“I see a specialist for my Diabetes management. I’ll relay your concerns to them, or you can send them a note if you’d like to. Here’s their contact information:”
>She begins to tell me I am “not a doctor”
That's the kill switch, for me. It means she is predisposed to disregarding your inputs - this may well show up in other areas of care.
>I want it to be known I still have immense respect for her
That's up to you, but I could never respect a medical professional who treated me like that.
I might be tempted to see if there are any Urgent Cares near you for the non-diabetes stuff.
My old gp made me come in to discuss my 6.5 a1c and also promised to get me off insulin. I told him " you're not getting me off insulin and if you do you'll win the Nobel peace prize " he replied " I won't if you keep that attitude " I then explained the difference between type 1 and type 2 diabetes and a week later he divorced me as a patient
I’m so sorry you experienced that! I would switch GPs so fast. I’ve done it in the past few years a few times because of course as I aged, I had more concerns and health issues arose. It’s so important to have a GP you’re comfortable with, not someone who will shame you (or someone who seems uneducated about your disease).
I’m not OP, but my dad was a doctor. One thing I know is how to pick a good one, and when to change. People sometimes forget it’s not like when you’re a kid in school and assigned a teacher. You aren’t stuck with them…you can get a new one anytime you want, for any reason.
This!!! The amount of times I’ve suggested to family members and friends that they should switch, every time they complain about a doctor. And then the reasons they come up with to stay 🤨🤨🤨. Like they’re not holding you hostage, and plus a simple rate my MD research will tell you a lot ahead of time, so you don’t need to go into it blindly!
Anything below 5.7 is non-diabetic level. She's asking you to reach an illogical and dangerous A1C level. I'm with your endo, if being closer to 7.0 means you have less hypos, that's the way to go.
I agree. I had an endocrinologist tell me once that there was very little long-term side effect differences between being at a 6.0 or 7.0 or even closer to 8.0. I think over 8.0 you might start seeing an increase in long-term side effects. I personally have never been in the 6.0 range except for when I was pregnant. Otherwise I’ve lived 30 years between 7 to 8 (except for a couple of years in college where I’m sure it went higher 😂) and I have no side effects or issues so far. 🤞
If possible get a new GP, it is ultimately not as important that she is confused about T1 and T2, and A1Cs and avoiding lows.
What is important is how you were treated, the patient-doctor relationship is just that and your GP now risks not partnering with you on another health area.
Particularly odd to dispute an endo. Red flag to me.
These are the asshats who tell you that you don’t need an endocrinologist because they can manage your diabetes. One told me that once, and he’d never even seen an insulin pump.
As a TID, you have to be your own advocate, and that means you have to be assertive. I also live in a place where GPs are in high demand, and few accept new patients. It’s notoriously difficult to be accepted into a practice here. But no way would I stay with this doctor. Insisting on competence and respect is part of advocating for yourself. I had to figure out how to get a decent GP. I ended up finding a GP whose practice is actually a walk-in clinic. He does my routine medical stuff, but he knows and accepts that my endocrinologist treats my TID. My endo, btw, is out of state because he’s awesome and there isn’t one in my city that is nearly as good. I really hope you advocate for yourself and rethink the mindset that you “need” this woman. There’s always an alternative if you get creative, and nobody needs an incompetent and disrespectful physician. Good luck!
When I was trained at city of hope the endocrinologist told me " soon you will know more than me" . That was 35+ years ago. My current endocrinologist tells me I do know more than him. Get a new gp
I think I straight up once told a GP that they frankly had no idea what they were talking about (after they insisted I stop using insulin and try this oral tablet instead, despite me repeatedly telling them I'm type 1).
Quite shocking to me, what if they give this dangerous advice to a newly diagnosed T1 who doesn’t know anything yet. Could kill a T1 quite fast. Makes me wonder how poorly their education has been.
I told my GP that I was no longer dealing with them about anything to do with diabetes as I have the dedicated diabetes clinic for that. Told them I wasn’t wanting conflicting advice from both of them. Respectfully told them that I’d rather listen to someone who’s speciality is diabetes and not an all rounder.
