So I went to meet my endo in person for the first time ever today (I’ve only had diabetes for a year, and our few visits have been virtual so far). All I can say is that I’ve come out of it feeling super deflated and disappointed.
He’s a perfectly qualified doctor, extremely well educated, and I like him well enough as a person. However, a lot of his suggestions caught me off guard because they weren’t what I was expecting.
For instance, I’ve been schooling myself on diabetes by listening to the Juicebox Podcast and reading books like Think Like a Pancreas. All of them say that basal rates are the foundation of every diabetes protocol and getting them right is very important. All of them say that the pre-meal bolus is important, too.
But my doctor mentioned two things that surprised me. He basically said basal rate doesn’t matter that much, and that I should just keep my overnight basal at the standard rate he set for me (0.95/hr). I had done all of these overnight basal tests that felt inconclusive and he basically said they weren’t necessary. He also said I didn’t need to worry about pre-bolusing, and that I should try just giving myself a bolus when I sit down to eat. He make suggestions for changing my IC ratio to 1:8 (more aggressive).
I talked to my (non-diabetic) partner about all of this, and how it confuses me. I think maybe I should consider looking for another doctor, and he thinks that I’m not giving this guy a fair shake, and that I should consider his suggestions before writing them off.
Thoughts? Thanks in advance for your support. It is weird how I feel even more alone and lost following an appointment like this…still new on this journey and it is really, really, really hard.