May 31, 2007

Hassles and Headaches of living with diabetes

This Discussion Forum is for discussion of the emotional side of diabetes: the hassles, the headaches, and to give you a chance to share your frustrations (and to realize you're not alone!).

Readers of these comments should realize that diabetes is a serious disease that can cause people to have strong emotional reactions. If you are upset about some aspect of having diabetes, please discuss your concerns with your physician. If for any reason you are uncomfortable with talking to your physician, find another person (such as a diabetes nurse educator, social worker, clergyperson, or family member) and discuss your concerns with them.

Please review and follow our usual ground rules, at Ground Rules. For example, anything smacking of advertising by a sales rep will be deleted without warning. (To share your thoughts, use the "Comments" link immediately below. Instructions for entering comments may be found at How to Enter Comments. I have also posted some discussion of Etiquette for Commenting.)

Bill the diabetesdoc
info@diabetesmonitor.com

Diabetes.Blog.Com is a blogcompanion to our main website, the Diabetes Monitor, which you can find at http://www.diabetesmonitor.com


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Posted by Bill the diabetesdoc at 00:10:00 | Permanent Link | Comments (101) |
Comments
1 2 3
1 - OK, I'll be the first to post on this new island about the ups and downs of being a diabetic. Is there an upside? Oh I guess it would be....if I had not gotten so sick 4 years ago I would never have found out about organic eating and the better tasting foods. I'm definately an emotional eater, not just sad, bored, or angry eater but also a happy eater. I use food for all emotions and I'm just now learning how to use exercise instead of food as a release. Anyone else? (Comment this)

2 - Every apect of being a diabetic is a hassle. Waking at 4:30 - 5am in the morning to jog for an hour; timing my oral meds with Byetta; eating right (I really like lots of grease and sugar); sticking my fingers multiple times a day; and let's not forget the quarterly endo visits with blood drawn.

If you ask me, it's all one great big hassle. But as Friar Tuck said in Robin Hood, "thank you Lord for the lesson in humility." I'm a much nicer person now than ever. I've been taught to weather adversity. Am I thankful for diabetes? Well, I wouldn't go that far, but it has been valuable. (Comment this)

Written by: TimSlim at 2007/05/31 - 09:43:46
3 - Depression. I hate the depression. I went to the Endo yesterday I have gained 10 lbs and my A1C has gone from 4.9 to 5.3 He asked me if I had someone to help me someone to talk to and I just broke down and cried like a baby. My kids are all grown and I love them to death but they do not want to listen and I do not want to burden them My Folks are still living but in their 80's and I cannot worry them as for me there is just me all alone for 7 years now I work 2 jobs just to pay for all this medication and as a results have no friends left as I have no time left to do anything. It is so miserable Days like this I just have to get myself out of this blue funk that happens from time to time. I will survive This Blog has been a lifesaver for me. (Comment this)

4 - Angela, I don't know for sure what we are allowed to post here, but I just want to say that I understand nobody to talk to and working all the time just to pay the bills. Somehow, there has to be a way to give gifts to yourself when you need them, even if it is just time. I I know it is not the same, but you do have friends...US. I am so attached to seeing your name and reading your posts (especially the science ones), and I've never even thanked you for them. Thanks! (Comment this)

Written by: toneylee in va at 2007/05/31 - 12:49:20
5 - Angela in Iowa type 2 11-05, Byetta 10, 2 x day, Metformin ER, 1x day, Diagnosed type 2 11-2005,

I agree with Toneylee, you have us to talk to. It may not be the same as talking on the phone but I know everyone of us can relate to what you are saying about others not understanding about the things we have to go through just to manage this disease. I know you have been around longer than me so I'm so use to seeing your name too on the blog. If you need us we are here for you. (Comment this)

6 - Angela:

I was at the end of my "rope" three years ago. The depression was major. Byetta has certainly helped, but you're right. Some days it's just so much work and drudgery trying to keep a deteriorating endocrinological system functioning. I have a very supportive wife and loads of people in my life, but I still find myself going through down periods.

Hang in there!!! (Comment this)

Written by: TimSlim at 2007/05/31 - 16:03:42
7 - How about having the added whamy of being bipolar,
I am constantly fighting the manic phases and the depressive phases.
If I give in to the manic I can be up for days at a time going like gang busters doing, creating, and never accomplishing anything but making a mess of my studio with tons of small projects that I started.

Then the other side of that coin pops up and I feel so tired and depressed that I feel like I cannot do anything at all.

So far I have kept the worst of the bipolar episodes in check by staying on a ridged schedule of when to get up and when to sleep. I also make myself complete the projects I start before I start a new one.

I am not taking any meds for this right now and I suppose at a future date or very stressful time I will need to go back on them.

I hate them as I feel like a robot when I take them.

 (Comment this)

8 - I dislike being dependent upon overworked medical staff and indifferent people whose qualifications are not clear. I'd just rather not. It's hard during regular times, I wonder what will happen in a disaster.

A little over a year ago, doc says time to start insulin. I cried, but he was indifferent, didnt show me how. He forgot to prescribe the syringes so when I went to pick up, just the insulin was provided. After I waited in long line, of course.

