nntp@example.com> wrote in message
> news:f1iasj029s0@news2.nntpjunkie.com...
>> Hi,
>>
>> Ozgirl wrote:
>>> "Dale" <nntp@example.com> wrote in message
>>> news:f1h37f115q8@news2.nntpjunkie.com...
>>>> Hi Gys,
>>>>
>>>>
>>>>
>>>> Gys de Jongh wrote:
>>>>> "Dale" <nntp@example.com> wrote in message
>>>>> news:f1d4ga02lsb@news4.nntpjunkie.com...
>>>>>> Hi all,
>>>>>>
>>>>>> Looking for advice as to questions I should ask my primary care
>>> physician
>>>>>> on my first visit to him since being diagnosed.
>>>>>>
>>>>>> I do plan on asking him about Metformin and if it would be
> appropriate
>>> for
>>>>>> me to be on it. Will also show him my log book and will discuss my
>>>>>> prescriptions.
>>>>>>
>>>>>> And I will ask him to do the Micoalbuminuria test.
>>>>>>
>>>>>> Thanks
>>>>> Hi Dale,
>>>>> a new Hba1c (?)
>>>>> All your cholesterol values as T2D is both in carbohydrates and fat
> (?)
>>>> I don't recall them off the top of my head, but my cholesterol numbers
>>>> were on target.
>>> Interesting, are you overweight?
>> Yes, have always been beefy. Years ago when I was about 195 lbs, most
>> people thought I was sick (I wasn't) as you could see my ribs sticking
> out.
>> My goal is to get to down to about 240 - which may seem high to some for
>> a 6' tall guy, but much under that and I don't look or feel all that
> great.
>> Current goal is to lose at least 40lbs by year end (which will take me
>> 1/2 to the ultimate weight loss goal)
>>
>>> Some of your profile so far is more indicative of type 1.
>> What parts seem to indicate that?
>
> This part for one:
>
> ">> I don't recall them off the top of my head, but my cholesterol numbers
>>> were on target" and your low amounts of insulin which is unusual for

My blood pressure and cholesterol have always been within the official
recommended range. The other day when I went to the doctor (and got lost
on the way once again) mt blood pressure was 188/78 which for me is high
(due to the stress of not wanting to be late and dealing with driving
30 miles in Dallas gridlock!). While they didn't do it this time, I have
had them take it at the end of the appointment and it has usually been
right around 110/70.


> highly insulin resistant type 2's.

I really think the doctor in the hospital and the endo really don't have
a clue. Neither one of them wanted to listen to me when I tried to tell
them that for 10 days before I went to the ER I was drinking a lot of
juice and Gatorade to replenish my fluids (I thought I was doing a good
thing!). I feel that had a big impact on why my bG was so high. They
wouldn't hear anything about it.


> But perhaps your diet has changed dramatically for the better?

The biggest change in my diet since diagnosis is that I am actually
eating a lot more food, and I have cut out about 99.999% of the sugar
drinks. I have had a total of 16oz of regular 7up since then. Other than
that, I have switched to sugar free for any soft drinks I drink (which
was not all that much on a regular basis, except when eating out).

For about 6 months before diagnosis I had already started drinking a lot
of water often with a squirt of lemon juice in it.

> Can't explain the cholesterol levels being on target though.

Starting the end of last summer I have been taking a multi-vitamin and
fish oil capsule almost every day. The diabetic counselor suggested that
was a good thing.

I also had a heart ablation about 10 years ago and even then the doctor
said my arteries and heart were in great shape.

It would seem my overall diet hasn't been all that bad - other than not
eating enough times per day and not enough overall, which put my
metabolism into survival mode.

> Do you actually have access to your lab results?

I will be getting them on Monday from the tests my doctor did the other
day. I also have a summary print out from the hospital stay in April.

Based on the many great suggestions I have gotten on here, I will be
requesting full copies of my labs from the hospital stay (including the
stay from last year).

