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03
May

4 Weeks To Go!

[2009]

With 4 weeks to go until my pump-start, the hard work really starts 2 weeks before.

While I’m sure I know what my basals will be, my Diabetes Educator still wants me to document everything for the last 2 weeks – food, insulin and many blood glucose tests during the day and night. She wants the evidence, so I have to be hyper vigilant about writing everything down. I’m just not that kind of person, but I have to be.

Having recently swapped to my iMac as my main computer (PC for many years before that), I use Diabetes Logbook X to record when I’m home, and when I’m out, the equivalent for the iPhone, which hooks into the Mac and updates the records on the iMac. It’s really easy to use and is in a format I’m used to and like. The reporting is also fairly comprehensive and very easy to read for someone who isn’t used to the software.

I’ve had a persistent cough for a couple of weeks. I went to my doctor last week and he decided I had some strange fungal thing going on and gave me some medication. His conclusion just didn’t sit right with me.

After doing some research on something completely different I came across the following:

The most significant side effect with ACE inhibitors is a relentless cough. If you develop such a cough while taking these drugs, tell your doctor and ask to be switched to a newer drug in the ARB family. These ARB drugs, which include Cozaar, Diovan, and Avapro work in a way that is similar to ACE inhibitors but they do not cause the troubling side effects.

How conincidental it is that I was put on an ACE inhibitor just before this cough started? Fungal, my ass!

I am so anti-doctors and this is yet another thing that validates what I think. Why didn’t the doctor connect the symptom with a medication he just put me on a couple of weeks ago? Too concerned about dollars and getting me out the door, I suspect. If I can make the connection reading just one article which states that this is a common side-effect, why couldn’t he? He’s the one with the degree and the experience!

I’ve long believed that despite what some doctors think – that they don’t want us doing any research on the internet – we truly need to. As long as it’s done in an intelligent way and from a very trusted source. We need to be very sure of our facts before we go running to a doctor. Something as obvious as the ACE inhibitor thing, shouldn’t have needed any research, but the state of our medical system and the apathy and dismissiveness of some doctors, actually requires it! And we pay handsomely for the privelege of seeng a doctor for the 10 or 15 mintues we’re allowed.

Pity!

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Diabetes Types

Type 1 Diabetes autoimmune
Type 2 Diabetes many forms of non-autoimmune diabetes in both thin and overweight people
LADA - Latent Autoimmune Diabetes of Adulthood officially classified as Type 1, or Type 1.5, a slow onset form of T1
Gestational Diabetes onset in pregnancy, often disappears after birth
MODY at least 6 forms of gene mutation causing defects in insulin production
PCOS & Type 2 polycystic ovarian syndrome and T2 often go together
NDM neonatal diabetes mellitus
Type AB unofficial term T1 with insulin resistance
MIDD maternally inherited T2 with some deafness
FPLD children with unusual fat distribution at puberty who develop insulin-resistant diabetes that are one of the following: type A syndrome, leprechaunism, and Rabson-Mendenhall syndrome
TNDM babies needing insulin at birth but not later in infancy. May again develop diabetes later in childhod/adulthood, may not require insulin treatment.
Diabetes associated with Friedreich's ataxia, cystic fibrosis, and hemochromatosis.
KPD ketosis-prone diabetes (KPD) is a widespread, emerging, heterogeneous syndrome characterized by patients who present with diabetic ketoacidosis or unprovoked ketosis but do not necessarily have the typical phenotype of autoimmune type 1 diabetes.

There are also other types related to other causes. Any more, or see mistakes? Please let me know!

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