So I asked them to call the doc, and they said they had, but they had to order the syringes. OOOh I was very angry, that kind of flash just before a crash. How can a critical business like that not have software to match insulin with syringes inventory, or somebody who is looking at the stock? No excuse. i use to do that with my stock and train new workers to keep their stock well ordered in advance. Pharmacies, chain pharmacies must have an inventory system! Now I order two weeks ahead. It's ridiculous, go through that rigamarole every 3 months.

While I was fuming, and chewing glucose tabs, they are big and chalky,the lady in line behind leaned towards and said in a kind of loud voice, 'Are you insulin dependent, dear?'

I whipped around, and said "we are all dependent upon insulin, DEAR", I just happen to need to supplement, if only I could get it.

Deja vu with the Byetta. Doc forgot to prescribe the needles, but I was ready for that, called the nurse myself. Oh he forgets all the time. ??
Pharmacy hands me the Byetta, says come back tomorrow for the needles. Too busy to show me how.

Now an insulin diabetic, so bought a cheapo medical alert bracelet which made me feel chained with the word "defective" instead of "diabetic".It was cheap enough for the clasp to break, and dropped away.

Good stuff? Well my eyesight is better than ever, and I actually am calmer, and more tolerant, don't usually flash up in anger however "justified". So that's good for lifestyle. Just treated myself to some sport bands with diabetic but they look like fun bangles, not a dependent prisoner. Ha Ha!
 (Comment this)

Written by: Myra Type II Metformin Lantus Byetta at 2007/06/01 - 04:15:14
9 - Thanks to all of you for letting me rant a bit I am much better today. It is so good to have the support and information I find on this bog may God Bless Doctor Bill for starting this. (Comment this)

10 - Myra Type II Metformin Lantus Byetta, I like your response to the busybody lady. Is your dr an endo? I find it amazing that he forgets to prescribe the syringes or needles. With the numbers leveling out my moods are much better too. When I'm swinging back and forth the family runs and hides. (Comment this)

11 - I started crying when I began reading this list. It's such a struggle, something constantly on your mind. What I eat, when I exercise, stress, trips to all kinds of dr.'s, very often failing, trying not to talk about diabetes and all realted topics, trying to not talk to family about it, dr.'s bills, prescriptions, drug interactions, being a risk for medical procedures, not being able to spontaneously do things without considering meds... There I feel better. Thank you all for being there to listen. It is wonderful to have this group of "friends" who understand.
This idea came from "listening" to Judy who ate fig newtons. One night I ate an entire bag of potato chips! Somehow we have to learn to like ourselves and forgive ourselves, just like we would do to others. The diabetic lifestyle seems to be unforgiving, but we have to live positively. Guess that's that humility, huh, TimSlim?
I just started dancing again -- it costs a fortune and I worry constantly about that -- because it is great exercise, great endorphins, great catalyst for looking good since you are always in front of full-length mirrors! I hope I can be wise about the cost.
Good luck and good day to you my friends. (Comment this)

Written by: Pat from LI: 10 Byetta since June 2005 at 2007/06/01 - 09:22:00 in reply to: 9
12 - I'm new here... heck, I was crying before I even came in. I'm searching for an informative support site in hopes there's some trick, something I can learn to survive. My job's in danger because my co-workers don't appreciate the meal and rest breaks I have to have, or all the sick time I'm burning. I've been on metformin six months now, and I'm out sick one day in five. This can't be what they call 'management', can it? (Comment this)

Written by: Pteryxx at 2007/06/01 - 11:46:21
13 - Pat:

Take heart, I've been at it for a while now and fail miserably from time to time. My wife came in from scrapbooking last night and accidentally woke me up at 10:45pm. So, what did I do? I sat down on the couch beside her and consumed 1/4 bag of Potato Chips!!!! Boy they sure are salty and good. Oh well, this morning, I got back on the diabetes bronco and started riding it again.

Take heart, we all have our moments, we just try to minimize them and get back on the bronco. (Comment this)

Written by: TimSlim at 2007/06/01 - 13:08:28
14 - geri in Co: Byetta 10,(7/06), metformin er 1000mg 2xdaily, gluctrol xl 4-2.5 mg daily, ,

yep, doc is endo specializing in diabetes. But compared to the other doctors I've had, he does have medical expertise, as I read up on everything he says. I get the idea the petty things, like test strips, needles are just not his priority of attention. The necessity of having to remember for him is a small thing I guess but it just hits me wrong. I'd like some of the burden to be shared.(wishful thinking).

Mood swings, so weird to be happy and 30 minutes later, it's "kill bill" time. Guess it worked in the Dark Ages, but not so good for these times.
 (Comment this)

Written by: Myra Type II Metformin Lantus Byetta at 2007/06/01 - 14:18:49 in reply to: 10
15 - Hi Pteryyx

I don't know if there is a single simple trick to hang on. But there are things you can do that work even just a little while. I was working when I started Metformin. Good thing I was close to the ladies' room, wow, I'd have to drop the phone and RUN! Began taking spare clothing just incase, so I wouldnt have to go home. Doc said it ws IBS, gave me a note to take one solid week off, and curiously that helped, even if my co workers left everything undone or in a mess and that's not paranoia, the boss saw it with her own eyes for a change. Which helped a lot to re-organize my workload, which helped with the IBS.

