Tim called me this morning and said we
were not having a May meeting. He had called several others and
would be sending out an email to that effect. He said with what Sue,
Brenda, Allen, Ben, and Barry were working on, he felt that some were
busy enough without a meeting taking up their time.
The woman had been discharged from the
hospital and Brenda and Sue were busy counseling her as well as
getting her to classes the doctor had ordered her to take. Her
husband was taking vacation to be able to attend the classes with
her. In addition, he had told his wife that the children knew and
she could accept that. From what Sue has told us, she is very
unhappy that the children know, but the doctor has told her that is
the reason for the classes and he was the one that informed the
children.
Barry had said that the three of them
were working with the fellow and his wife to teach them about
diabetes and how to plan meals and carb counting. Allen had been
with him and his wife at his last appointment. With the information
from the doctor for determining the insulin to carb ratio needed and
how to adjust his insulin they were making progress and he was now
injecting before eating.
Barry added that working with his wife,
she now had foods available to treating lows and she was working with
her husband on adjusting his insulin use. He is starting to lose the
weight the doctor said he should and would need to be careful in his
insulin use.
Tim also informed us about another
individual that A.J and Jerry were helping and he was having a
difficult time with depression. He was not on insulin, but using
metformin and was having stomach problems. They had talked to his
doctor and were able to change to the extended release pill and he was
doing much better.
The individual needed to lose about 40
pounds and Jerry had brought in Allison to help set out a meal plan
he could follow. He is protesting the reduced carbohydrates, but
Jerry told him that this would help him lose the weight. Because he
could not exercise other than sitting in a chair, he needed to reduce
the carbohydrates he consumed. Allison had explained this to him and
he still does not want to eat any fat. Allison told him that it was
not the fat that added his weight, but the carbohydrates that had
contributed to his weight gain.
A.J had told him that he should be on
insulin, but his doctor will not prescribe it and started to ask him
is he was failing to manage his diabetes. A.J happened to be waiting
for him and when he said this, A.J said he needed to change doctors
and he knew one that would work with him to help make managing his
diabetes easier. The individual said you do this when a doctor will
not prescribe insulin. A.J said especially one that tries to make
patients feel like they have failed.
A.J continued that he had started on
insulin and then moved to an oral medication and finally was able to
get off of all medications. This surprised the individual and he
asked if this was possible. A.J said the fact that he was confined
to a wheel chair, the odds were not in his favor, but it may still be
possible if he followed Allison's advice and continued to work on his
weights.
The last paragraph of the email asked
if everyone would like an early June meeting, possibly on June 4.
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