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Appointment with diabetic nurse / pain management clinic / hip & knee consultant
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<blockquote data-quote="Nyxks" data-source="post: 586407" data-attributes="member: 116204"><p>[USER=84857]@Molly56[/USER] Ill say this before all else, good for you for trying to be pro active - however, the reality is only he can do it for himself and if he won't help himself there is nothing you will be able to do other then tick him off to no end if its something he's dead set against (or he'll come to resent you on one to many levels, or see you as the one who caused all his issues in either case your the one who gets blamed and he never takes it). </p><p></p><p>My mom has been a diet controlled t2 for almost 40 years (she's now 80) with an a1c now of 4.5 (non diabetic levels) but it wasn't always like that though she's always been diet controlled never on medication or insulin the first 3 years of life with her as a child was hockey sticks on so many levels, she went from being angry at my dad to blaming him for her being diabetic and even me, she calmed down in time but for that little time it was a roller coaster of emotional stress and learning. As a child hearing my mom crying and my dad not knowing how to handle her was very upsetting and bewildering to say the least since no one told me what was going on (or why all of a sudden all the "junk food" in the house was no longer allowed in the house, or why I wasn't allowed cookies, cake, candy or anything while in the house - that didn't end well when I left to live on my own unfortunately). </p><p></p><p>Years later (a decade and change) I'd get told that I'm also Diabetic but instead of being like my mom insulin was the only option I have and I didn't won't to listen I said NO i said FORGET IT and other junk my endrocronogist said a educational class would do be no good and he was right at the time it wouldn't have I wasn't in the right frame of mind to listen all I could think of was INSULIN = NEEDLES = NO WAY … I begged and demanded other treatment and got it but was told it wouldn't help that my body wouldn't give me the choice. I still wonted to try and so he let me do what I demanded after a bit and getting out of the issues I'd gottten myself into (finding medial help of another nature that I really needed to get my head on straight) I said your right I need the insulin, but it took me coming to the facts on my own and facing the facts that it was necessary (that and falling in love added to the drive to take care of myself) if I wonted to live and avoid complications beyond any damaged I'd already dun to myself. </p><p></p><p>I'd dun the damage by then, my levels had been running around 18 to 25 (I'd only tested maybe a couple times a month or so as I got the courage to stick myself - something I still struggle with 11 years later), I didn't get a lecture from him and I still didn't get a referral to a group I was just given the script and told to fill it at the pharmacy, it took me going to the library and looking online to learn how to give myself insulin and where to inject it (his only advice had been X amount before each meal and Y amount at night) which ended up being a lot of trial and painful errors. Years later I did ask why I never got the referral to a educational class like mom took, and he said that as angry as I was at the start I wouldn't have listened and by time I was ready I'd already educated myself that he didn't feel a class would be of help/use to me (though I disagree I can see his point on various levels).</p><p></p><p>What does this all boil down to? Simple, he might not be ready for the switch but insulin isn't the enemy its a life saver and there is always the possibility since he's type 2 that after getting control that he'll be able to come off of it (it can and does happen). To start they might keep him on pills depending on interactions. </p><p></p><p>Things you can ask for yourself and in his stead if he agrees are…</p><p>If Insulin….</p><p>How do I inject? (the get nurse/doc to show you how to do it)</p><p></p><p>Where do you suggest? (tummy is the most common and best, but this, back of upper arms, etc are not uncommon)</p><p></p><p>Pens, Cartridges or Vial? (this mean what way the insulin is contained in a pre-filled pen, pre filled cart rage that needs to be put into a refillable pen or a vial which means you need to get the needles to go with it, not as convent as Pens or Cartridges). </p><p></p><p>Dosage fixed amount at each meal? flex according to carb to insulin ratio? (fixed means you take like X units with a meal regardless of how many carbs the meal has which can either see levels doing down or nothing depending on how carb heavy the meal is - the flex is harder and not common for starters since it means you have to do a lot of trail and error to learn your carb to insulin ratio something that your nurse would have to help with over the course of weeks/months. </p><p></p><p>How many Carbs Per Meal and How Many Carbs Per Snack - plus how many snacks per day (two or three type deal) as well as total Min Carbs for the day and Max recommended for the day (150 grams a day total is a base for that some work off of but isn't right for everyone)</p><p></p><p>Other Qs you can ask about are local support groups that you both might join together to learn about D together and to get him around other diabetics and hear their stories and experiences plus get any education that might be offered during though meetings (depends on the groups, some have a theme each meet, like cookings, insulin dosage, sexual disfunction, etc.)