Guest guest Posted July 19, 2004 Report Share Posted July 19, 2004 Mara - it is a big deal. I would get another doctor ASAP. Those umbers are high enough to cause damage to your body. [alldiabeticinternational] RN vs. MD Hi there, In my recent post under Where Is Stabilized, I was asking about others' experience with levels. I have been seen by a Diabetes nurse at the Diabetes Institute here in Portland and she has been quite concerned about my high readings of 300-400s. However, the MD says it's not that big of a deal and we will take it in stride and schedules me for follow up in August. The nurse is concerned and tries to make another appt, my MD not available so saw colleague and he says the same... not that big of deal with those numbers. Just wait until Aug. I'm beginning to wonder if I should look for a specialist? The nurse is not authorized to increase meds, so I'm doing it on my own. have others experienced this where one professional is concerned and the others are not really that concerned? curious Mara pancreatitis info http://health.groups.yahoo.com/group/ThePancreatitisPlace/ diabetic recipes http://health.groups.yahoo.com/group/diabetic_recipes/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2004 Report Share Posted July 19, 2004 I am hoorified when I read these posts. Number one---self medication is dangerous and can be deadly. I never had a reading as high as yours, even on my worst day of cheating...not even when I forgot my shot....You need an Endocrinologist....I am sorry but I can not make comments about any GP or MD as I have a notoriously LOUSY attitude of using a generalist where a specialist is needed. I would not wait until August....Please listen to your Diabetes Nurse. [alldiabeticinternational] RN vs. MD Hi there, In my recent post under Where Is Stabilized, I was asking about others' experience with levels. I have been seen by a Diabetes nurse at the Diabetes Institute here in Portland and she has been quite concerned about my high readings of 300-400s. However, the MD says it's not that big of a deal and we will take it in stride and schedules me for follow up in August. The nurse is concerned and tries to make another appt, my MD not available so saw colleague and he says the same... not that big of deal with those numbers. Just wait until Aug. I'm beginning to wonder if I should look for a specialist? The nurse is not authorized to increase meds, so I'm doing it on my own. have others experienced this where one professional is concerned and the others are not really that concerned? curious Mara pancreatitis info http://health.groups.yahoo.com/group/ThePancreatitisPlace/ diabetic recipes http://health.groups.yahoo.com/group/diabetic_recipes/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2004 Report Share Posted July 20, 2004 Rolf Utegaard wrote: >I am hoorified when I read these posts. Number one---self medication is >dangerous and can be deadly. " Self-medication " is the standard and normal for Type 1's, no horror about it. It is essential for us to learn how food, activity and other variables affect our bodies (and BG) so that, via testing and experience, we can adjust our insulin (and/or intake and life style) to different and changing circumstances. Properly working pancreases produce and deliver ever-changing amounts of insulin to the system based on food eaten, activity and many other parameters. We must do manually, with injected insulin, what our bodies were designed (via a working pancreas) to do automatically and that includes variable amounts of insulin under varying circumstances. >I never had a reading as high as yours, even on my worst day of >cheating...not even when I forgot my shot.... That's because you're a Type 2 with some level of pancreatic function + insulin-resistance versus the total lack of pancreatic function and (usually) no insulin-resistance for a Type 1. With absolutely no natural insulin in a T1, BG level can, without sufficient injected insulin and various other factors, soar to limitless levels. 300-400 is very high for a T2. While it is also very high and undesirable for a T1 (and we work hard to avoid such), most of us (T1's) were diagnosed with BG levels of 600-800 or more. BG just keeps building if there isn't any (or enough) insulin to stop it. That's why many T1's eat lower carb in order to avoid drastic spikes but injected insulin will lower BG, and without the encumbrance of insulin-resistance. BG regulation is especially difficult in children because of all the growth/development/hormonal stages. While we work hard to avoid high readings, it is a sustained high reading that leads to dangerous DKA (diabetic ketoacidosis) which must be treated in an ER. A simple spike to even 300-400 (for whatever reasons) can and must be treated with insulin in order to avoid sustaining the high BG and bigger problems. Sandy T1 - 1979 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 21, 2004 Report Share Posted July 21, 2004 > While we work hard to avoid high readings, it is a sustained high reading > that leads to dangerous DKA (diabetic ketoacidosis) which must be treated > in an ER. A simple spike to even 300-400 (for whatever reasons) can and > must be treated with insulin in order to avoid sustaining the high BG and > bigger problems. > Dont I ever know that! Let me tell you it is not a fun place to be! