Some of you might remember that a few months back I had a not so great endo appointment. I was told I was testing too much - that 2 or 3 times a day was enough and I would get burned out if I continued testing before and after every meal, before bed, and as needed when exercising. I'm a T1 on insulin -- 2 or 3 times a day???
Appointment with new doc was today -- what a relief! I went in fully prepared to defend the amount I test and blurted that out when her medical assistant asked, "Do you test?" He said, "Don't worry about it. I'm sure we have people who test more." The doc was equally cool. She could see that I was on top of things and didn't make me feel like she was going to micro-manage. She then said, "We automatically set you up for an appointment with a diabetes educator, but you can go ahead and cancel that if you want."
I will now let go of the feeling that I'm being obsessive with the way I test. The prior doc just didn't seem to understand that trying to bring everyone down to the lowest common denominator doesn't help anyone.
Glad you left that doctor quickly. I've been T1 for 30 years and have never had a doctor tell me to test less, especially as low as 2-3 a day. I know people that do more, but I've felt pretty good with around 4-6 a day.
Yeah! Congrats on finding someone who gets it.
Wonderful, Shawnmarie! Sounds you might have one of those rare docs that will work with you as a partner!
Congratulations. If you have the time - and we all have so much free time don't we- I'd actually see the educator. I've learned tricks and worked on problems with just about every CDE I've seen including those with whom I disagreed on targets.
Your diabetes educator is the DOC, it's a tremendous resource more people should use!
That's awesome you've found a cool doc! I don't "use" my doc all that much, mostly rx's. When I've had "issues", she's been like "I need to see you right away..." and then we'll meet and I've usually already done what her nurse emails me to do two days later, which sort of makes me roll my eyes at the whole process. A CDE may be useful if they are really accessable but I've only seen them like twice since 1984, right when I started and when I "shifted gears" to get a pump.
Yeah, good for you. I have been T1 for 37 years and have like the vast majority of people never had the endo say test less. In fact he was perfectly ok with writing a script for 10 times a day even when the insurance company wanted to limit to 6.8 or 204 per month. So congrats for going the extra mile to get what you want.
Thanks for the comments everyone. The prior doc situation was a resident with an attending, so I thought the attending might have been confused and thought I was a T2 not taking insulin. I wrote a letter to be certain there wasn't a misunderstanding. The resident called and confirmed the original advice. She said they rarely see people who test as much as I do. I still think the attending was confused and the resident was trying so cover in some way. Regardless, I think anyone with D should be encouraged when they're testing, regardless of type and insulin use status. The meter gives us valuable information!
Re the CDE, I will probably see her at some point, but things are pretty steady at the moment. Yes, the DOC has given me quite an education!