Re: Re: Talked to the Pharmacist about Avandia and Insulin (Vicky)

[Guest guest]

wrote:

>Thanks for the info. Being that I have nursing behind me I am aware

>of the misdiagnoses but was unaware of the process. We have always

>been told that as his disease progresses he would become totally

>insulin dependent which in nursing terms is Type 1. But yes doctors

>think otherwise.

>

I guess we go by what the doctors say. Years ago, Type 1 meant

insulin dependent. The classification was based on symptoms. Under

that scheme, a Type 2 could eventually become a Type 1. But some time

later, that changed. It's now based on the believed cause of the

diabetes. Diabetes caused by insulin resistance is now called Type II

(notice the doctors cleverly changed the arabic numbers to Roman

numerals to avoid confusion), and autoimmune diabetes is called Type I

(again the Roman numeral). Under this scheme, it doesn't mater

whether you inject insulin or not. You never change from one type to

the other.

There are other kinds of diabetes. For whatever odd reasons that

motivate doctors, they stopped numbering them after II. There is

Gestational diabetes and then a miscellaneous category which includes

traumatic injury and disease entities which destroy the insulin

producing capacity of the pancreas.

So if your husband's diabetes is a result of pancreatitis, then

perhaps he's neither a Type I or II. However, his symptoms are most

likely best treated as though he were a Type I.

Wouldn't it be swell if they would just make up their minds and stop

changing things? Two years ago, we were reprimanded if we said

someone had " pre-diabetes " because the correct term was " glucose

intolerant. " But one day, bingo bango bongo, and nobody's glucose

intolerant any more and " pre-diabetes " is the *in* thing.

Edd

Edd

[Guest guest]

Things have changed back again, Edd...official hospital and general

medical policy is now to use Arabic numerals for types of diabetes, i.e.

type 1 and type 2, not Roman numerals. This is Official per my

procedure manual and the AAMT handbook (American Association of Medical

Transcriptionists).

Vicki

Re: Re: Talked to the Pharmacist about Avandia

and Insulin (Vicky)

> wrote:

>

> >Thanks for the info. Being that I have nursing behind me I am aware

> >of the misdiagnoses but was unaware of the process. We have always

> >been told that as his disease progresses he would become totally

> >insulin dependent which in nursing terms is Type 1. But yes doctors

> >think otherwise.

> >

>

> I guess we go by what the doctors say. Years ago, Type 1 meant

> insulin dependent. The classification was based on symptoms. Under

> that scheme, a Type 2 could eventually become a Type 1. But some time

> later, that changed. It's now based on the believed cause of the

> diabetes. Diabetes caused by insulin resistance is now called Type

II

> (notice the doctors cleverly changed the arabic numbers to Roman

> numerals to avoid confusion), and autoimmune diabetes is called Type I

> (again the Roman numeral). Under this scheme, it doesn't mater

> whether you inject insulin or not. You never change from one type to

> the other.

>

>

> There are other kinds of diabetes. For whatever odd reasons that

> motivate doctors, they stopped numbering them after II. There is

> Gestational diabetes and then a miscellaneous category which includes

> traumatic injury and disease entities which destroy the insulin

> producing capacity of the pancreas.

>

>

> So if your husband's diabetes is a result of pancreatitis, then

> perhaps he's neither a Type I or II. However, his symptoms are most

> likely best treated as though he were a Type I.

>

>

> Wouldn't it be swell if they would just make up their minds and

stop

> changing things? Two years ago, we were reprimanded if we said

> someone had " pre-diabetes " because the correct term was " glucose

> intolerant. " But one day, bingo bango bongo, and nobody's glucose

> intolerant any more and " pre-diabetes " is the *in* thing.

>

>

> Edd

>

[Guest guest]

Please let us know what the doc says, .

Vicki

Re: Talked to the Pharmacist about Avandia and

Insulin (Vicky)

> Thanks for the info. Being that I have nursing behind me I am aware

> of the misdiagnoses but was unaware of the process. We have always

> been told that as his disease progresses he would become totally

> insulin dependent which in nursing terms is Type 1. But yes doctors

> think otherwise. I will admit that when we started this journey with

> pancreatitis my husband was 285 at 6ft 4in and lost 85 pounds within

> four months which is when they discovered the diabetes. Just like

> with many CP sufferers being labeled alcoholics, he was labeled type

> 2 diabetes. We will probably never really know for sure if Cliff's

> pancreas has stopped working completely as the only way to do that is

> to have an ERCP which will guarantee him an attack. We have opted to

> do nothing invasive unless they find a cyst or something of the sort

> that would involve an open procedure. But IMO if the orals arent

> working then they arent working. Like i said we will be visiting the

> doctor again tomorrow and lay all the cards on the table. If he isnt

> on board with us then we will find someone who will. BTW there is no

> family history of diabetes in cliff's side of his family. Thanks

> again Vicky for all the wonderful information!

>

> Hugs n Love

>

>

>

[Guest guest]

whimsy2 wrote:

>Things have changed back again, Edd...official hospital and general

>medical policy is now to use Arabic numerals for types of diabetes, i.e.

>type 1 and type 2, not Roman numerals. This is Official per my

>procedure manual and the AAMT handbook (American Association of Medical

>Transcriptionists).

>Vicki

>

Oops!

Edd