From: Pauly B (PBERNDT) [#1]
12 Dec 2009
To: ALL
Hi new to this and a new Type 2
Question, What do you look for in an educator?
Here is my problem
I have an educator that is telling me to reduce my medication dosages. She is an RN. Since I have done what she has said my numbers have been going up. I am uncomfortable with her and have more trust in my MD. She said she would talk to my MD but I doubt she ever did. I went back to my MD dosages and doing better with my number control.
She also told me there was no need to see an endocrinologist. I challenged her on this and said that I had read you should check in every once in a while with one just to see if you are on target for your numbers. She scoffed at that. I asked about going to classes and she said that was not necessary and only see her for my questions. I think she is on a power trip.
Is this a typical for educators? Maybe I am better going it on my own for my own research? Any suggestions? Or more specfic how long does it take to find a good educator.
From: Geri in Co:Byetta(3-06) (GERI) [#2]
13 Dec 2009
To: Pauly B (PBERNDT) [#1] 13 Dec 2009
Welcome.
I commend you for questioning what your diabetes educator is telling you since your numbers went up. I firmly believe in going to a endo but when I was first diagnosed I went to my pcp who sent me to classes. I didn't go to an endo until I started having problems that she(my pcp) wasn't comfortable helping me with so she referred me to an endo.
I'd make an appt next time with the dr, not the nurse, and talk to him/her about what is going on and go from there. I'd also let the nurse know that you had to go back to the original dosages to keep your numbers down. Communication is key.
From: Pauly B (PBERNDT) [#3]
13 Dec 2009
To: Geri in Co:Byetta(3-06) (GERI) [#2] 13 Dec 2009
Thank you for the response. I was reading in the Mendosa blog that Endo's are the primary MD in Europe with 80% of those on insulin going to and Endo as the primary doctor in their care team. Their rate of complications is half of the US. Only 20% of people go to an Endo in the US and primary use their GP or Internist.
I also read that 50% of people on oral meds do not meet clinical standards based on a Elli Lilly study of 20 thousand people over a 5 year period. Of course the half could not care about their condition and are not watching their diet.
I want to avoid complications and think I am going to check out an Endo anyways. I have been having some readings above 150 in the morning fasting and that is concerning to me. My evening numbers are fine but climb during the night.
I also think that they are going to the most recent conferences and reading the current studies and trials so my thinking is that they would have an edge over my family Dr. B-)
Thanks
From: Geri in Co:Byetta(3-06) (GERI) [#4]
13 Dec 2009
To: Pauly B (PBERNDT) [#3] 13 Dec 2009
Message 842.5 was deleted