My Doctor???? Jeeeez

I had to do a health screening at work for insurance. It showed I had a fasting glucose count of 128. So I made an appointment at my Dr and he took an A1C count and said I was border line diabetic. So his advice....LOSE WEIGHT!! I told him I have lost 18 lbs and he looked at my chart and said yes you are down 13 since your last visit. So I asked him if I should see someone to help with a low carb diet and he more or less said well insurance usually don't pay for it. He did nothing to help and had no information about how I should manage my nutrients. I have googled low carb and there is everything from only 20 g of carb a day which is very low to saying 150 is low. If my Dr didn't say much more than LOSE WEIGHT then how am I supposed to know what to do???
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Replies

  • Erica6130
    Erica6130 Posts: 34 Member
    Have you looked into finding another doctor and getting a second opinion?
  • Peg_M
    Peg_M Posts: 34
    Not yet.... perhaps I should of asked more questions or insisted on seeing a dietitian whether insurance pays or not. Just thought he was not very helpful.
  • osothefinn
    osothefinn Posts: 163 Member
    I had to do a health screening at work for insurance. It showed I had a fasting glucose count of 128. So I made an appointment at my Dr and he took an A1C count and said I was border line diabetic. So his advice....LOSE WEIGHT!! I told him I have lost 18 lbs and he looked at my chart and said yes you are down 13 since your last visit. So I asked him if I should see someone to help with a low carb diet and he more or less said well insurance usually don't pay for it. He did nothing to help and had no information about how I should manage my nutrients. I have googled low carb and there is everything from only 20 g of carb a day which is very low to saying 150 is low. If my Dr didn't say much more than LOSE WEIGHT then how am I supposed to know what to do???

    If you're borderline diabetic he should be able to refer you to a diabetic educator. They'd be able to help you with meal planning. Ask his office for a referral.
  • RawIndian
    RawIndian Posts: 90 Member
    I recommend reading Eat to Live by Dr.Fuhrman. It provides a diet recommendation for people that are diabetic and also have high cholesterol problems.
  • dawningr
    dawningr Posts: 387 Member
    Time for a new doctor. My Mom is diabetic and her doctor is so helpful AND referred her to a nutritionist for additional help (and with the referral her insurance DOES cover it).
  • ItsCasey
    ItsCasey Posts: 4,021 Member
    If my Dr didn't say much more than LOSE WEIGHT then how am I supposed to know what to do???

    Become your own expert. Research, read, talk to people who know their stuff, ask lots of questions, try some things out, be persistent, be patient, think rationally and logically, constantly reassess. It's your health and quality of life. There's no such thing as "too much work."
  • I was worried about weight loss and diabetes because there are family members with it. I went to see my doctor and he was not supportive and did not give me any information. he laughed at me and was really flippant with me, told my i would lose weight if i lived in Ethiopia and that i would out live my friends if there was a famine. nice guy.
  • vanillacoffee
    vanillacoffee Posts: 1,024 Member
    So unhelpful! Congrats on your weight loss so far, though. Hopefully you can find a better doctor!
  • Jennloella
    Jennloella Posts: 2,286 Member
    My Dr. doesn't claim to be a dietician either and I wouldn't want him to. No more than I'd ask my dentist to deliver my baby. Pay for one out of pocket if you think you need it, or grab a couple good books on Amazon - or join a gym and just go! The gym I used to go to had a nutritionist on staff. Also, you should check with your insurance, I know mine paid for my husband to see a nutritionist and I doubt your Dr has your benefits memorized.
  • JADEPH0EN1X
    JADEPH0EN1X Posts: 162 Member
    When I was first diagnosed with type 2 , like you I was very confused about what to eat and what nutrients in what quantity . Even after going to the visiting the nurses at the hospital who were supposed to advise on healthy eating ! All they really said was don't bother with the so called diabetic foods as they were just a waste of money & no food is forbidden !! Now as a self confessed carb junkie that didn't help at all ! It's only since I've been on mfp that I have been watching my sugar & carb intake ( trying to keep my carbs between 110 - 120 / pay ) this has helped me lose inches around my middle & kept my sugars in normal limits ( 6.4 before breakfast - which is when I'm normally at my highest ) .
  • shadus
    shadus Posts: 424 Member
    Sounds like it's time to find a new doctor. While your doctor shouldn't claim to be a dietician there is a lot a doctor can do to support and ensure you remain healthy during weight loss or can sometimes even refer you to a dietician for additional help.

