how often you see doc lol??

[johnnylol]

i know nothing to laugh about..last time i saw my doc she said your doing great..no need to come back..of course call me if ya have a problem..of course me being stubborn and a male..i haven't been back ..saw her that was last august..now i been reading books on diabetes..they tell ya a person should be checked on every 3 months or so..i'm a male and stubborn..should i or shouldn't unless there a problem...

[foxgluvs]

You definately should go to the Dr, the point of managing diabetes is that if things start to go wrong they can advise you on it promptly. I would make sure you go even 6 monthly.

[Squid]

I get my A1C tested every 3 months and when my blood sugar is not in good control (such as lately) I'm in there every two weeks although most of the time that's to see the diabetes educator or nutritionist. I love the care I get.

[dina1957]

Diabetes is a diabolic condition, even when Bgs are decent. Since we don't knwo exactly ho long it;s been before Dx, no one can asses if and what damage is already done to begin with. So, upon diagnosis it's good to undergo a very extensive testing.
Higher than normal insulin level is damaging by itself, even if BGs are OK. The most imprtant is the blood sugar/insulin ration, which is often overlooked in diabetics. For example, if one can maintain BGs of 85 with a c-peptide at a high end of the range, he (she) is still considered to be hyperinsulemic, and IR. Everything aroudn or below 70 makes me suspecious of IR and hyperinsulemia, but it's JMHO. Wide Bgs swings are the sure sign of high hyperinsulemia and degree of IR, and posses independant health risk.
I think that with a good control, once in three months: Hb1C, CHO, kidney and liver functions (a must if one is on Metformin) testing is a good start. Add twice a year eye exam, and foot exam for nerve damage and diabetic neuropathy in general. This is when your control is decent: hb1C is around or less than 5.5 or at least < 6%. If your Bgs run higher and/or you have any of the following: high BP, high CHO, angina, etc. more testing should be done at higher frequency. I would definetely get a stress test, better a thallium stress test to beging with, a regular ECG is a must, especially if you are working out or planing to start any exercsie regimen. If you check your Bgs regularly, you should know which food afects it the most and which you tolerate better, and simply avoid food that spikes your Bgs even if drops in 2 hours. Try to catch a spike by checking Bgs in 30-45 minutes, you may be surprised.
HTH
Best,
D.

[Lessara]

Now every three months since I was diagnosed

[Lisa N]

My doc wants me in for a follow up, including blood work, every 6 months. A dilated eye exam by at least an optometrist (preferably an opthamologist) and a foot exam with a podiatrist at least once a year.
When I first came in out of control, he saw me every 3 months until my A1C was normalized and then we went to once every 6 months.
In between, I can call and speak to the nurse or schedule an appointment any time if I notice something is not quite right or have other concerns.

Personally, I'd question any doctor that diagnoses someone as diabetic and then tells them, "no need to come back unless you have a problem".

Johnny, as your blood sugars clearly demonstrate after you have a binge on sweets, you are still a type 2 diabetic regardless of how good your blood sugars look on fasting or how much weight you've lost and as such, you are still at risk for all the complications that being a diabetic confers, especially since you seem prone to eating things that spike your blood sugars on a fairly regular basis.
*shrug* how often you see your doctor is up to you, but if you're going to continue your pattern of binging on sweets every few weeks, I'd suggest that you seem him or her a little more often than 'whenever'.

[johnnylol]

i plan on seeing my doc soon..not that i feel bad..that not the case at all..just because as a diabetic..problems can arise just like that...a thought came to me..i dunno if i could compare my bs levels to type 1 diabetics..but from what i have seen..my bs level control is far more better than i think any type 1 could hope to manage...not that i'm bragging..but i have talked to type 1..and seen there posts..many of them have fasting levels in the morning..of 150 or even higher..it's a stretch for me to even get that high..only if i go crazy on sweets...i plan to resume my low carb feel very hungry very sluggish regimen again lol..though my birthday is in june and i think i will have a birthday treat at that time:P

[picaboo]

......They always send me back empty handed...nothing to tell/inform me that I dont know already - so - I stop my visit...after checking myself tons of times during my days ...I already know by now - what kind of food will raise my BS and...by how much :-)
....so......here it comes:........lol.........