And, don't you just love the friendly folks who stop by with the giant carton of greasy doughnuts? i began to suspect them of being deliberately mean. Every week, I'd be the first person they'd wave the box at.

I found the best thing was to just have "nibbles" at my desk, but make sure that breaks and lunchtime was off-limits by leaving and going for a walk. In other words, made my absence "legit" and inconspicuous. Those kinds of things are able to be controlled. I think what gets me down is feeling I have no control, so I take bits, at a time. It does help. (Comment this)

Written by: Myra Type II Metformin Lantus Byetta at 2007/06/01 - 14:32:26
16 - Pteryxx,
My doc had me take a prescription form of Imodium AD and it really helped with the cramping and diarrhea that I got from Metformin (Comment this)

17 - When it was getting time to leave my job, I was becoming quite ill, bgs out of control, strange chest pains upon daily bad news at work, just pissed off all the time in order to get the energy up to meet the daily crises, and the new crises that would pile on top of those. Yes, doc said, "quit, quit now". I put it off for a couple of years. I felt it would be difficult to get another job at my age and now with this "handicap". I worked harder to prove I was not only 'ok' but superior, able to meet all the stuff they threw at me.

One day, I was in a broken down mood, my chest and left arm had pulsed a warning to me. Not a heart attack, he said. I looked at the doc, and said, "I think I am dying". He merely replied, "We are all dying". Irefutable, but not quite what I was hoping for. Kind of made the whole diabetic program seem ridiculous. Dangerous thinking, no doubt. But that's the given in life, so its about quality of life, and doing what I can for it.

I have a sense of survival, and the sense I am entitled to survive. I found stress reduction books and started a stress buster class at work. The bosses had to go along because they touted morale and team spirit, but I know they hated my intiative, and found ways to schedule the room for other events. None the less, the folks who came joined me outdoors or in the lobby. It wasnt about diabetes or heart trouble, it was about living for a moment even in a job where one is expected to postpone all usual life events to meet the deadline. All those folks were helped, and they cried when I left. But I left them the tools, which was more than was done for me. That felt GOOD. (Comment this)

Written by: Myra Type II Metformin Lantus Byetta at 2007/06/01 - 14:54:58
18 - Myra Type II Metformin Lantus Byetta,

Thanks for your replies... hope you'll pardon me going on another tear. I could use all the help I can get, frankly. I'm out sick AGAIN today, and I know my boss and coworkers are far from supportive. Docs' advice has been 'Well you'll just have to try harder to have less stress and stick with the program' but there is literally not time in the day to make and eat 4 meals, exercise, work and get 8 hours sleep.

But to stick on topic... I don't see a forum here about fitting diabetes management into a job. Where should I look?

I've been told I take too many breaks, don't work hard enough, and ask for help too much. I take two 30-min meal breaks daily, and work evenings and weekends to make sure of 40 hours a week, making up all the time I've been out sick. I have to report every day to my boss in person to prove I'm actually working; when I take work home I report in by email. But I can't just decide to work longer days or not take breaks, because then I'll quickly be too sick to do anything.

I'm 'only' insulin-resistant, and 'only' on 1000mg metformin, 500mg after breakfast and 500 after dinner. The diarrhea is mostly under control on this lowered dose. The problem I have that interferes with work is bouts of what I suspect are 'lows' - weakness, dizziness, stupidity. I get too tired to stand up, too dizzy to turn my head or focus on a computer screen, and become unable to read or type accurately or hold an intelligent conversation. I have to leave work because anything I do in this state is error-riddled and takes forever, and I've already been accused of laziness. This state lasts at least a couple of hours, whether I eat glucose or not. Last week I tried to work through a bout and fell down on some concrete stairs. I'm really furious about getting sick today, because I did nothing wrong! I had 10 hours' sleep from the crash yesterday, meals and meds on time, no sweets, and still I had to sit down right on the floor in front of my boss.

I'd dearly love to change meds, lifestyle, whatever I must to be competent at least most of the time, but at this point it might be too late to salvage my job regardless. What do y'all suggest? (Comment this)

Written by: Pteryxx at 2007/06/01 - 22:29:35 in reply to: 15
19 - Pteryxx, Have you been testing your blood when you experience these "lows"? That's the only way to know for sure if that is what is happening. You could also be going way too high but testing is the only way to know if that is the case because metformin isn't suppose to cause lows. Call your dr and talk to him and get a prescription from him for a meter and strips and find out what is going on. All you need is a $20.00 OneTouch mini plus strips for this weekend and see what happens so you could just go buy one on your own. Also I'd start changing your nutrition, ok so I'm a nutrition nut, but it has helped me. Get some raw veggies and munch on them, and stay away from processed foods for awhile. Eat very simply. Hope this helps some. (Comment this)

20 - geri

No, haven't learned to test blood glucose yet, two different docs and a nutritionist said that was overkill at this stage. After six months and reading y'all's posts obviously I disagree. You can get a meter without a prescription? Huh. I'll see if I can do that today.

