Endocrine consultation.What's doubts to ask.

Hello everyone,

Tomorrow I have to consult with the endocrine that they have canceled me saying that they will call me I imagine that they will attend it by phone because the analyzes have already done them.

That is why and so that I do not forget the doubts I have prepared a summary of them.Please tell me what you think, if it is well understood and if you would add something else?Thanks and greetings.

Endocrine doubts:

1. Uploads without explanation in the afternoon around 6 and at night at 2-3 since we are with confinement.This increases force me in the afternoon to have to exercise every day even if I do not feel like it if I do not want to have to correct myself and at night I have to correct myself almost always having made an early dinner with few HC and put my quick insulin that corresponds to me.Before I made fruit snack in the afternoon but now for this reason I am not being able to snack.

2. The endocrine changed me to Fiasp at breakfast makes me less peak but at meals with fats and proteins they give me hypoglycemia after passing 1h of the food and later at 3 hours hyperglycemia that I have to correct.Also, as my ratio is so low, it is difficult for me to adjust insulin to what as with entire units or did not happen to me.Before with the half units adjusted better and could calculate the bowling to correct if I am high before meals.Do you convenient to return to the apidra?

3. Amount of slow insulin I have been uploading units as I have seen that I needed from the last consultation.If I wear 11 units to try to be more under the rest of the day I wake up in 70.

4. Lipodystrophies I think I have 2. One in each of the legs.I insulin the slow before there and I have put it in the upper gluteo zone.How do I try to cure them?

5. I have noticed that insulin does not act in breakfast in the abdomen area and I have changed to my arms.Now I only use the abdomen for corrections and I notice that it acts lowering the sugar.What can it be due because I don't notice distorting in that area?How do I take the fold in the arms?

6. Sensor financing.Waiting list.Dexcom preference.For when will the financed patch pumps be?

@etogonza, they understand each other perfectly.And he tells us what he tells you about the last question!

@TOGONZA

Do not forget to ask you all the recipes of everything you need: insulin, test, needles, etc!

Good consultation.
For lipodystrophies they advised me the anti -cellulite creams and continuous massages to dissolve, in addition to not clicking for a year there.
In the gluteus sees rotating, you can use everything, not just the upper part.But you will also have lipodystrophy over time.The same as in the arms or abdomen for the fast, you have to always rotate and avoid puncturing the same area in about 5-7 days.

I don't like the fiasp.I have 3 vials unused;I turned back to Novorapid, lasts much more and I cover digestion better.

ruthbia said:
good consultation.
For lipodystrophies they advised me the anti -cellulite creams and continuous massages to dissolve, in addition to not clicking for a year there.
In the gluteus sees rotating, you can use everything, not just the upper part.But you will also have lipodystrophy over time.The same as in the arms or abdomen for the fast, you have to always rotate and avoid puncturing the same area in about 5-7 days.

I don't like the fiasp.I have 3 vials unused;I turned back to Novorapid, lasts much more and I cover the digestion better.

Thank you very much @ruthbia.I'm going to buy that cream.I have seen the upper buttock in several sources.Where have you read that everything can be used?I will ask the endocrine about the novorapid.Do you know if there is in cartridges for feathers in half unit?

All the best.

I am interested in the first question, I also notice the afternoon, tell us what the endocrine tells you !!!

Patch pumps?
Tell us, of course, I didn't know any of that.
The novorapid makes me less effect, it did not go well when I used it, I climbed a lot, I better humble.

ethogonza said:

ruthbia said:
good consultation.
For lipodystrophies they advised me the anti -cellulite creams and continuous massages to dissolve, in addition to not clicking for a year there.
In the gluteus sees rotating, you can use everything, not just the upper part.But you will also have lipodystrophy over time.The same as in the arms or abdomen for the fast, you have to always rotate and avoid puncturing the same area in about 5-7 days.

I don't like the fiasp.I have 3 vials unused;I turned back to Novorapid, lasts much more and I cover the digestion better.

Thank you very much @ruthbia.I'm going to buy that cream.I have seen the upper buttock in several sources.Where have you read that everything can be used?I will ask the endocrine about the novorapid.Do you know if there is in cartridges for feathers in half unit?

Greetings.

I have always read high part, almost back, but I sampling in a high but not only close to back, I arrive almost practically the center of gluteo, from there up (below not because it would be almost impossible to prick there, there areWhat to be from the Circus of the Sun haha) and it has always done well.It is also that I have an ass, so I have no problem, haha, genetics.

The educator told me when I debuted in diabetes.
I put the slow in the ass, come on, and broken above, in the middle, down, right area, left zone and then change on the other side every 15 days.
It works well for me.

Hello everyone,

Well, I have finally had the consultation with my new endocrine.That by the way it was great and I am delighted.I put you here in a summary way (because we have been talking 1h no less) the answers to the questions I asked to share them with you.

All the best.

etoogonza said:
hello everyone,

Tomorrow I have to consult with the endocrine that they have canceled me saying that they will call me I imagine that they will attend it by phone because the analyzes have already done them.

That is why and so that I do not forget the doubts I have prepared a summary of them.Please tell me what you think, if it is well understood and if you would add something else?Thanks and greetings.

