Comments on: Dx’d young and out of control http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/ Blog for the diabetics who use an insulin pump to control diabetes Mon, 13 Oct 2008 11:43:58 +0000 http://wordpress.org/?v=2.2.1 By: Raymond Melendez http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25313 Raymond Melendez Sat, 09 Sep 2006 23:08:25 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25313 Jan, Well, I'll definitely try to make it to Shapiro's...I might have a small time conflict, but can hopefully work it out! Sounds like a good time! Connie, Yes, there is a pump group that meets at Roche. I haven't managed to make a meeting in a while, and they've changed their schedule. I think they are having meetings every other month. I got a snail mail postcard, but who knows where it ended up? (I'm not much of a house keeper, but that is in the process of changing!) The only reference I can put my hands on just now is a Dec 2000 newsletter from the Indiana Diabetes Center (IU Med). You should be able to get actual dates/topics by calling 274-3500. In the past it was on Monday or Tuesday evenings around 6:30 or 7:00. <!--more--> Suzanna Jan,
Well, I’ll definitely try to make it to Shapiro’s…I might have a
small time conflict, but can hopefully work it out! Sounds like a
good time!

Connie,
Yes, there is a pump group that meets at Roche. I haven’t managed to
make a meeting in a while, and they’ve changed their schedule. I
think they are having meetings every other month. I got a snail mail
postcard, but who knows where it ended up? (I’m not much of a house
keeper, but that is in the process of changing!) The only reference
I can put my hands on just now is a Dec 2000 newsletter from the
Indiana Diabetes Center (IU Med). You should be able to get actual
dates/topics by calling 274-3500. In the past it was on Monday or
Tuesday evenings around 6:30 or 7:00.

Suzanna

]]> By: judith600 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25312 judith600 Fri, 08 Sep 2006 23:53:52 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25312 > wonder what definition for the term "brittle" they are using in med > schools these days? From what I've "heard," they are trying to 'do away' with the term "brittle diabetic." > wonder what definition for the term "brittle" they are using in med
> schools these days?

From what I’ve "heard," they are trying to ‘do away’ with the term "brittle
diabetic."

]]> By: patience_15 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25309 patience_15 Thu, 07 Sep 2006 08:34:53 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25309 VERY FUNNY!!! (You are too silly Jan.) Chrissy VERY FUNNY!!! (You are too silly Jan.) Chrissy

]]> By: Olin Ok http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25306 Olin Ok Tue, 05 Sep 2006 15:20:23 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25306 Joan, That aace.com site is great! I presume you mean the document titled 'revised diabetes guidelines' about 43 pages. Since I have double sided printing capability, it looks like a keeper. David Joan,
That aace.com site is great! I presume you mean the document titled

‘revised diabetes guidelines’ about 43 pages. Since I have double sided
printing capability, it looks like a keeper.

David

]]> By: Bert Gould http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25301 Bert Gould Sun, 03 Sep 2006 20:22:17 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25301 My current doc is an internist who is also a board certified endo. A major portion of his practice is a diabetes clinic and he employs a CDE and dietitian. When I was first dx'd, my regular doc sent me to an internist/diabetologist. In some ways I really liked him and he did a good job, but it was clear he was accustomed to T2s. He completely missed my T1 dx and DKA. He also told me that I only needed to test 2x a day (that was after my re-dx to T1). When I called him late one Friday afternoon with 400+ BG and very large ketones, he suggested I meet him at the hospital -- the NEXT DAY. It took lab work to finally convince him that I was a T1 and not a T2. Once released though, he called me often at home to see how I was doing and got me an appointment with a surgeon pronto when my gallbladder needed to come out. But overall, he was an internist/diabetologist stuck in the past, not interested in pumps, MDI or tight control. The *right* <!--more--> internist can make a world of difference. Connie J Hughey wrote: My current doc is an internist who is also a board certified endo. A major
portion of his practice is a diabetes clinic and he employs a CDE and dietitian.
When I was first dx’d, my regular doc sent me to an internist/diabetologist. In
some ways I really liked him and he did a good job, but it was clear he was
accustomed to T2s. He completely missed my T1 dx and DKA. He also told me that
I
only needed to test 2x a day (that was after my re-dx to T1). When I called him
late one Friday afternoon with 400+ BG and very large ketones, he suggested I
meet
him at the hospital — the NEXT DAY. It took lab work to finally convince him
that I was a T1 and not a T2. Once released though, he called me often at home
to
see how I was doing and got me an appointment with a surgeon pronto when my
gallbladder needed to come out. But overall, he was an internist/diabetologist
stuck in the past, not interested in pumps, MDI or tight control. The *right*

internist can make a world of difference.

