Now I don’t feel any burning desire to be referred for my diabetes but I’m curious. Some seem to have been referred on very borderline hb1ac or fasting scores. Others not at all despite high scores. Now I totally see the need if type 1 or complicated or particularly high but is there any consistency?
I see the Endo until Bariatric bypass stablizes my bgs with far less insulin. My GP has been paying for my insulin and I'm an expensive patient. But hopefully not for much longer.
I have other autoimmune conditions so I was referred for a fresh look and because tablets stopped keeping me safe. I needed insulin.
Ive not heard of GPs starting insulin with a type2 without an endocrologists say so.
I've had 5 different ones but due to 2 pregnancies in different areas and once again now for insulin management.My GP lacks knowledge in diabetes and in particular, cystic fibrosis related diabetes (CFRD). So, I got a referral to see an endo, the endo has a lot of experience with CF having worked a lot in London with CF kids at clinics. He's been great and something I needed. My gp is good too, just not so much with the CFRD... he's extremely helpfull. I actually asked for a referral and just happened to get a lucky break by getting the endo I now have.
I'm not sure about consistency, but I think being referred to an endo has it's pros and cons and it all depends on if you get a good endo or not.
Luckily if it was true he could afford it. He's a hugely involved GP, in our area so his wage gets premiums galore. Mind u he's always working and a family man. Obviously something has to be compromised.Your GP pays for your insulin? Are you quite sure that it is not the NHS?
I assumed that and as I say have no requirement to see one but I’d been reading a few posts where apparently lowish and straightforwardish t2 seem to have been referred. Market research you might call the question just to see if there’s consistencyHSSS - these days, few T2s are referred solely for T2, but may be where there is another condition potentially impacting on matters, or where there is uncertainty of type.
A few years ago, in my locale, all diabetes patients were referred to the Endo visiting the cottage hospital weekly, and their care adopted by him. This is no longer so.
I assumed that and as I say have no requirement to see one but I’d been reading a few posts where apparently lowish and straightforwardish t2 seem to have been referred. Market research you might call the question just to see if there’s consistency
Now I don’t feel any burning desire to be referred for my diabetes but I’m curious. Some seem to have been referred on very borderline hb1ac or fasting scores. Others not at all despite high scores. Now I totally see the need if type 1 or complicated or particularly high but is there any consistency?
One appointment for one condition is such short sighted view and potentially poor practice. It is expecting the patient to know what’s relevant to that one condition in their description of symptoms and disregarding knock on effects/causes of illness. I’m sure many things have been missed, misdiagnosed or inappropriately treated as a resultHi @HSSS
I see an endo, but not for my glucose dysfunction, even though the reason I go (prolactinoma) has a knock on impact on quite a lot of things, including blood glucose.
I’ve raised the subject of my RH/T2 glucose dysregulation with him once, with a view to requesting metformin as medication for polycystic ovary syndrome, and while he was very polite and engaged, he made it perfectly clear that unless i was referred to him by my doc for those conditions, he would not deal with them, preferring to focus on the thing that i had been referred for - the prolactinoma.
Rather frustrating, but i can see his point. Even docs usually have a ‘one appt/condition’ policy. If every T2 was referred then the clinics would never cope.
On the other hand, it would have been marvellous to meet a consultant who embraced the whole person, rather than taking a tunnel vision approach, especially when my hormones are so wacky that it is hard to find anything that they don’t screw up in some way (a tumour in the pituitry gland, which is known as ‘the master gland’ and then i mysteriously develop another tumour in the adrenals, plus PCOS, RH and glucose dysregulation). Gosh, do you think their might be connections between them...?
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