Can’t Control My Diabetes :(

[Jdevine685]

Do you shop for yourself?
Maybe buy already cooked meat, portioned carbs such as cakes and biscuits or boxes of fruit sold by weight - sliced bread, packs of salad - meal preparation reduced to a minute or so and all easily calculated.
Your GP might not be the right person to help with your management, but you can at least organize what you eat - consider shopping online if you are short of time.

I don’t usually it’s my mum, that’s some good options thank you. I think I want to see the dietitian anyway for carb counting.

 

[Jdevine685]

Are you in the UK??
We are not allowed to give any medical advise on the forum. BUT it looks like your Basal (Lantus) is too low??
You are taking a lot of insulin to carbs as your ratios are so small.
You really need to be seen by a consultant for you diabetes and not your GP. Or if you are not comfortable with your current Dr then change doctors!

By the way. Welcome to the Forum

Possibly yeah. It’s the diabetic doctor I am seeing I don’t think I can change diabetic doctors can I? She is my consultant. But not a very good one at that.

 

[porl69]

Possibly yeah. It’s the diabetic doctor I am seeing I don’t think I can change diabetic doctors can I? She is my consultant. But not a very good one at that.

I had a diabetic doctor at the hospital that I really didn't like around 20 years ago. All the times I saw him, he never looked up out of my file once! (My file is pretty big ;. I told him that I didn't want to see him again and was given a new diabetic doctor, luckily the hospital I attend has a large diabetic team. My new dr. did mention that I had made a fuss about the previous doctor, but he did have a bit more time for me.

 

[BeccyB]

Possibly yeah. It’s the diabetic doctor I am seeing I don’t think I can change diabetic doctors can I? She is my consultant. But not a very good one at that.

I'm horrified that this is your consultant not GP!

Where do you live/work? Is there another hospital that you could get to? You are entitled to ask for a referral to any hospital.
Be aware that a different hospital may have the same diabetes team if it's the same 'Trust' though - a quick google will tell you which trust a hospital is.

 

[slip]

every time I go to the doctors I feel like I’m being lectured about my diabetes and how to control it which just makes me not want to go cause i feel like I’m being spoken down to.

Some doctors are, how shall we say............not people persons - they may know tonnes of good stuff but interpersonal skills are lacking some what.

I'm going to be devils advocate here so don't take it personally, I am a nice guy really

What you deem as being lectured and spoken down to is perhaps just the way she is or perhaps she's at the end of her tether with you? - welcome to the adult world!, are you taking notice of what she is saying? In your last encounter what was said? (obviously you don't have to post it here, but can you remember the gist of it?) Do you just sit there and take it? is there a 2 way dialogue? are you proactive with your care and your clinic appointments? It's your condition you manage it - you have to live with it, you are 100% responsible for looking after it not the doctor.

Back to me, normal nice guy

I suspect the transition from child to adult care is large and daunting (I've not been there!) and things just aren't managed in the same way as before as far as you're concerned. But you do have to take ownership of your condition.

bad interpersonal skills is not an excuse for Doctors to be rude or condescending or to make the patient feel as you do, but it does happen and you either need to address this with an open and frank discussion with them (she may not even be aware how you feel) or change doctors.

At your next appointment - go in prepared, say you've tried x y and z that she 'suggested' (told you to do), or say last time you said do x but didn't explain properly to me in a way I understood.......or I've been thinking that maybe my basal is too low and my boluses aren't working because my BG is always high, can I change bolus or split it or can I have a Libre on prescription or...or.....

Try and do most the talking, she won't have time or get a word in edge ways to talk down to you!

 

[BeccyB]

Good advice from @slip - she may think you don't care about your control and so feel exasperated and like all she can do is lecture. Tell her you want to get to grips with it but are struggling and need help. Perhaps ask if there is a nurse you can make an appointment with to go through what you've tried and to spend a bit more time helping you.