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@gastrogirl

I go to Mayo jacksonville. My gastro there is not hearing me and my primary care doc needs Mayo to input. I am having new flare ups and labs show insulin levels and pancreas are elevated but my doc at Mayo has me only seeing his nurse. I am getting no answers to my issue nor is she explaining to me or looking into it.
I went through patient experience once over stuff like this and all that happened was the doctor was at one video appointment after and he said she is as good as him and all I need is to see her.
Thing is she drops the ball and does not get it.
I do NOT want to be scolded by those two again. is it possible to see a new gastro if mine is dropping the ball and my situation is complex? Or will I have to answer to them as to why I did it and be stuck uncomfortable with them?
High insulin levels is not something that should continue to go on unchecked and she just says nothing but yep, that would be your pancreas and is not doing a thing about it. Not even discussing it with me or sending it to a different person. I am frustrated and do not want to go back to them but they are the only docs that understand what I have. It is complex and I am scared! Thanks everyone. Any advice would be appreciated!

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Replies to "I go to Mayo jacksonville. My gastro there is not hearing me and my primary care..."

Hi, @gastrogirl. I can relate to your issue.I have 20% function in my only remaining kidney, am diabetic, and have gastroparesis. I wasn't exactly impressed with my local GI "help."

A GP diet conflicts with a renal diet and conflicts with a diabetic diet and a renal diet also conflicts with a diabetic diet so I have to do a balancing act with meals and have to make some compromises.

Fortunately, my PCP is very well versed in treating Type II diabetes and has a good understanding of GP. He said it's common for someone with GP to have fluctuating blood sugars and has helped me design a tummy-friendly diet with a workable insulin regimen.

However, I am a bit surprised that your insulin levels are high instead of your blood glucose readings being high. In my case, my GP diet tends to elevate my blood sugar one day and drop it the next. Most likely this is related to absorption times as slow food movement delays nutrients getting into the bloodstream even though insulin is still being produced and rapid gastric emptying can dump a lot of glucose into the blood in a shorter time. Perhaps your PCP can help you with your situation even without input from your gastro peeps?

Are you diabetic and do you take insulin? If your PCP can't help, would you consider seeing an endocrinologist?

Hope you find some answers soon.

@gastrogirl, regarding a referral to a new gastroenterologist, that is something that you can request through the Office of Patient Experience.

I agree with @kamama94 that it might help to see an endocrinologist. Might you ask Mayo for a referral to an endocrinologist?