[Diabetes-talk] Your Dr...

Mon Mar 14 21:54:09 UTC 2011

I agree with you, and after 25 years, my doctor trust me to make any
changes on my own between visits, but I still see him every 3 or 4
months.

This does not mean one can not manage if skipping to perhaps every 6
months, and I do not mean other doctors can not assist or administer
test, but I simply have never heard a doctor-- any kind-- say what
Debbie's did.

Bridgit
-----Original Message-----
From: diabetes-talk-bounces at nfbnet.org
[mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Mike Freeman
Sent: Monday, March 14, 2011 3:44 PM
To: Diabetes Talk for the Blind
Subject: Re: [Diabetes-talk] Your Dr...

Bern:

I think your reaction below is a bit extreme.  In fact, my response to
Debby's question charts a course midway between your answer and those of
Cheryl and Bridgit and that of Shirley.

In an ideal world, you, Cheryl and Bridgit are absolutely correct:  a
diabetic stands the best chance of receiving optimal treatment of
his/her diabetes if s/he visits an endocrinologist and gets a lab workup
every three months.  However, this is the real, not the ideal, world.
So Shirley's statement has merit *if* a number of things are
simultaneously true:  (1) the diabetic checks his/her feet for symptoms
of diabetic neuropathy daily; (2) does not have symptoms of diabetic
neuropathy, diabetic retinopathy and/or diabetic nephropathy (kidney
disease); (3) has monitors his/her blood glucose religiously and keeps a
log of those readings; (4) the readings thus obtained are within the bg
targets worked out with tha diabetic's doctors and CDE and (5) even if
the diabetic does not visit an endo or other diabetic specialist or, for
that matter, a general physician, lab work is done so that the diabetic
gets an A1C and hematocrit test *with* interpretation every three
months.

As you can seei, this is quite a list.  But if all this is done and the
diabetes remains more-or-less stable, I think it's relatively safe to
skip a quarterly endo visit or two.  Note, however, that this puts even
more responsibility on the diabetic himself/herself than s/he already
carries and often finds difficult to cope with.  Thus, the quarterly
endo or other diabetic specialist visits have the additional benefit
beyond better diabetes care of keeping the diabetic honest and free from
backsliding.  I think only the diabetic himself/herself can judge
whether the benefits of better diabetes care and prevention of
backsliding is worth the additional cost.

Bottom line:  while I don't think we should poo-poo what Debby's doctor
said completely, all other things being equal, it's probably better to
keep up those quarterly visits, *especially* if A1C tests and the like
are done each time.

Mike Freeman

Mike Freeman
sent from my iPhone

On Mar 14, 2011, at 12:33, "William and Bernadette Jacobs"
<bandbjacobs at verizon.net> wrote:

> Hey Debbie:
> 
> I'm with Cheryl on this one.  If the guy tells you that he doesn't 
> need to see you anymore unless you need something, he really doesn't 
> know anything about diabetes, and, of course you should immediately be

> in search of someone who knows what they're doing and what they're 
> talking about!  A quack is a quack is a quack Debbie!  Simple as that 
> Honey!
> 
> Bern
> ----- Original Message ----- From: "cheryl echevarria" 
> <cherylandmaxx at hotmail.com>
> To: "Diabetes Talk for the Blind" <diabetes-talk at nfbnet.org>
> Sent: Monday, March 14, 2011 3:12 PM
> Subject: Re: [Diabetes-talk] question?
> 
> 
>> no! You should be seen by someone taking care of your diabetes every 
>> 3 months.
>> 
>> The biggest compliment you can pay me is to recommend my services!
>> 
>> Cheryl Echevarria
>> CD-10646 
>> http://www.Echevarriatravel.com<http://www.echevarriatravel.com/>
>> 1-866-580-5574 or 631-456-5394 
>> reservations at echevarriatravel.com<mailto:reservations at echevarriatrave
>> l.com>
>> 
>> Member of NACTA.com
>> Member of ASTA.org
>> 
>> Affiliated as an Independent Contractor with Montrose Travel 
>> CST-1018299-10
>> 
>> Affiliated as an Independent Contractor with Absolute Cruise and 
>> Travel, Inc.
>> ----- Original Message -----  From: Debbie
Fredericks<mailto:catdancing at sbcglobal.net>
>> To: diabetes-talk at nfbnet.org<mailto:diabetes-talk at nfbnet.org>
>> Sent: Monday, March 14, 2011 11:09 AM
>> Subject: [Diabetes-talk] question?
>> 
>> 
>> Last Friday I went to see my diabetic doc in St. Louis MO at Barnes 
>> hosp. He told me I didn't need to come back anymore unless I needed 
>> something. Has anyone ever heard of this? Debbie 
>> _______________________________________________
>> Diabetes-talk mailing list
>> Diabetes-talk at nfbnet.org<mailto:Diabetes-talk at nfbnet.org>
>>
http://www.nfbnet.org/mailman/listinfo/diabetes-talk_nfbnet.org<http://w
ww.nfbnet.org/mailman/listinfo/diabetes-talk_nfbnet.org>
>> To unsubscribe, change your list options or get your account info for
Diabetes-talk:
>>
http://www.nfbnet.org/mailman/options/diabetes-talk_nfbnet.org/cheryland
maxx%40hotmail.com<http://www.nfbnet.org/mailman/options/diabetes-talk_n
fbnet.org/cherylandmaxx%40hotmail.com>
>> _______________________________________________
>> Diabetes-talk mailing list
>> Diabetes-talk at nfbnet.org
>> http://www.nfbnet.org/mailman/listinfo/diabetes-talk_nfbnet.org
>> To unsubscribe, change your list options or get your account info for
Diabetes-talk:
>>
http://www.nfbnet.org/mailman/options/diabetes-talk_nfbnet.org/bandbjaco
bs%40verizon.net
> 
> 
> _______________________________________________
> Diabetes-talk mailing list
> Diabetes-talk at nfbnet.org 
> http://www.nfbnet.org/mailman/listinfo/diabetes-talk_nfbnet.org
> To unsubscribe, change your list options or get your account info for 
> Diabetes-talk: 
> http://www.nfbnet.org/mailman/options/diabetes-talk_nfbnet.org/k7uij%4
> 0panix.com

_______________________________________________
Diabetes-talk mailing list
Diabetes-talk at nfbnet.org
http://www.nfbnet.org/mailman/listinfo/diabetes-talk_nfbnet.org
To unsubscribe, change your list options or get your account info for
Diabetes-talk:
http://www.nfbnet.org/mailman/options/diabetes-talk_nfbnet.org/bpollpete
r%40hotmail.com