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First appointment with community diabetic team – moving on to insulin - any advice please
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<blockquote data-quote="Molly56" data-source="post: 738317" data-attributes="member: 84857"><p>[USER=149689]@Bufger[/USER] …thank you for reply….it is useful to hear from someone who has gone through same experience….</p><p></p><p>Hope you don’t mind but I have a few questions..</p><p></p><p>Am hoping that he will want to do this but can see that it will not be an easy transition given his past history of not wanting to know / do anything about his diabetes…hopefully I can be there to support him on this but he needs to do this himself…</p><p></p><p>I can see that things will have to change in terms of regulating his day more….you mention that you started off on a standard regime….what did this consist of ….</p><p>…how long did it take to adjust this and get to a routine that was right for you…</p><p></p><p>Do they prescribe the insulin at the first appointment or did you have to return for further appointments….how quickly was this after the initial consultation….once on the insulin and going through period of adjustment was this done through telephone consultations or through further appointments…</p><p>…..apologies for all the questions but I need to know…..he has a habit of not listening to or taking in information so I will need to be included (at all steps) as part of the process to make sure that I know what he needs to do….and I need to fit this in with my work commitments so will be helpful to know and plan….</p><p></p><p>You mention retinopathy….is this something you have experience of….I seem to remember reading somewhere that bringing blood sugar levels down too quickly can make any existing retinopathy worse so will have to be something to be aware of…</p><p>…my partner does attend his annual retinopathy screening…the last one was April 2014…it was detected that he had a degree of background retinopathy but the letter just suggested that he should keep his blood sugar levels under control and attend his next annual screening….no treatment currently required……he read this to say “my eyes are ok” and just dismissed it ……I read it differently…</p><p></p><p>…anyway his eyesight is important….not for the reasons you mention though they are important but because he drives….if he was unable to drive he would effectively be housebound as no other means of getting out other than if I am around to take him (he is retired and relatively inactive / immobile / relies on his car but I still work)……this I think would be the major life changer for him as I still work and need to work….</p><p></p><p>His current levels in the morning have been around 11 with before dinner readings of between 16 and 21 and bedtime readings around 17</p><p>…..don’t know how long it will take to bring these down to near normal levels but this will be in the hands of the diabetic team to decide….</p><p></p><p></p><p></p><p></p><p></p><p>[USER=17713]@donnellysdogs[/USER] added a few questions….some answers to these would be useful if anyone cares to answer them….</p></blockquote><p></p>
[QUOTE="Molly56, post: 738317, member: 84857"] [USER=149689]@Bufger[/USER] …thank you for reply….it is useful to hear from someone who has gone through same experience…. Hope you don’t mind but I have a few questions.. Am hoping that he will want to do this but can see that it will not be an easy transition given his past history of not wanting to know / do anything about his diabetes…hopefully I can be there to support him on this but he needs to do this himself… I can see that things will have to change in terms of regulating his day more….you mention that you started off on a standard regime….what did this consist of …. …how long did it take to adjust this and get to a routine that was right for you… Do they prescribe the insulin at the first appointment or did you have to return for further appointments….how quickly was this after the initial consultation….once on the insulin and going through period of adjustment was this done through telephone consultations or through further appointments… …..apologies for all the questions but I need to know…..he has a habit of not listening to or taking in information so I will need to be included (at all steps) as part of the process to make sure that I know what he needs to do….and I need to fit this in with my work commitments so will be helpful to know and plan…. You mention retinopathy….is this something you have experience of….I seem to remember reading somewhere that bringing blood sugar levels down too quickly can make any existing retinopathy worse so will have to be something to be aware of… …my partner does attend his annual retinopathy screening…the last one was April 2014…it was detected that he had a degree of background retinopathy but the letter just suggested that he should keep his blood sugar levels under control and attend his next annual screening….no treatment currently required……he read this to say “my eyes are ok” and just dismissed it ……I read it differently… …anyway his eyesight is important….not for the reasons you mention though they are important but because he drives….if he was unable to drive he would effectively be housebound as no other means of getting out other than if I am around to take him (he is retired and relatively inactive / immobile / relies on his car but I still work)……this I think would be the major life changer for him as I still work and need to work…. His current levels in the morning have been around 11 with before dinner readings of between 16 and 21 and bedtime readings around 17 …..don’t know how long it will take to bring these down to near normal levels but this will be in the hands of the diabetic team to decide…. [USER=17713]@donnellysdogs[/USER] added a few questions….some answers to these would be useful if anyone cares to answer them…. [/QUOTE]
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First appointment with community diabetic team – moving on to insulin - any advice please
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