I have been sticking to organic stuff and veggies as much as I can and still have time and tolerance to eat it. In the first couple months, I was terribly sick on veggies, and 2nd doc told me to get more protein. Maybe I can try again at the lower dose.

-Thanks, Pteryxx (Comment this)

Written by: Pteryxx at 2007/06/02 - 13:44:57 in reply to: 19
21 - Pteryxx, Is your dr an endo or a gp? Maybe something else is going on that you and they are not aware of. Have you talked to your dr about all the problems? had your thyroid tested lately? And yes you need a balance of protein, veggies, complex carbs, and non-damaged fats plus exercise to change things around. Also stress management is a biggie for me. Do you meditate? (Comment this)

22 - Yep, seen two different endos, basically told me to suck it up and deal. Thyroid is slightly low but not sufficient to medicate. Went over my diet with a nutritionist when first diagnosed, and she said it was fine for now, just eat four meals a day and don't binge on sweets (which I didn't do anyway). Exercise 30 min, 4-5 mornings a week, plus one hour weight training 1/week when I'm not too sick to do it, or have to make up work time (like today *rolleyes*).

All I'm doing for stress is a few minutes' stretching before meal breaks, making sure to take a few deep breaths when I can, and taking a couple hours a week to do things I enjoy, if I can. No set schedule for such... heck, I don't have any set schedule time left. But yeah, most of the time I hate every minute of the day. Been tracking symptoms, meals and such daily since Dec 1, and I've counted since then five times in six months when I've been happy. Depression? Well, duh. Think meditation is worth adding onto the schedule? (Comment this)

Written by: Pteryxx at 2007/06/03 - 02:19:18 in reply to: 21
23 - I was diagnosed with Type II diabetes 6 years ago. I've experienced all the highs and lows of this disease. There are more lows than there are highs. I'm on 500mg 2x a day of Metformin and 4mg 1x a day of Glimperide. The 5 or 6 little meals I eat each day is a big high...a good thing. I can eat just about anything, but in moderation...and of course, no sweets. Altho I must admit, I sneak a taste in every now and then. Being one of the many people without insurance it can be a real struggle with the medical bills and the meds. My dr is just a family doctor, and because of no insurance he keeps my dr visit bills as low as he can. Wal-Mart now has the 4 dollar Xpresc. and that has really helped. BUT, the depression is still there, the pain from peripheral neuropathy is always there. If any of you have it, you know where I'm coming from. Doc said he would not give me meds for pain or meds to help me sleep UNTIL I get insurance. I don't understand that. Keeps telling me to go to the "indigent" hospital for cat scans and nerve tests. Our indigent hospital is not free, no matter what anyone says. Walked out of there last year after an ultra-sound (doc wanted me to get one because of all the pain I'd been experiencing), with a bill handed to me for 300 dollars.
Doc says, NO STRESS ALLOWED. Well, when you are uninsured and struggling just to get by, there is stress added and depression worsens. If only I could get rid of the pain. Maybe I need a new doc? More money? Better system in this country for people with chronic diseases and no way to pay for the medical help you really need. I've done well for myself on this. No help from doc about diet, exercise or anything. It seems it's a learn as you go thing these days. He told me to lose weight. I did. Down from 150 to 115. That in itself has helped with the BG levels. I gave up alcohol completely and was able to go off the HBP meds completely. Ok, I'm ranting here. What I'm trying to say is, there is not much help out there in the medical profession these days for people with our condition if you don't have the funds to fund it...not fair. But that is how it is. Regardless, NO ONE and I repeat, NO ONE should have to go around in pain. OTC meds don't work. When I tell doc they don't work, he says "Take walks." Duhh! Louisiana here. 110 degrees in the summer. When it hurts to walk because of the neuropathy he just looks at me like I'm a nut. No insurance...no meds, except for what I need to stay alive. Well, if the pain continues and I don't get help, ain't gonna be me that needs meds! Does it cost alot to go see a neurologist? Oh, this is too long. Sorry! (Comment this)

Written by: Robin Craig at 2007/06/03 - 07:32:42
24 - I'm not sure what's allowed here. I am a rebel when it comes to Dr's. If you can't work with one, find another. Seems to me some of our bloggers aren't getting good care. (Here's where my message gets bleeped). I have no patience with drs that don't listen to their patients. We still pay them!
Next -- there are some people who cannot take metformin. I am one. Not only does it bring on the runs, but I go into a DEAD sleep for hours. Now, years later, I tell the drs to stop talking when they suggest it. I tried and tried, breaking the pill (not timed release type) and taking a particle. There is a better solution to reducing dosage of metforming -- it is Riomet which is liquid. I looked for that for years. So those who have difficulty with metformin might want to consider something else.
I am on Byetta only with occasional help from Starlix. I exercise lots and have to keep VERY close watch on my diet. AND I am not perfect. When in difficulty, I have to resort to fast and mid-acting insulin.
We are not all alike and it infuriates me when our health professionals don't take this into account. I left 4 endos before I found one I could work with. Now he moved to CA and I'm working with his former PA and a weight loss endo. So far, so good.
Good luck to all of you. Do not lose heart, and expect to have to struggle with your health pros. Be very happy if you find those who you can work with.
There, I feel better. (Comment this)