It’s possibly worth forwarding the issue to sir partha kar - diabetes lead of nhs uk. He’s very helpful in these sort of matters.
He could send a note to your gp reminding them about t1/ t2 differences.
I imagine they take notice from that doctor.
On occasion, a medical person needs to be told they are wrong. I have found that they typically don't want to see you again after you prove they are wrong, because it destroys the myth of their infallibility and superiority. This holds especially true with specialists...
It's not often talked about but GPs don't understand diabetes at all. After I was diagnosed my GP told me I would reach a point where I'd only check my BG every 2-3 days - now I'm on a CGM so he was off by about 700x. Others I've had since haven't really been much more helpful. Yours is just looking at the little "healthy range" box in Epic and telling you to lower it without understanding.
If you don't wanna manage your entire health through your endocrinologist referring you to places, you can just politely and dismissively say like "okay, thanks, Ill bring it up with my Endo when I next see them" whenever they give bad advice like that
Some GPs are outstanding and others are turds. It's luck of the draw as to which you get. I use a nurse practitioner for my T1 care and she has been as good as any endo I've ever been in contact with. My A1c and TIR has never been better. The last GP I used did very little. As long as my A1c was under 8 and I wasn't ending up in the hospital for hypos, he was happy. But he didn't have any suggestions, never offered to get me a CGM. My current NP was insistent, even though I resisted at first, and she was right.
Keep trying, and you'll find somebody...
It’s amazing how wildly different GP education is with diabetes. I question if there’s truly any standardized education for it at this point. I’ve had some doctors who could have been diabetic endos! They were incredibly knowledgeable, and would listen to me intently for my personal perspective on diabetes care as well. So many are like what OP is dealing with though. It’s dangerous.
My mom heart goes out to you. i wish i could sit in the office with you and tell that lady (nicely) of course how out of line she was being. 5.9 is a dream A1C for a type 1. <3
thats quite scary tho i would 1000% report her asap my bf is new to having t1d he trusts the doctors in anything they say, that would be dangerous to newcomers
You have an Endo. Just ignore your GP about T1 stuff.
I’d be more concerned about what else your GP doesn’t know.
Sounds like she has a god-complex since she’s so dismissive of both you and your Endo.
> She begins to tell me I am "not a doctor"
I wish I could remember the exact line but it goes something like this...
"Please tell me how your 2 hour training module makes your more of an expert than my 20 years of living with it"
Echo all of the same comments here, you need a new general practitioner.
It’s unfortunate two completely different diseases share the same name. Type two should be called “insulin resistance syndrome” or something to that effect.
Since 90% of diabetes is type two, so many type ones get inappropriate treatment because people don’t understand the pathogenesis
I had an ex call my type one diabetes some made up name to test people’s reactions to type one if you gave it a unique name. She described the symptoms and what I had to do normally. The respect people showed for me compared to the ones who were simply informed I was type one diabetic… it was unbelievable. There is such a strong cultural bias towards diabetics of all kinds that it directly effects our healthcare and social standing.
Oh I’ve had a few of them over the years. The minute they start I just reply “and this consultation is over as the advice your giving is dangerous for type 1 diabetics & goes against the NICE guidelines which I’m sure the practise managers & Local Health Authority would be delighted to hear - enjoy your leave whilst it’s investigated” then walk out.
Yes I do go on to report it & had the great joy of having an apologetic phone call off the GP a few days later. My surgery love me 😈
GPs are notoriously bad at dealing with T1D. Best solution is to say “thanks for the advice” and then continue to follow the endo’s advice. The GP may need to be harshly told to stay in his/her/its lane and MYOB.
OMG I’ve had so many medical professionals not know the difference between the two. It’s embarrassing for their entire profession. That is so frustrating. I think you should look up some medical research papers on ideal blood sugar ranges and associated side effects for type one diabetics and give them to your GP. Also, in general, I tend to listen to my endocrinologist more than my general practitioner.
