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This type of story is why I've been taking care of myself

Yep -- this is why I saw a cardiologist this year and plan to visit one yearly now.

Why I keep up with the diabetes so hard.

I saw some patients like this when I did the pet therapy thing -- neither of the current dogs are pet therapy candidates -- but it is cheaper and easier to prevent, then to deal with the consequences.

code blog: tales of a nurse: There are fates worse than death

Expert Patient

See Expert Patients

Several of the doctor medlogs have blogged on this issue.

I consider myself an "expert patient" and I agree that it's a misleading term, as it implies to me, that it might be derogatory.

There are two types of diabetic patients (and I am not referring to Type 1 or Type 2). They either fall under the expert patient category taking an active roll in their care. If you pump, you almost always have to be an expert patient.

The other type eat when and what their doctors tell them to. Can you imagine living a life where you eat at, say 8:00 am, 10:00 am, 12:00 pm, 2:00 pm, 4:00 pm, 6:00 pm and 8:00 pm, and they eat a precise amount of servings of carbs, protein and fat.

I actually know of a pumper that lives that way. My mother told me about her. Apparently years ago, her pump was programmed by her doctor and she has lived that way ever since.

I suppose that might work for someone who has been diabetic all of their life, but it certainly doesn't and wouldn't work for me! It really puts a crimp in your style if you want to socialize -- which is when my mother found out about this.

I really advocate being on top and in control whenever you have a chronic illness. That CPAP go around is a prime example though, of what happens when the patient is ready to be an expert and the doctors aren't

And of course to be effective as an expert patient, you have to research it all. Not just the advances, but the costs and the implications.

FYI: One of the good things about buying the pump last year, is that it, along with my husband's medical bills, managed to reduce our income tax overage from $1500 to $750, and eliminated the possiblilty of a fine for the IRS for underpaying.

Panic Attacks

Panic Attacks

This is interesting because I've had panic attacks, but I've always had a good reason for them. The first, I was trying to repel at AFROTC Camp and had one -- though I had no real height problems before -- I always figured all the stress induced throughout the 4 weeks was part of it.

I also had one when I lost my car in a parking gargage, and will admit that it led me to a bit of agrophobia, but I always linked that to the stress I was going through while my dad was dying of a terminal illness (the diabetes induced one).

Also a few associated with dentists.

So are those true panic attacks or something else?

I have known people who have had panic attacks too, and they are usually fairly level grounded people.

I have a REAL problem with the Mayo Clinic Q&A page on diabetes - Medical and health information for a healthier life from Mayo Clinic

I really have a problem with several of their answers:

Q: What should you do if you forget an insulin injection?

A: Missing one dose generally isn't a problem. Wait until your next scheduled time for injection and give yourself the regular amount. Don't double the dose to make up for the missed injection.

Q: What should you do if you forget to take your diabetes medication?

A: If it's only been a short time — less than six hours — since you were supposed to take the medication, take the dose you missed. Then continue to follow your normal schedule.

Why is it okay to skip pills but not injections? It just doesn't make sense at alL! It takes days to get over a missed injection -- been there, done that.

Q: Can you use an insulin pump if you have type 2 diabetes (formerly called adult-onset or noninsulin-dependent diabetes)?

A: A pump is an option if you take insulin, whether you have type 1 (formerly called juvenile or insulin-dependent diabetes) or type 2 diabetes. Most people with type 2 diabetes aren't advised to use a pump, though, because they do well with less-intensive treatment. A pump is a beeper-sized device that delivers insulin through a tiny catheter inserted under your skin.

But gee, it makes your life SO much better. No more eating to insulin but taking insulin for what you eat.