Written by: Pat from LI: 10 Byetta since June 2005 at 2007/06/03 - 09:11:04
25 - Dr. Bill: Is there room for a thread on financing diabetes? (Comment this)

Written by: Pat from LI: 10 Byetta since June 2005 at 2007/06/03 - 09:18:00
26 - Pat: I'll set up a Discussion Forum for Financing Diabetes soon... thanks for the thought!
 (Comment this)

Written by: Bill the diabetesdoc at 2007/06/03 - 11:19:17 in reply to: 25
27 - Bill the diabetesdoc,

Thanks for this, for this Hassles forum and the upcoming Financing forum and for keeping this blog up all these months and years. I've only been on less than a week and I've already learned things to try, what to expect, what the range of symptoms can be, and had more sympathy from the faceless strangers here than I've had from three doctors. There's no simple answers but if I find answers at all it'll be due to this group. Thanks.

-Pteryxx (Seattle/newbie/met 500 2xday)
First testing experience coming soon (Comment this)

Written by: Pteryxx at 2007/06/03 - 14:23:25 in reply to: 26
28 - I'm reminded from time to time about how "unfair" it seems to be to be a diabetic.

I was raised in a health conscious home, taught nutrition in school, had friends in health food biz. In those days, soda was forbidden on the school campus. Ate fresh food, lots of vegg, little meat and rarely fish or eggs. Mom did not buy junk or processed foods. She did the cooking.

I walked everywhere because I didnt have a car. I worked hard at jobs requiring standing and walking all day. Although retired now, I am still limber and strong for being in late 50s. I am skinny on the face, arms, legs butt thighs. Just this darn spare tire has put me over the edge. Its handy for injections.

Fussy eater. Don't like fishy gristly gooey or barbecued foods. That kept a lot of "unhealthy" away.

Did drink a lot of coffee, black or sometimes when I could get it, with cream. Did like hearth baked crusty bread with real cheeses. Did like dried fruits-the leathery kind. Good nuts, whole raw milk. Avoided trans fats even then, and avoided processed food products. So the plaintive cry...why me?

I skipped breakfast because I have never liked to eat in the morning. Skipped lunch because I would be in job where that had to take low priority. Ate a good dinner, with the food groups: red green vege, potato usually boild, piece of chicken. No buns, no dessert. GRRRR! It makes me mad.

I think back in my case and feel that thiazides with estrogen in a high stress job with skipped meals and a lot of dental work brought me over the edge, and it's been hard work getting back to normal bgs. It makes me mad to see fat people buying junk food for themselves and their kids, while I "know better" and am the diabetic. GRRR

The worst of the diet for me is that I am supposed to limit fats. I really thought diabetes about carbs. I know, it goes to storage. I am not as active, so in doesnt quite equal out. Still, I really don't know what to eat--that I like. I don't like much of the recipes I've seen. Down to cottage cheese 4%, rye crisp and Atkins shake, 1/4 cup fruit. With the Byetta a salad is way too bulky, and I dont see chewing it into a cud.

The bad part is, I can go without food, but I know I need it. I really hate this. (Comment this)

Written by: Myra Type II Metformin Lantus Byetta at 2007/06/03 - 15:16:34
29 - I am absolutely amazed at the level of indifference of some of the doctors described here. I guess I've been lucky in a lot of ways, because I don't know how I would handle going to the doctor and just being told to "just deal with it" or some such nonsense. I'm also realizing how fortunate I am to have medical insurance. It's tragic that a supposedly "advanced" nation like the US has so many people working hard every day but still uncovered. This HAS to change.
I have just recently discovered this web site and I think it's wonderful! (Comment this)

Written by: Dan in NC at 2007/06/03 - 19:11:12
30 - Tragic consequences of ignoring diabetes:
My friend's husband just died from a sore that would not heal. He did not pay attention to his diabetes. It is very sad. We DO have a difficult life, but we must remember the alternative. Sorry to be morbid, but we MUST be strong. We need to be a cheering squad for each other. Hang in there, my friends. (Comment this)

Written by: Pat from LI: 10 Byetta since June 2005 at 2007/06/03 - 20:29:23
31 - To Myra: Oh, I hear that. I went off junk food many years ago, always liked veggies, played hockey and had a non-desk job and NO family history of diabetes whatsoever. But, I went most of my life on one meal a day due to work and school pressure and harassment. That's assuming it's even possible to assign blame and say 'This is why. If I hadn't done a/b/c I'd be fine now...' but there are people right on this blog that were in shape all their lives and still got dinged. And there are people who live on burgers and fries without a second thought. Not all heavy smokers get lung cancer, either, and not all careful drivers get home safely every day.

Boy, do I agree with you on the food. I eat only because I must, not because I want it. Even food I loved is more worry than it's worth to eat it... chocolate is just 'little wrapped packets of rules'. Maybe that's better than having desperate cravings, heh.