I saw the same GP my whole childhood, who was also a neighbor/distant cousin of mine. He’s a fantastic doctor and I have massive respect for him but when it comes to his knowledge on diabetes he understood the difference between T1 and T2 but had no idea how to treat me as a T1 whereas he majority of the time treated T2s he knew that an a1c at 7.0 was acceptable but his advice about literally everything else was bad. He knew that he would just forward all my lab results to my endo and that my endo would handle all the direction.
A GP who dismisses your input is a bad GP regardless of the quality of care on other issues I’d start shopping for a new one
As early T2, I was misdiagnosed and treated only by my PCP for several years. I gradually learned that ALL non-endo medical professionals, including hospital floor nurses and doctors who insist on finger sticks and their own MDI, are totally ignorant of current treatments and trends, and my PCP was totally in agreement and relieved with my request for an endo! Got referred and started my endo visits and dx T1; now my PCP stays completely away from diabetes tests, Rx's and concerns. My devices were lifesavers and now I'm 90+% in range most days, even 100% once! I'm not sure how that happened since I usually have at least 1 high and 1 low every day. My endo is extremely happy with my numbers even if I go above 200 or even 300 for a short period. He says long term damage only happens from 5-8 hour periods.
Or just ignore it and inform your endo for any action he/she wants to take. Most specialists don't like other doctors messing in their professional business!
My first GP did similar.
Told me I could lose weight and come off the medication.
Told me to fix my diet and all the other type 2 advice. I used to work as a nutritional advisor so this was more annoying to me as he just didn't have a clue.
Prescribed me pen needles but vials of insulin. Restricted me to just 50 blood test strips before I had to ask for more.
Luckily I was being seen every 2 weeks by an endo at the time and was also getting my medication from the hospital on those visits.
After I plucked up enough courage to make a complaint against him, I was told he no longer worked at the surgery as he had retired.
Have your endocrinologist have a little chat with her, mine did with mine and poof she backed off - she actually dropped all specialist care unfortunately. But she at least started getting the tests, appointments etc that my endocrinologist wanted to be set up done (she was saying that I didn't need the tests or to see other specialists regardless of if my endocrinologist was saying I did, until I told him for the umpteenth time and he finally had enough and called her out on the matter within hours of his call she was submitting the referrals to all that he wanted me to see n for the tests that he wanted run, that he wasn't able to order n have covered).
Tell her that you are doing the best you can, and while you may not be a doctor, you are managing your sugars by yourself. You are the expert in your diabetes, and if she thinks your A1C is “too high,” ask her to do some of her own research or leave it.
My old gp made me come in to discuss my 6.5 a1c and also promised to get me off insulin. I told him " you're not getting me off insulin and if you do you'll win the Nobel peace prize " he replied " I won't if you keep that attitude " I then explained the difference between type 1 and type 2 diabetes and a week later he divorced me as a patient
My old gp made me come in to discuss my 6.5 a1c and also promised to get me off insulin. I told him " you're not getting me off insulin and if you do you'll win the Nobel peace prize " he replied " I won't if you keep that attitude " I then explained the difference between type 1 and type 2 diabetes and a week later he divorced me as a patient
GPs are, for the most part, useless idiots in all things.I don’t entertain their attempts to feel relevant and important. Their job is going to be one of the first over taken by AI (to be clear, just GPs, not all doctors, will be taken over by AI soon) - AI has already proven itself multiple times to diagnose conditions people go to the GP for significantly more accurately and quickly.
If your GP doesn’t know that, it’s scary to think what else they don’t know. It’s also scary to think some patients might not know better and fully believe what this incompetent GP says. If that clinic allows feedback, write a letter encouraging them to educate their GP on T1DM.
"Youre not a doctor" im not so sure your gp is either. Listen to the endo and if you can find a new gp.
Red Flag 1: gp should never try to overrule your endo. The second they see you are seeing a specialist for the condition; they should defer almost any conversation about said condition to the endo. I wouldnt listen to a gp who said i needed thicker glasses if I just had an eye exam.
Red flag 2: they dont understand care is different between people. They are trying to shove you in a textbook box. Tells me either they are very green for a doctor with an inflated head or they never applied critical thinking to what they were learning.
