• Please Remember: Members are only permitted to share their own experiences. Members are not qualified to give medical advice. Additionally, everyone manages their health differently. Please be respectful of other people's opinions about their own diabetes management.
  • We seem to be having technical difficulties with new user accounts. If you are trying to register please check your Spam or Junk folder for your confirmation email. If you still haven't received a confirmation email, please reach out to our support inbox: support.forum@diabetes.org.uk

Endo Appt

Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

lizabetic

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA
Wow! What a nightmare...

Firstly had to wait 1hr 15 mins over the time we were supposed to be seen. After that we were then seen by a student doctor, someone under my endocrinologist. So, went in there... showed him my results (all printed from excel) and apparently my HbA1c has risen from 6.9% to 7.3% in a month 😱
That's without christmas so I would hate to think what it might be now. Also I am negative for both GAD and ICA antibodies :/ Way to go this just complicates things. Want to get IA-2 tested though.

Right, next he says obviously we need to start me on something, thats fine... I came prepared for that! Now this next bit... OMG basically he told me I can't be type 1, not even slow-onset - I tried to explain that and he just didn't get that slow-onset means really you do end up type 1 eventually! He said he thought I could be MODY, so I said mum and dad are fine! You need strong genetic links for that and I also told him I had contacted exeter with poor results. My endo also believes I am a slow-onset t1.

At this point I got really frustrated because the past week I had been doing so much research into LADA/LADY/slow-onset whatever you want to call it. I started to cry! He wanted to put me on tablets too, which I told him what i'd read about sulfonyureas apparently kill off beta cells faster than otherwise! He had to call my endo anyway, so in he came. He proposed that he would try me on a weeks worth of metformin and sulfonyureas and I repeated what I had found about the sulfonyureas... obviously he questioned the validity of them but I still persisted and said I would rather insulin. Also because I felt there is more flexibility with it, tablets I may have to have set eating times etc and I just can't do that at all around uni! Besides, considering no one is 100% certain on my exact type I do not want to jepordise my already failing pancreas any further!! He also proposed he send me for DAFNE 🙂

So I won. I got to have insulin over tablets. I know it probably seems like a crazy idea but the way I see it, not including my doubt over effectiveness, I am going to end up on insulin sooner or later! Having had a huge fear of it too I had finally prepared myself and I didn't want to put it off. I'm on 4u of novorapid now with breakfast, lunch and dinner.

I took my first shot last night with dinner, except I only took 3u as had just baked beans and scrambled egg plus was going to a friends. Anyway at 1hr 12.6 and 2hr 11.2 errg, not great! Mind you I didn't prep the pen or do a test squirt or anything and there was a drop left on the end hah, I just had to get it done before I didn't!!!! In the end before bed I was 9.5 , I figured that dinner time is usually my worst time for BS so I suppose it would go up more then than any other time.

Woke up this morning at 8am... 7.3! Probably before it had a chance to rise due to DP. But, seriously I feel like sh*t. I'm so tired, my body feels so so heavy and I feel like everything hurts and can't stand long... now is this the symptoms of my chronic fatigue syndrome back OR would this have been a night hypo? :( Not really much chance of telling.

Anyway, will take 4u this morn with scrambled egg and half a breakfast muffin. Seems like a lot with the number I have to start with but I suppose i'm rising after that.
 
Well done for standing your ground Liz! Shameful that you had to wait so long then got a junior when you clearly have such a complex case :(

Always do the test shot so you can be sure that the needle is fully-primed and functioning, and leave in the flesh for a count of 5-10 seconds to make sure it is all delivered. Don't worry if you see a drop after extracting. Try not to get too stressed. You are probably feeling knocked out because of all the stress caused leading up to the appointment, during and after! And it will take some trial and error before you get the doses right and start to spot patterns so that you can make adjustments - so record everything: carbs, dose, time, before and 1/2/5 hours after eating I would say so you can see the effect of what you have eaten. It can also be helpful to inject 15 minutes before eating I have found as this can reduce post-meal spikes. Do you have your DSN's email and phone no.?

Good luck and let us know how things go! 🙂
 
Last edited:
Good on you for standing your ground 🙂
 
If you wish to comment on the length of delay and seeing a student doctor, then contact PALS (Patient Advice and Liaison Service) at the hospital. However, while you can refuse to be seen by medical students (who don't see patients alone in clinics) you can't refuse to be seen by doctors who are in training for specialisms such as endocrinology / diabetes. However, I'm also surprised that a complex case didn't justify seeing a registrar or consultant.

