Diabetes Doctor In Pattaya

[thenervoussurgeon]

just had my blood tests and my readings were 130 ,so was advised to see a doctor to chat about it as i seem to have type 2 diabetes ,any help appreciated ,

[onionluke]

I was diagnosed 3 weeks ago with readings of 16.2 mmol/L or 291 whateverthyarecalleds. With 2x 500 mg of metrfornim and a change of diet , there is another thread running that goes into diet , I am now showing readings of a low 6 sometimes but it was up at 12 after I hit the drink on Friday . The medicine is a bit spinny but I feel better overall than I did . I test up to 4 times a day and I have cut the carbs out of my meals . I work outdoors and do a lot of footwork over a day , excercise is another key element in controling your diabetes .

[snuggzzz]

Type 2 Diabetes requires control either by diet or medication. The normal medication is metformin taken daily in tablet form, you will need a self testing kit so that you can monitor your own blood/sugar readings. Any doctor should be able to help and to provide this or recomend a suitable device, indeed, as everyone's metabolism is different, the doctor will probably want you to monitor and record your readings over a period of time so that he can recomend and adjust the correct dosage.

Diabetes is progressive, so some find that as time goes by they eventually have to inject themselves with insulin in order to control their diabetes, but being newly diagnosed the doctor will recomend the most suitable treatment.

[tropo]

Type 2 Diabetes requires control either by diet or medication. The normal medication is metformin taken daily in tablet form, you will need a self testing kit so that you can monitor your own blood/sugar readings. Any doctor should be able to help and to provide this or recomend a suitable device, indeed, as everyone's metabolism is different, the doctor will probably want you to monitor and record your readings over a period of time so that he can recomend and adjust the correct dosage.

Diabetes is progressive, so some find that as time goes by they eventually have to inject themselves with insulin in order to control their diabetes, but being newly diagnosed the doctor will recomend the most suitable treatment.

It is very unlikely that the OP requires metformin. He has a fasting blood sugar (assuming the reading is FBS) of 130 mg/dl. That is just a fraction over the 126 mg/dl indicative of type 2 diabetes. My initial readings back in 2005 were in the mid-200's and I don't require medicine. As long as I eat appropriately and exercise my BG levels are normal or near-normal. Of course the doctors are very quick to offer a prescription for medicine. That should be saved as a last resort, not at the first sign of insulin resistance.

I would highly recommend the OP NOT see a doctor. Study, study, study! Learn about diabetes, join a forum and start reading bloodsugar101.com - by far the best info sight on the web (I wish it was around when I was first diagnosed).

The OP is very fortunate to have been issued an early warning that he has insulin resistance. He's probably caught it early enough not to have caused too much cellular damage.

I've noticed on here that people who rely on doctors to "help" them with regard to diabetes usually don't have a clue about the disease and end up totally confused. One guy claimed he'd been diagnosed 10 years ago and didn't even own a glucose meter and didn't understand anything about what the readings meant.

Edited March 11, 2012 by tropo

[CGW]

^ Excellent advice tropo, as the man says exercise and diet can control it, don't hand over your life to a pharmaceutical company to control & profit from.

I am hypoglycemic, if I listened to the mainstream doctors I would be taking all sorts of crap, but "exercise & diet" have controlled it for years........

Good luck.

[Phil Conners]

Moved to Health forum.

[snuggzzz]

I should point out that the narrow advice and financial views expressed are only one of many aspects, I had a 'diabetic abcess' it was caught just in time it disabled me for 18 months. As I said, everyone has a different metabolism, a detailed report from a medically qualified doctor is the best way forward, you can always review the options he/she suggests or is endangering your life through ignorance a good option...??

[moradave]

Assuming, you live in Pattaya, I recommend you see Dr. Olivier in South Pattaya. I went to see him regarding my heart problems. I found him to be very good. He is Swiss, speaks about 5 languages including Thai.

Has a Thai license to practice in Thailand ,only western doctor do so. His rates are reasonable, and he does not tend to overmedicate.

[ericg1953]

Your best bet would be to head up to Bumrungrad in BKK...You can call ahead and make an appointment with either Dr. Rosanee or Dr. Jun. They both have fellowships from the US in endocrinology and are specialists in Diabetes. I have seen Dr. Rosanee and she is very thorough and I am sure you will find her comforting and informative. Dr. Jun is also very popular so be sure and call ahead for an appointment. Getting up to Bumrungrad is easy these days...VIP Bus from Jomtien to the airport and then the airport rail link to the city BTS Sukhumvit line and then to Nana and a short walk from there.

Edited March 11, 2012 by ericg1953

[tropo]

Assuming, you live in Pattaya, I recommend you see Dr. Olivier in South Pattaya. I went to see him regarding my heart problems. I found him to be very good. He is Swiss, speaks about 5 languages including Thai.

Has a Thai license to practice in Thailand ,only western doctor do so. His rates are reasonable, and he does not tend to overmedicate.

You must have been lucky. From my experience on many occasions with different people including myself, my wife and friends I've found him quite useless and he over medicated in the extreme just about every time... and he makes a handsome profit selling it too. I find he always seems to be in a hurry to get you out the door as quickly as possible. One friend spent nearly 2000 just for cold medicine and related stuff for symptom relief.