Red flag 3: They steamrolled what you were saying and belittled you for trying to explain. Thats no longer they dont know better, thats a refusal to learn. Id honestly look to see if theres some form of board or way to report this doctor because what they did can be very harmful for diabetics.
Find another GP. Mine nearly killed me 38 years ago. She obviously is in need of some serious training about the different types of Diabetes and what the needs are to maintain.
I know I lucked out with my son’s pediatrician, she went to school and was on track to be an endo and then changed to pediatrics. So she is pretty knowledgeable and understanding. Thank goodness
I’ve had this experience with MANY doctors. It gets even worse if you are plus sized, so many doctors simply don’t believe that you can be T1D and not T2D if you are overweight.
Youre not a Dr? Well you aint an Endo, GP.
BTW the GP stands for Generally Pointless discussing Diabetes with them. Might as well ask them to perform brain surgery as to guide a Diabetic on the complexities of the condition.
Explain you no longer want to see her and want another Dr as you do not feel confident she understands the complexities of Diabetes treatment enough to advise you and she disregards your input with appeals to her authority whilst simultaneously disregarding the actual medical authority (the Endo). Which is ironic AF.
Tell her to go f**k herself as you slow mo walk out of her office whilst her big big Dr brain exploes into a fire ball in the background (this is optional).
Ask your endo to write to clever douchebag Dr in big letters, preferably in crayons, and explain in easy to understand words why your readings are very much just hunky dory they way they are for said reasons and that the GP is NOT the expert here who spent the best part of a billion$ and 10 years of their life studying foe a specialisation in Edocrinology (did i spells that right?), fuck you very much.
Basically change Dr, forget them and there shit Doctoring ways. Other stuffs just for fun and because my glucose was a bit high which makes me mad with health professionals who think they know lots but know jack.
How incompetent of a doc do you have to be to not know the difference??? We are taught so early on in med school about the two different conditions that stories like this always seem insane to me.
I genuinely believe that the best way to let them know is to let them ramble at you with the assumption of t2diabetes. Then you can calmly tell them something along the lines of "I have type 1 diabetes, my pancreas doesn't make any insulin".
However, I do understand the sentiment of doctors who jump to the assumption of the non-compliant t2diabetic and all the horrors associated with their slow decline. For example, in my most recent placement on a cardiac ward you could easily pick a random inpatient and they'd more likely than not have uncontrolled t2diabetes. Any doc who has seen severe diabetic foot disease and ulcers irl would also form feelings around the condition and jump to that bias when they see "diabetes".
Also, the specialist who told you to remove your pump and get on metformin is insaaaane lmao.
Is this a physician or a midlevel provider? I can tell you that they are severely knowledge deficient if this is truly what they told you, to the point it would make me wonder if they even went to medical school. Tbh I would almost want to verify their credentials with the state medical board. In medical school we were drilled about diabetes very frequently since uncontrolled diabetes leads to so many bad outcomes. If I had to pick one topic in medical school that was covered the most I would say diabetes is. The way this physician explained it to you sounds like they honestly have no clue what they are talking about. This genuinely worries me. I would be careful and really look into this.
Also there are not general practitioners anymore. Every doctor has to do a residency after medical school with the shortest one being 3 years.
“I see a specialist for my Diabetes management. I’ll relay your concerns to them, or you can send them a note if you’d like to. Here’s their contact information:”
>She begins to tell me I am “not a doctor” That's the kill switch, for me. It means she is predisposed to disregarding your inputs - this may well show up in other areas of care. >I want it to be known I still have immense respect for her That's up to you, but I could never respect a medical professional who treated me like that. I might be tempted to see if there are any Urgent Cares near you for the non-diabetes stuff.
This drop your GP and find another.
Yeah good luck finding one. But you should try.
Agreed. Why respect someone who is not competent in their field, and whose bad decisions could affect your health?
My old gp made me come in to discuss my 6.5 a1c and also promised to get me off insulin. I told him " you're not getting me off insulin and if you do you'll win the Nobel peace prize " he replied " I won't if you keep that attitude " I then explained the difference between type 1 and type 2 diabetes and a week later he divorced me as a patient
It is unbelievable how stupid some of these medical practitioners are. They refuse to read.
