My endo is Brian Lake, Gessler Clinic, Winter Haven. I was dx'd Jan 2009 at age 52. Became his patient Nov 2009. If you're not pleased with the 2nd Endo, consider him.
Dr. Lake is who we made the appointment with, I am glad that you are pleased with him. My appointment is in May, unless they have a cancellation come up before then. I want to cancel my other Endo appointment, but I do not want to get the cart ahead of the horse just yet.
Is Dr. Lake really in his thirties or early forties?
Yes, he is. I like him and hope you do, too.If you come with questions, he'll answer. Have you had diabetes education class? I found my class to be very informative. I took it through Bond Clinic, before Lake came to Gessler. I found it to be a bit discouraging being only T1 of the diabetics taking the class, but I still learned.
tudiabetes is also a great source of information.
I have been to a set of four classes, I also learned quite a bit.
I was very uncomfortable with all of the T2 folks in the classes, I mean I just kept asking myself what am I doing here.
By the time I got to my first class I was weighing in at 158 lbs at 5' 9", I was the smallest person in the room. I am now hovering at 140 lbs, it has definately improved my riding.
Does Dr. Lake have a positive opinion on pupms and CGM's?
Yes, I'm on a pump and CGM from his prescription and he tweaks basal and bolus based on the generated report readings from the pump.
I had an ER episode that became the impetus to have a CGM and pump.
My doc waited a bit until I came to him feeling like crap. At first the idea of insulin so freaked me out I was willing to do anything to avoid it. One day my doctor said, 'I don't think you will want to live the rest of your life without eating a potato or ice cream again." Once my BG's were consistently in the 200's and I felt horrible, I cam to him and asked him to put me on insulin. The next morning, after the first dose, I felt like it was miracle...I had not felt that good in a long time.
In any event I still don't eat potatoes and only eat ice cream on a rare occasion...but that's me and my choice.
My diet is also very strict, 125-175g of carbs a day, but I can tell after meals that I need a boost.
I often just feel so bad 45 minutes to an hour and a half after a 30 g carb meal. I usually need to lay down my head for 5-10 minutes because I cannot focus or stay a wake. By the two hour mark my bg's are good and I feel much better. I want to start Insulin(long acting) soon, both to counter act the meal spikes and preserve the remainder of my Beta cell function as long as possible. I have read other posts about the Insulin helping to "feel good" again, and I know I do not want to feel like I did on the oral meds ever adain. I stopped taking the oral meds last September 5th, against my Endo's advice. When I went to my next Dr. visit and he gave me my A1C number, I let him know I had stopped the meds, he said "that's alright they probably weren't doing anything for you anyway". Needless to say this comment and a few others have shaken my confidence in him.
Here's a thread I started about needing only bolus to help with the post-meal spikes:
There are more people in that boat than I had originally thought.
I was diagnosed five months ago at 47. My post-meal numbers indicated bolus insulin was needed immediately. Still on bolus only.
That's interesting. I only did basal to start for about three months until I felt a bit too constrained and afraid to eat. I wonder why they started you on bolus only? I was 46 when diagnosed...it's been three years.
The numbers showed that's all I need right now. After my body recovered from the shock of having had high BG for the time I was undiagnosed, my fasting numbers have been fine. It's the post-meal spikes that I need help with. But that may be changing. The last three days my fasting BG has been >100. :-(
I started my insulin right away (just diagnosed on Feb 6 2012, but had all the symptoms for a couple of months before). My HbA1c from my initial visit to the GP was 16.5% and had a low c-pep level (not 0 though). They started me out at 10u of Levemir increasing every few days if my fasting level wasn't below 120. I was doing 16u every night and combined with a very low carb diet had pretty good control. Just recently at my first Endo appointment I got some Novolog so I'm still figuring out my correct ratios. I guess I'm still in the honeymoon period since my levels are fairly easy to control with the levemir and novolog.