Ding, Ding, Ding. Yes, I am a bonehead.
Yes, I am looking for a new endo. As a new patient, I expect I will get a first appointment in 3-6 months. I've spent nearly three years asking my doctors for insulin and they have repeatedly refused, mostly out of what I consider concern over their own liability. I've concluded that the only way that any doctor will prescribe insulin for me is if I let my blood sugar get out of control, and I'm not going to do that to myself. I am not doing this in an uninformed manner and I do have a network for assistance should I need it. I own half a dozen books on insulin therapy and have read quite a bit more. I've been on injectables for more than two years. I maintain close ties to my local Inova Diabetes Center, I know the director and several of the RNs and CDEs quite well. I have discussed this move over the last two years with them. Should I need assistance, I am sure they are just a short call or email away.
In the end, this move is what I consider a three month venture out on my own. I am taking my doctors out of the decision loop and I am taking responsibility for the decision and all the liability associated with it. I understand the poor profile and variability in NPH, but it is available to me and I have a right to it. At the end of the three month period, I will see my doctors and review my progress. But we will be in a different situation on insulin, my doctors will no longer have to worry about whether they are liable for the decision. And don't worry, I don't intend to do this alone and will ask for help should I need it.
And I do thank you, all your comments are appropriate, and I would say much the same to someone else jumping up and declaring that they are going initiate insulin therapy on their own.