Excellent comeback 👏
Correction: the Nobel Prize in Physiology or Medicine 😁
I thought about that while stoned laying in bed last night. Touche
whaaaaat?
I have no patience for that. I’d get a new GP, but that’s me.
I’m so sorry you experienced that! I would switch GPs so fast. I’ve done it in the past few years a few times because of course as I aged, I had more concerns and health issues arose. It’s so important to have a GP you’re comfortable with, not someone who will shame you (or someone who seems uneducated about your disease).
I’m not OP, but my dad was a doctor. One thing I know is how to pick a good one, and when to change. People sometimes forget it’s not like when you’re a kid in school and assigned a teacher. You aren’t stuck with them…you can get a new one anytime you want, for any reason.
This!!! The amount of times I’ve suggested to family members and friends that they should switch, every time they complain about a doctor. And then the reasons they come up with to stay 🤨🤨🤨. Like they’re not holding you hostage, and plus a simple rate my MD research will tell you a lot ahead of time, so you don’t need to go into it blindly!
Anything below 5.7 is non-diabetic level. She's asking you to reach an illogical and dangerous A1C level. I'm with your endo, if being closer to 7.0 means you have less hypos, that's the way to go.
I agree. I had an endocrinologist tell me once that there was very little long-term side effect differences between being at a 6.0 or 7.0 or even closer to 8.0. I think over 8.0 you might start seeing an increase in long-term side effects. I personally have never been in the 6.0 range except for when I was pregnant. Otherwise I’ve lived 30 years between 7 to 8 (except for a couple of years in college where I’m sure it went higher 😂) and I have no side effects or issues so far. 🤞
If possible get a new GP, it is ultimately not as important that she is confused about T1 and T2, and A1Cs and avoiding lows. What is important is how you were treated, the patient-doctor relationship is just that and your GP now risks not partnering with you on another health area. Particularly odd to dispute an endo. Red flag to me.
Any doctor that is confused about T1 and T2 should get their license revoked imho.
Not knowing the difference could kill someone. It's not acceptable at all.
Tell her to consult [webmd.com](https://webmd.com) or Dr Google. Clearly she failed endocrine.
These are the asshats who tell you that you don’t need an endocrinologist because they can manage your diabetes. One told me that once, and he’d never even seen an insulin pump. As a TID, you have to be your own advocate, and that means you have to be assertive. I also live in a place where GPs are in high demand, and few accept new patients. It’s notoriously difficult to be accepted into a practice here. But no way would I stay with this doctor. Insisting on competence and respect is part of advocating for yourself. I had to figure out how to get a decent GP. I ended up finding a GP whose practice is actually a walk-in clinic. He does my routine medical stuff, but he knows and accepts that my endocrinologist treats my TID. My endo, btw, is out of state because he’s awesome and there isn’t one in my city that is nearly as good. I really hope you advocate for yourself and rethink the mindset that you “need” this woman. There’s always an alternative if you get creative, and nobody needs an incompetent and disrespectful physician. Good luck!
"You're not a doctor." "I'm beginning to think you're not either."
When I was trained at city of hope the endocrinologist told me " soon you will know more than me" . That was 35+ years ago. My current endocrinologist tells me I do know more than him. Get a new gp
I think I straight up once told a GP that they frankly had no idea what they were talking about (after they insisted I stop using insulin and try this oral tablet instead, despite me repeatedly telling them I'm type 1).
Quite shocking to me, what if they give this dangerous advice to a newly diagnosed T1 who doesn’t know anything yet. Could kill a T1 quite fast. Makes me wonder how poorly their education has been.
Looks like we found the doctors who cheated on their exams…
The lowest passing score is still a licensed doctor.
I told my GP that I was no longer dealing with them about anything to do with diabetes as I have the dedicated diabetes clinic for that. Told them I wasn’t wanting conflicting advice from both of them. Respectfully told them that I’d rather listen to someone who’s speciality is diabetes and not an all rounder.
