by mellowmom » August 4th, 2006, 5:03 pm
Met with my doctor today.
It went really well. He congratulated me on my weight loss. Looked at my labs and said they looked great. Absolutely disagreed with the first doctor I saw last month who insisted that I go on oral meds for diabetes. He said it was obvious that my blood sugars were doing fine without the medication, so why start.
On the question of Crestor, he was a little more pro meds. As he explained it..(and that's what I love about him, he'll actually take the time to explain things). Because diabetes is not just one thing, but can be the precursor and/or catalyst leading to other serious physical disorders like blindness, heart attack, circulatory problems, etc. the current thinking is that once the blood sugar is under control then the other factors like high cholesterol (or low HDL) needs to be agressively treated. In my case, they like to see LDL below 100 (mine was 107), and HDL over 45., (minE WAS 35). So Crestor or some other statin drug would be the way they'd attack the cholesterol "problem". He was, however, willing to wait another 3 months before prescribing the cholesterol meds. He wants to see me again in October and then we'll discuss my "options".
When he asked me about the diet I was on, I whipped out the information that Nancy had sent me as well as the ingredients tables for both a diabetic and non-diabetic Medifast meal. He said he had "heard good things" about Medifast, looked over the ingredients and seemed impressed. He took the papers I had printed out and said he would bring it up at the next meeting of the Diabetic Treatment Medical Group at the clinic. He even kidded and said, "Maybe you should come in and give them a lecture on it."....at least I think he was kidding. Hmmm.. probably should clear that up with him, cuz I'd do it in a heartbeat if they'd let me.
He asked if I was hungry on the diet or had experienced any ill effects, and I told him no to the hunger and then we talked about my slower heart rate and lowered pulse. He assured me that the heart rate was a good thing, not bad and that my blood pressure was excellent. He's going to prescribe that my bp meds be cut in 1/2 and then reassess again in October. So all in all it was a very good appointment.
Thank you all for your support. When I started this topic I was feeling pretty conflicted over the other docs responses to my being on the Medifast plan. You all helped alleviate those fears.
Carmel
Shaken AND Stirred
3/24/06
5'8" 334/213/165
Re-started 1/7/09
5'8" 325/165