I need help or advice, thanks

Clara, I lived a situation similar to yours.At the root of a vesicula operation they diagnosed me prediabetes, but my "step" header of everything and there came a time when I went from bed to the sofa, in some routine analyzes di 455 of basal.I change my doctor and now I have one that is great, and the educators re -solve you the doubts about the disease, the treatment, the food ...
As every person is a world, because of my obesity I started with Byetta, I was luxurious, but I had a horrible diarrhea so I remain anything other than insulin.
As you have told you, the fellow experts changes doctor, without regard and if until the day you have an appointment with the endocrine you do not improve the levels you are going to emergency.

Hello, thank you very much for continuing to advise.Even if you go to the emergency room, they do not send you to an endocrine, you get the sugar of the moment and send you to the header again, and she is the one who has to give you a steering wheel for the endocrine. Today I lifted me and I had it220, I have put 65 of Lantus and 8 of the Rapida and 2 hours later I had 304, so you see. Exercise I do not do or do it, I have more than 60% of recognized disability and I know that I have more than what I have more than what I have more than what I have more than what I have more than what I have more than what I have more than what I have more than what I have more than what I have more than what I have more than what I have more than what I have moreIt happens that I do not give me the points I need not to pay me, and I also have a disabled girl to attend to do everything, in short that I am alive for the mercy of God, well thank you very much for your help, I will continuereading.

Please, clear, change your header if you don't do well.If you continue like this you will end very badly.

It is a pity (it gives anger, the truth) the emergency room, but clear, Alea is right.Ask for a change of the header or tell him that he is playing with your health and pressure it at once, because it is not normal or good and you have to be bursting.Those values ​​make me exhausted.Maybe now you don't realize why you've got used to it ... but what if things change later ...

I think Lantus + 3 quick punctures.Even it would be good to associate metformin if you tolerate it.There are other mixtures with oral antidiabetics but are more complex.

On the other hand, the attitude of some colleagues ashamed, without comments.Just one more thing ... I don't know where you are from, but in Andalusia they press doctors to meet a pharmacy objectives whose sole purpose is short -term savings.One of the indicators is to prescribe a high percentage of insulin NPH because it is cheaper than Lantus (sends puffs).Hence, some are still committed to mixed insulins.

Sport is fundamental.If you have many pains or tiredness, you have to see if the deceased is mood, or the deceased can be a thyroid disorder, or the pains are a joint problem that can be treated with anti -inflammatories.Of course we are assuming that you have correct family support, and this is fundamental.

Another thing, I do not recommend that you go to the Emergency Department for something that is not urgent (understand me, it is something preferential, but I know few hospital emergency professionals who grow with those treatments ... Maybe some like me that we are a bit sounds).You probably lose time.The system falls, you cannot follow everything free and without limits.It would be necessary to limit the one who does not need it to allocate it to the one who needs it.

Greetings and improve those figures.

Sorry, I just read where you are and the family situation.The hospital emergencies is very sad, and it will go worse.The majority of emergency professionals are prohibited under rope making preferred derivations (only some regional hospitals have this active).

I usually quote patients at 2-3 days of seeing them when I change treatments but I already tell you, not everyone does it or this is an emergency function (I personally do it when I see that the patient is "abandoned" ofthe hand of God).

Approximately 1 month and a half ago, cites a patient 4 times in 10 days to adjust the treatment of heart failure.That should be done in health centers.In the end, for the system, you are the bad in the film, because you spend more and make more referrals.

So we are ...

Pedro, I understand what you say as a health professional and I know that you are many times tied hands and feet for an accounting that makes medicine something meaningless sometimes.I am one of the people who are not going to emergency unless it is necessary (really necessary) I have only attended three times in 10 years of diabetes.One had to enter me, another was out of my community and they did not watch me, they only stabilized ketonuria, and the third had me under observation.In all three I came for not even accepting water by having really severe hyperglycemia.

