I am just a possable LADA at this point, never tested for antibodies.
They just ASSUME I must be a type-2, was too old when I landed in the horsepital via meatwagon for diabetes. I had been having problems, obvious to everyone it seems BUT the doc I had and even ER. My boss at work had asked me to see a doctor, I was napping on breaks and lunch just to struggle thru a shif etc. MY own famdoc at the time refused to see me for follow-up, just a sore throat he said. He ahd SICK patients that needed him.
The morning I saw the company's doc, he gave me a clean bill of health and back to work in time for lunch. That evening after dinner, sat down with my wife to watch TV. A couple sips of Coke and my wife called for an ambulance. It was off to ER and I was admitted. When the company doc came in, he YELLED at me, WHY is you blood sugar so high & shoved a ADA diet in my face. He ASSUMED I knew I was diabetic even tho despite possable past issues, I did NOT even know what diabetes was.When I ahd my follow-up, I felt bad, even complained to him about how I felt. He did not check my blood sugar at all *his office DID have a meter', said it was not working that day, and told me I was NOT following the diet.
Next doc, after a move assUme'd my diabetes was mild. one day my wife caleld about my being so tired, almost in a stupor. He blamed it on her! I ended up in the hospital for what turned out to be cancer surgery. They did not control my blood sugar well and my fam doc said my diabetes was worse than he thought (assUme'd). He said to me sometimes the cure is worse than the problem and avoided doing anything about my diabetes. I was not expected to survive 12 months so I guess he felt why bother.That was 1982 and I am still kicking.
Another doc that I was sent to after the surgery took charge and sent my wife and me to diabetes classes. I started insulin and felt so much better.
Over the next few decades, it was get yelled at when things went array, must be MY FAULT, most of the time. Told to do this do that and assUme this and assUme that. I was in vocrehab, and isntead of checking out my neuro problems.. yep. they assUme'd that since I was diabetic my neuro problems were due to my diabetes. Of course NOW after a eye doc did not assUme anything, and eventual testing discover I also have long-standing MS,an autoimmune disease which means I am a higher risk for other autoimmune issues.
Over 3 years ago I got refered to the local hospital based diabetes center. the first endo just looked at me and said TYPE-2, no questions, no testing, changed my insulins and set my doseage way too high for me, almsot double what it should have been. That end left the clinic later that week. I chose the best endo in town at the center for my next endo. Still NO TESTING, I thought HE would answer the long standing question. His only response was, I was already on what he called the GOLD STANDARD, MDI with Lantus and Humalog.
I would have thought, that when a new (to them) patient came in they would do a complete and proper work up.I had to learn on my own how to figure my BASAL needs, carb ratio and correction factor. The center did bring up the issue asking if I was sure I was not a type-1. How was I supposed to know? Should that not be THEIR JOB?
I must admit, KNOWING which TYPE I am will not make a treatment difference, I am already on the Gold Std, but would it not at least HELP to have a proper CORRECT dx either way?
Who do doctors work for anyway? The ins comapnies? I PAY PREMIUMS, it's MY MONEY in the end, NOT the ins company's. Does everything boil down to the almighty buck?
I wonder who benifits when doctors assUme, instead of testng? Because I am LABELED as a TYPE-2 (which does not fit well) I get looked at and treated different by many docs. My endo, does treat em better, he often notes how DIFFERENT I am compared to most of this patients. But alas,, NO type testing, no antibody test after over 3 decades of diabetes. Even after KNOWING I have MS another autopimmune disease and past history of thyroid issue, not currently treated, (but may not be an issue now)
Gomer..... asks, Why do doctors assUme so much?