- HEALTH TRACKER
My mom is fine right now, spending the night in the hospital for observation, but the reason she’s there in the first place is why I’m sharing this. Once the ER doctor found out my mom was diabetic and post-RnY, he called an endocrinologist. My dad knows my mom’s whole medical history. It turns out about 2 months ago, her endocrinologist prescribed a new medication while taking her off the metformin. She told me the name of the med, which I believe is pronounced Buterin but I’m not 100% on it. It is an extended release injection to aid weight loss. How many red flags are there for you in that sentence? My dad got past telling me ‘extended release’ and I freaked out. Well, Mom had lab work done 2 weeks ago, and her A1C was double the normal level, so her PCP put her on Humalog (insulin) twice a day. The ER endo told my father that the Humalog was depressing her blood sugar levels because the amount prescribed was too much, and the extended release med from the old endo was keeping her from eating what she should have been eating. So she wasn’t eating enough to maintain normal blood sugar levels because she had no appetite, and the Humalog was depressing her ‘normal’ sugar levels – but they were just looking at the A1C’s.
My mom’s a smart lady, but her mistake was trusting two doctors who both know she had surgery but are poorly informed about her surgery. The PCP has been her doctor for nearly 50 years, and her former endo has a reputation as a pill-pusher. The ER endo (who she asked to be her new endo, and they did the paperwork to make it happen) has told her that the first order of business is to get her blood sugar stabilized, and next is to have her meet with the entire bariatric team to get a medical plan. My mom’s been compliant with her post-op bariatric plan except for the exercise component. She didn’t feel comfortable with the old endo after he took her off metformin, and had called her bariatric surgeon to tell her of the concerns. Turns out, my mom was smack dab in the middle of a referral process to get a new endo, but this scare expedited it. She trusted her instinct in asking for a new endo, but she trusted both the old one and the PCP and it could have honestly killed her today.
It’s a sobering thought. I know I have always made it a point to make sure that my doctors all have copies of every blood panel or test I get, and for someone with a fear of needles, I’m neurotically obsessive with getting my labs and making sure the levels are right where they should be. My mom’s been like that, too, but one little slip…one instance of trusting two doctors over her gut, was almost fatal. Please, please, please, remember that we know our bodies better than our doctors ever will. Even though they’ve gone to med school for decades to be good at what they do, it is still our job to be the best-educated on what goes into our bodies. I am so glad my mom is refusing to see her old endo and that her surgeon’s office is aware that he was (in my opinion) negligent in my mother’s care (OMG, extended release, I am STILL baffled by the fact that he’d think that was a good idea for someone whose stomach is the size of an egg). I’m even more glad that I still get to take her for her birthday lunch next week, and she’s here to celebrate her next birthday.
Your right byetta and insulin is not use together. Another injection symlyn, which is very similar to byetta is use with people that used insulin...........and there is another that starts with a V but I can't remember the name right now.