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5 Responses

  1. Aaron Chidakel, MD
    Aaron Chidakel, MD October 30, 2012 at 4:52 am | | Reply

    Very well written, thanks. I am an endocrinologist who was recently introduced to Diabetes Mine by a patient of mine. I have found this site to be extremely useful in helping me relate to my patients and in keeping me up to date on diabetes from a “real world” perspective. The times are definitely changing in the world of medicine and keeping an eye on social media is a good way for us to stay up to date.

  2. Bill Woods
    Bill Woods October 30, 2012 at 7:20 am | | Reply

    Mike such a great article. I feel like you wrote this article about me… Heck you did, you wrote it about so many people like us, that are sharing in the same challenges.

    I don’t want to hampered down by another Dr ordered excel sheet or management schedule. I know I am going to likely fail because my life is not made up of columns and rows, but more like a ski slope trying to avoid obstacles and dodge in advance.

    We are so lucky to have the added support of the online community we share, we can find people just like us. If my Doctor still thinks the internet is fulled with misinformation well so be it, I am not the one that is going to change their opinion… but they have a degree for a reason and it is up to “us” sometimes to figure out how best to take advantage of their knowledge and resources.

    -Bill

  3. susan f
    susan f October 30, 2012 at 7:57 am | | Reply

    As a former victim of burnout, my doctor was absolutely essential to getting my back on track. Every appt a goal was set of a time of day to ‘fix’. I wasn’t berated, I wasn’t told to change the whole world – I was given baby steps, and that is what worked for me.

    If you are struggling with A1c’s, my top two picks of goals?
    1. nail your overnight basals: eat bacon and eggs for dinners and see if your basals can keep you ‘good’ overnight. This is like 30% of your time for most people, and b/c we generally don’t eat overnight, it’s the easiest time to fix.
    2. once you’ve fixed that, do daytime fasting basal tests

    I prefer experiments where I write EVERYTHING down for a day or two than keeping immense records that aren’t ever looked at.

    Lastly, after getting basals right, I started tackling meal and snack time carb ratios by literally eating the same thing at different times during the day (eg. granola bar).

    GOOD LUCK!

  4. Mary Dexter
    Mary Dexter October 30, 2012 at 8:16 am | | Reply

    We can’t be textbook cases. Textbooks are becoming anachronistic, out of date by the time they’re printed. The good healthcare pros are curious and eager to learn, from us as well as the latest journals. They provide the pieces to the puzzle we are missing.

    PWDs don’t always give the best advice. I had a diabetic CDE tell me I didn’t need to change my set every 3 days and wonder why I tested and changed my basal rates(as well as my lancets) so often. I didn’t do it so she could check off another box, so she’d look good. I did it because I had a show to do, an audience to entertain, and I wanted to make sure I got all my laughs.

  5. Lesley
    Lesley October 30, 2012 at 4:58 pm | | Reply

    Great post Mike. My first endo was a pwd and I do miss that in my current situation. He really challenged me and knowing that he was dealing with same challenges was encouraging. My current doc is much more likely to just be happy that my A1c is better than most of her patients – rather than challenge me to do better. Also my first endo and I problem-solved well together often because he had been through similar things (and used the same pump). I also had a cde at the same time who was a pwd and the combination was great. So, while I agree that having diabetes isn’t the most important quality in an endo, it can add positive benefits to the relationship.

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