There is absolutely no way I would recommend anyone go to see him for diabetes.

[tropo]

Your best bet would be to head up to Bumrungrad in BKK...You can call ahead and make an appointment with either Dr. Rosanee or Dr. Jun. They both have fellowships from the US in endocrinology and are specialists in Diabetes. I have seen Dr. Rosanee and she is very thorough and I am sure you will find her comforting and informative. Dr. Jun is also very popular so be sure and call ahead for an appointment. Getting up to Bumrungrad is easy these days...VIP Bus from Jomtien to the airport and then the airport rail link to the city BTS Sukhumvit line and then to Nana and a short walk from there.

I can just imagine the bill. You would expect at the very least an OGTT, FBS, HbA1c and peptide-C tests from an expert. They'll probably think of many other tests to perform too and you'll come home with a bag of medicine that you probably can do without.

You'll have to turn up at the hospital after a (8 - 12 hour )fast too - not exactly easy to achieve from Pattaya.

[endure]

Buy a meter. Test. Test. Test. Then test some more. You'll figure out what's best for you. Read bloodsugar101.com as Tropo says. You can actually buy the site as a book from Amazon now if you prefer reading from the page. Everyone is different. HbA1c is useful to see how you're getting on. It's a pity we can't buy a home test for HbA1c.

[tropo]

. HbA1c is useful to see how you're getting on. It's a pity we can't buy a home test for HbA1c.

Bayer make a popular home A1c testing kit. I've read a bit of debate about how accurate they are - they can be bought through eBay or other online shopping sites. Even glucose meters have errors of 10 - 20%. You can test a different finger and get a wildly different result - even with the same blood sample.

Pattaya Lab charge only 300 baht for the HbA1c test. You can pop in at anytime as fasting is not necessary for this test. Once every 2 to 3 months can give a very good idea how you're controlling blood glucose.

[ThaiMouse]

Hi ya all

Anybody seeks answers to Diabetes problems may contact me via personal email. My qualifications, six heart attacks, my death...( certified) and I am on an Insulin Pump. Type 2 Diabetes on insulin.

Talk to me please?

[onionluke]

Hi ya all

Anybody seeks answers to Diabetes problems may contact me via personal email. My qualifications, six heart attacks, my death...( certified) and I am on an Insulin Pump. Type 2 Diabetes on insulin.

Talk to me please?

Hi . What was it like being dead and can you remember anything of the experience ?

[CGW]

If you need a Glucose meter can recomend "EasyGluco" from Fascino, tested my FBS this am, it was 95, had yearly medical later this morning and they tested FBS at 96, so meter is accurate.

The recomendations to see Doctors trained in the US make me wonder why people would think they are the most qualified?

They are doubtless the best trained drug salespersons! as that is what modern medicine has become

[CGW]

Hi ya all

Anybody seeks answers to Diabetes problems may contact me via personal email. My qualifications, six heart attacks, my death...( certified) and I am on an Insulin Pump. Type 2 Diabetes on insulin.

Talk to me please?

With all respect, why do I doubt you have the answers, you havn't exactly been takiing care of yourself have you?

[thenervoussurgeon]

Assuming, you live in Pattaya, I recommend you see Dr. Olivier in South Pattaya. I went to see him regarding my heart problems. I found him to be very good. He is Swiss, speaks about 5 languages including Thai.

Has a Thai license to practice in Thailand ,only western doctor do so. His rates are reasonable, and he does not tend to overmedicate.

I have actually visited Dr Oliver some years ago ,and to be honest found him of little use ,a problem i had was sorted by a Thai doctor very quickly and cheaply two things the other doctor did not do . also i have used Bumrangrad in the past , as i used to live quite close and drive to BKK quite often , as for the hbaci test i have had it done (at the pattaya clinic 300baht) it was he sugested it when my blood sugar came out at 130 ,it had been 89 3 months earlier,it was 6.8 ,again the doctor there sugested diet ,and to see a diabetes doc.

thanks for all the help ,and by the way i have been reading bloodsugar101.com. every little helps!!

[tropo]

, as for the hbaci test i have had it done (at the pattaya clinic 300baht) it was he sugested it when my blood sugar came out at 130 ,it had been 89 3 months earlier,it was 6.8 ,again the doctor there sugested diet ,and to see a diabetes doc.

thanks for all the help ,and by the way i have been reading bloodsugar101.com. every little helps!!

Your next step should be to get a glucometer. You need to find out what your blood sugar levels are after meals.

Edited March 12, 2012 by tropo

[Sheryl]

If you are going to see a doctor, see a proper endocrinologist.

Bringing lab tests already done with you will avoid the need for unnecessary repeat tests and contrary to what one poster implied not all doctors are going to order every test under the sun. Feel free to ask the purpose of any tests recommended and ask if they are really essential.

One thing you definitely should have if not already is a lipid panel as type 2 diabetes and various lipidemias often go hand in hand.

You should definitely buy a glucose meter and many pharmacies will teach you how to use it. (assuming a proper pharmacy with a real pharmacist).

