Welcome! This is written primarily for people with Type 2 Diabetes. Some information covers all types of diabetes. Always keep a positive attitude is my motto.
I am a person with diabetes type 2 and write about my experiences and research. Please discuss medical problems with your doctor. Please do not click on the advertisers that have attached to certain words in this section. They are not authorized and are robbing me by doing so.
April 8, 2014
When Are You Not Getting Enough Medical Care?
It is true that many people are
receiving too much medical care. However, many people with chronic
diseases/illnesses receive far too little medical care. This has not
always worked this way. Until just recently, people with cancer were
on the front line of medical care and all stops were pulled out to
see that they received the best care currently available.
Today, the reverse is true and cancer
patients are being denied care. I speak from experience that two
friends have been denied care under their new medical insurance
policies required by the law of the land – the Patient Protection
and Affordable Care Act, aka ObamaCare. Now I need to wonder how
many other diseases will suffer the same fate.
Diabetes has been suffering a similar
problem as I discussed in my blog, the medical community turns against people with diabetes. The people with type 2 diabetes not on
insulin are beginning to feel the full effect of this. More doctors
are not referring patients for diabetes education, not prescribing or
talking about people testing their blood glucose, and pushing the
more expensive oral drugs on patients.
Another problem has manifested itself
in the last few years and this is the activities of the certified
diabetes educators (CDEs). Some of their activities have existed for
decades, but the lack of good diabetes education for people with type
2 diabetes has accelerated recently. Doctors that are attempting to
use shared medical appointments are finding that most CDEs will not
participate. These doctors are discovering that they only desire to
work with one or two patients at a time and are giving anything but
diabetes education. Mandates, mantras, and dogma seem to be their
Three members of our support group are
talking about people they know that are being prescribed the SGLT2
inhibitors without consideration for existing renal problems. Their
one friend would not be able to take metformin because of kidney
problems, yet was prescribed Invokana. This tells us the doctor is
not knowledgeable about the medications he is prescribing. They had
their friend call his insurance carrier and in turn was recommended to another
doctor. When his situation was explained to the new doctor, the
doctor immediately told him not to take the medication and asked if
he would consider insulin.
Once this was decided, the doctor set
about determining the starting dose and informed the patient to
reduce the amount of carbohydrates he consumed and to find exercise
he enjoyed and could do. The patient said he had not gotten to
counting carbohydrates, but he had friends that would help him. The
doctor asked who and after hearing the names, agreed and said he
would get a good education.
Therefore, when having a doctor start
prescribing medications, make sure you ask:
#1. What Do You Think My Best
Treatment Should Be? #2. What Evidence Exists Suggesting This
Treatment is Beneficial? #3. What are the Potential Side
#4. What are the
Contraindications? #5. Is Watching and Waiting an Option? #6.
What Other Treatment Options Do I Have? #7. Is There Education
Available from Reliable Sources?
Number 5 above is often not an option,
but sometimes the answer might surprise you. In the early stage of
diabetes and even pre-diabetes, some people are able to manage with
nutrition (diet) and exercise.