I am a member of a triathlete diabetic group. today they made me a competing member, which means I get a free abbott glucometer and 100 strips a month, a free gym membership, and some great people to train and compete with. very exciting. the glucometer they gave me can also test blood keytones, so i plan to buy some strips (they will not be free) and check out if and how I can maintain a ketogenic diet.
today our team had a public education event. A coach and 3 doctors speaking in the mall. Abbott had a booth testing blood sugars and I got to compare my J&J One touch Simple Select with their meter. My meter tested consistently lower than their meter (ranging from 10 - 30% lower). Maybe that's why my Hba1c was higher than my apparent blood sugar would warrant.
Anyway, today I found out that 2 of my teammates who are type 1 are both only on long acting insulin. One on Humalin N and the other on Lantus. one of our other teammates brought muffins. We all tested after and we were all high (though I was the only one who dosed Humalog - so I wasn't very high). One of the girls tested at 340. She didn't have insulin or a meter with her. So I sent her to the drugstore to buy a syringe. Tested her when she got back. She was 290. I gave her 6 units of humalog (after talking to a Dr. teammate). We tested after 40 minutes. Still 300! Wow! Asked her if she would go to the ER. She said no. So we gave her another 6 units and she went home, with strict instructions to test and go to the ER if things didn't go down AND to contact her Dr. I can't belive that a type 1 would not be given a fast acting insulin. This is serious maltreatment! And how many other people here (in Philippines) are not being treated properly.
THe other girl after being diagnosed as type 1 when a child has a dr. tell her to stop insulin and put her on oral meds. After 2 months she had an a1c of 8.5 and was feeling really bad. She had to beg her Dr. to put her back on insulin and the doctor only gave her Lantus and then gave her onglyza (a type 2 med). Today our Dr. teammate and I convinced her to stop the onglyza and start humalog again. She knows what to do. She knows better! But she was following her (idiot) dr. advice. What Dr. tells a type 1 to stop insulin. And what is wrong with insulin. maybe the Drs project their own fear onto their patients.
I would be untreated if I followed my Dr. instructions. After my baby was born - I came to see him about a month after - he told me I could stop insulin and stop testing for a while 'take a break' (without even asking me what my blood sugar was). I knew better - thanks to this group and Dr. Richard Bernstein and totally ignored his instruction. I use about 20 units of insulin a day to have a HBA1c of about 5.2 (latest).
There was a 70 yo man. He came and had his BS tested at 1 and it was 200. He came back at 4 and it was still 200. I asked him what meds he was taking. He said oral. I suggested he should discuss insulin with his doctor. he just smiled and said his sugar was high because his wife is sweet. He said he doesn't feel anything so he is fine being at 200! ARGH!
I am ranting, but I am so upset by what I saw today. People being mistreated by their doctors (and trusting their doctors), without enough knowledge to know different.. Fear of insulin! Another teammate. We tested him at 265. He only takes oral meds. But he ate a muffin and had a regular coke! Wow! Not on! At least he has a meter now. I convinced him to act on that. But I told him that he could use just a fast acting insulin to cover meals, if need be. Mind you, his fasting is about 120 (on oral meds) - so in my opinion (but I am biased by my Bernstein following) he should already be on insulin. Complications can be prevented with a little education and knowledge. Both of which are sorely lacking.
Insuin is often cheaper than oral meds. insulin aways works. Insulin means that if you are high you can actually do something about it!
As a member of this team I am going to do all I can to make sure at least my teammates are properly treated.