[ SECRET POST #3472 ]

[case]

⌈ Secret Post #3472 ⌋

Warning: Some secrets are NOT worksafe and may contain SPOILERS.

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Notes:

Secrets Left to Post: 01 pages, 19 secrets from Secret Submission Post #496.
Secrets Not Posted: [ 0 - broken links ], [ 0 - not!secrets ], [ 0 - not!fandom ], [ 0 - too big ], [ 0 - repeat ].
Current Secret Submissions Post: here.
Suggestions, comments, and concerns should go here.

Comments

Re: Health and Fitness

[herpymcderp]

Diabetes is not a "once you've got it there's only managing it" disease. Most diabetes responds well to weight loss, in that most people who develop type II diabetes as a result of overweight or obesity will no longer have diabetes once they reach a healthy weight.

Hypertension may follow suit if it is also the result of overweight or obesity, and at the very least is shown to improve blood pressure in individuals with hypertension.

http://www.ncbi.nlm.nih.gov/pubmed/15107009

Re: Health and Fitness

[slashgirl]

And my doctors have told me that even once you have your diabetes (type 2) under control, you're still considered to be diabetic. I guess they were wrong?

Re: Health and Fitness

[herpymcderp]

They're not wrong so much as relying on some outdated ideas about diabetes.

It used to be that they'd classify you as diabetic or prediabetic according to blood glucose tests and a1c value. These days we're finding out that the assumed normative values are not actually as strict as previously thought, and that people with say... a >6.0 a1c value may not actually display any clinical symptoms of diabetes. In fact, they may show stable blood glucose readings and attempting to control their condition with medication leads to unstable fasting glucose and hypoglycemia.

So yeah... not wrong, but it's not that black and white as "once diabetic, always diabetic".

Re: Health and Fitness

[slashgirl]

That makes sense and I'm glad to know things have changed. I was diagnosed as type 2 back in 2000--and the "curing" (for lack of a better word) diabetes convo isn't one I've had in the last couple years with my doc either. He might be up to date on it, but given he's a GP, probably not. :)

Re: Health and Fitness

[herpymcderp]

Yeah, you'd really have better luck talking to an endocrinologist (and really, if you were diabetic at any point I'd highly recommend you get one). Most GPs have limited knowledge about topics usually left to specialists, given their primary function.

Bottom line: type II diagnosis is not the end of the road, and you can almost always bounce back with effort and a good diet provided you're still fairly young (i.e. under 60-70). There's still a increased risk of developing symptoms again if you get off track and gain weight, but it's totally possible to get your sugars and even your a1c down to a manageable level.

Re: Health and Fitness

[slashgirl]

Still diabetic and I've never seen an endocrinologist; my doc has not suggested or mentioned it--but he tends to be averse to specialists for the most part. The only thing I've had is a diabetic clinic and I found that next to useless. I'm actually on insulin now--had DKA about 4 years ago (I was to the point of not being able to catch my breath when sis took me to Emerg; ended up in ICU at the Regional hospital for a few days, too. Not fun.) because I was an idiot and hadn't been taking my meds and thought I felt fine. Not so much.

I've been overweight most of my life (I'm 45) and I'm to the point of just trying to keep my sugars and a1c where they should be. I find that hard enough to manage. I'm really not a good person to have a chronic disease that requires so much monitoring and such. I'm really not.

Re: Health and Fitness

[herpymcderp]

Oof. That sounds rough. I'm sorry to hear it.

It's just ...really kind of a shit move on your doc's part not to send you to a specialist. There's basically no chance that as a GP he's ready to monitor all of the challenges that can arise from long term insulin dependent diabetes. There is a LOT to consider and probably a lot of changes you could be making to your care regimen to give you a better quality of life.

For example, if you're really terrible at glucose management you could be a prime candidate for an insulin pump. The new systems are really remarkable pieces of technology compared to what was available before, and an endocrinologist would be better suited to assessing whether or not such a system would be beneficial for you.

If you can't ask him for a referral, I suggest doing a little research on who's available and taking patients in your area. Diabetic clinics are generally only useful for people who are very recently diagnosed and need to figure out how to use their supplies and might need help with nutrition etc. They really aren't helpful for anyone who is used to managing their condition, imo.

tl;dr, see someone and get a second opinion. You will most likely be doing yourself a favour.