I've been at this diabetes business for 31 years now. I've mostly visited an endocrinologist four times each year. The appointments lasted anywhere from 15-45 minutes. The doc would review my numbers and make suggestions about my insulin program. They never made any suggestions that revolutionized my treatment plan like low carb eating.
I kind of feel like an athlete competing in day-long event and the coach (doctor) only showed up for the last two minutes. And with such little awareness of the ebb and flow of the contest, they would then offer some meaningless advice! They would, however, always work in their seemingly required hypo warning.
Looking back over the years, I see that time as mostly wasted. The docs I worked with, about seven, were definitely not experts on insulin management. Nutrition was not their strong suit either. My attitude about them degraded to seeing them as merely a medical transcriptionist documenting my path into diabetes complications.
To a person, their expectations were low. And if you avoided hypos they didn't seem to care if your A1c climbed into the 7%+ range.
The biggest reason I keep a relationship with a doctor is for the scripts. If I could write my own scripts, I would probably limit my exposure to a once per year visit. I do value their ability to watch my blood test and also provide referrals to other specialties but for the most part I find it a "smile and nod charade!"
What do you think? Would you visit the endo four times per year if you could write your own scripts?