Diabetes Guidelines

I was diagnosed with Type 1 Diabetes last week and now I feel like my life is ending. I’m not even 15 yet and I feel like I’ve been handed a death setence. I know I might be blowing it out of preportion a little but diabetes can be fatal.

My friends are treating me different as well. They refuse to touch me as if I’m going to either break or they’ll catch it. I feel like no one can relate to me anymore. My parents/step-parents have done nothing but cry and I can’t put up with it anymore.

I just want to lock myself away. My doctor has the worst bedside manner in the world and just keeps shoving information down my throat. He wants me to wear an OmniPod.

Is there anyone on here who has diabetes/diabetic relative? How did you cope when first diagnosed and did your friends treat you different?

How can I get over this phase of depression? I don’t want my life to be ruled by this disease.

Thanks for any help you can give.

I didn’t know Nick Jonas wore one as well. That makes me feel a bit better. And yeah, I like the Jonas Brothers.

This is NOT the end of the world nor even the world as you knew it last week!!

Even my adult friends didn’t know what to do when I was diagnosed several years back!

You need to read and heed the info the doctor gave you. You can live to be 100+ if you pay attention to that information!! And you can be much healthier than any of your so called friends as well.

So we have to do either MDI, multiple daily injections with their attendent grams of carb counting, or we can do the insulin pumps with their attendent grams of carb counting!

The only thing that died is your pancreas! It got sick and quit working! If it was appendix that is easier to fix, simply have it out. But the pancreas has life saving secretions and when it dies, we have to do something else. Same difference tho. We have to pay attention!!

Nick Jonas does indeed have an insulin pump! He was devastated when diagnosed too! As was Mary Tyler Moore a lot of years ago in the dark ages of diabetes care!

Read some stuff on the internet that is for helping you to cope with this slight alteration to your life plan:

http://www.phlaunt.com/diabetes/

http://www.alt-support-diabetes.org/NewlyDiagnosed.htm

http://www.diabetes-normalsugars.com/book/chapter9.shtml

http://www.diabetes-normalsugars.com/book/chapter10.shtml

And finally there are a couple of really good groups on My Space for teens with diabetes.

Support of one’s peergroup is very very important. You can educate your friends as you learn about this. Talk to them, have them read all the info the doctor has given you. Some of them will be subject to getting type 2 eventually and the treatments are very similar.

hello my doctor told me im diabetic because my fasting blood glucose level was 10 is this a normal blood sugar?

No it isn’t, or he would not of course have said it.6mmoles is normal and a sugar as high as 10 is diagnostic.

My son is 11 years old and I’d like to find safe places where he can go and find out more about his condition and if there is any place that he can chat with other kids his age who have the same issues he’s dealing with.

Ask his doctor about support groups for both you and your son.

Check out camps for kids with diabetes.
The one near me has summer camp and during the year they have sessions for kids and adults.

Good luck.

At the end of my regular checkup last night, my doctor told me his office had adopted a patient "contract" for diabetes patients as a motivational tool to follow all of the treatment guidelines and goals and asked me to sign it.

But the "contract" had key two paragraphs he didn’t mention, that if I didn’t comply with all the guidelines, I would be discharged as a patient, and that if I was discharged, all family members would be discharged, too. He tried to down-play the significance of the paragraphs, but it was apparent that they were what the "contract" was all about and he was pretty adamant that I should sign it, which I didn’t, took it home to read, became even angrier that he lied about the nature of the "contract," actually an ultimatum, and continued to deny what it was for.

There has never been a question that I don’t do what I’m supposed to do, by the way.

Has anyone else been given such a thing by their doctor and coerced to sign it?
All reassuring answers so far, thanks a lot! My feeling is that this "contract" is being imposed by someone else, like an insurance carrier trying to cut its costs by coercing my doctor to get contracts or face being "discharged" from coverage.

since the way diabetes acts, especially type 2, that is a totally unfair "contract"!!

Most of us are not lazy, do not need to get off our butts and on to the treadmill or trail. Yes, we some of us need to lose some weight but that is not a Doctor’s option!! and neither is whether we are able to keep our glucose numbers within a certain narrow parameter.

My weight has gone from 110 to 160 with the introduction of insulin to my system!! I am definately not a couch potato!! In the past 10 years I have narrowed my food choices down to near nothing. some meat, spinach and tomato salads and apples!! This is 6 small meals per day.

I take the meds as scheduled, I eat as directed (other than eating a lot of cereals and grains) and do my walking daily.

It just doesn’t cover all the variables in a life!! I would not sign that form either!!

Suggest you terminate the doctor and find another one!! Or better still write up your own "contract" for the doctor to sign if you sign his!!