Dale

--
Diagnosis TII on 04-07-07 - A1C 14.2
Novolog, Lantus, D&E

http://TheColony.com/
Community site for people living or working in The Colony, TX and
surrounding communities! Free blogs, classifieds, clubs and more.

Dale <nntp@example.com> wrote in news:f1jcr901ce7@news4.nntpjunkie.com:

> Hi Ozgirl,
>
> Ozgirl wrote:
>> "Dale" <nntp@example.com> wrote in message
>> news:f1iasj029s0@news2.nntpjunkie.com...
>>> Hi,
>>>
>>> Ozgirl wrote:
>>>> "Dale" <nntp@example.com> wrote in message
>>>> news:f1h37f115q8@news2.nntpjunkie.com...
>>>>> Hi Gys,
>>>>>
>>>>>
>>>>>
>>>>> Gys de Jongh wrote:
>>>>>> "Dale" <nntp@example.com> wrote in message
>>>>>> news:f1d4ga02lsb@news4.nntpjunkie.com...
>>>>>>> Hi all,
>>>>>>>
>>>>>>> Looking for advice as to questions I should ask my primary care
>>>> physician
>>>>>>> on my first visit to him since being diagnosed.
>>>>>>>
>>>>>>> I do plan on asking him about Metformin and if it would be
>> appropriate
>>>> for
>>>>>>> me to be on it. Will also show him my log book and will discuss
>>>>>>> my prescriptions.
>>>>>>>
>>>>>>> And I will ask him to do the Micoalbuminuria test.
>>>>>>>
>>>>>>> Thanks
>>>>>> Hi Dale,
>>>>>> a new Hba1c (?)
>>>>>> All your cholesterol values as T2D is both in carbohydrates and
>>>>>> fat
>> (?)
>>>>> I don't recall them off the top of my head, but my cholesterol
>>>>> numbers were on target.
>>>> Interesting, are you overweight?
>>> Yes, have always been beefy. Years ago when I was about 195 lbs,
>>> most people thought I was sick (I wasn't) as you could see my ribs
>>> sticking
>> out.
>>> My goal is to get to down to about 240 - which may seem high to some
>>> for a 6' tall guy, but much under that and I don't look or feel all
>>> that
>> great.
>>> Current goal is to lose at least 40lbs by year end (which will take
>>> me 1/2 to the ultimate weight loss goal)
>>>
>>>> Some of your profile so far is more indicative of type 1.
>>> What parts seem to indicate that?
>>
>> This part for one:
>>
>> ">> I don't recall them off the top of my head, but my cholesterol
>> numbers
>>>> were on target" and your low amounts of insulin which is unusual
>>>> for
>
> My blood pressure and cholesterol have always been within the official
> recommended range. The other day when I went to the doctor (and got
> lost on the way once again) mt blood pressure was 188/78 which for me
> is high
> (due to the stress of not wanting to be late and dealing with
> driving
> 30 miles in Dallas gridlock!). While they didn't do it this time, I
> have had them take it at the end of the appointment and it has usually
> been right around 110/70.
>
>
>> highly insulin resistant type 2's.
>
> I really think the doctor in the hospital and the endo really don't
> have a clue. Neither one of them wanted to listen to me when I tried
> to tell them that for 10 days before I went to the ER I was drinking a
> lot of juice and Gatorade to replenish my fluids (I thought I was
> doing a good thing!). I feel that had a big impact on why my bG was so
> high. They wouldn't hear anything about it.
>
>
>> But perhaps your diet has changed dramatically for the better?
>
> The biggest change in my diet since diagnosis is that I am actually
> eating a lot more food, and I have cut out about 99.999% of the sugar
> drinks. I have had a total of 16oz of regular 7up since then. Other
> than that, I have switched to sugar free for any soft drinks I drink
> (which was not all that much on a regular basis, except when eating
> out).
>
> For about 6 months before diagnosis I had already started drinking a
> lot of water often with a squirt of lemon juice in it.
>
>> Can't explain the cholesterol levels being on target though.
>
> Starting the end of last summer I have been taking a multi-vitamin and
> fish oil capsule almost every day. The diabetic counselor suggested
> that
> was a good thing.
>
> I also had a heart ablation about 10 years ago and even then the
> doctor said my arteries and heart were in great shape.
>
> It would seem my overall diet hasn't been all that bad - other than
> not eating enough times per day and not enough overall, which put my
> metabolism into survival mode.
>
>> Do you actually have access to your lab results?
>
> I will be getting them on Monday from the tests my doctor did the
> other day. I also have a summary print out from the hospital stay in
> April.
>
> Based on the many great suggestions I have gotten on here, I will be
> requesting full copies of my labs from the hospital stay (including
> the stay from last year).
>
> Dale
>