-Pteryxx (Comment this)

Written by: Pteryxx at 2007/06/03 - 21:04:53 in reply to: 28
32 - Pteryxx,

I've only just discovered this site and already feel better talking to you all.

Having a thread on for financing diabetes would be absolutely wonderful.

But, after careful thinking as I posted the other day, I said to myself, "Self, you deserve the best care you can get. You worked hard all your life, took care of your family, and so what? You got this hideous, totally UNFAIR disease that ravages the mind, the body and the soul. Do something!" So, yesterday I did.

I was soaking in the tub yesterday morning. The pain everywhere was so bad! Enough crying! I called the Huey P. Long Medical Center (free hospital), and went there.

I was lucky to get in and out as quickly as I did. Gee, only 6 hrs! But not to complain. It is free, afterall.

Got blood work done, and saw the doc fast as my BP was way up. 200/100. But I told them that I have this "white coat" syndrome. "Why?" They asked me. "Oh, maybe cause I'm gun shy on the cost of my medical care over the years, and the fact that docs just don't take the time to talk to me about anything."

To make a long story short, my potassium was low. They gave me a dose of potassium, in a pill. Told them I'd rather eat a banana. Metformin is of course the culprit with the runs. He was gonna switch meds, but I told him to hold off on that as it is time for my check up, and that the runs are the least of my problems at the moment.

He also gave me a RX for BP meds, a RX for potassium, and a RX for Neurontin. All my beliefs, he believes, are correct about having diabetic neuropathy. Not that I can afford to fill the RX for Neurontin. So, today I call social services and see if I can talk to someone about their special med program for RX's. Just for the neurontin, as the rest of my meds I can get at Wal-Mart. I have RX's for 5 different meds now. Wal-Mart will do up to 3 for 4 bucks, and the special state funding will also cover 3 RX's for 8.75 each. All I want them to cover is the one for the neurontin.

Well, I have an appt with a neurologist coming up soon, through the state, to verify his diagnosis of neuropathy. This is what I've been telling my doc for quite some time now.

Also, after telling the doc about an episode I had (entire torso pulled up while I was soaking in the tub, like when they defibrilate someone, and the left side of my face kind of scrunched up and stayed that way for about 5 seconds or so.) I thought, dumb me, that was another sign of neuropathy. Wrong! Doc said my heart fibrillated and it was an episode of a "pre-stroke". Now, that scared me.

We have to do all we can to take care. Even if we have no insurance,which there is no excuse for. We need to get all the help we can. Now that I am on my way to "free" medical care, at least some free, I'll wait all day at the medical center. Well, I hope it will be free. They've not consulted on the matter yet...watching for the bill in the mail.

So, I say free, but am not sure yet. But, I am one step closer to relieving some of this pain, if I can get the state to help with the neurontin.

Ok, I'm babbling. Let's hope it all works out. I'll keep you posted, and don't give up guys! Maybe some of you need to get mad like I did yesterday, and go and say, "DO SOMETHING."

Doc was nice enough at the hospital, he was over worked, tired, and just plain weary. But knowing I have this white coat syndrome, he promised to wear black if I ever need to see him again. For all you guys, it took 6 hrs to get in and out, and I saw the doc for maybe 10 minutes tops. He never examined me, he never touched me, and he asked only the "important" guestions, and still did not have the time to let me really talk or ask too many questions...on to the next patient. It's sad really. (Comment this)

Written by: Robin Craig at 2007/06/04 - 06:38:57 in reply to: 31
33 - The Paying for Diabetes Discussion Forum is now available for everybody's comments!

(CLICK HERE)
 (Comment this)

Written by: Bill the diabetesdoc at 2007/06/04 - 08:10:14
34 - Robin Craig,

Welcome to the site, as one rookie to another. The support and experience here are so valuable... managing diabetes looks so insanely complicated. I've known folks on HIV medications that also suffered loss of employment, intolerance, nausea, and terror along with the hassle of managing multiple meds and meals every day, but at least they could eat whatever they
wished (within reason, and if they could keep it down). And they didn't have to test their blood viral load a dozen times a day.

Responding to this:

"For all you guys, it took 6 hrs to get in and out, and I saw the doc for maybe 10 minutes tops. He never examined me, he never touched me, and he asked only the "important" guestions, and still did not have the time to let me really talk or ask too many questions...on to the next patient. It's sad really."

It's just another symptom of a society that thinks people are machines, and can't deal with the concept of chronic illness management. Lots of doctors and nurses have blogs on the Net and complain about how the drive to make a profit prevents them from doing the very thing they won their spurs to do - help patients. I hope that, somewhere among struggling to survive, I can find some time to advocate changes in our survival of the fittes- err, 'healthcare system'.

-Peace, Pteryxx

One example from a nursing blog:

http://nurse-ratcheds.blogspot.com/2007/05/lucy-chocolates-and-our-failing-health.html (Comment this)

Written by: Pteryxx at 2007/06/04 - 12:24:52 in reply to: 32
35 - Pteryxx,

Oh, silly me...the Rx was not for BP, but it is an anti-depressant that they prescribe for chronic pain. My pharmacist laughed at me when I said, "I don't need the BP meds." "What BP meds?", she asks. "Those amitriptylin things." I say. Am I silly or what? She's like "Those are for chronic pain, an anti-depressant." All I could say was, "Oh...".

