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The Question
11/19/09 08:24 AM

"My husband was recently diagnosed with type 2 diabetes,but his doctor hasnt prescribed a meter for him.Should HE have done this already?"
Asked By: maryannm  
Category: Blood Glucose Monitoring

Background Info Hide
Hubsand also has high cholesterol

Expert Answers (1)

11/20/09 09:41 AM

Hello MaryAnnM: Thanks for asking dLife, and being a great supportive spouse; diabetes tends to impact the whole family. Yes, self-checks of blood glucose is a great source of information, and most can benefit from self-blood glucose monitoring. Keeping track of how well the diabetes care plan is working comes from checking the glucose level at pivotal metabolic points of
  • medication starts
  • illness
  • or if stressors are present. However, when he was diagnosed, I'm guessing, he and his Personal Care Physician negotiated a plan of care. This plan of care usually utilizes a 'team' approach.

    Due to the overwhelming nature of a definite diagnosis of Ty2 Diabetes; perhaps the step of self monitoring will come at a later date.

  • Some insurance companies do not cover all the equipment, and his physician may have thought the stressors of self-pay may have outweighed the benefits of self-monitoring.
    The component parts of the care plan include: self-dietary management
  • exercise/activity
  • and the potential of medications. Ty2 Diabetes is complex. Diabetes described as progressive in nature, meaning the beta cells of the pancreas become less functional. Insulin resistance may also be present, combined with varying degrees of insulin deficiency. During the early course of Ty2, the insulin secretion may be increased in relationship to the non-diabetic state. Some landmark studies, UKPDS for one, demonstrated this progressive decline over several years. Consequent, this progression of insulin deficiency is reflected in the treatment required by patients with Ty2.

    Unfortunately, some clients perceive this progressive nature of beta-cell failure, as a result of their 'non-compliance' behaviors. To help hubby, take a list of your/his questions to his next appointment, take notes and return to this site to review the information contained in the "newly diagnosed" catagory.
    Be your best, regards Sue

    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

    Community Answers (1)

    11/20/09 05:10 PM

    That is poor treatment from the doctor, not testing could do severe damage. Then the patient thinks o heck my doctor doesnt think diabetes is bad. From experience that can lead to severe damage like I got back over 20 yrs ago. Testing is a vital way to find out how food affects his bs. I would demand a script for strips at least 100 a month.
    Answered By: furball64801
    FLAG
    SourcesShow



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