pre-diabetes

Beginning to Address Weight, Blood Glucose and Neuropathy - Ask Gretchen, Part 3

Gretchen Becker Health Guide July 30, 2008
  • [Humor]   The advice we get from our doctors usually makes medical sense. But following it is not easy.   You know: Eat less. Exercise more. Stick yourself with needles. Hey, that's no fun.   On the other hand, the advice we get from Quack Gretchen, MD (no relation, of course) us...

6 Comments
  • Susans
    Nov. 07, 2010

    Hi Gretchen: I did buy your book on the first week. I did go on a diet and lost 10% of my bodyweight. And my first post-diagnosis A1c was 5.9 (at diagnosis it was 8.9). But I still have alot of anger.

     

    I was diagnosed because I had diabetic neuropathy up to my knees. I am from a great medical family, my father was chief of medicine here for 45 years....

    RHMLucky777

    Read More

    Hi Gretchen: I did buy your book on the first week. I did go on a diet and lost 10% of my bodyweight. And my first post-diagnosis A1c was 5.9 (at diagnosis it was 8.9). But I still have alot of anger.

     

    I was diagnosed because I had diabetic neuropathy up to my knees. I am from a great medical family, my father was chief of medicine here for 45 years. The clinician I had been seeing missed (?) a 190 fasting BG 2 years before my diagnosis. There were so many missteps I can't tell you.

     

    Now I have a microalbumin of 1150. Normal is 30. And no one in my first 2 years of diagnosis did a urine test. Maybe in your 2nd edition you could list a few of the tests you should also have immediately upon diagnosis, especially late diagnosis. ADA has a list of these I was never introduced to. C-Protein is another.

     

    I actually gladly fired my  internist for lying to me.  You could address late diagnosis and how to regain faith in your provider. You are right. The average time after diabetes has begun to diagnosis is 8 years!    I am also reading a great book (too expensive except on used book sites is Type 2 Diabetes Mellitus by Feinglos and Bethel - I got mine for $24.95)

     

    My favorite neurologist is a retired Stanford MD, and old friend of my dad's. He told me to lose 10% of my body weight, exercise 5 hours a week and start Alpha-Lipoic Acid for the neuropathy. It has made a tremendous difference. I don't see it mentioned in your book. I do 300 mgs. twice a day. The neuropathy isn't gone completely, but I only notice it when my BG's are high. I can tell better than with a test what they are depending on the comfort of my lower legs.  PS I am just 63, so I plan on having these legs a long, long time.

     

    I will also tell you I used Medifast to lose the weight - 5 weeks, and I have kept if off for over a year. It is low carb, low calorie. See the Take Shape for Life website to find a coach in your area.

     

    I also do Pilates for resistance training 2 hours a week. It may be better than weight training for some people. Add it to your exercise list. I do a cardio - climb, walk 1-2 times a week as well. 1 mile up and 1 mile down.

     

    I can't tell you how helpful your book was. I did medical research and editing for Dr. Albert Starr, the heart surgeon in Portland, and really enjoy your thoughtful approach to your work. Hope you find these suggestions helpful.

     

    Susan Schneider, very late diagnosis T2DD.

     

     

    • Gretchen Becker
      Health Guide
      Nov. 07, 2010

      Susan, thanks for your comments. I'm sorry you had such bad medical care at first, and I don't blame you for being angry. I was too.

       

      I'm wondering which book you bought. Could it have been the Prediabetes?

       

      The First Year: Type 2 Diabetes does discuss lab tests, including urine tests, starting on page 51 in the second edition.

       

      I also discuss...

      RHMLucky777

      Read More

      Susan, thanks for your comments. I'm sorry you had such bad medical care at first, and I don't blame you for being angry. I was too.

       

      I'm wondering which book you bought. Could it have been the Prediabetes?

       

      The First Year: Type 2 Diabetes does discuss lab tests, including urine tests, starting on page 51 in the second edition.

       

      I also discuss alpha-lipoic acid, on page 171.

       

      Again, congrats on the progress despite starting with the deck stacked against you!

    • Susans
      Nov. 07, 2010

      HI Gretchen: The book is called "Type 2 Diabetes Mellitus: An Evidence-based approach to practical management" edited by Mark N Feinglos, MD and M. Angelyn Bethel, MD.by Humana Press. 2009. I found it through bookfinders.com.

       

      I did go back to those pages and re-read them. Thanks for pointing them out. Good luck! Susan

    • Gretchen Becker
      Health Guide
      Nov. 07, 2010

      Susan, I have nothing to do with the Feinglos book.

  • Anonymous
    badfairie
    Aug. 02, 2008

    And have you ever noticed that the doctors' scales always say you weigh more than your scale at home? There must be a conspiracy in there somewhere, lol

    • Gretchen Becker
      Health Guide
      Aug. 02, 2008

      I once weighed my winter clothes, and they weighed 5 pounds. Also, I weigh myself in the morning, before breakfast. At the doctor's office it's usually in the afternoon, after lunch, not that I eat that many pounds of lunch.