Donnellys - yep figured out the cause of the hypos pretty quickly because I am a bit ocd and write everything down. One was due to a few drinks and not adjusting the bolus correctly and the other two was when I was on antibiotics. Had to adjust the levemir down to 10 units at night to avoid them. Will say while on the antibiotics my bs readings were awesome!
Urbanracer - that bites big time! How are you managing?
I get using age to try to narrow the diagnosis down but at some point I would like to think that the docs actually stop and think, question themselves in their assumptions before just saying nope this is what you are. But from reading not too many do.
Hi. Sadly there is an assumption that if you are 'old' then you must be T2. My diabetes GP said the same 'You're not T1 therefore you must be T2' despite me never being overweight, lost weight at diagnosis and had little response to Gliclazide. These are all pointers to T1 and a failing pancreas. I'm still listed as a T2 but know that I'm a T1 (LADA). It's good to see that the latest Dec 2014 draft guideleines form the UK's NICE who set the standards advise that if a patient presents as slim whatever age then T2 should not be assumed. They also say that GAD and c-peptide tests shouldn't be routinely done as they are unnecessary (and cost money). Your intern like my newly trained GP are using out of date knowledge whereas your endo is using his experience. The treatment regimes go down similar paths except the tablets may be different and as you and I have found insulin is normally required eventually
Good question. I think that's why they are called 'General Practioners'. They are good at coping with a very wide range of patient problems but no way can they keep up with expertise in any one problem area other than by exception. I wonder how many diabetes DNs and GPs have had the time or inclination to read the new NICE draft DEC 2014 guidelines as there are a few changes in stress.Well that is good to know, but it must mean that our GPS aren't acting upon NICE guidelines which is worrying...why else are they guessing and not treating properly?
Good question. I think that's why they are called 'General Practioners'. They are good at coping with a very wide range of patient problems but no way can they keep up with expertise in any one problem area other than by exception. I wonder how many diabetes DNs and GPs have had the time or inclination to read the new NICE draft DEC 2014 guidelines as there are a few changes in stress.
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