    Sounds like your doctor is on cruise control for collecting co-pays. Find a new one who takes an active part in your health care.
  • Even if your insurance doesn't cover it he should make some type of referral usually you can get it covered its just a matter of getting a PRE Approval and if it truly isnt covered he can refer you to a community program usually offered free of charge by hospitals or clinics. You should look for another Dr that has a lil more time to spend with each patient and genuinely cares.
  • Greenrun99
    Greenrun99 Posts: 2,065 Member
    Most Dr's don't have an educational background in what your asking.. they will refer you to a nutrionist or a dietician for calories and all that.. I am sure your Dr pointed at the BMI chart and said you should be here.. that is about the extent of most of their knowledge as it isn't really a big subject yet in medical school.
    Some will help more, other's not.. it just really depends.
  • sumeetg37
    sumeetg37 Posts: 108 Member
    I am also a type 2 diabetic. There is a ton of information out there. You can check out diabetes.org. Food is very important for diabetics however as you have already been controlling your diet I would suggest increasing your activity. Not to sound like a broken record but exercise is incredibly important as well. Even small amounts of walking after meals can make quite an impact.
  • BabyNurseJen
    BabyNurseJen Posts: 64 Member
    Endocrinologists often have diabetes educators on staff. I'd start by calling there. I failed my 1 hour glucose test when I was pregnant and my insurance paid for it. Perhaps if your doctor gives you a diagnosis of prediabetes, your insurance would pay for it. It wouldn't hurt to call and ask.
  • Annette_rose
    Annette_rose Posts: 427 Member
    Ha, this is the typical story I hear and see every day working in a clinic full of docs. They herd patients in and out like cattle. I am pretty irritated with our general health care right now. I was just diagnosed with thyroid cancer, they took the thyroid out and want me to do radioactive iodine. The whole thing has been a mess. One doc will tell me to do low carb, another just eat tiny bits of food, another whole foods, etc. My best source of info for me has come from the thyroid cancer facebook site where there are many other thyroid cancer patients. Good luck in finding your support!!!
  • I was on borderline of being a diabetic for years but now I am happy to report since my last blood test that is no longer an option the doctor is very happy with my results. But yes get a second opinion if you are not happy with your current doctors attitude I would personally get a new doctor and also do research like has been suggested you may even be able to phone a dietician or nutritionist and get some advice off them once you explain things they might be able to give you some ideas
  • JustYandy
    JustYandy Posts: 221 Member
    My Doc told me when I was prego No more then 15-25 carbs at breakfast,30-40 Lunch ,Dinner 15-25 carbs something like that and I thought I was gonna starve to death but it worked and I only gained 2lbs during my whole pregnancy (kept sugar levels stable)and still had a healthy 8lb 6oz child.
  • firstsip
    firstsip Posts: 8,399 Member
    Endocrinologists often have diabetes educators on staff. I'd start by calling there. I failed my 1 hour glucose test when I was pregnant and my insurance paid for it. Perhaps if your doctor gives you a diagnosis of prediabetes, your insurance would pay for it. It wouldn't hurt to call and ask.