Connie

J Hughey wrote:

]]> By: Randolph Fawn http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25298 Randolph Fawn Sun, 03 Sep 2006 02:13:33 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25298 > Diabetics should be followed by endocrinologists, not general practitioners > or internists. I tell my HIV + patients the same thing...Joan:)) However, I'm thinking of switching to an internist who specializes in DM cuz my endo is not keeping up with what he started almost 20 years ago. He is so far behind the pumping scene it's pitiful. I got a phone call the other day from one of his patients endo had call me to give him some websites on DM - this pt needs help. The CDE (whom I have not seen) says it's ridiculous to run more than one basal a day! There are internists around here who have far more knowledge about pumping than the *best* endo. > Diabetics should be followed by endocrinologists, not general practitioners
> or internists. I tell my HIV + patients the same thing…Joan:))

However, I’m thinking of switching to an internist who specializes in DM cuz
my endo is not keeping up with what he started almost 20 years ago. He is so
far behind the pumping scene it’s pitiful. I got a phone call the other day
from one of his patients endo had call me to give him some websites on DM -
this pt needs help. The CDE (whom I have not seen) says it’s ridiculous to run
more than one basal a day! There are internists around here who have far more
knowledge about pumping than the *best* endo.

]]> By: colin_140 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25294 colin_140 Fri, 01 Sep 2006 17:43:56 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25294 << But, I remember back in the 1950's, before pumps and even tight control (except at the Joslin Clinic), the term 'brittle' was used to differentiate types of type I patients. I think that was a bum description in the context of the times. I think it more applied to MD's who were treating most patients with one injection of NPH a day and nothing else; those who had problems with the regimen were by definition 'brittle'. >> Very True David, and still is a poor excuse that is still being used. Diabetics should be followed by endocrinologists, not general practitioners or internists. I tell my HIV + patients the same thing...Joan:)) <<
But, I remember back in the 1950’s, before pumps and even tight control
(except at the Joslin Clinic), the term ‘brittle’ was used to differentiate
types of type I patients.

I think that was a bum description in the context of the times. I think it
more applied to MD’s who were treating most patients with one injection of
NPH a day and nothing else; those who had problems with the regimen were by
definition ‘brittle’.

>>
Very True David, and still is a poor excuse that is still being used.
Diabetics should be followed by endocrinologists, not general practitioners
or internists. I tell my HIV + patients the same thing…Joan:))

]]> By: colin_140 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25293 colin_140 Fri, 01 Sep 2006 09:36:16 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25293 << Your remarks bring up one subject that has always bothered me; maybe others can comment. What is a 'brittle' diabetic? It seems to me that any Type I is by definition 'brittle'. The term is meaningless in the modern concept of the problem. Most (probably all) Type I diabetics will go up to the moon and down to the zoo with minimal difficulty if care is not taken in treatment. >> Hi David: for those of us working in the hospital and office, we called diabetics "brittle" when their levels would ping pong and not stay stable. The was before the onset of pump use. We're learning so much more. If you want to check it out further go to aace.com (clinical endocrinologists) <!--more--> there's a substantial printout you might like to download or make a hard copy of....Joan:)) << Your remarks bring up one subject that has always bothered me; maybe
others can comment.

What is a ‘brittle’ diabetic?

It seems to me that any Type I is by definition ‘brittle’. The term is
meaningless in the modern concept of the problem.

Most (probably all) Type I diabetics will go up to the moon and down to the
zoo with minimal difficulty if care is not taken in treatment.
>>
Hi David: for those of us working in the hospital and office, we called
diabetics "brittle" when their levels would ping pong and not stay stable.
The was before the onset of pump use. We’re learning so much more. If you
want to check it out further go to aace.com (clinical endocrinologists)

there’s a substantial printout you might like to download or make a hard copy
of….Joan:))

]]> By: Randolph Fawn http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25290 Randolph Fawn Thu, 31 Aug 2006 09:12:08 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25290 And, back then we got one shot a day of NPH/Reg mixed with just those awful pee tests and NO HbA1c's yet either. We did know when we hit a low, though, and often would eat the fridge to get out of it. The best thing about the *Good ol' days* is, they're GONE! And, back then we got one shot a day of NPH/Reg mixed with just those awful
pee tests and NO HbA1c’s yet either. We did know when we hit a low, though,
and often would eat the fridge to get out of it. The best thing about the
*Good ol’ days* is, they’re GONE!

]]> By: Randolph Fawn http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25289 Randolph Fawn Thu, 31 Aug 2006 01:04:28 +0000 http://www.diabetic.netslonguirado.com/2006/08/15/dx-d-young-and-out-of-control/#comment-25289 > That would be interesting to know. I never knew there were so many different > meanings for brittle. Hmmm...... Chrissy Including peanut? ;) > That would be interesting to know. I never knew there were so many
different
> meanings for brittle. Hmmm…… Chrissy

Including peanut? ;)

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