| The day-to-day responsibilities of diabetes | | | | are offered single medications first, especially |
| management falls squarely on the person with | | | | older medications that are useful for many |
| type 2 diabetes, but every diabetic needs to | | | | diabetics, such as Metformin. |
| collaborate with a physician for optimum care. | | | | 4. Not getting to see your doctor at all: To |
| Here are seven considerations for choosing the | | | | squeeze in more patients, many clinics hire |
| right doctor, that every diabetic needs to know: | | | | physician assistants, or PA's. A PA has training to |
| 1. Appointments: The doctor diabetics see most | | | | offer routine diabetes care, but may not |
| often is their primary care physician. This is the | | | | recognize developing problems, (such as the early |
| doctor who will monitor your HbA1c and blood | | | | signs of thyroid disease, or the early signs of |
| lipids, prescribe most medications, and take care | | | | circulatory problems), and may have a philosophy |
| of minor illnesses. Since fewer and fewer doctors, | | | | of treatment that conflicts with your physician's. |
| at least in the United States, are going into family | | | | Know whether you will be seeing your physician |
| practice, appointments are harder and harder to | | | | or the PA on a regular basis. |
| get. It is important to find a doctor who honors | | | | 5. When you are better off not seeing your |
| appointment times... and it's equally important that | | | | regular doctor: If what you want is a shot before |
| you also make a habit of showing up on time. | | | | you take a foreign vacation, or walk-in treatment |
| 2. Fees: In the USA in 2009, the average annual | | | | for a sore throat, and you were going to see |
| earnings of a primary care physician were | | | | your doctor's PA anyway, why not save time |
| $201,548, according to Cejka Search, a physician | | | | and go to the "Minute-Clinic" facilities in most larger |
| placement firm. That's a lot of money, but it pales | | | | markets and shopping malls. Just be sure to |
| in comparison to the earnings in other specialties. | | | | inform the healthcare service provider that you |
| The average American dermatologist, for | | | | have type 2 diabetes and all the prescriptions you |
| example, earned $350,627, and the average | | | | take, and don't use walk-in clinics to get long-term |
| neurosurgeon earned $548,186. Your primary care | | | | medications. Your primary care provider has to |
| physician is likely to be sensitive about money | | | | know all the medications you take on a long-term |
| issues, especially if he or she is a recent graduate | | | | basis. |
| of medical school paying off massive educational | | | | 6. Timing use of insurance. Even as benefits are |
| debt. Some doctors order many tests to | | | | downsized, most insurance plans still cover 2 to 5 |
| augment their office fees. | | | | "free" doctor visits every year. You may notice a |
| 3. Rewards for prescribing diabetes drugs: If you | | | | distinct difference in your care when you reach |
| keep up with the literature of diabetes, you can't | | | | the visit that you have to pay for out of pocket. |
| help noticing that every year or so there is a new | | | | If you see both a primary care physician and |
| "wonder drug" for diabetes. Your doctor's staff | | | | specialists every year, you may want to use |
| may be taken out to lunch on a regular basis by | | | | your "free" visits to see the specialist, who is |
| the pharmaceutical representative in hopes of | | | | usually far more expensive. |
| getting face time with the doctor, (the same one | | | | 7. Over-65 issues. Medicare pays less for some |
| who may not have time for your appointment). | | | | complicated procedures than it does for routine |
| Your doctor may be invited to attend | | | | office visits, and it is slow to pay at all. Many |
| "informative lectures" on these new drugs in | | | | doctors simply don't take Medicare patients. If |
| Hawaii, Tahiti, or the Caribbean. You, on the other | | | | you are on Medicare, it's a good idea to |
| hand, may be offered expensive drugs that don't | | | | cooperate with your doctor as much as possible, |
| work, or worse, cause serious side effects. A | | | | while still insisting on good medical care. |
| good sign of a responsible physician is that you | | | | |