I’m so glad to hear it, bsc! Now that you have a “real” endo, you might even consider Lantus or Levemir instead of NPH!
As for my own story, it’s a sad one. I was sent to him by the PCP who diagnosed me, because “he knows so much!”. Well, maybe he did when he graduated medical school, and maybe he knows a lot about obese Type 2’s, but he absolutely didn’t know how to handle ME, and basically left me alone to do whatever I wanted. I attended a diabetes education class that was geared to uneducated, unintelligent Type 2’s, and that didn’t do the job. So I got my first real diabetes education from a sweet CDE on misc.health.diabetes, and have gotten the vast bulk of my information from the DOC over the years. The endo really didn’t provide me with anything except prescriptions and lab orders. I was the one who decided that with fastings above 180 and PPs above 250, that 5 months of Glucotrol weren’t working, and asked for insulin. I was the one who decided that NPH at night only was not working for PPs during the day, and I decided that 70/30 caused too many lows, and wasn’t handling the highs – none of my high or low BGs ever bothered him, because my A1c was good. I learned to mix NPH + R, and asked for Humalog when it came out, and asked for the pump when I decided I wanted one. He refused at first, I think because he knew squat about pumps, and only consented when I got an old pump from a friend and was determined to put myself on it. He never ever had anything to say about all the stuff you need to know about pumping, and I figured out my own ratios from Pumping Insulin, by John Walsh and Ruth Roberts. The final straw was when I was depressed last year and sent myself into a coma – I saw him 6 days before the lights went out, and he SAW the terrible lab results, and didn’t even acknowledge that an A1c of 10.7 is HORRIBLY high for ME, or that when liver tests and fasting BG are WAY out of range, there is something wrong. So, way too late, I fired him.
Then I went to a new endo, himself a Type 1, but after seeing him once, he left the practice, and because of ins. coverage, there are only 2 endos in town that I’m eligible to see – one of whom being his former partner. So I’ve been seeing the APN who stayed – I’ve seen her twice. She’s been pretty good – looks at my eyes, feet, and downloads my pump and talks with me about what I’m doing diet-wise – she is encouraging about low-carb. I don’t yet have a “good” relationship with her, because it takes me time to get to know and trust someone, but I’m willing to give her the chance – it seems like it could work out OK. I’ve been forced to be independent for so long, that I don’t really put much trust in medical professionals – I’ve learned so much from other diabetics, and I feel very strongly that I’M the one responsible for my body. On the other hand, the ER staff saved my life, so I guess they’re good for something after all!