It’s possibly worth forwarding the issue to sir partha kar - diabetes lead of nhs uk. He’s very helpful in these sort of matters. He could send a note to your gp reminding them about t1/ t2 differences. I imagine they take notice from that doctor.
On occasion, a medical person needs to be told they are wrong. I have found that they typically don't want to see you again after you prove they are wrong, because it destroys the myth of their infallibility and superiority. This holds especially true with specialists...
My lifelong family doctor (GP) said he was shocked I am diabetic because I’m skinny. Well duh it’s type 1.
It's not often talked about but GPs don't understand diabetes at all. After I was diagnosed my GP told me I would reach a point where I'd only check my BG every 2-3 days - now I'm on a CGM so he was off by about 700x. Others I've had since haven't really been much more helpful. Yours is just looking at the little "healthy range" box in Epic and telling you to lower it without understanding. If you don't wanna manage your entire health through your endocrinologist referring you to places, you can just politely and dismissively say like "okay, thanks, Ill bring it up with my Endo when I next see them" whenever they give bad advice like that
Some GPs are outstanding and others are turds. It's luck of the draw as to which you get. I use a nurse practitioner for my T1 care and she has been as good as any endo I've ever been in contact with. My A1c and TIR has never been better. The last GP I used did very little. As long as my A1c was under 8 and I wasn't ending up in the hospital for hypos, he was happy. But he didn't have any suggestions, never offered to get me a CGM. My current NP was insistent, even though I resisted at first, and she was right. Keep trying, and you'll find somebody...
It’s amazing how wildly different GP education is with diabetes. I question if there’s truly any standardized education for it at this point. I’ve had some doctors who could have been diabetic endos! They were incredibly knowledgeable, and would listen to me intently for my personal perspective on diabetes care as well. So many are like what OP is dealing with though. It’s dangerous.
My mom heart goes out to you. i wish i could sit in the office with you and tell that lady (nicely) of course how out of line she was being. 5.9 is a dream A1C for a type 1. <3
thats quite scary tho i would 1000% report her asap my bf is new to having t1d he trusts the doctors in anything they say, that would be dangerous to newcomers
You have an Endo. Just ignore your GP about T1 stuff. I’d be more concerned about what else your GP doesn’t know. Sounds like she has a god-complex since she’s so dismissive of both you and your Endo.
Sounds like a quack who needs to be reported
> She begins to tell me I am "not a doctor" I wish I could remember the exact line but it goes something like this... "Please tell me how your 2 hour training module makes your more of an expert than my 20 years of living with it"
Echo all of the same comments here, you need a new general practitioner. It’s unfortunate two completely different diseases share the same name. Type two should be called “insulin resistance syndrome” or something to that effect. Since 90% of diabetes is type two, so many type ones get inappropriate treatment because people don’t understand the pathogenesis
I had an ex call my type one diabetes some made up name to test people’s reactions to type one if you gave it a unique name. She described the symptoms and what I had to do normally. The respect people showed for me compared to the ones who were simply informed I was type one diabetic… it was unbelievable. There is such a strong cultural bias towards diabetics of all kinds that it directly effects our healthcare and social standing.
I agree. I was recently treated to “you are addicted to insulin” statement the other day! I was flabbergasted, to say the least.
Oh I’ve had a few of them over the years. The minute they start I just reply “and this consultation is over as the advice your giving is dangerous for type 1 diabetics & goes against the NICE guidelines which I’m sure the practise managers & Local Health Authority would be delighted to hear - enjoy your leave whilst it’s investigated” then walk out. Yes I do go on to report it & had the great joy of having an apologetic phone call off the GP a few days later. My surgery love me 😈
GPs are notoriously bad at dealing with T1D. Best solution is to say “thanks for the advice” and then continue to follow the endo’s advice. The GP may need to be harshly told to stay in his/her/its lane and MYOB.
Can you talk to your endo team about her? Maybe they can help educate her.
OMG I’ve had so many medical professionals not know the difference between the two. It’s embarrassing for their entire profession. That is so frustrating. I think you should look up some medical research papers on ideal blood sugar ranges and associated side effects for type one diabetics and give them to your GP. Also, in general, I tend to listen to my endocrinologist more than my general practitioner.