    ^ This. As soon as you have any sort of endocrine related disorder, ask for a referral to an endocrinologist. You are teetering on a specialized condition that would be better helped and treated with a specialist.
  • ItsCasey
    ItsCasey Posts: 4,021 Member
    Don't be so quick to blame the doctor. She admits she didn't ask many questions. Just because you're paying him to treat you doesn't mean you don't need to be proactive about your own health care. Be assertive. Ask whatever questions you have. He can't read your mind. If you don't get satisfactory answers, then sure, find another doctor.

    As for insurance, I think it's pretty common these days for an appointment with a nutritionist to be covered. However, if you are capable of reading and comprehending, I don't even think it's necessary. There is a ton of information available online. Don't try to diagnose yourself, but you don't really need to pay money for information about what to eat to lose weight.
  • sarah6336
    sarah6336 Posts: 108 Member
    Your doctor should have the handouts for dietary guidelines for diabetics. If he doesn't, I'd see a doctor that is more experienced with problems that you have. Diabetes education is pretty expensive, and you may not need that yet. If you can eat a well balanced diet and lose weight, that may fix the issue. With that said, the doctor should be able to give you a dietary guideline. (I happen to be diabetic, and I found seeing a nutritionist extremely expensive even with insurance and not very helpful. Before doing a special diet, my advice is to try to do a well balanced diet and check your numbers.)
  • csheltra26
    csheltra26 Posts: 272 Member
    Well, if you are borderline diabetic maybe he thinks losing weight will help rectify that. And eating at a calorie deficit, whether low carb or not, should get you there. Then perhaps the "borderline" will go away. Just a thought. A lot of type 2 diabetes goes away once people are able to lose weight.
  • Acg67
    Acg67 Posts: 12,142 Member
    I had to do a health screening at work for insurance. It showed I had a fasting glucose count of 128. So I made an appointment at my Dr and he took an A1C count and said I was border line diabetic. So his advice....LOSE WEIGHT!! I told him I have lost 18 lbs and he looked at my chart and said yes you are down 13 since your last visit. So I asked him if I should see someone to help with a low carb diet and he more or less said well insurance usually don't pay for it. He did nothing to help and had no information about how I should manage my nutrients. I have googled low carb and there is everything from only 20 g of carb a day which is very low to saying 150 is low. If my Dr didn't say much more than LOSE WEIGHT then how am I supposed to know what to do???

    losing weight isn't rocket science, create a deficit and profit
  • kbanzhaf
    kbanzhaf Posts: 601 Member
    When I began my weight loss journey (and yes, I call it that because it takes/took a long time), it was because my doctor was concerned about my elevated blood sugar. I don't remember the specific number, but he was concerned enough to test it two months later, and then he sent me to a dietician.
    She told me these things.....
    1. Write down everything you eat -- religiously. I did this in a small spiral notebook before I found MFP......and in all honesty, I'm not as good about doing it ALL the time here.
    2. Keep your carbs to 15 or less each day. In her world, a "carb" was 15 grams of carbohydrates. SO.....a banana is about 2 carbs, a slice of bread is about 1 carb, etc. I became educated in reading labels, and tried to keep my carbs at that level (or about 225 grams of carbohydrates).
    3. Eat breakfast. I try to eat either oatmeal (hot or refrigerator) or a whole grain bagel thin each morning. Sometimes, I substitute a yogurt, but this is my staple. Before meeting with the dietician, I either skipped breakfast or ate a PopTart on my way out the door. I will still occasionally eat a PopTart or muffin, but I usually stick to oatmeal or a bagel thin.

    In addition to this, I ramped up my walking. I had been walking for about a year -- hit and miss -- but I began walking pretty religiously daily. I try to get in at least 3 miles a day. I've kind of slacked off this summer, because I have been busier, and I can tell. I need to get back at it, and back at tracking my food better.......but long story short, seven years ago, I began this journey, I am now 50 pounds lighter, my blood sugar levels are normal, I am off of all prescribed medication except generic Synthroid (which I have taken for YEARS), and I feel younger and better than I did when I turned 40. :wink:

    Kaye
  • Shari325
    Shari325 Posts: 196 Member
    If you are borderline diabetic, most insurances will pay for a referral to a Diabetes Education class. I went to one, and it did not really help me.

