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Question:
From Microsoft Network:
I'm 48 years old, diagnosed 3 years ago. I don't know the difference between
type I and II. I take pills for control. I've had 2 back operations in the
past year. Since my second surgery, my blood sugar levels are all over the
place. My morning fasting numbers are often 155 to 200. If I go all day
without eating I can keep my levels down, but if I eat anything my sugars go
up again. I never eat sweets or sugar. I don't lose weight even when I
don't eat. My doctor (family internist) doesn't seemed terribly concerned
or able to answer some of my questions. I hate being fat.
I weight 243 lbs. and am 5' 7" tall. I'm definitely overweight, but as I
said, I don't eat and still don't lose weight. I take 5 mg. of Glucotrol
[glipizide, a sulfonylurea Ed] in
A.M. and 2 1/2 at night. Sometime after dinner (we often eat late) my numbers
are 300-400. I'm confused, scared, and tired of being heavy. Can you help
me? Please!
Answer:
You've got a handful. Several thoughts:
- If you haven't reported these blood sugar levels to your internist,
you've got to do so, promptly! (There are many other treatment options
besides the pill your doctor has recommended, and you should be looking at
these other options now.)
- Have you asked your internist for a referral to a diabetes team? (You
need help from a dietitian, a diabetes nurse specialist, and last, but
certainly not least, a sympathetic physician.)
- If your doctor refuses to answer your questions, change physicians.
- If you've already seen a diabetes team, either go back to them, or ask
for a referral to a different team.
- If your doctor refuses to refer you to a diabetes team, change physicians.
- If your doctor refuses to refer you to a diabetes team, call the local
chapter of the American Diabetes Association to find a nearby diabetes
education program that's been "Recognized" by the ADA, or another diabetes
program that they know and can recommend.
WWQ
Original posting 25 Oct 96
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