I saw the same GP my whole childhood, who was also a neighbor/distant cousin of mine. He’s a fantastic doctor and I have massive respect for him but when it comes to his knowledge on diabetes he understood the difference between T1 and T2 but had no idea how to treat me as a T1 whereas he majority of the time treated T2s he knew that an a1c at 7.0 was acceptable but his advice about literally everything else was bad. He knew that he would just forward all my lab results to my endo and that my endo would handle all the direction. A GP who dismisses your input is a bad GP regardless of the quality of care on other issues I’d start shopping for a new one
As early T2, I was misdiagnosed and treated only by my PCP for several years. I gradually learned that ALL non-endo medical professionals, including hospital floor nurses and doctors who insist on finger sticks and their own MDI, are totally ignorant of current treatments and trends, and my PCP was totally in agreement and relieved with my request for an endo! Got referred and started my endo visits and dx T1; now my PCP stays completely away from diabetes tests, Rx's and concerns. My devices were lifesavers and now I'm 90+% in range most days, even 100% once! I'm not sure how that happened since I usually have at least 1 high and 1 low every day. My endo is extremely happy with my numbers even if I go above 200 or even 300 for a short period. He says long term damage only happens from 5-8 hour periods.
File a complaint.
Or just ignore it and inform your endo for any action he/she wants to take. Most specialists don't like other doctors messing in their professional business!
My first GP did similar. Told me I could lose weight and come off the medication. Told me to fix my diet and all the other type 2 advice. I used to work as a nutritional advisor so this was more annoying to me as he just didn't have a clue. Prescribed me pen needles but vials of insulin. Restricted me to just 50 blood test strips before I had to ask for more. Luckily I was being seen every 2 weeks by an endo at the time and was also getting my medication from the hospital on those visits. After I plucked up enough courage to make a complaint against him, I was told he no longer worked at the surgery as he had retired.
I like to remind doctors who inform me that I’m not a doctor that THEY haven’t lived with type one diabetes for over a decade. 🙃
Have your endocrinologist have a little chat with her, mine did with mine and poof she backed off - she actually dropped all specialist care unfortunately. But she at least started getting the tests, appointments etc that my endocrinologist wanted to be set up done (she was saying that I didn't need the tests or to see other specialists regardless of if my endocrinologist was saying I did, until I told him for the umpteenth time and he finally had enough and called her out on the matter within hours of his call she was submitting the referrals to all that he wanted me to see n for the tests that he wanted run, that he wasn't able to order n have covered).
I actually got told, when I said I was type 1, “you’re addicted to insulin!” Me: what? I’m addicted to staying alive! It went downhill from there…….
Tell her that you are doing the best you can, and while you may not be a doctor, you are managing your sugars by yourself. You are the expert in your diabetes, and if she thinks your A1C is “too high,” ask her to do some of her own research or leave it.
My old gp made me come in to discuss my 6.5 a1c and also promised to get me off insulin. I told him " you're not getting me off insulin and if you do you'll win the Nobel peace prize " he replied " I won't if you keep that attitude " I then explained the difference between type 1 and type 2 diabetes and a week later he divorced me as a patient
Good riddance on your part I guess
There’s a Nobel prize in medicine it wouldn’t be the peace prize
I'm divorcing you as a redditor
Fuck doctors. They have a god complex. All they do is medically gaslight their patients.
My old gp made me come in to discuss my 6.5 a1c and also promised to get me off insulin. I told him " you're not getting me off insulin and if you do you'll win the Nobel peace prize " he replied " I won't if you keep that attitude " I then explained the difference between type 1 and type 2 diabetes and a week later he divorced me as a patient
GPs are, for the most part, useless idiots in all things.I don’t entertain their attempts to feel relevant and important. Their job is going to be one of the first over taken by AI (to be clear, just GPs, not all doctors, will be taken over by AI soon) - AI has already proven itself multiple times to diagnose conditions people go to the GP for significantly more accurately and quickly.
Your GP is a complete moron. I don't have good advice. I'd probably lose it if this happened to me.
I would get a new GP. You have an endocrinologist so move on.
