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Message: <blockquote data-quote="Leich4hardt8" data-source="post: 1260480" data-attributes="member: 329534">I was finally diagnosed, after 13 years as a type II diabetic, as being type IA in March of this year.  I was initially prescribed Gliclazide, to which it was later insisted that I take Metformin.  In spite of my complaints that Metformin made me depressed, and the empirical work that I undertook to confirm that it was the drug that affected my mood, my diabetologist poo-pooed my view and wrote an extremely uncomplmentary letter to mr GP about me, a copy of which that GP sent to me.  Consequently and unilaterally, I discontinued Metformn and felt much better since then!In 2011, as a result of another GP's negligence, I required amputation of a little toe and it's attached meta-tarsal.  No apology gained for that either.  This March, I was admitted to hospital after a week of illness, during which I had been able to neither eat nor drink.  My admission diagnosis was diabetic ketosis-acidosis but, on investigation, proved to be starvation ketosis.  From a BMI of 22.6 in December 2015, I had dropped to one of 19.5 on admission.  My new endocrinologist then remarked that he had never seen a type II diabetic with my body form and investigated the issue, finding me to be type IA.  Since then, I have maintained good blood glucose control on 160 mum Gliclazide bd and regular exercise.  My BMI is now 23.6 and I feel healthier than I have for years.My confession?  I am a senior medical practitioner and, for 13 years, I have allowed a bunch of mediocre practitioners to ruin my health.  I tried to be just an ordinary patient who didn't interfere with my management until the conflict about Metformin.  My experience in challenging my medical attendants?  Always frustrating and sometimes angering.  My advice to others?  If it doesn't feel right, it probably isn't!  Be involved with your treatment and challenge all that seems wrong or has not been properly explained to you.  That's the advice I have always given to my patients and I still puzzle about why I waited so long to exercise the very same advice myself.</blockquote>

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