Specialists and Diabetes

Hello everyone:

Yesterday they made me an infiltration in my hand with corticosteroids and in the report they gave me they did not put meI would control the sugar and that I had told them that I have type 1 diabetes.

Tonight I have reached almost 400. I have a few corrections and after 12 hours and many calculations, I have achievedI approach 120. I think that if I had not corrected me, I would have ended in emergencies by ketoacidosis.

I am outraged or rather a worrying encounter that a traumatology specialist does not report in word or in writing of what can happen to a person with diabetes when they are injected corticosteroids or for how many days will be decompensated.

When I go to a specialist, I always inform my illness but more than once I have had the feeling that, apart from the endocrine, the rest of the specialists care little or nothing.

Hi @ricki21!

Thank you for sharing your experience, and above all for alerting the community about something so important.What happened to you is serious and unfortunately too frequent.Many health professionals outside the field of endocrinology do not yet have internalized the real impact that corticosteroids can have on people with type 1 diabetes.

The minimum would be to warn in writing and word about the possible glycemic decompensation, and even indicate for how many days that effect can last.That they did not, although you expressly mentioned it, is very worrying.

Your case reflects very well why theDiabetological Educationand the need for each of us to always be one step ahead.Luckily, you knew how to react on time, corrected, and you avoid a critical situation as a ketoacidosis.That says a lot about your experience and your strength!

I hope more specialists understand that we are not exaggerating when we ask for caution and monitoring, thanDiabetes does not stay in the endocrine consultation, and that any medical intervention can have important consequences.

Thanks again for sharing it, Ricki.These types of testimonies are the ones that make this community great and help us take care of each other.

A strong hug,
💙

P.D.: These types of experiences are what we collect in the book"Living with diabetes: the power of the online community".If you have someone near the health field, giving him this book can be a powerful way to open his eyes on what he really means living with diabetes.

Something similar happened to me with my daughter, when I was little and gave her an asthma attack.

They put ventolin and corticosteroid mask every three or four hours.Every time he inhaled, he put 200, and I corrected with two fast units.

If I do not correct with a total of more than 8 units, it would have ended with ketoacidosis, and that we were in the hospital.

I believe that each specialty deals with theirs and period, but, when there is a base diabetes, we would also have to have the assistance of the endocrine or, at least, a protocol of action for health.