Endocrine ... or internist?

cgs's profile photo   04/14/2019 11:58 p.m.

Hello, let's see how I explain it ... I know that the most suitable specialist for diabetes treatment should be the endocrine, but I suppose that is as long as that person attends you, and listens, not only is limited to commentderogatory or to change treatments put by other specialists ... Yes, I already had my first consultation with the endocrine that has touched me and it cannot be said that I have done very well: disqualifying comments towards other specialists (I don't care if they are general medicineThat from another specialty), I did not let me explain things or if he left me he did not listen or just question what he said, he threw me with the anger because I consider that I have low when my glucose is below 70 (according to her until sheIt is not below 50 is not hypoglycemia), the resident was examined with her (I do not say that I do not do it ... only that she should be pending ...) and I know that at least the blood pressure does notHe measured well (the bracelet does not put almost on his shoulder ... he did not put it on his neck because he could not, I believe, and of course, rare values ​​came out, but it was) and a long etc.The fact is that my father has friendship with an internist from the hospital and it was the other day to ask for advice on different internists of the private (I am paying myself the insurance for repeated denial of specialists because at my age, almost 41 years, I amVery young to have problems such as Melanomas) and when telling him the problem he stood.The first thing he asked is that if they had asked me in the analytics, special antibodies.Answer: No (now I know more or less what I was referring to investigating me).An echo at least to rule out problems in the pancreas ... Answer: no.It tells you all my experience of descents and values ​​that are not normal in principle and their response was a "there is something else and you have to investigate it, in addition, if there are diabetes you have to do a study to see the guy, it is not worth supposing thatBy age and overweight I have a type 2 per se "Result: I have an appointment with him on May 21 ...
Some will think that I change endocrine, but the problem is that I have tried and obtained a resounding negative: first I have to have attended the consultation more than three times and second demonstrate that the treatment that that person gives me has harmed my health ...I believe that not being fully diagnosed and the change of medication because it is better for the other (which I had and did not work) is to harm my health, but there is disparity of opinion between them and me ...
Any advice?Despite having learned a lot thanks to you (the nurse who carries the diabetological education was surprised at what I knew), I am very, very lost ...
Thanks in advance, even if you can't clarify me a lot, you've already helped me a lot in these months.And forgive for the roll that I have put you.

cgs's profile photo
cgs
04/14/2019 11:58 p.m.

Diagnosticada de DM en enero de 2019, con tres generaciones (yo sería la cuarta) de diabéticos tipo 1 en la familia
En principio DM2 por resistencia a la insulina asociada a SOP (sin tener en cuenta los antecedentes familiares)
De momento, solo con Forxiga y Rybelsus (7mg) por la mañana
La glucosa hace lo que le da la gana
Ultimas Hemos: 7,2 (26/12/2023); 6,7 (12/2/2023, al mes de empezar con Rybelsus 3mg)
Última hemo: 6

     

Hello, I don't know if your problem is the hypos or that you are not well diagnosed ..
Do you use insulin?
Is that you give us few data ..
But I see that your glycosilada is 6; 3 and that is very good.
They will do more studies, but in the end the most important thing is that they put a treatment with which you keep the glycosilada well.
And you have to keep in mind that the glucometer can have a 15%error, and not be so low ..

Regina's profile photo
Regina
04/15/2019 2:02 a.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

     

Forxiga is used if your type 2 diabetes cannot be controlled with diet and exercise.
Your doctor could ask you to take Forxiga:
-On if it does not tolerate metformin.
-There with other medications to treat diabetes.
@CGS, this is what the prospect says.Is your case, you don't tolerate metformin?

solaria's profile photo
solaria
04/15/2019 11:54 a.m.

Debut 46 â- 2012. DM1. Celiaquía e intolerancia lactosa. Anemia perniciosa.
MiniMed 640g + SmartGuard.

     

regina said:
hello, I don't know if your problem is the hypos or that you are not well diagnosed ..
Do you use insulin?
Is that you give us few data ..
But I see that your glycosilada is 6; 3 and that is very good.
They will do more studies, but in the end the most important thing is that they put a treatment with which you keep the glycosilada well.
And you have to keep in mind that the glucometer can have a 15%error, and not be so low ..

Hello!Let's see, my problem in principle is that I am not well diagnosed, I do not use insulin, only Forxiga, and the glycosylated has lowered me a lot since January but I blame it for the pill, which forces the kidney to get rid of glucose ...

solar said:
Forxiga is used if your type 2 diabetes cannot be controlled with diet and exercise.
Your doctor could ask you to take Forxiga:
-On if it does not tolerate metformin.
-There with other medications to treat diabetes.
@CGS, this is what the prospect says.Is your case, you don't tolerate metformin?

Hello, to see, the first thing is that it is not even certain that I have a type 2, since they have not tested to check it.And they have put this pill directly, they have not tried with others, so I don't know ...

cgs's profile photo
cgs
04/15/2019 12:10 p.m.

Diagnosticada de DM en enero de 2019, con tres generaciones (yo sería la cuarta) de diabéticos tipo 1 en la familia
En principio DM2 por resistencia a la insulina asociada a SOP (sin tener en cuenta los antecedentes familiares)
De momento, solo con Forxiga y Rybelsus (7mg) por la mañana
La glucosa hace lo que le da la gana
Ultimas Hemos: 7,2 (26/12/2023); 6,7 (12/2/2023, al mes de empezar con Rybelsus 3mg)
Última hemo: 6

     

Hello good!

Well, it is weird, here in Madrid you can choose the doctor without giving explanations, I have changed a couple times and without problem.

My first doctor was a bitter, it made many perrearies and told me things ... Anyway

Total that we change hospital and chimpun

I went from putting 5 times insulin and having to always eat the same amount of everything to put me 2 times insulin and eat everything

It is very sad, but each doctor treats you in a way, and very different, changes in treatment, insulin, food ...

I have come to porfia the rations, specifically in the yogurt flavors, in one place they told me that it is 1r and in another 1.5r and I ... Hello?No standard?

I recommend that you change, if it can be hospital, better, if not, of a doctor and fight until you give with a competent half (there are not many competent at all)

noko1987's profile photo
noko1987
04/15/2019 2:24 p.m.

Crónicas de un diabético gamer y currante a turnos 24x7
https://www.youtube.com/user/noko1987

     

@"CGS" In all autonomies you can change your doctor and put a complaint in patient care.
The head doctor can help you.

Tomas pill and glyce with 6.3;It is a good value for a diabetic.A healthy person is between 4 and 5.
They may not have succeeded with the diabetes: Mody, Lada or 2, but I think that carbohydrates do not metabolize them well, not at least as a healthy person because the pill is helping you, that is clear.
I debuted with your age and they did more than a simple emergency analytics;The antibodies came later.And the pancreas has never looked at it.
If you can afford it, go privately.The analytics are cheap, the specialist already depends ...

Ruthbia's profile photo
Ruthbia
04/15/2019 6:04 p.m.

Lada enero 2015.
Uso Toujeo y Novorapid.

     

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