Category Archives: working with your diabetes team

She Kicked Me Out!

Yesterday we had our regular clinic appointment…a day dreaded by mother and son for none of the obvious reasons.  We simply find it rather boring.  Because Mom is a bit obsessed, learns a lot, and surrounds herself with diabetes experts, diabetes clinics rarely have much new information to offer us. I also make it my job to educate my son so again, he is not often shown anything that he hasn’t already heard about. I will say that the people at the clinic are pretty respectful of this but we still must wait to see the required list of people…and we are easily bored. 

Yesterday was no exception…except when the doctor came in.  She asked my son his age and then asked me to leave the room! Wow! I have never been kicked out before! Well from kindergarten but not a doctor’s appointment!  

I know that he needs to learn to speak for himself and to communicate with his diabetes team.  He needs to know his rates and we are working to get him to understand where to make changes and how….BUT my son is super quiet! Don’t get me wrong, once he knows you and is comfortable it is impossible to keep him quiet but for the most part he is very reserved and mumbles one word answers. How was this going to work? 

I paced the floor outside of the examining room.  The support staff looked at me and said “Kicked out, huh?”  I smiled and nodded.  This was obviously a common practice.  As I paced, and worried that she would get no information out of him. I realized how important this was.  He needed to speak up on his own now before he reaches 18 and sees a new doctor.  I try to make him answer questions when we see his team but often he defers to me.  This one on one session would make him answer the questions. 

It seemed like I was wearing a hole in the floor. What were they talking about? Were they getting to talks of sex, drugs, alcohol and diabetes? That would be good…not that I want my son engaging in any of those activities, especially at his young age, but I don’t know enough about them to talk to them from a diabetes angle. 

Finally he came to door and beckoned me back in.  I tried not to be too obvious in my relief.  As I sat down, she turned to me for all of the basic information that my son could not provide…basal rates, carb to insulin rates, etc.  For some reason under the pressure of having to do it with a relatively new doctor in his presence, he had forgotten where to find the relevant details. 

I gave her the information she wanted.  She signed our DTC form without a second glance and refilled a prescription she had given my son during his last visit.  After she left, while waiting to see the other members of the team, my son expressed his approval of this doctor. Not only was she a nice person (and she is a nice looking lady which I am sure is not lost on a 15 year old male), she also told him that since he had great control he could forgo having his annual blood work.  She was a star in his eyes! I hope he realized that it was the hard work of maintaining good blood glucose control that allowed her to give him that reprieve. Either way…my little boy is growing up! Where has the time gone? I am guessing I will be kicked out on a regular basis now…. 

June DSMA Blog Carnival

Today I decided it would be a great time to answer the DSMA Blog Carnival post before I start re-posting old blogs during my vacation.  I had long since forgotten what June’s topic was so imagine my surprise when I read “Do you get nervous or stressed when you have to go to your endo/doc appointment? Why or why not? Be honest.”

Today is our clinic appointment! Am I nervous? No.  Am I stressed? A little. I hate the waiting at the clinic. We had a great appointment last time we were there. We chatted with the doctor.  A nurse took my son’s blood for his A1c and we were out of there. We were two happy people! 


The other problem with this appointment is of course my son is having a high at night that I just can’t quite tweak. They may, or may not tell me to do the things that I am considering–adjust a carb to insulin ratio to cover the food he is eating. Look at upping a basal rate before he wakes to cut down on what looks like some growth hormones kicking his butt.  That is all well and fine but remember I said that I am going on vacation and so is he? 

My son’s activity level could go up as he rides his quad daily and catches up with old friends.  This will mean that the change is basal rates is unnecessary.  Add to that the fact that he isn’t “that” high, he has only woken up to two lows–in his life!, and he has had a few nights when the readings were okay.  I am thinking about adjusting the carb to insulin ratio, leaving the rest and texting from Ireland to see what’s what.  

Why don’t I get nervous? I don’t get nervous because I don’t look at them as the judge and jury.  I am.  I am my worst critic. I am much tougher on us than they are.  I know what I have to do. I know the A1c that I want to see. I have said time and time again, I was trained by the best.  Between an amazing doctor for the first 10 years of diabetes and the CWD Parents list, I have learned a lot and kept myself on top of the latest information. I am not intimidated because I often know as much as the staff. We are all the experts and when there is mutual respect there can be no need to be nervous. 

So what can they do for us? I am hoping that they will begin to work a lot more with my son.  We have had the alcohol discussion. I know that they have spoken about it at FFL teen sessions.  He needs to establish a relationship with his d-team and understand why its important for him to continue to be diligent with his care after he leaves their office. Our old doctor spoke directly to him, making him take charge. I am trying to step aside more often so that they can do this in our new setting as well. My son is quiet and private but this is not the place for that privacy.  

So are clinic appointments a source of stress for us? No.  They are a necessary evil but to date we are blessed by teams that respect us and work with us not against us. 

“This post is my June entry in the DSMA Blog Carnival.  If you’d like to participate too, you can get all of the information at http://diabetessocmed.com/2012/june-dsma-blog-carnival-2/