From Sioux City, Iowa, USA:
I have recently relocated to Iowa and am changing doctors. Unfortunately there is not an endocrinologist available in this area. When I made an appointment with a Family Practice doctor, they scheduled me for lab work. I was asked to fast for a hemoglobin A1c. At my last physician, for three years, I did not have to fast. Can you tell me why this is important or necessary? I have also been using an insulin pump for approximately 1 year. Is it also important to not take insulin if you are doing a fasting blood test or is that only if you are taking shots?
Is it possible to find an endocrinologist to see on an occasional basis, to be available by phone in between visits? I don't believe that most family practitioners will be knowledgeable in the use of the insulin pump. If you need a referral to an endocrinologist, I would be assertive in obtaining this referral.
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