After about 34 years of diabetes and not knowing what a carb, insulin/carb ratio, normal bgs range ,or MDI were, I went to my first endo, who was a Type 1. He changed my insulin immediately and gave me a quick talk about carbs, reading labels, and set me on my way with a 1:15 carb ratio, and I left his office basicly, still clueless. It was a nightmare ride of 6 months, seeing a CDE, going on the MM CGMS for 3 days and bgs fluctuating widely. When I tried to talk to him about it and how awful I felt and did not understand what I was doing and was told that if I could not handle the CGMS, I could never go on the pump, I became an emotional wreck. I talked to him one other time on the phone and was crying as my bgs were all over the place, he told me to quit being so emotional, as my last A1C was great. Still being clueless and feeling awful with this new insulin of ultralente, humalog and nph at bedtime and not knowing I could mess with the 1:15 carb ratio, I called my internist of many years and told her how awful he was and that he was a Type 1. She talked to me on the phone on a Friday night for 20 minutes listening to my fears of the unknown and said I could return to my old NPH and regular and to come see her. She recommended Lantus and humalog, where it took me another 6 months to figure out I needed to split the dosages as Lantus was new when I started on it and was not known to not last 24 hours, and to see a new CDE. Well two endo’s later, I finally found one that gets things, and he is not Type1, and I told him about the splitting of the lantus and they wrote it down to tell others.
Bottom line the Type 1 endo was a nightmare and I have met up with another diabetic that saw him as well and she ended up in the hospital with kidney issues after his diabetic care for her. I think we are our own best doctors and I have learned much more from the internet and from trial and error, now that I know I can mess around with things.
Clueless no longer,