I went to see my Endo the other day, and was surprised by a patient's response when asked if she ate before her appointment. First patient, answered, "No." When the nurse walked away, patient turns to husband arguing, "It's none of her business what I ate. Why do they need to know?" I interjected, "Excuse me, I don't mean to pry. For your benefit the doctor needs to know if you breakfast affected your blood sugar reading so he can make necessary adjustments." Even though the nurse and doctor explained this to her for the pass ten years, she sees no reason for it. In addition, she believes that sharing the truth leads to further questioning. The husband nodded in agreement with a wink, without wife's knowledge. "Listen," I said, "nobody's perfect. Food, not eating, stress, and other situations can cause blood sugar to rise or fall. The physician needs to know how to care for you." She thought about what I said, then told nurse that she at a bagel.

Views: 5

Comment by acidrock23 on February 5, 2011 at 6:27pm
Dianoia? Parabetes? Yikes! She'll probably get two ticky marks for having eaten a bagel though!
Comment by Terrie on February 5, 2011 at 7:18pm
Good for you speaking up Mistressbinky. When she is having tests done, then fasting is certainly important. You gave Good advice. Sometimes hearing it from another PWD works Better than hearing it from a Dr. or Nurse.
Comment by mistressbinky on February 6, 2011 at 8:49am
It took time to convincing her though
Comment by Pom Mom on February 6, 2011 at 5:39pm
If you helped the lady at the time that's great.  I've been diabetic for 35 years, times when I "complied," times I did/do not.  Just "knowing" what I am supposed doesn't always make it happen.  Docs with attitudes and lectures just made/make it even harder.  Two years ago I found an incredible realistic endocrinologist, and now I don't feel ashamed when I tell her I have not been "complying."  She works with me from where I'm at, and my control is much better in the big picture.
Comment by mistressbinky on February 6, 2011 at 5:56pm
My Endo works with patients. He gives everyone his e-mail and home # for questions, concerns, and emergencies. He accepts all insurances and helps those w/o insurance. I'm grateful to have such a caring Endo.
Comment by Pom Mom on February 6, 2011 at 11:16pm
That is pretty amazing in this day and age, I'm glad you are so fortunate. I would guess your doc is a big factor in your control. I've just had a lot of my own internal issues such as depression and self esteem problems. I know that people who feel good about themselves might not understand why people like me seem "defiant," sometimes it is a defense mechanism. I quite understand the ramifications of not trying to keep tight control. My husband is blind and has had a kidney transplant, his sister had a kidney transplant also and lost her vision in one eye. Their father died at the age of 44 due to complications of diabetes. Yet there are times I lack the, well whatever it is, to adhere to what is best. This las year at the age of 54 I did lose a lot of weight, exercise and eat healthier because I felt lousy, my blood pressure was slightly elevated as was my cholesterol. It may be too late but I do what I can from where I am now. Sorry for being on the soapbox. It is just that the reasons a person appears "defiant" may be deep seated and unknown to others and even to themselves. Don't mean to be on the soap box - I envy those who can take good care of themselves relatively easy in terms of self love. That is a blessing for certain.


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