However, many people on insulin never get referred to DAFNE courses, so that's a positive feature. In the meantime, just keep recording food intake, carbohydrate intake, activities, blood glucose readings, insulin doses etc, so that you can look over results with DSN when you see them.
 
I'm on my way out now but wanted to post quick...

1hr 6.9 :/

I'm guessing i am going to be quite insulin sensitive in the mornings...

Got two packs of glucose tablets on me and my meter 🙂
 
Hi Liz,

It must feel so great to finally have what it is you've been fighting for for so long.

Hopefully now with numbers and readings and insulin doses, you will be able to start looking at what exactly your pancreas is or isn't doing!

Very pleased for you, and you must be so glad you'd armed yourself with knowledge to argue your point 🙂 well done you!
 
Well done for standing your ground. I hope it pays off for you. The tiredness sounds like how I usually feel in the mornings and for me it is definitely related to stress. Your cfs is probably the cause but just made worse by the stress. Hope you feel better tomorrow morning x
 
Well done, Liz! I hope things go ok with regard to you being on insulin now.

Take care!

Vicki 🙂
xxx
 
Well done you!

When it comes down to it - it's your Diabetes and your body, and no one knows it like you do. Really hope this works well for you 🙂
 
Well done you - its good that they finally listened and let you decide insulin or tablets in the end.
 
I think you can tell that your friends on here are all very pleased with the outcome and pretty shocked you had such a roller-coaster ride getting there. Hope everything settles down for you now - keep in touch on here letting us know how things are going for you. Once again, well done you !
 
I suspect it was a Dr who was either training for endochrinology or doing rotation as part of GP training. I get them all the time - its part and parcel of having a clinic at a teaching hospital. Its rare to see a consultant - I have once or twice have the Dr bring them in - but it is rare.

I am glad that you stood your ground, and hope it all works out for you. Its possible it was the stress that made you feel awful but it might be worth doing a few early morning tests to see what is happening whilst you are asleep.

Hope the day at Uni goes well.
 
Thank you everyone for your replies!! I've had a good day of numbers so far 🙂

Only went shopping but that takes up a lot of walking. Back to uni on thursday though so I wonder how that will go :\

Keep feeling a little light headed/dizzy... i presume this is simply cause of my numbers dropping down?

Breakfast 1hr - 6.9 2hr - 7.4

Lunch 1hr - 8.1 ( had jacket potato)

Also had starbucks latte with syrup and didn't cover for it...

Before dinner - 6.3

Thats more like it ! :D
 
Last edited:
Looking good, Liz! I'm dreading going back to uni and trying to sort out my routine again!

Vicki 🙂
xxx
 
Aw! I'm sure you will be fine 🙂 I get you 100% though, i'm feeling like 4u might be too much for brekkie and lunch if i'm out on my feet all the time! We can always exchange emails/numbers if you want someone to relate/confide in.
 
Definitely sounds like a plan. I'll PM you 🙂
 
Still sailing smooth ;D 6.8 tonight. Worry of night hypos but if I ate at 630 then the novo lasta in me until 1130 right? So after that I ought to be safe?

Also I forgot to mention...going back to hospital tomorrow to see the my endo to make sure everythiing is fine. Going to be interesting since apparently they are in the antenatal part !!!
 
Still sailing smooth ;D 6.8 tonight. Worry of night hypos but if I ate at 630 then the novo lasta in me until 1130 right? So after that I ought to be safe?

Also I forgot to mention...going back to hospital tomorrow to see the my endo to make sure everythiing is fine. Going to be interesting since apparently they are in the antenatal part !!!

It varies from person to person Liz, but mine lasts 5 hours max (or at least there's so little left by then it's not worth worrying about. Test before bed and if you're unhappy that it's too low then have a little snack to bring it up a bit - I usually go for a small slice of bread and peanut butter (slow release)

Sleep well and I hope the endo is happy! 🙂
 
Saw my endocrinologist again today, took ages to get to see him since I had to go to the antenatal part. Sat amongst a bunch of pregnant women I definately got some dodgy looks!! Noone could understand why I was there, it took me 3 nurses until I managed to find someone that took me to him and I still had to pester her after that.

He was pleased anyway! Said that lunch was a little high but with uni that will sort itself out, i'm very glad he took this into account, and that my baseline was off - I pressume he means fasting? i.e. morning bloods. Where I do get DP so what am I supposed to do about that without night hypoing which could be very dangerous at this point!

Also! I am officially a L.A.D.Y he actually seems to have taken this name up as he wrote it down without me even mentioning it! Yay I have a name at last.

Next appointment in march and all I have to do now is keep it up I suppose!
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Back
Top