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Could this be a Negligence case?

My sister has had neuropathy in her feet from unstable diabetes for a year now. It has progressed every month, to the point she can barely walk. :( Her last diabetes doctor essentially said 'You know what diabetes can do.' and that was It. For years she didn't find a plan /way to help assist to lower my sister's sugars- they are very insulin sensitive, so she could barely ever take much insulin. Her sugars unfortunately therefore, remained high, year after year. And last year before her last appt. with her, she said' I don't know' (about how to treat sugars and also neuropathy) and basically then hung up on her. As a specialist,would one not try to Find out then? Any answer or any plan? My sister feels her brushing her off was negligence and she did get worse , from not being treated.

This also occurred with a nerve specialist, who only mentioned a vitamin she could take for neuropathy , then just advised my sister talk to Her PCP for a med for nerve pain. She felt yet Again pushed off- there were multiple treatments out there for neuropathy, and she was not informed of any. And now it is worse , and could be permanent. What are your thoughts? She is at her wit's end, getting no help and having to research treatment on her own.
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JoyfulSilence · 51-55, M
So sorry.

I hope she can find someone who cares.

I am lucky. My doc suggests meds and treatments for most of my ailments, without me even asking. I am often reluctant since sometimes the problem is hidden, and only shows up on a test. And the treatment never makes me feel better (yet sometimes worse), but does yield better test results.

With most of my diabetes complications, the only sure solution is low sugar, so that is the focus. But it does not seem to help repair damage that is already done.

My sugars are down, and neuropathy less. But I have not actively sought help. I still have not seen a neurologist or podiatrist, like my doc suggested. I did see an eye doctor, but for new glasses. She said I had diabetic retinopathy.

I have leaky and mutant capillaries. I have floaters of blood in my eyeball gel. I have been seeing a specialist, who first lasered the peripheral capillaries to stop them growing. Yet now I have injections into one eye to slow down growth in the middle, since a laser is too dangerous there. But everything I read suggests existing floaters usually do not fade, and then surgery is the final option. They suck out my eyball gel and replace it with air (or oil), and it will refill with time(?).

Sigh.
Coralmist · 41-45, F
@JoyfulSilence Keeping sugars fairly close to normal range is key..good for you. I wish my sister wasn't so insulin sensitive so she could take the amount she needed. Then some of this awful neuropathy could lessen. Sorry about the eyes .she also has many floaters. I hope they find a cure for diabetes...we are past due 🌸
JoyfulSilence · 51-55, M
@Coralmist

In the case of type 1, I hope someday they could grow good pancreas cells and inject them into the pancreas, or something. Yet if your sister is responding badly to insulin, maybe being able to make her own won't help.

For type 2, I think it starts with the body losing reactivity to insulin. Sort of like a drug addict, who needs more and more to keep his high. I think high sugar causes more insulin, which the body desensitizes to, which causes more insulin to be needed, until it cannot keep up. This stresses the pancreas, which tires and produces less. So I need more and make less.

I think Ozempic triggers the body to think it just ate, and thus insulin is boosted and the production of sugar by the liver depressed. So blood sugar drops.

But it is just a band-aid: I do not think it makes my body react better to insulin. It does lower sugar, which causes damage.

What they need is a way to battle "insulin resistance."
SW-User
Offering you a hug as I don't have this answer for you. I don't want to talk upon what I don't know this way and offer advice that is wrong. There are a lot of cases where doctors are negligent of their duties in oath, but I can't say with any assurance your sister's treatment legally.