Endocrine doubts:

1. Uploads without explanation in the afternoon around 6 and at night at 2-3 since we are with confinement.This increases force me in the afternoon to have to exercise every day even if I do not feel like it if I do not want to have to correct myself and at night I have to correct myself almost always having made an early dinner with few HC and put my quick insulin that corresponds to me.Before I made fruit snack in the afternoon but now for this reason I am not being able to snack.

Possibility of gastroparesia.Also due to lower physical activity due to confinement.These situations with bomb would improve a lot.

2. The endocrine changed me to Fiasp at breakfast makes me less peak but at meals with fats and proteins they give me hypoglycemia after passing 1h of the food and later at 3 hours hyperglycemia that I have to correct.Also, as my ratio is so low, it is difficult for me to adjust insulin to what as with entire units or did not happen to me.Before with the half units adjusted better and could calculate the bowling to correct if I am high before meals.Do you convenient to return to the apidra?

Humalog Junior has prescribed me for meals.Thus I can adjust the dose of half units and lengthen the effect of insulin on lunch.For breakfast we keep Fiasp.I also asked Novorapid and he told me that it is the same as Humalog and that more procedures must be passed to have her for which with the crown it would be delayed

3. Amount of slow insulin I have been uploading units as I have seen that I needed from the last consultation.If I wear 11 units to try to be more under the rest of the day I wake up in 70.

4. Lipodystrophies I think I have 2. One in each of the legs.I insulin the slow before there and I have put it in the upper gluteo zone.How do I try to cure them?

There is nothing but leave the area rest.I asked the cream and there is no scientific evidence.And that there are people who make cavitation.I will inform myself more about this.

5. I have noticed that insulin does not act in breakfast in the abdomen area and I have changed to my arms.Now I only use the abdomen for corrections and I notice that it acts lowering the sugar.What can be due because I not notice lipodystrophies in that area?How do I take the fold in the arms?

Most likely to have lipodystrophies in the abodmen even if they not noticed them, they would see an ultrasound but do not see it necessary.It is normal with the time of evolution that my diabetes has.Simply avoid the area.Will feel them in consultation.

13. Sensor financing.Waiting list.Dexcom preference.For when will the financed patch pumps be?

Sensor financing is not a matter of material supply (they have literally saved sensors) but of the slowness required by the approval process for each patient.In my hospital 600 patients on the waiting list: Well, apparently it is established that they have to give us a courseof 2-3 sessions to all patients (we have experience with the sensor or not), that now with the crown they will be webinars online and that the specialist doctors have to be present and go through an evaluation process (with questions and everything).People will go to the course in small groups (3-4 people), which makes everything slow down.
I asked him about Dexcom G6: In principle only for people with severe cases.Dexcom G5 (currently funded by the Community of Madrid): only for bomb users, which would have to go through an evaluation process as well.Patch pump for the moment nothing.But I will contact Roche's representation, I think I'm going to take this path.

Use novorapid years ago and there was no procedure to do.I was prescribed by the endocrine and the header, I include it in the electronic recipe.For the three -year if you have to authorize inspection.

Yes, Novorapid and Humalog are similar, my novorapid lasted me less and they gave me up, but they are similar, no visa is needed, for the threeiba you need a visa.But from Humalog to Novorapid I think I was going to change you.

Today first day with Junior Humalog at lunch and well, although it is early to judge.Do you know if you can put the first 0.5 units?It is that the endo years ago told me that minimal put me from 1 unit.

ethogonza said:
today with humalog junior at lunch and well, although it is early yet to judge.Do you know if you can put the first 0.5 units?Is that the endo years ago told me that minimal put me from 1 unit.

It can't be done.

@TOGONZA

I have a novopen echo with novorapid cartridges and I can put 0.5 u.But I don't know if with your insulin that is possible.

I only put 0.5 or during the honeymoon, about 5 months in my case.The truth is that I no longer use the 0.5 units and I put only entire units

jldiazdel said:
@etoogonza

I have a novopen echo with novorapid cartridges and I can put 0.5 u.But I don't know if with your insulin that is possible.

I only put 0.5 or during the honeymoon, about 5 months in my case.The truth is that I no longer use the 0.5 units and I put only entire units
@jldiazdel
I see that you carry Dexcom.I imagine they will finance it in Germany.I may begin to use it.What is your experience with him.As you compare it with free.

@TOGONZA

Dexcom is much better than free.I used free about 8 months until I gave me allergy.DG6 is in my very superior opinion.Maybe the new free2 works better.I don't know that.I use the previous one.

All the best

@jldiazdel I have the opportunity of G5.

jldiazdel said:
@etoogonza

Dexcom is much better than free.I used free about 8 months until I gave me allergy.DG6 is in my very superior opinion.Maybe the new free2 works better.I don't know that.I use the previous one.

GREETING

Free is Flash and Dexcom is McG, but it is what you say, it is very better, also that, personally, Free was fatal to me and when I was using the G5 you see that it is another level, it was nailed.

@macarron_con_diabetes to me the truth that the free 2 is nailed to me when there are no changes between sitting laded position/ standing In that situation the measurement always makes me a peak without exception without exceptionAll the sensors I have used.I do not know if this also happens with Dexcom.