Has anyone here ever been kicked out of a Doctor's practice for non compliance by refusing a statin drug?

I got a phone call today from the nurse at my doctor's office telling me that my lab appointment for tomorrow has been changed to a fasting appointment. The GP has ordered a diabetic labs including A1C and fasting cholesterol.

I asked why the cholesterol test when I am intolerant of statin drugs because of some side effects? The nurse reminded me of the fact that my LDL level was out of control and my A1C at 6.1 wasn't very good either.

She then insuinuated that when a patient's levels are out of control that it makes the doctor and the practice look bad. I was told that 'they' (whomever they are) are putting the pressure on the doctor for all patients, especially diabetic patients, to be under control, and perhaps if I wasn't under control that I would be kicked out of the practice.

So.......now in addition to worrying about managing my diabetes, blood pressure and cholesterol - I have to worry whether I will be kicked out of the doctor's practice too? I thought this was America, where we have freedom to choose what medicine we want to take? :(

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I'd be very leary of a Dr's office like that. Yes a Dr's office can dismiss patients from the practice...but it usually for pretty significant reasons. Failure to keep scheduled appointments, getting verbally abusive with staff. I think in all the years I have worked in the medical field I have seen it happen like once or twice...both times due to patients getting verbally abusive or inappropriate with staff.

And an A1c of 6.1 in a diabetic is pretty damn good. My personal opinion find a new dr's office.

Not to get all political, BUT I think we are about to see a HUGE change in health care thanks to ObamaCare and a LOT more regulation and providers answering up to patient's performances. This is just my personal take on it working in the medical field, but I'm not impressed with ObamaCare.

I agree with you 100%. This is what Nursie Nightshade was referring to IMHO. In all of my 67 years I've never once been verbally abusive to any health professional. I might cuss in my own home or my car in the parking lot, but never in the doctor's presence.

I had to change endos about a year ago. The last A1C prior to the first appointment was 5.1. He told me if I had another like that I would be released as his patient.

I thought it was cruel, as Endos around here are impossible to find: no pump patients, no patients from other endos, no new patients period. No endo, no pump or, as I call it, no lifeline.

I was kind of shocked.

I would have reported him to the county and/or the state Medical Board. What did he expect your A1C to be?

Here is where I become very confused. I do agree that an A1C of 5.1 pretty much indicates that I have too many low blood glucose levels. I am actually trying to lighten up a bit on myself, but if you saw my post about the Paramedic visit last Sunday, it is pretty obvious I am still struggling with lows.

Here is an almost exact quote of what he said (my A1C in his office that first day was 5.6): "If you having another A1C as low as 5.1, I will release you as a patient. You have a long way to go to an A1C of 7, so loosen up on yourself. Lower your carb to insulin ratio, correction, and basal rates. It is not the high glucose levels that will kill you, it is the lows, especially with your history. The lows mess with blood vessels, heart, brain and that is what will get you if you keep this up. See me again in 6 months."

And people wonder why I just use the endo for pump prescriptions.....

I see on your profile your A1C was 6.4 Assuming this is the one before your 6.1 I would say you are doing great to come down 0.3 points. I aggree that it's time to find another doctor.

Remember that this is the nurse saying all of this. I would wait and see what the doctor says.

My primary care physician said that they are required to report their D patients A1C's and other numbers to the insurance companies. If their patients are not "compliant" or don't fit in to the guidelines they can lose the insurance company reimbursements or be sanctioned as a result. And while this is definitely still America last time I checked doctors with those pesky non compliant D patients can be held liable.
But at the same time I agree with Christy, find another doctor. It's just not worth the hassle imho.

It was insinuated to me that no doctor in the area would have me as a patient if I am non-compliant.

An A1C of 6.1 is pretty awesome and indicates at the very least compliance with keeping your blood sugars in check. As far as the other numbers if they're really off the chart then a statin is not necessarily the worst thing in the world. Given the D propensity to get CVD complications I am ok with my doctor recommmending I take one. Whether I do indeed take it or not is not my doctor's business. If I fill the prescription there is nothing that says I actually have to take the pills. And who is going to be watching me ? I'm pretty sure there are no Statin Police hanging out at my house. " Oh yes, I have been taking the lipitor exactly as you prescribed" I guess it is just not working ". Fairly simple little white lie in my opinion. And if you really like the doctor then why not. I didn't type that , it was my evil twin. But seriously if I did everything my doctor told me to do I would be dead.

Hahahah I love it Clare I didn't type that, it was my evil twin.

My evil twin does a lot of typing for me lol




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