PCOS Messages for April, 2003: Re: How do I convince Endos I am not a diabetic?

Re: How do I convince Endos I am not a diabetic?

From: Sonnet (anonymous@obgyn.net)
Wed, 30 Apr 2003 17:52:07 -0500 (CDT)

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In reply to: Missy: "How do I convince Endos I am not a diabetic?"

You know the big red sign is not a half bad idea.... I get this too, I think many of us do. From everyone including all manner of doctors, insurance companies, pharmacies, I even had an apointment setter for a clinic argue with me about it once. It gets pretty old explaining it over and over!

Here's what I do - mostly it involves a lot of being VERY clear and very forceful. If they mention diabetes (except as a far off possible future complication) make them list for you what evidence they are going on that you are a diabetic. That sounds so snotty, but I swear I do it. "And just why do you think I am a diabetic?" or "What criteria are you basing the diagnosis of diabetes on?" It helps to have an idea what your blood glucose is actually running, I mean heck have them test it in the office if they're so positive you're diabetic. I love doing that after a long argument if I'm getting nowhere and my blood sugar comes up as like, 85 non fasting. Hello doctors, I'm NOT a diabetic, I promise you I would tell you if I was!

I also find it's helpful to be very clear to them about saying "I am prescribed Glucophage to control insulin resistance and hyperinsulinemia." Sometimes I throw in 'and hypoglycemia,' if I think it will help. Unfortunately, saying I am prescribed it for PCOS is as good as nonsensical babble to most doctors, they totally blow it off and it goes in one ear and out the other.

Good luck! Keep trying until you find a doctor who can figure out the difference between too MUCH insulin and too LITTLE, and let me know how it goes!

At Tue, 29 Apr 2003, Missy wrote: >
>I was diagnosed with pcos by my gyn 2 years. I am on a bcp and
>glucophage and lipitor and making great progress. I also eat right and
>exercise.
>
>My gyn wants me to get an endocrinologist because I still have a few on
>and off symptoms hanging around that she feels are endo related. So I
>try. But I jump from one to another. For some reason, no matter what I
>say to these endos, the minute I tell them I'm on glucophage, they start
>looking in the direction of possible diatetes, start testing me and
>treating me like a diabetic, and therefore, are looking in the
>completely wrong direction.
>
>I never truly tested positive for IR, but had all the symptoms, and
>glucophage did wonders for me, I love it. But I certainly was never
>diabetic. My glucose level has never ever been anywhere near high
>enough to even consider it. If anything, I've been more hypoglycemic
>all my life.
>
>I'm going to try a new endo soon....again. What can I say to this new
>doctor to get her on the right track so she doesn't start making the
>same mistake as all the other endos by looking in the direction of
>diabetes and again, getting offtrack. (Maybe I should walk in with a
>big sign in red letters that says WARNING, I AM NOT DIABETIC!) Hahaha
>
>Any ideas would be welcome. Thanks.

--
email always welcome: sonnet_fitz@hotmail.com

Next message: Sonnet: "Speaking of weddings"
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In reply to: Missy: "How do I convince Endos I am not a diabetic?"

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