Well, it has been a long time coming, but I've decided that I'm going to start an insulin regime. Some of you may have thought that I've been on insulin for quite some time, I'm sorry if I left you with an incorrect impression. I decided a while ago that I would be moving to insulin and that in order to be successful, I needed to be smart about it. I've been asking to start insulin for three years and been repeatedly denied. Most recently changes in my triple medication regime failed again to show any long-term improvement in my blood sugar control. I had my c-peptide tested and found that I appear to be insulin deficient (not enough yet to meet pump criteria). And after a series of "unfortunate" events, I've had to leave my endo who never gave me the care I sought. Given that I have to start with a new endo and my regular doctor long ago threw up her hands at being able to help me, it seems like the perfect timing.
I've been repeatedly told that the reason I can't use insulin is that I will have hypos and it will cause me to be fat. Yes, insulin can cause hypos and it can cause weight gain. But in truth, I think my doctors have been "insulin resistant" declining to prescribe insulin because my blood sugar has not gotten out of control. They don't want to be the doctor that did the nasty deed of first prescribing insulin and be held liable for something going wrong. Well I follow a strict regime, a very low carb diet and take good care of myself. I will only reach the thresholds that will enable my doctors to act (A1c of 8-9%) after some serious extended time with poor control and I will not let that happen to myself.
So I've concluded that I need to take the matters into my own hands. I have purchased insulin and syringes and am starting a regime. I've known for some time all that I need to know in order to implement my insulin regime. I'm not asking anyone for help with this, this post is about me announcing my decision. I've already told my family and a number of friends. I will tell my doctor(s), but not for three months. I'll not give them the opportunity to intervene in what is "my" decision. I will tell them at my next quarterly appointment, but at that time, the decision to go on insulin will be "moot," it will have been taken out of their hands.
I would certainly appreciate your comments. If you want to call me a bonehead, that is fine. In the end, we need to be responsible for our own care.