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 21, 2004 Report Share Posted July 21, 2004 > am still having troubles finding a Doctor that can take me... and my Blood > sugars are still running 350 and higher. > Can you not go to a GP and at least work on getting your sugars down until you find an endo, right now Im seeing a GP for mine just because things are going good and he's a great doctor, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 21, 2004 Report Share Posted July 21, 2004 I think I am going to go off this list. I don't think it is of much value to mix T1 and T2 diabetics because they are so very different and the rules for one are the exceptions for the other. I should not respond to these posts because it seems there is a preponderance of T1's on this list and I have nothing to say of value or consequence to T1's. They have their separate issues, and I almost always forget that what I comment on is going to be wrong. If my original comments were directed at a T2, I would be correct....I know T1's are different, and I think I was referring to meds, not insulin and I'm afraid that for all I know, the post I commented on was a T1 diabetic. I have instructions from my DE and Endo., to change my insulin and make adjustments....BUT not my meds, without their input. So from now on I am going to keep my mouth shut..... [alldiabeticinternational] Re: RN vs. MD Rolf Utegaard wrote: >I am hoorified when I read these posts. Number one---self medication is >dangerous and can be deadly. " Self-medication " is the standard and normal for Type 1's, no horror about it. It is essential for us to learn how food, activity and other variables affect our bodies (and BG) so that, via testing and experience, we can adjust our insulin (and/or intake and life style) to different and changing circumstances. Properly working pancreases produce and deliver ever-changing amounts of insulin to the system based on food eaten, activity and many other parameters. We must do manually, with injected insulin, what our bodies were designed (via a working pancreas) to do automatically and that includes variable amounts of insulin under varying circumstances. >I never had a reading as high as yours, even on my worst day of >cheating...not even when I forgot my shot.... That's because you're a Type 2 with some level of pancreatic function + insulin-resistance versus the total lack of pancreatic function and (usually) no insulin-resistance for a Type 1. With absolutely no natural insulin in a T1, BG level can, without sufficient injected insulin and various other factors, soar to limitless levels. 300-400 is very high for a T2. While it is also very high and undesirable for a T1 (and we work hard to avoid such), most of us (T1's) were diagnosed with BG levels of 600-800 or more. BG just keeps building if there isn't any (or enough) insulin to stop it. That's why many T1's eat lower carb in order to avoid drastic spikes but injected insulin will lower BG, and without the encumbrance of insulin-resistance. BG regulation is especially difficult in children because of all the growth/development/hormonal stages. While we work hard to avoid high readings, it is a sustained high reading that leads to dangerous DKA (diabetic ketoacidosis) which must be treated in an ER. A simple spike to even 300-400 (for whatever reasons) can and must be treated with insulin in order to avoid sustaining the high BG and bigger problems. Sandy T1 - 1979 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 22, 2004 Report Share Posted July 22, 2004 Tina wrote: >Then why with mine continuing to run over 300... do they not Worry about >it? or are their Doctors that uneducated, as I have wondered why they can >let some run high, and not deal with it. I am still having troubles >finding a Doctor that can take me... and my Blood sugars are still running >350 and higher. I can't answer for them, Tina, but constant " 350 and higher " would worry me and my doc. But maybe you haven't been " officially diagnosed " yet so nobody is really " dealing with it. " I'm sure different bodies can operate at those levels for different lengths of time. For me (T1), constant/consistent 350-500+ would put me in the ER with DKA (diabetic ketoacidosis) within a couple weeks. (Been there, done that.) How do you know your BG's are that high? Are they Always that high or just within some period after eating? Did someone prescribe a glucometer or do you do that on your own? There are a gazillion possible variables and even an MD couldn't/wouldn't diagnose or prescribe treatment from afar without appropriate test results. Sandy T1 - 1979 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 22, 2004 Report Share Posted July 22, 2004 Tina wrote: >Then why with mine continuing to run over 300... do they not Worry about >it? or are their Doctors that uneducated, as I have wondered why