Eternal422
Well-Known Member
- Relationship to Diabetes
- Other Type
- Pronouns
- He/Him
Well, what a difference from the last consultant who decided, without me, that I should drop insulin altogether and go on oral meds (I only found this out by seeing her letter to my GP on the NHS app).
This consultant was really lovely and fully engaged with me. Basically she said that I was very stable on insulin and there was no need to change treatment plans at all. She took the view that her role is to offer advice and give me options, helping me to make my own decision on what to do. However she did say that if things change, for example with a vicious cycle of increasing weight, increasing insulin needs, then there are options to look at different oral meds. But she stressed that if I am happy on insulin and the Libre then there is no need to change anything. She is happy to not see me again unless I want to change things or my control, needs, etc. alter and I would like to explore other options. She said that she is always available and that she is more than happy to leave me in the care of the hospital DSN team.
She did say that T2 is a very broad category and every patient is unique and should have a bespoke treatment plan matched to their individual needs.
I am still curious as to what has gone on as my pancreas function appears to have dropped over a period of maybe 4 years and remained at that level since starting insulin as Metformin and Glibenclamide did nothing to help. The pancreas function has remained at this level since then as evidenced by the same insulin requirements, all things being equal with regard to diet, exercise, etc. Of course, it’s too long ago now to ever find out (about 20 years ago) and too many factors that may have been at play in my metabolism.
So, no definitive answers but really it doesn’t matter nor change how I treat my diabetes. The main thing is that this new consultant is on board with this and actually listened to me and supportive of my choices with regard to how I treat my diabetes. Very refreshing to have such support.
This consultant was really lovely and fully engaged with me. Basically she said that I was very stable on insulin and there was no need to change treatment plans at all. She took the view that her role is to offer advice and give me options, helping me to make my own decision on what to do. However she did say that if things change, for example with a vicious cycle of increasing weight, increasing insulin needs, then there are options to look at different oral meds. But she stressed that if I am happy on insulin and the Libre then there is no need to change anything. She is happy to not see me again unless I want to change things or my control, needs, etc. alter and I would like to explore other options. She said that she is always available and that she is more than happy to leave me in the care of the hospital DSN team.
She did say that T2 is a very broad category and every patient is unique and should have a bespoke treatment plan matched to their individual needs.
I am still curious as to what has gone on as my pancreas function appears to have dropped over a period of maybe 4 years and remained at that level since starting insulin as Metformin and Glibenclamide did nothing to help. The pancreas function has remained at this level since then as evidenced by the same insulin requirements, all things being equal with regard to diet, exercise, etc. Of course, it’s too long ago now to ever find out (about 20 years ago) and too many factors that may have been at play in my metabolism.
So, no definitive answers but really it doesn’t matter nor change how I treat my diabetes. The main thing is that this new consultant is on board with this and actually listened to me and supportive of my choices with regard to how I treat my diabetes. Very refreshing to have such support.