</p><p></p><p>One thing about insulin is that if he already has weight issues, you might find that he will gain weight on the insulin, its not uncommon side effect since the body is now getting the fuel it needs but without the work outs to make use of the fuel it just turns to fat and sits there (so getting active if he's not already is highly recommended - under his medical personals supervision as necessary). </p><p></p><p>If he is put on insulin you might be able to find the book Think Like a Pancreas its a bit technical, but it might give you insight into how the insulin helps/works and who knows he might be willing to read it - you should be able to get it from the library is the hospital doesn't have it in their loan collection. </p><p></p><p><a href="http://cks.nice.org.uk/insulin-therapy-in-type-2-diabetes#!scenario" target="_blank">http://cks.nice.org.uk/insulin-therapy-in-type-2-diabetes</a> might be of help to you if your in the UK it might also answer some of your Qs (not sure its not viewable outside of the UK)</p><p></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="Nyxks, post: 586407, member: 116204"] [USER=84857]@Molly56[/USER] Ill say this before all else, good for you for trying to be pro active - however, the reality is only he can do it for himself and if he won't help himself there is nothing you will be able to do other then tick him off to no end if its something he's dead set against (or he'll come to resent you on one to many levels, or see you as the one who caused all his issues in either case your the one who gets blamed and he never takes it). My mom has been a diet controlled t2 for almost 40 years (she's now 80) with an a1c now of 4.5 (non diabetic levels) but it wasn't always like that though she's always been diet controlled never on medication or insulin the first 3 years of life with her as a child was hockey sticks on so many levels, she went from being angry at my dad to blaming him for her being diabetic and even me, she calmed down in time but for that little time it was a roller coaster of emotional stress and learning. As a child hearing my mom crying and my dad not knowing how to handle her was very upsetting and bewildering to say the least since no one told me what was going on (or why all of a sudden all the "junk food" in the house was no longer allowed in the house, or why I wasn't allowed cookies, cake, candy or anything while in the house - that didn't end well when I left to live on my own unfortunately). Years later (a decade and change) I'd get told that I'm also Diabetic but instead of being like my mom insulin was the only option I have and I didn't won't to listen I said NO i said FORGET IT and other junk my endrocronogist said a educational class would do be no good and he was right at the time it wouldn't have I wasn't in the right frame of mind to listen all I could think of was INSULIN = NEEDLES = NO WAY … I begged and demanded other treatment and got it but was told it wouldn't help that my body wouldn't give me the choice. I still wonted to try and so he let me do what I demanded after a bit and getting out of the issues I'd gottten myself into (finding medial help of another nature that I really needed to get my head on straight) I said your right I need the insulin, but it took me coming to the facts on my own and facing the facts that it was necessary (that and falling in love added to the drive to take care of myself) if I wonted to live and avoid complications beyond any damaged I'd already dun to myself. I'd dun the damage by then, my levels had been running around 18 to 25 (I'd only tested maybe a couple times a month or so as I got the courage to stick myself - something I still struggle with 11 years later), I didn't get a lecture from him and I still didn't get a referral to a group I was just given the script and told to fill it at the pharmacy, it took me going to the library and looking online to learn how to give myself insulin and where to inject it (his only advice had been X amount before each meal and Y amount at night) which ended up being a lot of trial and painful errors. Years later I did ask why I never got the referral to a educational class like mom took, and he said that as angry as I was at the start I wouldn't have listened and by time I was ready I'd already educated myself that he didn't feel a class would be of help/use to me (though I disagree I can see his point on various levels). What does this all boil down to? Simple, he might not be ready for the switch but insulin isn't the enemy its a life saver and there is always the possibility since he's type 2 that after getting control that he'll be able to come off of it (it can and does happen). To start they might keep him on pills depending on interactions. Things you can ask for yourself and in his stead if he agrees are… If Insulin…. How do I inject? (the get nurse/doc to show you how to do it) Where do you suggest? (tummy is the most common and best, but this, back of upper arms, etc are not uncommon) Pens, Cartridges or Vial? (this mean what way the insulin is contained in a pre-filled pen, pre filled cart rage that needs to be put into a refillable pen or a vial which means you need to get the needles to go with it, not as convent as Pens or Cartridges). Dosage fixed amount at each meal? flex according to carb to insulin ratio? (fixed means you take like X units with a meal regardless of how many carbs the meal has which can either see levels doing down or nothing depending on how carb heavy the meal is - the flex is harder and not common for starters since it means you have to do a lot of trail and error to learn your carb to insulin ratio something that your nurse would have to help with over the course of weeks/months. How many Carbs Per Meal and How Many Carbs Per Snack - plus how many snacks per day (two or three type deal) as well as total Min Carbs for the day and Max recommended for the day (150 grams a day total is a base for that some work off of but isn't right for everyone) Other Qs you can ask about are local support groups that you both might join together to learn about D together and to get him around other diabetics and hear their stories and experiences plus get any education that might be offered during though meetings (depends on the groups, some have a theme each meet, like cookings, insulin dosage, sexual disfunction, etc.) One thing about insulin is that if he already has weight issues, you might find that he will gain weight on the insulin, its not uncommon side effect since the body is now getting the fuel it needs but without the work outs to make use of the fuel it just turns to fat and sits there (so getting active if he's not already is highly recommended - under his medical personals supervision as necessary). If he is put on insulin you might be able to find the book Think Like a Pancreas its a bit technical, but it might give you insight into how the insulin helps/works and who knows he might be willing to read it - you should be able to get it from the library is the hospital doesn't have it in their loan collection. [URL='http://cks.nice.org.uk/insulin-therapy-in-type-2-diabetes#!scenario']http://cks.nice.org.uk/insulin-therapy-in-type-2-diabetes[/URL] might be of help to you if your in the UK it might also answer some of your Qs (not sure its not viewable outside of the UK) Good luck! [/QUOTE]
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