they can >let some run high, and not deal with it. I am still having troubles >finding a Doctor that can take me... and my Blood sugars are still running >350 and higher. I can't answer for them, Tina, but constant " 350 and higher " would worry me and my doc. But maybe you haven't been " officially diagnosed " yet so nobody is really " dealing with it. " I'm sure different bodies can operate at those levels for different lengths of time. For me (T1), constant/consistent 350-500+ would put me in the ER with DKA (diabetic ketoacidosis) within a couple weeks. (Been there, done that.) How do you know your BG's are that high? Are they Always that high or just within some period after eating? Did someone prescribe a glucometer or do you do that on your own? There are a gazillion possible variables and even an MD couldn't/wouldn't diagnose or prescribe treatment from afar without appropriate test results. Sandy T1 - 1979 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 22, 2004 Report Share Posted July 22, 2004 Tina wrote: >Then why with mine continuing to run over 300... do they not Worry about >it? or are their Doctors that uneducated, as I have wondered why they can >let some run high, and not deal with it. I am still having troubles >finding a Doctor that can take me... and my Blood sugars are still running >350 and higher. I can't answer for them, Tina, but constant " 350 and higher " would worry me and my doc. But maybe you haven't been " officially diagnosed " yet so nobody is really " dealing with it. " I'm sure different bodies can operate at those levels for different lengths of time. For me (T1), constant/consistent 350-500+ would put me in the ER with DKA (diabetic ketoacidosis) within a couple weeks. (Been there, done that.) How do you know your BG's are that high? Are they Always that high or just within some period after eating? Did someone prescribe a glucometer or do you do that on your own? There are a gazillion possible variables and even an MD couldn't/wouldn't diagnose or prescribe treatment from afar without appropriate test results. Sandy T1 - 1979 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 22, 2004 Report Share Posted July 22, 2004 Rolf Utegaard wrote: >I don't think it is of much value to mix T1 and T2 diabetics because they >are so very different and the rules for one are the exceptions for the other. Yes, T1 and T2 are very different but T2's that use insulin as part of their regimen are also very different from T2's who only use D&E or those who use oral meds. We can still learn bits and pieces from each other that we can apply to our own situations and that's what these lists are all about. I have been on a couple diabetes Yahoo lists for years and most posters (almost exclusively) were T2 but I learned some tidbits nonetheless .. . . including some things about food that I hadn't been aware of as well as the existence/use of glucose tablets (which has been very valuable for me). I can speak from my own experience and knowledge (as far as it goes) re: T1 and insulin, etc. but I am thoroughly clueless re: diabetic oral meds and/or interaction of those meds with other physical conditions, etc. so I never venture info on such topics. That's also why I include my T1 status in my signature so any readers/lurkers have some idea of my frame of reference and can decide if there may/may not be any applicability to their situation. Sandy T1 - 1979 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 22, 2004 Report Share Posted July 22, 2004 > I don't think it is of much value to mix T1 and T2 diabetics because they > are so very different and the rules for one are the exceptions for the other. > I should not respond to these posts because it seems there is a > preponderance of T1's on this list and I have nothing to say of value or consequence to > T1's. > I think there is a lot of value to it, mostly, we can learn from each other and know what it is like on the other side. Also even though we medicate differently (MDI vs DE) we still have a lot of the same issues, like frustrations over blood sugar frustrations, troubles with diet, figuring out why different foods do different things, exercise, dealing with the threat of complications, etc. There is a lot we can learn together. Also, soooo you made a comment that wasnt pertinant to the person.. sooo what? I dont see how that is a huge problem?? aslo I dont see how seperating the two wil do a lot there are still differences in " rules " and treatments within type twos! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 22, 2004 Report Share Posted July 22, 2004 > also have a Chronic wound that does not want to heal like it should nad I > know that this is also due to me being Diabetic. So the High Blood sugar is > not helping that... Even when they used to send me to a Wound Healing > Institute my Sugar was running over 250 ... and no one seemed to think that was a > contributor why the wound was not wanting to heal like it should. > May I ask a quesiton branching off subject. WHY dont wounds heal with diabetics? Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.