...."most of the time"

I try to stay in control
...."most of the time"...

I exersices....
...."most of the time"

...."most of the time"
I do fine.


.......http://bestsmileys.com/cheering/7.gif

[johnnylol]

......They always send me back empty handed...nothing to tell/inform me that I dont know already - so - I stop my visit...after checking myself tons of times during my days ...I already know by now - what kind of food will raise my BS and...by how much :-)
....so......here it comes:........lol.........


...."most of the time"

I try to stay in control
...."most of the time"...

I exersices....
...."most of the time"

...."most of the time"
I do fine.


.......http://bestsmileys.com/cheering/7.gif

never knew a cheerleader chant's her diabetes regimen lol...

[Lisa N]

i dunno if i could compare my bs levels to type 1 diabetics..but from what i have seen..my bs level control is far more better than i think any type 1 could hope to manage...not that i'm bragging..but i have talked to type 1..and seen there posts..many of them have fasting levels in the morning..of 150 or even higher

It's really not fair for a type 2 to compare blood sugar control to a type 1. They have far more variables and issues to deal with than we do as type 2 and maintaining control (neither too high nor too low) is literally a daily matter of life or death for them. Regulating your blood sugar with multiple injections of insulin is also a lot tougher than simply eating low (or lower) carb, excercising more or taking a pill once or twice a day.
Johnny, can you imagine trying to estimate how many grams of carb are in the food you are about to eat when you decide to have a fling with some cake and cookies so you can figure out how much insulin to give yourself so that you don't wind up in ICU with ketoacidosis and kidney failure or passed out from a severe hypo (hopefully not when you're driving)?

i plan to resume my low carb feel very hungry very sluggish regimen again

Johnny, if you're feeling very hungry and sluggish on a low carb regimen, perhaps you've missed some points on how to follow such a program correctly, such as not trying to combine it with low cal/low fat and making sure you take supplements if you need them? One of the main points of many low carb programs is that you are encouraged to not let yourself get hungry (hungry leads to uncontrolled eating!) and to eat adequate portions of proteins, healthy fats and vegetables on a regular basis so that your body has the energy and nutrients that it needs to function properly.
My suggestion would be to pick and established, written program, read up on it and follow the plan as written. ;)

[v-effect]

Please don't compare your control to those with T1 diabetes. You will never ever know how difficult this disease is for us.

V.

[dina1957]

i dunno if i could compare my bs levels to type 1 diabetics..but from what i have seen..my bs level control is far more better than i think any type 1 could hope to manage...not that i'm bragging..but i have talked to type 1..and seen there posts..many of them have fasting levels in the morning..of 150 or even higher..it's a stretch for me to even get that high..Sorry Jonny, but if you can compare T2 with T1 you don't understand what diabetes is all about. These two types are completely different, even both called the same. T1 is the only true diabetes, T2 for most and at the begining, is a desease of too much insulin and IR, while T1 is absence of insulin. You can't even imagine how hard is it to be T1, I personally know couple ppl who are T1, they swing from 500 to 40 in no time. Striving for a very tight control for them is a life/death situation, so many are letting their BGs run a bit higher than we do. They feel that 150 at FBG is better than slipping into diabetic coma overnight. Also, keep in mind that exogenious insulin does not work the same as the one your body makes, and T1 can develop IR too.
I am freaking about when I think about being in insulin, in case I would need one in a long run even as T2. Keep your fingers crossed and watch for those sugary treats, insulin is not exactly a piece of cake (pun intended).;)

[johnnylol]

no disrespect intended for those who are type 1..just was trying a comparison without knowing all the facts...