Should an endocrine assign?

Tgirl's profile photo   09/01/2021 2:19 p.m.

  
Tgirl
09/01/2021 2:19 p.m.

Hello everyone.I summarize:
Two years ago my mother has told Spain that its general doctor was diabetic.He gathered with nutritionist and a pill that my mother does not remember what it was because she only took a month and she left her because she hated taking medications.

Now that I am more aware of diabetes, in Toledo I asked his doctor general for evidence in general.

Results:
HBA1C 6.3
HDL 62
LDL 134
Triglycerides 98

Usually on an empty stomach my mother is in 120 glucose.

Anyway, I tell the doctor to send an order to make an appointment with the endocrine, but said that my mother is not diabetic and did not want to give the order ...
How are two different communities, he says that the results do not appear in the system or their diabetes history ...

My mother is diabetic because one day dawns in 120 others to 140 and others to 108 ... and two hours after eating about 120 to 140.

My mother has a little overweight: measures 1.50 and weighs 65 kg.It is difficult to lose weight although its diet is vegetable and protein scarce refined carbohydrates.

Opinions?I want an endocrine to review it to do more exams and tell him how much insulin he has and what type of diabetes and whether he needs statins or not.But I don't know, according to the results of the exams;Yes should Social Security assign an endocrine or should we request it private?!?

Thanks for reading me!

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isabelbota
09/01/2021 4:39 p.m.

I doubt that with your mother's results, they are not so bad, they want to send an endocrine.I gave a HB of 16!And it cost me almost a month to convince my doctor to ask me for an appointment with the endocrine.
With these results and overweight it is seen that it has a principle of type 2 diabetes. Even if it is the header, it should medicate it so that it does not go, surely with oral antidiabetics (pills) as they did at the time.And your mother should pay attention and take them, of course.

DM 2 con páncreas agotado desde diciembre 2020. 51 años entonces.
HG diciembre 2020: 15.9. Última HG: julio 2024 5.8
Abasaglar 9 unidades. Metformina, 1000/0/1000. Humalog junior: 2 unid en desayuno y luego en función de lo que coma.

  
meginer
09/03/2021 12:03 p.m.

I tell you how the thing is going in Andalucia.
Your mother is diabetic, her glyd is above 6, between 5.5 and 5.9 is considered prediabetes.If basal blood glucose, that is, on an empty stomach, it is greater than 126 is also a diagnosis of DB and at any time it reaches 200.
That said, it seems that it is a DB type 2.In Andalucia, the DB type 2 a priori, does not carry it in endocrine but the family doctor.He is in charge of doing analytical controls every 6 months, controlling the topic of view, feet and reviewing.Endocrine is only derived when it is a type 1 diabetes (which is obviously carried by the endocrine), or a very difficult control of very difficult control that cannot be controlled from primary care.So it is here and I imagine that it will be simulating throughout Spain.I tell you about public health.

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Alberto_13
09/03/2021 12:49 p.m.

@meginer in Andalucia at least a family doctor that TB leads to the DM1 and the Lada and the Modys

DM3c desde 2018; hb 6 % (feb.. 2022) (tresiba+fiasp+metformina)

  
meginer
09/03/2021 1:02 p.m.

alberto_13 said:
@meginer in Andalucia is at least a family doctor that TB takes to the DM1 and the lada and the modys

Yes, of course, of course it can be done, but the usual thing is that the dm 1 takes them the endocrine, another thing is that there is a setback and see the family.Tb se from small hospitals that do not have endocrine and are seen by an internist specialized in DB.
Any well -trained family doctor can do it.

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Nila
09/03/2021 1:40 p.m.

alberto_13 said:
@meginer in Andalucia is at least a family doctor that TB takes to the DM1 and the lada and the modys

I am Mody and the endocrine is seeing me annually.The header was not going at all.In Andalucia.

But when changing the province it seems to me that everything is going to be with a primary doctor and to know ...

Diabetes desde 03/15
Lantus
MODY 3
HG octubre 2021: 5,7; junio 2021: 6,5; 2020: 6,7; 2019: 6,7. 2018: 6,4

  
vanessa30
09/03/2021 3:11 p.m.

nila said:
alberto_13 said:
@meginer in Andalucia is at least a family doctor that TB takes to the DM1 and the ladas and the modys

I am Mody and the endocrine is seeing me annually.The header was not going at all.In Andalucia.

But when changing the province it seems to me that everything is going to be with a primary doctor and to know ...

But you say that you plan pregnancy, therefore in your case it should be endocrine the one to take you, and more now that Tb has prescribed novo rapid for special situations

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Nila
09/03/2021 3:40 p.m.

If good that now, I believe that when this moment passes directly they will not send me.In fact, when I went to the elementary school consultation, he put on me when I was with the specialist's report, he also told me that having diabetes was no reason to go to the specialist.Of course accustomed to the treatment n the other one that they referred to me from day one, I fuck me

Diabetes desde 03/15
Lantus
MODY 3
HG octubre 2021: 5,7; junio 2021: 6,5; 2020: 6,7; 2019: 6,7. 2018: 6,4

  
vanessa30
09/03/2021 3:51 p.m.

nila said:
If good that now, I think that when I pass this moment directly they will not send me.In fact, when I went to the elementary school consultation, he put on me when I was with the specialist's report, he also told me that having diabetes was no reason to go to the specialist.Of course accustomed to the treatment of the other one that they referred to me from the first day, I choco

Ah of course, having diabetes is not a reason for the specialist !!
Well, they explain to you with a MODY diabetes as you are going to carry a pregnancy with hormonal, glucose, cholesterol, thyroid..etc control without what has it studied precisely that specialty

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meginer
09/03/2021 4:48 p.m.

nila said:
If good that now, I think that when I pass this moment directly they will not send me.In fact, when I went to the elementary school consultation, he put on me when I was with the specialist's report, he also told me that having diabetes was no reason to go to the specialist.Of course accustomed to the treatment of the other one that they referred to me from the first day, I choco

You have to bring you an endocrine, Vanessa, mandatory, and more in a situation as a pregnancy that is considered risk.Sien your province there is no endocrine because an internist but he has to be a hospital specialist.

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isabelbota
09/03/2021 5:07 p.m.

It is that there is a lot of reluctance of head doctors to send to the endocrine.
It cost me the life to send me.Based on insisting, I got, at 3 weeks, to ask me for an appointment.Having arrived with HB 15.9, weight loss, ketone bodies ...
It seemed like type 1 and I am type 2 because I have no antibodies.But neither does it reserve pancreatic.And my head doctor determined to take away the insulin.I did it 3 days and it was a disaster and I already planted with the theme of the endocrine.
I spent a lot of fear unnecessarily.I thought I was going to give me something with the trial-error ...

DM 2 con páncreas agotado desde diciembre 2020. 51 años entonces.
HG diciembre 2020: 15.9. Última HG: julio 2024 5.8
Abasaglar 9 unidades. Metformina, 1000/0/1000. Humalog junior: 2 unid en desayuno y luego en función de lo que coma.

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