    Research and more research on what diabetes does to the body and how to eat to maintain normal blood sugar levels has helped me far more than the classes.

    If you do not have a meter, get one! Begin tracking the grams of carbs you eat each meal and testing your blood after every meal. Begin reducing the carbs until you find a level that keeps your blood sugar down.

    The diabetes educator told me to eat 30g of carbs per meal and 15 per snack. My blood sugar remained in the diabetic range on this amount. I had to go lower. The only way you will know is to test your blood. What works for me, or anyone else, may not work for you.
  • ChristineinMA
    ChristineinMA Posts: 312 Member
    http://www.diabeticlivingonline.com/type-2-diabetes/newly-diagnosed/8-actions-to-take-if-you-have-prediabetes

    http://www.diabetes.org/diabetes-basics/prevention/

    my 16 y o daughter was diagnosed with type 2 diabetes in Nov 2011 - feel free to message me with questions you have
  • garber6th
    garber6th Posts: 1,890 Member
    Don't be so quick to blame the doctor. She admits she didn't ask many questions. Just because you're paying him to treat you doesn't mean you don't need to be proactive about your own health care. Be assertive. Ask whatever questions you have. He can't read your mind. If you don't get satisfactory answers, then sure, find another doctor.

    Totally this. People seem to think that all they need to do is show up at the doctor's office and everything will be fixed, cured, and treated. We all have to participate in our own health care. I try not to even leave the doctor's office until I have all the answers I need, and I am not hesitant to ask any and all questions I feel I need to ask.
  • jacque930
    jacque930 Posts: 122 Member
    I had to do a health screening at work for insurance. It showed I had a fasting glucose count of 128. So I made an appointment at my Dr and he took an A1C count and said I was border line diabetic. So his advice....LOSE WEIGHT!! I told him I have lost 18 lbs and he looked at my chart and said yes you are down 13 since your last visit. So I asked him if I should see someone to help with a low carb diet and he more or less said well insurance usually don't pay for it. He did nothing to help and had no information about how I should manage my nutrients. I have googled low carb and there is everything from only 20 g of carb a day which is very low to saying 150 is low. If my Dr didn't say much more than LOSE WEIGHT then how am I supposed to know what to do???

    You may want to look into your local grocery store - we have a chain of grocery stores called Hy-vee. They have a nutritionist on staff. The nutritionist help I believe to formulate some of the grab and go items and place various healthy features throughout the store. - If your grocery store has one, I would look them up and visit with them about a diabetic diet. It's a good starting point!
  • ElliottTN
    ElliottTN Posts: 1,614 Member
    Why such angst against the doctor? Doctors are not nutritionist nor is there a single answer or best way to lose weight. He told you all you need to know for your next steps. You need to loose weight and if you are interested in talking to a nutritionist than insurance usually doesn't cover that so heads up.

    It's not time for a new doctor, it's time to stop being lazy and start taking some personally accountability for your health. That includes exercise AND personal education. It's not like you are stuck going to the library and searching medical journal after medical journal for the information you need to pull this off. The answers are at your finger tips but you would rather come here and create a post *****ing about a doctor who gave you the information you needed to not loose one of your legs one day.
  • charlottemilton
    charlottemilton Posts: 144 Member
    If you want help, you might be able to find some at your local YMCA. Ours has trainers who help with weight loss if that is a stated goal, and one of the local ones has a nutritionist on staff that works with participants in some kinds of classes but also does consultations.

    I agree with the others, start doing your own research. On my last visit with my doctor, as he turned to leave I asked a question about a possible effect of taking tylenol with my other meds which he was recommending. He actually turned around and said I was smart to ask. He assured me I wouldn't have any problems and thanked me for asking. He admitted he often forgets to ask if there are any more questions. I was pretty shocked.