Monday, 15 June 2009

Is your doc an internist?

have managed with diet & exercise until about a year ago. My A1C is 7.1 - not an extreme number, but bad enough.I am on 1000 mg of metformin BID and 30 mg actos once daily>

Is your doc an internist? From what I can see from comments made on the two large diabetes yahoo groups I belong to, it looks like a lot of family doc/PCPs don't have much of a handle on how to manage their type two patients.Some internists actually specialize in diabetes. And of course, endocrinologists specialize in our care, as well as the care of other hormonally based disorders. If you like your doctor a lot but just feel as though you need specialized care for your diabetes, ask for a referral to an endo. Many of them have 6 month waiting lists, but you'll get in there eventually, and I know you'll be glad you did. It's wonderful to go to a doctor where everyone there understands what you're dealing with, and you're not treated like a nuisance. Maximum dose for metformin is actually right around 2000 mg a day, so maybe you could take more of it. Actos is famous for causing weight gain, so if you have weight issues, you might ask for a different hypoglycemic med. Are you due to see your doctor soon, to review how things are going?



IMO if you have to cut all starches out of your diet to get anywhere near normal numbers, it's time to change something, for sure. You exercising? Even walking helps.
We'll gladly help if we can. Just fire away with any comments or questions. This is a good group, and I'm glad you found us.

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