Replies to This Discussion

Permalink Reply by Tess on March 15, 2012 at 5:12pm

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.

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Permalink Reply by Parrformance on March 15, 2012 at 5:31pm

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?

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Permalink Reply by Tess on March 15, 2012 at 5:45pm

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.

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Permalink Reply by Parrformance on March 15, 2012 at 5:55pm

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?

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Permalink Reply by Tess on March 15, 2012 at 7:00pm

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.

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Permalink Reply by drsoosie on March 15, 2012 at 7:41pm

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.

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Permalink Reply by Parrformance on March 16, 2012 at 2:53am

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.

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Permalink Reply by Shawnmarie on March 16, 2012 at 8:50am

Here's a thread I started about needing only bolus to help with the post-meal spikes:

http://www.tudiabetes.org/forum/topics/any-other-t1-ladas-who-are-b...

There are more people in that boat than I had originally thought.

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Permalink Reply by Shawnmarie on March 15, 2012 at 8:22pm

I was diagnosed five months ago at 47. My post-meal numbers indicated bolus insulin was needed immediately. Still on bolus only.

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Permalink Reply by drsoosie on March 15, 2012 at 10:38pm

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.

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Permalink Reply by Shawnmarie on March 16, 2012 at 8:47am

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. :-(

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Permalink Reply by awg0681 on March 16, 2012 at 9:51am

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.

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