What kind of care should people expect after being diagnosed at a clinic, urgent care or emergency room?

During the diabetic screening, I heard several stories where people had gone to one a medical facility were told they could be Pre-diabetic or diabetic. They were "patched up" given a prescription and left without any long term care plans. Of course I think this is horrible and grossing under serving the community. I counseled the these people and told they need be under the care of an Endocrinologist to get a proper diagnosis.

This just made me think shouldn't the public expect more from our medical facilities? If they were given an HIV/AID dx'd would they have offered all kinds of counseling and resources? I can under stand their position but I also think they can deliver information about community resources for diabetics. I would have loved to have the information about the several diabetic clinics they have here in Los Angeles. I eventually dumped my internist for a Diabetic Clinic that gave me better care.

Am I wrong for thinking this way?

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You're so lucky to have groups like this in your area. We have nothing like this where I live in the deep South.

I am familiar with Dr. Drexler. I go to UCLA for my treatment. Yes I would like more information! I do take insulin and I was never told to basal or bolus. I am learning about it now on my own.

I want still going to do a resource center.

I friend requested you so I can send you the directions to the event. Also, I will RSVP for you if you are truly interested in attending.

I think that a huge problem I've observed is that doctors seem very reluctant to talk about food "we are here to talk about medicine, if you want to talk about food, you can see the dietitian" which is sort of backwards. Insulin/Food balance is the essence of diabetes control. You are taking what amounts to hard drugs (T1 or T2, although I haven't tried T2 meds?) that must be balanced accurately w/ food and the doc won't discuss food? Maybe my docs are the exception rather than the rule but I think other people have reported this too. With the limitations imposed by people running the dietitian profession, it's sort of a losing battle that logically leads to a 6.5%-7% A1C goal for everyone.

I believe this is a huge issue AR. These 5 min appointments with doctors are ridiculous! People die daily because they are unable to balance food with the "hard drugs". Also, the side effects of all these drugs including insulin are not monitored or reported.

This is what upsets me reading on FB today : " I was listening to the radio this morning and some guy from UBC ( my add ...University of British Columbia !!! ) was telling everybody that testing your glucose for Type 2 Diabetes is a waste of money and time. This guy then goes on to say that Type 2 Diabetics don't need to know their glucose, but Type 1 diabetes should test their glucose regularly. Can you tell how upset I am? Testing is so important for me because I also have episodes of low blood sugar. This person doesn't have diabetes, so how can they say it is a waste of money and time? Don't say anything until you walk in someone's shoes".
I know BC CDA Advocacy is trying to rebutt ...how complex all this is !!
PS my Health Team , including Dietitians ,over the past 29 years never ever subjected me to their beliefs ...if they did and I don't recall, we had a discussion / OR did it may way ( as Frank Sinatra used to sing :)

People who tell T2 diabetics not to test their glucose many times per day are...how shall I put this politely...idiots.

I am a T2 and I inject insulin at least five times per day: two shots of Levemir and a bolus before each meal. You can count on me doing at least two corrections and a snack in there somewhere, too. I test pretty much every time I inject, unless I did a very recent test/correction (and then I'll just bolus for the food.) I also test before commutes or long drives, if I wake in the night feeling funny, whenever I have hypo symptoms, etc.

Telling me not to test is pretty much telling me to careen around in and out of hyperglycemia and hypoglycemia and risking severe complications. No thanks!

So true! I am Type 1, my brother is Type 2 on insulin. I strongly believe that once you're put on insulin, what type you are matters much less. The medical community needs to treat all PWD-on-insulin the same.

Jean , what really upsets/worries me about this scenerio ...maybe this UBC person will be listened to by our Provincial Governments and someone will decide to make fewer strips available under the Pharmacare programs ...sounds a bit like a GP I know , who asked me, when I told the person , that I test about 10 times daily , and the Doc asked: don't you think , that is excessive ? I am sure that Doc remmembers our conversation from way back !

In that scenario I want to retort: "Well, blindness is excessive. Foot amputation is excessive. Kidney failure is excessive. I guess my strategies for preventing these things had better be excessive, too!"

Why are these strips still so expensive??? They arrive in too many containers which must add to the cost! Why should something so essential for survival be liquid gold? How many people are out there driving with sugars so high that they are in danger of falling asleep at the wheel just because they can't afford the strips? I believe that T2s are not to test because then they would discover that the treatment doesn't always work!

Cost of strips is price gouging. They charge that much because they can. Interesting that with the exception of the Wal-Mart brand, they all cost the same. Makes me question if there's price fixing.

Strips need to be packaged in small amounts because moisture & air adversely effect them.




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