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I am bleeping furious

drahawkins_1973

Well-Known Member
Messages
452
Type of diabetes
Type 1
Treatment type
Insulin
Sorry this is going to be a bit of a long rant but needed to get it off my chest.

I have been having problems with my levemir as it no longer lasts the full 24 hours. I cant split it because I'm quite sensitive and the overlap gives my hypos.
I have ben managing this by given myself some quick acting novapaid to cover the shortfall which although doesn't solve the problem it is a solution of sorts. I dont really like having to keep give my self correction doses all the time to bring my suagrs downand would obvisouly prefer my basal to do its job.

So I made an appointment with my GP who arranged a consultation with the new diabetic nurse to discuss changing from levemir to another long acting. I;v just come back from the meeting and I'm really really peed off. He basically said I dont need to change my levemir as what I am doing is fine. So I said well it isn't as I'm using my bolus insulin to do the job becuase my basal is not working. He sdia well just dont use the quick acting to correct. And I said but then my sugars will be at 9-10 before bed and with dreaded DP about 10-12 in the morning and he said that was ok!!!!! So for 9-10 hours a day my DSN is happy with me be 9-13!!!

So they refised to give me any different basal.

I have asked to see the consultant as I am not happy with this.

Am I being pedantic?
Andrea
 
Not at all, although I dont know why you arent under a consultant already?

If you dont get an appointment soon chase that up. These muppets havent a clue.
 
Engineer88 said:
Not at all, although I dont know why you arent under a consultant already?

If you dont get an appointment soon chase that up. These muppets havent a clue.
Click to expand...

Muppets indeed. His first response was well if you go to bed at 9-10 then your levels would drop back to normal by the time you wake up.....utter nonsense!!!!
 
Hi. Whilst Levemir doesn't last 24 hours I sort of do what your consultant says. I take the Levemir at bedtime and don't usually have a Bolus at breakfast as the carbs are quite low and the Levemir is at it's peak. By the evening my Bolus is high enough to compensate for the flagging Levemir. Works fine for me and means I only typically have 3 injections per day. I don't use the Bolus as a correction dose but have the ratio that controls the BS.
 
I know it works what I'm doing for now. I isn't the rule sort your basal out and everything else follows. My basal isn't working for me and they won't allow me to try another.


Sent from the Diabetes Forum App
 
GP's are good for general stuff on the whole, but you really need to see a specialist, just ask to be referred to your local hospital diabetic specialist and clinic. If you don't get any joy speak to the practice manager. All the best!
 
drahawkins_1973 said:
Muppets indeed. His first response was well if you go to bed at 9-10 then your levels would drop back to normal by the time you wake up.....utter nonsense!!!!
Click to expand...
Wow fair enough GPs are not specialists but they shouldn't just make stuff up!
Ur basal level should remain stable over night and if it drops it's too high! Ask to see someone else!
 
moz1 said:
GP's are good for general stuff on the whole, but you really need to see a specialist, just ask to be referred to your local hospital diabetic specialist and clinic. If you don't get any joy speak to the practice manager. All the best!
Click to expand...
Thanks Moz. It was his general attitude that annoyed me as well. He said he wished all his type 1 had "my problem of being 9 or low teens" as most of them are high teens or 20's. What sort of reply is that?

I asked why nice recommends being 5-8mmol and told me they are just guidelines.

Hopefully they'll sort me out seeing the consultant soon.
Andrea
 
Emmotha said:
Wow fair enough GPs are not specialists but they shouldn't just make stuff up!
Ur basal level should remain stable over night and if it drops it's too high! Ask to see someone else!
Click to expand...
This was a DSN not a GP so you think they'd know better!
 
They're probably all high due to his bad advice by the sound of it!!!
 
The other pearl of wisdom from today was actually my levemir probably isnt running out it's that i'm getting stressed that it mgiht be running out and so the stress is causing my sugars to rise and i should maybe try raising my levemir dose to combat this.....sorry i'm still ranting aren't I.
A glass of wine and I'll watch Masterchef shortly and chill out i think
 
Sounds fairly typical of what you see in GP clinics though. For every good diabetic, they see ten bad ones, which means everyone is tarred with the same brush. Even if it's wrong.
 
I think I would be considering a letter of complaint.

Think how many other people he is giving stupid and potentially dangerous advice to...
 
No you are not! Get this sorted Andrea it's very important ! As we on the forum know those levels are harmful , hope common sense prevails here. Be firm an stand up for yourself.
 
I asked my GP to do the same thing and he has referred me to the diabetic clinic.
 

Absolutely not!

Go back to that GP and tell him you demand to try an alternative or you will hold him medically negligent for refusing you a prescribable alternative and putting you at greater risk of severe complications. If that doesn't shift his attitude, complain to the RCGP and move to another practice (whilst also getting a referral to a hospital).
 
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