Contract will include:
no blaming patient for high glucose numbers,
no blaming patient for high blood pressure,
no blaming patient for occasional treats,
no blaming patient for bad temper,
no blaming patient for weight gain or loss,,
no blaming patient for insurance co’s lack of sending supplies.

I am sure you can write up the contract following the one from the doctor and adding these points and some more of your own.

my grandmother has been diagnosed recently but she doesnt like doctors, hospitals or tablets/injections. she says is she hadnt been to the doctor, she would never had known she was ill. she won’t go back to the doctor to discuss treatment for her diabetes. is she putting herself at risk?

Yes, depending on the type. One is a lot more serious than the other. If it isn’t monitored and controlled, she could die from it depending, of course, of the severity of the problem. She could be getting real thin headaches and sleepy or the opposite, gaining weight, tired and sleepy.

Also changes in body temperatures and changes in appetite.

I hope that helps

My doctor recently diagnosed me as diabetic based on my fasting blood sugar (142) and a A1c of 6 (mean avg glucose=114). However, I was not told to fast before the "fasting" test (nor did they ask me if I had been fasting)! I had a lot of sugary food a few hours before the test and, more importantly, some sugary breakfast drinks about an hour before. I told my doctor this, but he says the A1C test confirms the diagnosis, which I thought required 2 fasting blood sugar tests.

He’s a new doctor for me, and I’m not crazy about him for various reasons. Should I get a second opinion/new doctor, and, if so, what should I tell the new doctor? Should I tell him about the previous doctor? I don’t want my insurance rates to skyrocket if I don’t really have this disorder.

Much thanks.

a1c of 6 isn’t ideal but it isn’t that bad.
sugary foods before A1C wouln’t affect the test.
A1C isn’t used for diagnosis, only for management.

My dad has diabetes but he doesn’t like taking his pills (lysinopril) and he wants to find a natural alternative.

This is not something you mess around with easily, and make sure your doctor knows what you are doing, however that being said you can try:

Chromium Picolinate
Fish Oil
and some whole food products that have an effect on diabetes and insulin resistance like Acai Berries

Eat:

7 to 8lots of fresh vegetables,
4 to 6 servings of good quality protein (whey concentrate, meats, cheese, soft cheese, eggs etc.),
3 to 4 servings of oils (olive, grapeseed, coconut),
3 to 4 servings of fruits,
1 to 2 servings of wholegrains
IN THAT ORDER OF IMPORTANCE PER DAY

and NO white stuff at all!

White stuff? anything made of white flour, or white rice, sugar, pasta, etc..

and last but by no means least: Exercise daily for at least 30 mintues (walk, swim, use a vibration platform, join a fitness center, move your body, etc..

This is just information not advice so please let your doctor know what you are doing, so that he can monitor the insulin levels carefully.

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Laboratory techniques or technologies currently in use for the detection & measurement of blood glucose, glycohemoglobin or antibodies in the diagnosis of diabetes (both Type 1 & 2)
What exactly do they use to measure glucose, HbA1c etc?

Colorimetric photometry? Biosensors? Bioassays? Some other spectrometry methods? How do these techniques work?

The most common test is the Fasting Blood Glucose test.

in this test, the patient MUST be fasting for 8-10 hours before the test. The doctor then takes a "finger stick" reading (he might take a blood sample and send it to the lab). This test is usually repeated twice, on two separate visits to the doctor.

If there are TWO fasting blood glucose reading over 120, the doctor suspects diabetes.

At this point, the doctor may also ask for a Glucose Tolerance Test (GTT). this test takes about 3-4 hours. That patient is asked to drink a really sweet liquid, andthe doctor takes many blood sample. the values from the blood samples are used to develop a "chart" showing how well the patient responds to a "slug" of sugar.

if the patient’s body responds slowly, then the patient is diabetic.

a MUCH MROE ACCURATE test is now used. this is called the A1C test. This test measures an "average" of your blood sugar of the last 90 days. You do not have to fast before this test, and you cannot "cheat" on this test by eating correctly for 2-3 days before the test.

If the test comes back "normal" then you are probably not diabetic. if you know you already are diabteic, then a NORAML reading shows that you are correctly following doctors orders.

If the A1C test comes back high, you are probably diabetic. You should start treatments right away, and repeat the A1C test in three month to see how you are progressing.

The Old School way of testing for diabetes was to take a urine sample. This is VERY inaccurate, and is no logner used for a diagnosis. the doctor may still take a urine sample, though. he may have it tested for proteinsand blood, which shows that the diabetes has started to cause kidney disease. While sugar in the urine IS a symptom of diabetes, the finger stick test, the A1C test, and the GTT will all show diabetes long before it shows up in the urine.

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