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In just over three weeks time my partner has his first appointment with the community diabetic team to discuss going on to insulin.
He was referred back in November by the practice diabetic nurse as his current medication is not getting his blood sugar levels down to an acceptable level …..current medication 2000mg Metformin plus 320mg Gliclazide per day…HbA1c in November was 74 or 8.9% if I remember correctly..
For those that have taken this route I just wanted to ask what information would be useful to take along to this first appointment in order to help them to make the right decisions about the insulin regime that he needs.
Did they make a decision about insulin at this first appointment and prescribe what is required at that appointment or is this effectively just an initial assessment……how does it generally work in terms of follow up appointments…… (am just wondering what time I need to make available from work commitments in the following weeks should further / follow up appointments be needed)…
My partner was reluctant to test but has eventually been persuaded to keep a record of blood sugar levels to take along to the appointment……these are taken in the morning when getting up (so effectively fasting)…before evening meal….and before bed…am keeping a daily chart of these (three days completed to date) so will have about three weeks readings by the time of the appointment……Is this sufficient information to take along and the appropriate timings or does anyone suggest anything else…
Generally speaking he does not follow a conventional pattern in terms of eating meals at regular times…..he invariably gets up late / skips breakfast ….has lunch and dinner…and snacks during the evening…..I guess that this will also be useful information for them when deciding what insulin regime they can put him on……also at 18st 12 approx he is clearly overweight which will probably be another factor…
He has just had another HbA1c blood test plus EGFR eGFR (MDRD)and (UE) Urea & Electrolytes as requested by them so assume that these are all the blood tests they will need in order to make their decision. They have not asked for a urine sample but may suggest taking one along just in case it is needed.
Is there any other information that would be useful as I am keen to make sure that having waited this long for the appointment we do not delay any further this next step….
If anyone has any other advice from personal experience to get us through this next step it would be appreciated as it all seems a bit of a minefield / uncharted territory to me at the moment, thank you
He was referred back in November by the practice diabetic nurse as his current medication is not getting his blood sugar levels down to an acceptable level …..current medication 2000mg Metformin plus 320mg Gliclazide per day…HbA1c in November was 74 or 8.9% if I remember correctly..
For those that have taken this route I just wanted to ask what information would be useful to take along to this first appointment in order to help them to make the right decisions about the insulin regime that he needs.
Did they make a decision about insulin at this first appointment and prescribe what is required at that appointment or is this effectively just an initial assessment……how does it generally work in terms of follow up appointments…… (am just wondering what time I need to make available from work commitments in the following weeks should further / follow up appointments be needed)…
My partner was reluctant to test but has eventually been persuaded to keep a record of blood sugar levels to take along to the appointment……these are taken in the morning when getting up (so effectively fasting)…before evening meal….and before bed…am keeping a daily chart of these (three days completed to date) so will have about three weeks readings by the time of the appointment……Is this sufficient information to take along and the appropriate timings or does anyone suggest anything else…
Generally speaking he does not follow a conventional pattern in terms of eating meals at regular times…..he invariably gets up late / skips breakfast ….has lunch and dinner…and snacks during the evening…..I guess that this will also be useful information for them when deciding what insulin regime they can put him on……also at 18st 12 approx he is clearly overweight which will probably be another factor…
He has just had another HbA1c blood test plus EGFR eGFR (MDRD)and (UE) Urea & Electrolytes as requested by them so assume that these are all the blood tests they will need in order to make their decision. They have not asked for a urine sample but may suggest taking one along just in case it is needed.
Is there any other information that would be useful as I am keen to make sure that having waited this long for the appointment we do not delay any further this next step….
If anyone has any other advice from personal experience to get us through this next step it would be appreciated as it all seems a bit of a minefield / uncharted territory to me at the moment, thank you