I know that it is not an emergency function to treat patients, but if you get one with a blood glucose between 250-300 every day, to whom your head doctor completely denies a health option, I think it is duty, because of theLess, derive it to see what happens or pay 5 minutes of patient care.I am totally in favor of the sanitary copayment and I will always say that the SS has treated me luxurious, but it does not seem to me to receive balls outside how many do (perhaps those that are above) is an unsustainable system that should not be dropped andIt should not be neglected.That your hands are gathered in medicine makes no sense when the broken hand has those above, and what a coincidence that the hole has direct connection sometimes with your pocket ... but I suppose that is to enter political debate.What I really wanted to say is that it does not seem reasonable that attention is not paid to a patient who clearly needs help because he is not being heard.Thank God that there are doctors like you, for what you tell.

I still think that, before indiscriminate copayment, what would have to be rethink is that of free medicines to pensioners.There will be pensioners who have to be given for free (those with low pensions and little heritage), but I do not understand that we have to give free medicines to the Duchess of Alba or Emilio Botín, just for being more than 65 years old.
Free for whom you cannot pay, and copayment proportional to the income and/or heritage of each patient.That is my opinion.

Health

I live in Andorra, here of all medical expense (medicines, medical visits, analysis, controls, etc.), we pay 100% the user (patient), a posteriori (1 week later as maximum) the CASS (Caixa Andorrana de SecuritySocial) returns 75% of the amount in your bank account.
We are already used to this so, you know that when you go to the doctor you pay and then they (the CASS) return you 75%, if applicable.
I do not know if it is the best system but when you go to the doctor, in the consultations you see people who need a medical visit, not to people who have nothing to do and spend the afternoon (always after watching a television novel) occupying timeof the doctors, who are quite saturated, and monopolizing medications for homemade pantry.
This is the experience that I have detected when I ever on vacation in Spain I needed to go to the emergency room, I have found saturated emergencies and not always people with true needs of the service in question.
Obviously I am not generalizing but people have to be responsible for the cost of health and especially the wonder of never having to pay anything.
With this I am not exculpating the politicians, who have been the authentic guilty of the current situation of our health (Spain, Andorra, France, etc.), since they have created true kingdoms of taifas in all sectors in which they could hide, they, their political parties, the companies of their relatives, or simply the people with whom they were politically indebted.
The real situation is that there is no hard, here in Andorra they are beginning to limit the visit to specialists outside the country, before it was usual to be visited by a specialist in Spain or in France.
Used as people swallow and nothing never happens, then go ahead, now I restricted the strips, then I limit visits to specialists, and if I still need money because what I do will see.That if I am never going to consider the economic shit of all the countries in the flu A and the cost that this has meant, so that if the patients (taxpayers) never complain.
Now they want to delay retirement, I wonder when a worker 38 years ago was discounted part of his salary to have a dignified retirement assured tomorrow, that was not a full -fledged contract between the receiving administration of themoney and the monthly paying worker of the amount.
Contract that now after dilapidating public money for years, that not us, since we continued paying, hoping to finish our working life quietly and with a worthy pension, assured by them at that time.It turns out that it is no longer so that we live the contract every day and extend the work life.
If I try to do the same with the bank, I renew my mortgage because as I am going to live more, not that is not so if you do not pay ..., and they with 8 years of service (mangoneum, or two legislatures) charge the100%.
Where I lame ... These people have studied and where I take ... I have left my integrity to continue enduring, and keep thinking that there is nothing to do.

I'm sorry, what a message I just gave birth, but it's that I am more tired and more frustrated every day.

Well, the copay is almost here ...
In the Valencian Community as of November 15, when a person needs some of the orthoprothetic benefit (crutches, chairs, prostheses etc) must advance the money and then the Ministry will reimburse the money ... They say that before 2Months: Mrgreen:

I insist that in all of Europe they have been with the copayment for years ... that in itself it is not bad, provided that it regulates well and the special circumstances of some people are taken into account ...
And what Alea says, pensioners reform ... essential.