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James Robertson

Posts: 29924
Nickname: jarober61
Registered: Jun, 2003

David Buck, Smalltalker at large
Back to the Educator Posted: Mar 11, 2009 11:34 PM
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This post originated from an RSS feed registered with Agile Buzz by James Robertson.
Original Post: Back to the Educator
Feed Title: Michael Lucas-Smith
Feed URL: http://www.michaellucassmith.com/site.atom
Feed Description: Smalltalk and my misinterpretations of life
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I'm not sure if I was entirely clear on what happened. My diabetes educator thought the numbers I was giving her were slightly odd. She was expecting a 50:50 ratio between basal and bolus. My numbers were more like 33:67. She consulted with another diabetes educator.... and that's where my trouble started.

This person was abrupt and unwilling to talk through the problem. What she said was, quite frankly, wrong... my educator said that she believes it was a misunderstanding. Of course it was, but that misunderstanding was then compounded by punting me over to a doctor instead of staying the course.

My original educator and I talked again about this and I told her that that previous phone call had left me feeling out in the cold.. what was I to do now? was the doctor going to call me? did I even have an educator any more? Dreadful - beyond dreadful patient communication and care. My educator made a mistake bringing this second person in to talk - she was not the right kind of person to help me...

So what did the doctor say? Quite simply, it's too early to be sure of any trends. In the first week or two the body does indeed go a bit crazy when it starts receiving a trickle of insulin again that the pancreas is meant to do.

What about my prediction? Contrary to what the educator thought should be done (raise the basal) it actually looks like I might be getting -too much- basal still. I'm sort of expecting a hypo tonight.. I'm not looking forward to it, but it'll confirm the theory.

It's entirely possible I may eventually end up with a ratio similar to 50:50, but brow beating it in to reality isn't going to happen. These educators need to remember that they're asking us diabetics to become sleep deprived and to fastidiously measure our glucose.. I'm tired, sick of going high and down and more than anything I need a sympathetic ear. This other educator was anything but a sympathetic ear. Bringing her on to a call did one thing - it made me appreciate my actual educator a lot more for her patience and approachability.

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