Why do I need both the pain meds and the neurontin? Says they treat pain in different ways. I asked if it would be smart to just start with the pain meds and wait on the neurontin to see how they work. She said it was ok to do that.

Pain meds are only 4 buck at Wal-Mart, while the neurontin was NOT 4 to 5 hundred, but only 103.00. Which is bad enough, but much better.

I have an appt this Wed at the state RX service at the local hospital to see if I can get the neurontin for 8.75 instead of 103. I'll take all I can get for as little as I can get it. Paperwork, paperwork. But if I can get all meds for under 30.00 a month, that is a really good thing.

Perhaps we are on our way to an easier way of taking care of me, much less stress that is for sure.

I'll keep you all posted. This is a great place and in the couple days since I've found this place, I already feel so much love. Thank you. (Comment this)

Written by: Robin Craig at 2007/06/04 - 15:03:43 in reply to: 31
36 - Bill the diabetesdoc,

Thank you so much for starting this forum. I know it will really help out many of us that need it.

This is a great place to visit, and to let it all out. (Comment this)

Written by: Robin Craig at 2007/06/04 - 17:38:57 in reply to: 33
37 - DianeW in Washington, t2-2003, Byetta 10-2007, Metformin 850 X3, levemir, My mother battles bipolar illness. I commend your awareness and willingness to persevere with such a cruel illness. The important issue is that you do not neglect your physical health issues as a result of your bipolar; my mother does! It's saddening, but it is a course that she has chosen to take. Keep your chin up, get lots of sunshine when it's possible; it really helps with the lows. (I'm sure you already know this, though). Again, I applaud you for being willing to address all of your health issues. (Comment this)

Written by: Barbara in SC, Byetta 5, Synthroid 1.0, bp, cholesterol, heart meds at 2007/06/04 - 20:32:07 in reply to: 7
38 - I KNOW WHAT IT IS LIKE TO HAVE NEUROPATHY. I HAVE IT CONSTANTLY IN MY TOES AND FEET AND NO PAIN MED HELPS. I AM SO DOWN ABOUT ALL THIS DIET STUFF AND WHEN TO EAT WHAT, WHEN TO INJECT, WHAT TO EAT. I HAVE CORONARY HEART DISEASE, SO IT IS LOW-FAT, HIGH BLOOD PRESSURE SO IT IS LOW-SALT, DIABETES, SO IT IS LOW-CARB......NOT MUCH LEFT TO PICK FROM FOR A FOODAHOLIC WHO EMOTIONAL EATS. I FEEL LIKE I AM STANDIND UP AGAINST A WALL WITH NO PLACE TO GO.....................BAZ (Comment this)

Written by: baz byetta 5.....only taking it once a day at 2007/06/05 - 00:05:20
39 - Distraction:
I've been quite aware of the need to eliminate food for pleasure, entertainment, emotional crutch. I have lost weight successfully a few times, and each time I've had to remove "thinking about food" in order to get control. It is an alternate lifestyle, quite antisocial, but it was always necessary to replace eating with something else very enjoyable. Lately it has been dancing, but I broke a bone in my foot yesterday. I love boardwalk walking. A good novel has worked. Horses were fun once. Family usually brings me enough trouble to cause eating. A few thoughts. (Comment this)

Written by: Pat from LI: 10 Byetta since June 2005 at 2007/06/05 - 07:23:33
40 - Barbara in SC, Byetta 5, Synthroid 1.0, bp, cholesterol, heart meds,

My mother had bipolar too and it was growing up with a out of control mother that has made me very aware that only I can help me.

I do not want to be like she was or do what she did to all who loved her!

Thanks for the recognition, and yes I try to get out in the sun each day as it is a huge mood booster.

 (Comment this)

Written by: DianeW in Washington, t2-2003, Byetta 10-2007, Metformin 850 X3, levemir, at 2007/06/05 - 11:34:46 in reply to: 37
profile
41 -


Readers of these comments should realize that diabetes is a serious disease that can cause people to have strong emotional reactions. If you  are upset about some aspect of having diabetes, please discuss your concerns with your physician. If for any reason you are uncomfortable with talking to your physician, find another person (such as a diabetes nurse educator, social worker, clergyperson, or family member) and discuss your concerns with them.
 (Comment this)
  

Written by: Bill the diabetesdoc at 2007/06/05 - 21:35:07
42 - I would like to add that last night was my monthly diabetes support group meeting which is facilitated by a certified diabetes educator. We had newbies who were upset, angry, and confused but I know they left with alittle more info and a sense that they are not alone with their feelings. I've been going for 9 years now and it seems I learn something new everytime. I would suggest that everyone see if there are diabetes support group meetings being run by their local hospital, which mine is and it's free, or some other diabetes center in their area and give it a try. While this is a great place to go for us to vent, Dr Bill is right that a CDN or someother professional is needed to actually make sure that what we are thinking is actually correct medically. (Comment this)