You mirror my experiences with docs and meds exactly.

They said I was a type 1.5 until I told them to make up their damn minds
and they stuck with T2 since then.


--
"I would rather be exposed to the inconveniences attending too much
liberty than to those attending too small a degree of it." Thomas
Jefferson

"History is earmarked by the successes of liberals and mistakes of
conservatives." - ETG

"Dale" <nntp@example.com> wrote in message
news:f1h3fo0185l@news2.nntpjunkie.com...
> HI rk,
>
> rk wrote:
>> "Dale" <nntp@example.com> wrote in message
>> news:f1d4ga02lsb@news4.nntpjunkie.com...
>>> Hi all,
>>>
>>> Looking for advice as to questions I should ask my primary care
>>> physician on my first visit to him since being diagnosed.
>>>
>>> I do plan on asking him about Metformin and if it would be appropriate
>>> for me to be on it. Will also show him my log book and will discuss my
>>> prescriptions.
>>>
>>> And I will ask him to do the Micoalbuminuria test.
>>>
>>> Thanks
>>>
>>> Dale
>>>
>>> --
>>> Diagnosis TII on 04-07-07 - A1C 14.2
>>> Novolog, Lantus, D&E
>>
>> Blood workup: A1C, Full thyroid panel, Full metobolic panel.
>> What Opthomologist does s/he recommend?
>
> Have actually already been to one. And have a new perscription. Seems I
> have a little bit of permanent damage to my vision, but also some that
> should be reversible (which I have already noticed getting better).
>
>> What Dentist does s/he recommend?
>> Do they recommend for you to see a podiatrist?
>> All diabetics should be on a BP med as it's great Kidney protection.
>> Are you on one?
>
> Not at the moment.
>
>> Have they done a c-peptide to see if you're making enough insulin or too
>> much? (this does chart the course of treatment imho)
>> Have they checked for neuropathy? Or at best the starting of it? Most
>> T2's have had high bg's for a long time and have mild neuropathy
>> already.
>
> Good idea (haven't been checked for that yet)
>
>> If you are a T2, and are in good control now, about reducing/removing
>> Insulin -- since often if you have too much insulin already, it's not
>> good
>> for your heart/arteries overall. (why the c-peptide comes into play)
>
> For an unrelated reason I had a heart cath last August and everything
> (According to the cardiologist) was great.
>
>> Are there any local support groups?
>
> Looking for one.
>
>> Ask to see a dietician if you haven't done so already.
>
> Have seen one already.
>
>> Ask to get their CDE's infomation in case of quick questions or problems
>> they don't have time to solve. (many don't too)
>
> What is a CDE?
>
>> I'm sure there are more, I just can't remember anymore right now.
>
> Great recommendations! Thank you very much!
>
>> Good luck.
>>
>> RK, T1
>
> --
> Diagnosis TII on 04-07-07 - A1C 14.2
> Novolog, Lantus, D&E
>
> http://TheColony.com/
> Community site for people living or working in The Colony, TX and
> surrounding communities! Free blogs, classifieds, clubs and more.

A CDE is a Certified Diabetic Educator, they usually work along with
your endo or doctor... so if you have questions, usually you can call
them instead of waiting on your doctor.. they can also adjust your
medication and give the same suggestions.. Often Endo's will have
you see their CDE for adjustments.

RK, t1