Finding a new endocrinologist in Dallas

I know I haven’t written here in a while. Really, it’s because I have been at somewhat of a stand-still as far as my control and treatment up until recently.

I was previously seeing a pediatrician who was great, but when I turned 18, he refused to see me as a diabetic patient anymore and referred me to an endocrinologist. Well, I made it almost 2 years without an endocrinologist until finally I no longer had anyone willing to write my prescriptions. I called up the practice I was referred to by my pediatrician and scheduled an appointment. It was a terrible experience. For a doctor known as one of the best (according to D-magazine), the guy could have given a [expletive removed] about providing quality care. Yeah, his nurse even told me he’s gone for a few months every year to go skiing. I was notified at the end of the appointment that I would receive my a1c result in a week. WHAT?? What kind of top rated endocrinologist doesn’t have an in-office a1c machine (i.e. a Bayer DCA2000)? Anyway, it didn’t take me long to decide I would not be coming back. Oh wait, maybe I had made up my mind when  I found out that they “didn’t receive” the insurance information I faxed them and that they didn’t know how to authorize a pump supplies refill with Medtronic. I should also note that two doctors from this practice made it into the endocrinology section of “D Best”.

My search for a new endocrinologist began. I searched Google for a while until I found someone who had a pretty impressive background. His website noted that he has started more people on pumps than any other doctor in Texas. Wow! Turns out I was very lucky. I can’t say enough good things about the guy. I went to the appointment, he sat down with me for almost 1.5 hours and explained new treatments I could try along with recent developments in the diabetes world. Being a professor at UT Southwestern, he was very connected with current research. I left here with a Symlin pen, my a1c (which by the way was 6.0–only time will tell if the Symlin gets me back to the 5.5 I once had), and lots of new knowledge about current diabetes research.

Why am I posting this? Well I would have liked to find an article like this one when I searched Google for diabetes endocrinologist dallas. If you would like names of any of the people I have mentioned in this article, post a comment with a valid email. Put your email address in the “email” field (so that it won’t be published) and in the comment section just say you’d like the names of people mentioned here.

 

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Mixed thoughts about Quicksets

I’ve been using Quicksets for a few weeks and gone from hating them to loving them multiple times. As I mentioned in a previous post, I used to use Insets with my Animas pump. Well, unfortunately, I can’t use those anymore because of Minimed’s proprietary connector but as far as reliability and ease of use go, they were great.

A couple issues I have with the Quickset having come from the all-mighty Insets.

Quickserter

Insertion – The Quickserter is not quite the tool it seems when watching video demos on Minimed’s website. It took me up to 5 minutes each site change just to get the thing loaded properly. Nothing like the Insets which come attached to a nice disposable plastic insertion device. My frustration with the Quickserter grew so I decided to try inserting a Quickset manually. The first time was slightly nerve racking Read More »

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Dexcom Seven Plus vs. Guardian RT

Continuous glucose monitoring is becoming better and better, but still isn’t without flaws. Here I’ll compare 2 systems currently on the market–the Dexcom Seven Plus and the Guardian RT.

Minimed Guardian RT (left) and Dexcom Seven Plus (right)

Sensor Insertion
The Minimed’s insertion is simpler and and more straight forward, but I like the Dexcom insertion better. First of all, the way the Dexcom’s inserter is designed, it is much more difficult to mess up with the angle and the insertion needle is more likely to enter the skin fully. With the Guardian, if I was at all hesitant when pressing the trigger, it wasn’t uncommon for the insertion needle to only make it half way in. Overall, the Dexcom may be a little less painful, but they are quite similar in that respect. It is much more difficult to remove the insertion device and connect the transmitter on the Dexcom, so this may make it less favorable for those wanting to place the sensor in harder to reach areas.

Transmitter/Sensor design
As far as the design of the transmitter and sensor go, both systems have advantages and disadvantages. The Dexcom adhesive patch is much better than the Guardian. So far, it has been totally unnecessary to use any type of dressing that was necessary to make the Guardian transmitter/sensor stay on. The Dexcom’s adhesive patch is larger overall, but worth the size in my opinion given that it is much more secure. Plus, once you put Tegaderm or IV3000 over the Guardian’s sensor, it’s going to cover a larger area. Read More »

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Fifty50/Applied Diabetes Research insulin reservoirs are a disappointment

Recently, I switched from an Animas pump to the Minimed 720. Having been completely happy with Insets, I was hesitant to switch to anything else. I stumbled upon these Fifty50 reservoirs for Minimed Paradigm paradigm pump and naturally they caught my attention. Hoping the luer lock reservoirs would make for a smoother transition, I purchased some at the same time I ordered the new pump.

A new Fifty50 reservoir

A new Fifty50 reservoir

It’s a great concept, but the reservoirs leave much to be desired as far as removing air bubbles. I never had problems with air bubbles when using my Animas pump, so I had no idea what I was in for. Read More »

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Entering the diabetes blogging world

It seems everyone with diabetes these days has their own blog. Here it is. I have finally given in and jumped on the bandwagon. Why? Because living with diabetes for 7 years and having an obsession with near perfect control have led me to believe that perhaps I have some information that could be useful to others. That’s all for now. Hope to start posting soon.

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