Written by: geri in co at 2007/06/06 - 08:46:41
43 - And this forum is here any hour of the day or night. Funny how that works out, ey? ; ) -Peace, Pteryxx (Comment this)

Written by: Pteryxx at 2007/06/07 - 00:49:15
44 - BAZ - I understand how you are feeling. I could be in the same place. It's confusing and frustrating and not fair at all!! But, I am excited about the byetta and excited about the opportunities this is bringing me to learn about my body, and my weight, and my life. Just think - if you did not know any of these health issues you might go untreated and shorten your life by so many years. For now, take it slowly - one day at a time - I am trying to make educated decisions about my food, my timing of meds, my feeling side effects - and make adjustments as needed. Let's acknowledge how crappy it is that we have to deal with this - and move forward to attract positive thoughts and good health to ourselves! Judy (Comment this)

Written by: Judy at 2007/06/07 - 14:34:57 in reply to: 38
45 - Judy, THANKS FOR THE ENCOURAGEMENT. YES, YOU ARE RIGHT. I WENT TO TRADER JOE'S TONIGHT AND BOUGHT A LOT OF LOW-CARB AND ORGANIC FOOD AND AM GOING TO TRY ANEW TO STRENGTHEN UP MY EATING HABITS.............MUST TRY AND SUCCEED WITH GOD'S HELP....THANKS AGAIN................BAZ (Comment this)

Written by: BAZ at 2007/06/08 - 00:35:02 in reply to: 44
46 - "False hypoglycemia" I read an article entitled so, which would have been so much more useful to call "Proportional" or "Relative hypoglycemia". I think I have hit upon a blind spot in my own "medical team". The attitude that a patient is either faking (or malingering as my Victorian grandfather doc used to ascribe to his patients' symptoms) and doing nothing, as if the patient should "toughen up". I have hypoglycemic feelings after using a medication designed to lower bgs from my usual levels. What is FALSE about feeling groggy, clumsy, dyslexic, jittery or angry regardless of "normal" glucose reading? The consequences are the same. Measurement is useful but IT IS ALWAYS RELATIVE TO SOMETHING ARBITRARY. The platinum bar of one meter in Paris is an arbitrary standard to use as a model, not as absolute in the universe. I don't use metric linear measurement so to me it's always relative to yards, inches. Amusingly, he uses the measurement in office of blood pressure as "absolute" although I have shown him charts of my home bp, and mentioned how much I dislike traffic, and waiting for hours. One doc who made me wait for 4 hours --I could hear him chatting with his staff about his new bookcases, and then checked my bp, was astonished it was 140/90. I hadnt eaten or drunk, and was mighty angry about the delay. I stayed because taking another day from work would be worse for my deadlines and workload. The arrogant so-and-so turned to the nurse and said "she has white lab coat syndrome". GRRRRR (Comment this)

Written by: Myra Type II at 2007/06/08 - 12:11:35
47 - Question - I have had Type 2 for a bit more than 5 yrs up and down w/ my numbers not usually over 200... not lots of weight loss (yet) with 100 to go. now on byetta 5 (heading to 10) and glimiperide 45mg 1x and fortamet 1000 2x. I do have an internist who has a Ph.D in Pharmacology with a specialization in diabetes. I went through a diabetes education program which gave me a personalized dietician prescribed diet. I have no endocrinologist yet as the endos in my area have a 6 mos waiting list for an appointment. My eye doc checks my arteries in my eyes via a computer image every time I go. I am constantly checking my feet after my shower daily - but haven't seen any reason to associate myself with a podiatrist. I do sporadically have some wierd feelings in 3 of my toes on the right foot although they look normal enough. Suggestions on whether I must get an endo or a podiatrist? Thanks in advance. Judy (Comment this)

Written by: Judy at 2007/06/09 - 15:36:19
48 - GERI in CO, Just wanted to tell you that because of you I am going to my first Diabetes Support Group on Wed nite. It's at a local hospital near my home and was fairly easy to find. I'll let you know how it goes, but I think you're right - I'm sure I"ll learn something new everytime I go. Thanks for the suggestion! Judy (Comment this)

Written by: Judy at 2007/06/09 - 15:39:16 in reply to: 42
49 - Found this article on working as a freelance writer with a chronic disease - in this case, chronic pain. She describes adjusting her life and priorities to continue her career. I'm new to this, but in my short six months I can already see the start of the path she describes: "It was the first time in my life I was not able to overcome a problem through sheer force of will. It was bigger than I. Besides, with chronic pain new to me,I had not yet learned how to manage it..." -Paula Kamen http://freelancewrite.about.com/od/introtofreelancing/a/paulakamen.htm Here's hoping this is of some use to everyone out there. -Piece, Pteryxx (Comment this)

Written by: Pteryxx at 2007/06/10 - 21:20:08
50 - Judy, My opinion is that an endo is best because diabetes is one of their specialities so I would get on the 6 mo list now. Ask at the support group meeting and see who they recommend or like and they may also have tips on how to get in faster. We have a shortage of endos here so I understand the wait. Let me know how the meeting went. (Comment this)

Written by: geri in co:byetta 10, metformin er, glucotrol xl at 2007/06/11 - 09:13:32 in reply to: 47
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