Hi
I thought this might be a good place to canvass some opinions. I have been T2 for eight years its seems to run in my mums side of the family she was T2 and passed away with renial failure amongst other things earlier this year, she lived to 86 so not a bad age. All my cousins are also T2 as I found out at a recent rare family reunion. I seem to have problem over controlling my levels. For years I have been on meformin and the dose has been increased to try and combat the rising H1AC levels I am taking 2x500mg twice a day and also statins. After a test in October 2008 the Doctor decided to add 100mg Januvia once a day. At first my BGs seemed to lower but after a couple of months I contracted a bad chest infection and sore throat. I returned to the GP (not my usual one) and was prescribe antibiotics."He asked if there was anything else". I mentioned that a new drug had been adminstered and was told it should reviewed in three months. He looked at my notes on the screen and informed an internal meeting had been held and it was deemed not necessary. I went away confused. Two months later I was summoned for blood tests. The nurse took the blood and said thats it. I enquired about a follow up with my GP, she informed me that nothing was on the screen so it was not necessary. At this moment I blew my top went home and lodged a formal complaint in writing to the practice manager
I asked for a written reply, which really glossed over the major issues and implied it was up to me to do all the arranging.
I have since been back to the doctor's and they do seem to be a bit more obliging. On my last visit I explained that I keep getting sorethroats and a tight chest (Last time i had a sore throat was 50 years ago). I have mentioned this on several occasions but its not been picked up on. My last test in June saw my H1AC drop by 0.1 the doctor seemed pleased that it had gone from 8.0-7.9 (I wasn't) I also mentioned I keep have what I think are hypo's I took my wife on this visit as a witness and also to describe these hypos because I am out of when they occuur. He said T2 don't get hypos and started reading a book to try and understand. We agreed I should monitor my BGs to see what was happening, I informed him that is difficult when you only provide strips to test once a week. So with a load of strips I started the tests, I waited until I was on holiday so I could control it better. I noticed BG levels first thing are around 10-14 1hour after breakfast the rise to 22-26 1 hour later back to 14 I never seem to drop much below 10.
Now i have been testing on a regular basis I think my BGs are normally high so a low value of say 6 will create the hypo (thats my interpretation). I was referred to the Diabetic clinic to see the dietician, she thought my diet was fine and we had an interesting talk on GI foods and how to acheive a balance.
So here is my problem I am due for another H1AC test next week with this time a follow up with the doctor. (Up until my complaint I was lucky to get two tests a year).
So what are the questions I really should be asking. I seem to have an ongoing raised liver count but thats because of the medication I am told. I think I am just number on their list for which they receive funding for. I thought about changing my doctor but how can I pick a good one. I am concerned about long term with levels I am seeing now what am I going to be like in ten years. I am told the condition is progressive. I know that but what can I do to minimise the risk. I exercise don't smoke rarely have a drink.
Any thoughts would be greatly appreciated (sorry about the long post)
I thought this might be a good place to canvass some opinions. I have been T2 for eight years its seems to run in my mums side of the family she was T2 and passed away with renial failure amongst other things earlier this year, she lived to 86 so not a bad age. All my cousins are also T2 as I found out at a recent rare family reunion. I seem to have problem over controlling my levels. For years I have been on meformin and the dose has been increased to try and combat the rising H1AC levels I am taking 2x500mg twice a day and also statins. After a test in October 2008 the Doctor decided to add 100mg Januvia once a day. At first my BGs seemed to lower but after a couple of months I contracted a bad chest infection and sore throat. I returned to the GP (not my usual one) and was prescribe antibiotics."He asked if there was anything else". I mentioned that a new drug had been adminstered and was told it should reviewed in three months. He looked at my notes on the screen and informed an internal meeting had been held and it was deemed not necessary. I went away confused. Two months later I was summoned for blood tests. The nurse took the blood and said thats it. I enquired about a follow up with my GP, she informed me that nothing was on the screen so it was not necessary. At this moment I blew my top went home and lodged a formal complaint in writing to the practice manager
I asked for a written reply, which really glossed over the major issues and implied it was up to me to do all the arranging.
I have since been back to the doctor's and they do seem to be a bit more obliging. On my last visit I explained that I keep getting sorethroats and a tight chest (Last time i had a sore throat was 50 years ago). I have mentioned this on several occasions but its not been picked up on. My last test in June saw my H1AC drop by 0.1 the doctor seemed pleased that it had gone from 8.0-7.9 (I wasn't) I also mentioned I keep have what I think are hypo's I took my wife on this visit as a witness and also to describe these hypos because I am out of when they occuur. He said T2 don't get hypos and started reading a book to try and understand. We agreed I should monitor my BGs to see what was happening, I informed him that is difficult when you only provide strips to test once a week. So with a load of strips I started the tests, I waited until I was on holiday so I could control it better. I noticed BG levels first thing are around 10-14 1hour after breakfast the rise to 22-26 1 hour later back to 14 I never seem to drop much below 10.
Now i have been testing on a regular basis I think my BGs are normally high so a low value of say 6 will create the hypo (thats my interpretation). I was referred to the Diabetic clinic to see the dietician, she thought my diet was fine and we had an interesting talk on GI foods and how to acheive a balance.
So here is my problem I am due for another H1AC test next week with this time a follow up with the doctor. (Up until my complaint I was lucky to get two tests a year).
So what are the questions I really should be asking. I seem to have an ongoing raised liver count but thats because of the medication I am told. I think I am just number on their list for which they receive funding for. I thought about changing my doctor but how can I pick a good one. I am concerned about long term with levels I am seeing now what am I going to be like in ten years. I am told the condition is progressive. I know that but what can I do to minimise the risk. I exercise don't smoke rarely have a drink.
Any thoughts would be greatly appreciated (sorry about the long post)