I do know it can feel like malpractice and negligence from how much you hurt with how you feel, and I would feel as hurt as you. There are lawyers who can answer these questions and I know they are costly, but some do take on pro-bono if they really feel a person's dignity was taken from them.
Heartlander · 80-89, M
I think there's more to diabetes than sugar and/or carb consumption. It may be beneficial to do a hemoglobin check through the day for a while and see if there is a clue about whether daily lifestyle routines affect glucose levels. There are continuous glucose monitoring systems available now to help you see how the glucose level changes through the day. Other physical issues, like cardio-circulation issues can complicate diabetes, especially artery occlusions. Also liver issues. A detailed look-see of how glucose leels go up and down through the day may help isolate potential problems.
Coralmist · 41-45, F
@Heartlander I like these ideas ty friend 🌹 I will share them with her. Here I am referring mainly to how the neuropathy got worse in a year, due to inaction as well... If neuropathy is not treated it can become worse and permanent. They gave no options like surgery that may be vital, and can only be done if it's at a certain stage. I think it may be hard to pursue but I see her view, that as a patient she did not have neuropathic aid or care.
Heartlander · 80-89, M
@Coralmist there may be more than diabetes involved. WebMD and Mayo Clinic give some hints about what else may be going on. But even that isn’t comprehensive.
@Heartlander Exactly, my diabetes was triggered by anticoagulant created anemia, which all of my current braindead doctors and specialists refuse to acknowledge.
Blondily · F
Thats rediculous. My hub suffers from numbness, not diabetes related, too and it took him a while to figure it all out. He takes a pill for numbness plus saw a specialist who showed him exercises that you use with a rubberband on your neck and it helped. Plus sleeping on a wedge pillow helped with the numbness. The hub also uses a foot roller when his feet get numb which helps.
So bottom line, she needs to see a therapist to give her exercises, foot roller, plus meds plus eating as healthy as she can. Maybe a chiropractor could help too. I wish her luck!
Coralmist · 41-45, F
@Blondily What pill does he take for numbness? Ty so much for your ideas.
Blondily · F
Youre welcome@Coralmist
I cant remember what the name of the prescription is but her doctor would know.
SW-User
What type of insulin is she on? It may just need a different type. Insulin, drinking water and moving more are how to get your sugars down. I’m on slow release because fast release didn’t work for me, it used to make me spike and crash constantly
Coralmist · 41-45, F
@SW-User I asked that too..can she switch to a different insulin. She was on Lantus but switched to hiumalog..her nurse said there is only one other insulin now, and that it won't do anything. 😦
SW-User
@Coralmist they’re both rapid acting, I can’t use those either. I’m on humulin which is slow release and works throughout the day for me
She cannot just lower carbs. She must increase protein, veggies & fruits. NO sugar, sweetners. NO diet pop. NO corn syrup, glucose-frucrose. Half her plate should be veggies, quarter of her plate should protein, less than quarter of her plate can be carbs. NO white bread, rice, potatoes or noodles. Multigrain or sourdough bread, etc.

Fresh produce or frozen. NO cans or processed foods. Shop on the edges of the grocery store. NOT in the middle!
She will need titer insulin. Does she have a pump?

Timing her meals, size sleep are crucial
Coralmist · 41-45, F
@Guardian Well besides water it is the only thing (and unsweetened tea) she can have. I do drink diet soda here or there and hav e not experienced arthritis... do they mean vast amounts?
Coralmist · 41-45, F
@Guardian What is titer insulin ? Or did you mean tighter, as in controlled... ? she has a pump, yes.
exchrist · 31-35
If youve documented the doctors negligence id say yes
What you don't mention is, is if your sister following any wellness program. For example, losing weight, exercising, controlling diet and sleep?
Coralmist · 41-45, F
@Guardian She was trying things on her own, trying to eat very low carb, (she lost a lot of weight due to this, unintentionally). Even low carb alone isn't enough to lower her sugars, she needed more insulin, but had no input on 'how' to do it.... it will crash very low in minutes if she took even one unit. :( One of her hospital stay doctors said, 'You are the most unique and severe case we have seen'.
SW-User
Is she taking Gabapentin ?
Coralmist · 41-45, F
@SW-User Tried it and unfortunately, did not help. She is reading many with neuropathy also do not have any luck with Gabapentin. Some do of course, but many do not. :(
1490wayb · 56-60, M
SHE MUST GET LASER TREATMENT
My thoughts are for your sister to report them to their admins, as well as the state medical board.

 
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