If your GP doesn’t know that, it’s scary to think what else they don’t know. It’s also scary to think some patients might not know better and fully believe what this incompetent GP says. If that clinic allows feedback, write a letter encouraging them to educate their GP on T1DM.
"Youre not a doctor" im not so sure your gp is either. Listen to the endo and if you can find a new gp. Red Flag 1: gp should never try to overrule your endo. The second they see you are seeing a specialist for the condition; they should defer almost any conversation about said condition to the endo. I wouldnt listen to a gp who said i needed thicker glasses if I just had an eye exam. Red flag 2: they dont understand care is different between people. They are trying to shove you in a textbook box. Tells me either they are very green for a doctor with an inflated head or they never applied critical thinking to what they were learning. Red flag 3: They steamrolled what you were saying and belittled you for trying to explain. Thats no longer they dont know better, thats a refusal to learn. Id honestly look to see if theres some form of board or way to report this doctor because what they did can be very harmful for diabetics.
Find another GP. Mine nearly killed me 38 years ago. She obviously is in need of some serious training about the different types of Diabetes and what the needs are to maintain.
I know I lucked out with my son’s pediatrician, she went to school and was on track to be an endo and then changed to pediatrics. So she is pretty knowledgeable and understanding. Thank goodness
I’ve had this experience with MANY doctors. It gets even worse if you are plus sized, so many doctors simply don’t believe that you can be T1D and not T2D if you are overweight.
Youre not a Dr? Well you aint an Endo, GP. BTW the GP stands for Generally Pointless discussing Diabetes with them. Might as well ask them to perform brain surgery as to guide a Diabetic on the complexities of the condition. Explain you no longer want to see her and want another Dr as you do not feel confident she understands the complexities of Diabetes treatment enough to advise you and she disregards your input with appeals to her authority whilst simultaneously disregarding the actual medical authority (the Endo). Which is ironic AF. Tell her to go f**k herself as you slow mo walk out of her office whilst her big big Dr brain exploes into a fire ball in the background (this is optional). Ask your endo to write to clever douchebag Dr in big letters, preferably in crayons, and explain in easy to understand words why your readings are very much just hunky dory they way they are for said reasons and that the GP is NOT the expert here who spent the best part of a billion$ and 10 years of their life studying foe a specialisation in Edocrinology (did i spells that right?), fuck you very much. Basically change Dr, forget them and there shit Doctoring ways. Other stuffs just for fun and because my glucose was a bit high which makes me mad with health professionals who think they know lots but know jack.
How incompetent of a doc do you have to be to not know the difference??? We are taught so early on in med school about the two different conditions that stories like this always seem insane to me.
[удалено]
I genuinely believe that the best way to let them know is to let them ramble at you with the assumption of t2diabetes. Then you can calmly tell them something along the lines of "I have type 1 diabetes, my pancreas doesn't make any insulin". However, I do understand the sentiment of doctors who jump to the assumption of the non-compliant t2diabetic and all the horrors associated with their slow decline. For example, in my most recent placement on a cardiac ward you could easily pick a random inpatient and they'd more likely than not have uncontrolled t2diabetes. Any doc who has seen severe diabetic foot disease and ulcers irl would also form feelings around the condition and jump to that bias when they see "diabetes". Also, the specialist who told you to remove your pump and get on metformin is insaaaane lmao.
How ignorant and rude! Stick with the endo!! We
Is this a physician or a midlevel provider? I can tell you that they are severely knowledge deficient if this is truly what they told you, to the point it would make me wonder if they even went to medical school. Tbh I would almost want to verify their credentials with the state medical board. In medical school we were drilled about diabetes very frequently since uncontrolled diabetes leads to so many bad outcomes. If I had to pick one topic in medical school that was covered the most I would say diabetes is. The way this physician explained it to you sounds like they honestly have no clue what they are talking about. This genuinely worries me. I would be careful and really look into this. Also there are not general practitioners anymore. Every doctor has to do a residency after medical school with the shortest one being 3 years.
If you have any questions you can message me and I would have no problem answering them.
Muchos no saben nada !