Finally had good experience with endo NP Called a month ago for review of my AID therapy settingsand no response from doc for over a month. called the practice and was offered appt. with NP whichnI had last summer, manuervered to get to endo (not much better than NP). Endo sarcastic, stupid jokes ,scolding). Was told another NP there, never met, made appt. with her. Much more attentive, felt listened to, she went over settings, wrote out what to take in pen when glucose high and won’t come down. Endo came in with stupid joke to assess my emtional condition……must have have picked up on my irriration with their half-assed medical care. I told endo this new NP was “great”. I was so pleased that I forgot to ask for “summary of today’s visit” to see what was written aout me.
@andrea8 Congrats on finding a good NP! Having somebody listen and respond is a great thing…in-person or remote! Given many of the stories here and self experiences with other docs, I’m glad my Endo listens and responds, actually discusses WITH me not at me. Hopefully, you’ll have more with this NP and less negative experiences with the Endo. I get that some folks need to be counseled, but don’t think raising voices is what most of us need.
That’s great. Sooner or later you will have to meet the old fogey again but maybe by that time his new and accidental NP will have educated him to be, hum, I don’t know how to express it, be less Doc Martin? (The name is not the obvious reference, it’s to an old UK television series about a bumptious physician.)
I like that term talk with me not at me cause that’s what I felt before. Judgment some sarcasm and scolding for my my behavior or compliance.
I asked my new (and favorable) NP about your statement that insulin does not work well for you after 250 glucose level. She somewhat dismissed it as implausible. I told her that you have been a diabetic for years and must know your own body that well so could not be discounted.
She probably wouldn’t like my solution. I get eye rolls from my endo, but it works for me. I use a 100u syringe because they have the longest needles, 1/2”. I will do an intra muscular injection in the deltoid muscle.
It is the only thing that would bring my BG done when it is 200+mg/dl. Multiple pump or subcutaneous injection don’t seem to work.
One thing, I am not suggesting anyone do this, but if you do have glucose handy incase you go low. Not chocolate, glucose. I always have glucose tablets handy. I also have a bottle of Karo White corn syrup. Corn syrup, not high fructose corn syrup, is 100% glucose. I oz equals 15 or so grams.
@CarlosLuis I haven’t tried the syringe/needle combo you describe. I think @Eric has done it as well for a stubborn high. Going the other direction, I always carry a 10-tab tube in my left pants pocket! (For women they’ll fit in purse/clutch…probably showing my age!) They’re the “Just in case” supply, though real food works best (apples?) The tubes are refillable from a larger jar. If there’s a bit more time and IOB is higher than desired, I prefer real food (apples?). The tubes have served me well over the years, but there are also various containers for sale that carry 2-4 or so. I don’t think I’ve ever taken more than 4 tabs and I think that’s happened twice in several years. My apologies, I’ve hijacked the thread…back to Endo experiences. @andrea8 I admire the discussion you had with the NP and think its good she hears your thoughts, even if she disagrees, it keeps her advised of what actually works for people with T1/2, who knows better the folks that live with it daily or those that read/do studies…I think there needs to be a meeting of the minds and discussion!