I’ve recently realized that bad information falls into two categories, misinformation which I deem as inaccurate but generally harmless and what I’ve taken to calling MAL-information which is not only inaccurate but could lead to harm. The mostly well-meaning but ignorant comments that regular people make fall into the first category, mainly because I don’t expect them to know better, so I just disregard their comments. But, some of the information I’ve been given by medical professionals falls into the second category. Between my Primary Care doctor (who I started seeing AFTER my diagnosis-didn’t have a primary before) and the doc who treated me in the ICU during my DKA episode, I’ve been treated to some real gems. I thought I’d share the “best” ones:
• You only need to test before you take insulin
• You don’t need a glucagen kit, use the “poor man’s method” of treating lows and carry glucose tablets with you (Uh, OK dude, what I’m unconscious?)
• You don’t need to test before you exercise (I was dumb enough to do this once and was rewarded with a 47 bg)
• The sliding scale gives better control than carb counting
• We don’t need to determine if you’re type 1 or type 2
• The sliding scale gives better control than carb counting
• You’re 5.9% A1C is great, don’t change anything (it’s the result of too many lows, butthead! That’s not good either!).
• And, my personal favorite, uttered by the ICU doc who obviously saw me as his own personal cash machine: You don’t need an endocrinologist, diabetics are an internist’s bread and butter.
My dad is a diabetic, resulting from a lifetime of cystic fibrosis and a double lung transplant last year, so he has been a valuable resource during these first months (he debunked that sliding scale myth before I even set foot out of the hospital). I’ve also learned so much from the ADA’s website/message boards, dlife.com, and various other sites. We’re normally told not to believe everything we read online but in the case of diabetes communities, they can be more reliable than even medical professionals!
I will say that my primary is good at referrals and sent me to an endo that I LOVE. She got me on carb counting right away, tested me for antibodies to confirm my type 1 diagnosis, helped me adjust my insulin to carb ratio to combat the lows, and is working with me on my decision of to pump or not to pump.
Speaking of lows, I’ve had a series of them today and am left to wonder why I always seem to wind up in a bakery when I’m battling one! A few weeks ago, I cratered while my husband and I were on a visit to our alma mater and he sent me to Dunkin Donuts to get him coffee while he went to LaBamba to pick up burritos for us to take home. I’m sure you guys can imagine what was going through my hypoglycemic brain as I stood in line to order the coffee! It was sort of Homer Simpson-like. Then, today I found myself in the bakery section of our local grocery store staring at bread and cakes and doughnuts (I was supposed to be in the meat section buying steaks for dinner) after I just treated a low. I am happy to report that I resisted buying anything both times. :) Do I get a gold star for that?
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