Diet and exercise are both crucial and these you can indeed lelf-educate yourself on.

[thenervoussurgeon]

Thanks i already do 1/2 hour a day on the treadmill and have started dieting ,as i am a little overweight. lets see how it goes

[tropo]

If you are going to see a doctor, see a proper endocrinologist.

Bringing lab tests already done with you will avoid the need for unnecessary repeat tests and contrary to what one poster implied not all doctors are going to order every test under the sun. Feel free to ask the purpose of any tests recommended and ask if they are really essential.

This is where prior study comes in handy. Unless a person knows what tests are necessary it's going to be difficult to prevent over zealous testing.

You have a lot more faith in doctors here in Thailand than I do.

I sent a friend with wonky kidney blood test results to see an endocrinologist at PIH last month. He already had all the test results (a day earlier) from another lab in hand which would be required YET the doctor had the whole lot done again at the hospital and he walked out a bit later 5 thousand baht lighter and none the wiser. He decided he'd better wait until he returned to his home country before wasting more cash.

[Sheryl]

You have a lot more faith in doctors here in Thailand than I do.

No, I just choose doctors (and facilities) with care and research them ahead of time. And, I accept the necessity of a 2-3 hour trip (in my case, from Prachinburi, but about the same as from Pattaya) into Bangkok to get quality medical care, wouldn't dream of going to a private upcountry clinic.

[ronz28]

New reports out today that type 2 diabetes is cured with Bariatric Surgery. Its radical but no meds needed afterwards and cure is virtually overnight without recurrence in last two years of study. http://www.nejm.org/doi/full/10.1056/NEJMoa1200111

http://abcnews.go.com/Health/DiabetesTreatment/weight-loss-surgery-cuts-type-diabetes/story?id=16002552#.T3D11GHcWUI

[Sheryl]

Actually if you read the article it says that there is some remission of the DM in 75% of patients, not at all the same as curing all cases. And the patient population studied were seriously obese. The results cannot be generalized to people of normal or just slightly over weight.

As the surgery has its risks, and it is only performed on very obese people.

[thaibeachlovers]

Type 2 Diabetes requires control either by diet or medication. The normal medication is metformin taken daily in tablet form, you will need a self testing kit so that you can monitor your own blood/sugar readings. Any doctor should be able to help and to provide this or recomend a suitable device, indeed, as everyone's metabolism is different, the doctor will probably want you to monitor and record your readings over a period of time so that he can recomend and adjust the correct dosage.

Diabetes is progressive, so some find that as time goes by they eventually have to inject themselves with insulin in order to control their diabetes, but being newly diagnosed the doctor will recomend the most suitable treatment.

It is very unlikely that the OP requires metformin. He has a fasting blood sugar (assuming the reading is FBS) of 130 mg/dl. That is just a fraction over the 126 mg/dl indicative of type 2 diabetes. My initial readings back in 2005 were in the mid-200's and I don't require medicine. As long as I eat appropriately and exercise my BG levels are normal or near-normal. Of course the doctors are very quick to offer a prescription for medicine. That should be saved as a last resort, not at the first sign of insulin resistance.

I would highly recommend the OP NOT see a doctor. Study, study, study! Learn about diabetes, join a forum and start reading bloodsugar101.com - by far the best info sight on the web (I wish it was around when I was first diagnosed).

The OP is very fortunate to have been issued an early warning that he has insulin resistance. He's probably caught it early enough not to have caused too much cellular damage.

I've noticed on here that people who rely on doctors to "help" them with regard to diabetes usually don't have a clue about the disease and end up totally confused. One guy claimed he'd been diagnosed 10 years ago and didn't even own a glucose meter and didn't understand anything about what the readings meant.

Good advice. We all eat poorly, and consume way too much sugar.

Eat properly, exercise and there's a good chance that you will never become diabetic. Of course it may be that you no longer want to live as it's so boring- I love sugar in all it's forms. Sometimes, you just can't win!

[Gone]

I am type 1 diabetic and have been for 30 years. I also live in Pattaya and the answer to your question is 'NO" there are no Diabetes specialists here in Pattaya. You will need to go to Bkk to Bumrungrad and speak with the Dr.

I recently became ill and my insulin did not seem to be working and I wasn't sure if it was a bad batch or if the Thai hot eather had made it gone bad or what.

I only called the Diabetic clinic in Bkk and talked to the head nurse (must have been this Dr. Rosenree or whatever) and she was extremelly helpful with impeckable English and changed my insulin over the phone. I started with the new and became back under control very quickly.

To each his own but I would never let my BS get below 100. I normally try to hover around 120. New studies have proven that the old ways of keeping your BS at 70 is dangerous and believe me I have been to low many times and it is SCARY.

[ronz28]

Video on the gastric bypass operation for the obese that appears to cause spontaneous remission of type 2 diabetes.

http://www.cbsnews.c...Main;contentAux

Other benefits reported, include elimination of sleep apnea, reduction of obesity related cancers, reduces blood pressure, cholesterol, etc. There are risks but less than previous, now with laparocscopic surgical techniques.

Edited March 30, 2012 by ronz28