New to diving not to diabetes

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Location
Lakeland, FL
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Hello!! Just a little insight on what you may have to do if you would like to become scuba certified as a recreational diver and living with diabetes. I am a 25 y/o single mother who 5 yrs ago after having my son became an insulin dependant diabetic. This happened after I was pregnant and there is no explaination to why this happend bc I was a perfectly healthy woman. Shortly after giving birth to my son I became very ill and was unable to shake what 3 doctors thought was just a case of post partpartum depression. After explaining my signs and symptoms to a third doctor it was to late whatever viral infection I had already destroyed my pancreas and I became an insulin dependant diabetic. Now five years later this is not something that is new to me. I am controlled by and insulin pump and I see my doctor every three months for lab work and just a visit with any questions or concerns. My last A1C was a 6.1 which is considered to be very well controlled. I became intrested in scuba a couple months ago and started doing research and found that the most worried about effect that a diabetic may run into is hypoglycemia while under the water. I understand the problem but I could just as easily have a "low" insulin reaction on land while I am driving, sleeping, working, or just working out at the gym. Another concern would be hyperglycemia which is just the opposite, "high". Back on the subject ... after doing the research I decide that the pro's weigh over the con's and I WANT to do this... First day of class we are asked to take this one page yes no type survey about your past medical history... and yes obviously they ask for me to have one of my doctor's sign a physical stating that I am OK and well controlled to participate in this activity. I did not think I would have a problem with this so I was like OK... no biggie I have run into this problem before with other activities I have wished to join in... My job as a Emergency Medical Tech. yes I work on an ambulance and also trying out for our SWAT medical team. I have overcome both of these obstacles so I figured my doctor would be more than happy to sign this release also... BUT he did not. So shocked I spent a day pulling together documentation of studies that have been done, DAN-limitations for diabetics.... pages and pages... so that I could possibly have my doctor reconsider the denial of Scuba diving. I have already paid and started the class, bought items for diving, not to mention I now have my heart set on it... I am not a quiter and I will hopefully hear something back from my endocrinologist ( a specialist for diabetics )( did I mention I went up to the doctors office and dropped off all of the documentation for him to look over and read?). When I was first diagnosed and I am sure many diabetics have heard this.. Do not let the disease control you, take control of the disease. I will overcome this obstacle even if I have to search for a doctor in my area who knows more about Diabetes and Diving. If you have any input by all means I would like to hear what you have to say... I have class tonight and need this physical signed off on by the 12th of Sept when we do our first open water dive. Cross your fingers... I promise I will again overcome this obstacle.
 
Your doc's concerns about possible Hypo, or Hyperglycemia are well founded. It isn't necessarilly that the risks are greater under water than on land, but that the possible consequences are.

That said, everything has risk, and varied risks can be evaluated in a general context. There's lots of evidence to support the notion that diabetes shouldn't automatically be a bar to diving. I suggest you try to get your doc to read the literature, revisit, and review with you his opinion, in view of your particulars. If he still can't bring himself to OK diving for you, ask what he'd need to see to support your desire to dive, or ask for a referral for a second opinion.

One thing you could but shouldn't do, is shop for docs, until you fianally get one to sign off. If the first two (or three if you stretch it), say not yet, accept their judgement. BTW, I know of another diabetic on the pump, and his doctor's concerns were mainly centered on the pump, not himself. Ask if that's the problem. Good luck, dF
 
One of the things you could do would be to call DAN and see if you can get a referral to a diving-savvy doctor. As a profession, we tend to be very risk-averse, and the last thing any of us wants to do is sign someone off to do something and have them get hurt (and then we get sued . . . :(). You need a physician who is truly aware of the implications of diabetes in a diver, and who can objectively evaluate your history and your control and approve your application. I do not think, given the information you have posted and your obvious insight into your disease, that that should be a major problem.
 
If you doctor doesn't think you can do the class, then think about it. Scuba is very stressful on the human body and should not be taken lightly. Your body is dealing with alot of stress already. There have been lots of discussions about this subject here on SB. Do some searches and read. There are people here on the board who have gotten certified.

Being the wife of an instructor, I am on the side of caution. Please don't doctor shop and/or fake the documents just to get certified.
 
Do not let the disease control you, take control of the disease.

I've told my son this same thing over and over since he was diagnosed with diabetes at the age of 7 (he is now 21 y/o)!

We started diving in Feb 04. I have always taught him to control his diabetes not to let diabetes control him. He is on an insulin pump (as been since he was 8 y/o). He'd check his blood sugar twice before a dive, about an hour out and then right before. I preferred his blood sugar to be about 150-175 before we got in the water. We'd both carry a tube of cakemate icing in our BCs just in case. After the dive, he checks his blood sugar again, re-attach his pump and then adjusts his insulin as necessary. He hasn't dove in several years but only because he's got other things keeping his busy.
 
You are in luck, you live in Lakeland and so does Dr. Doug Ebersole. Doug is a cardiologist and diving instructor. I highly suggest sending him a PM and follow his suggestions.

Good luck!
 
One of the things you could do would be to call DAN and see if you can get a referral to a diving-savvy doctor. As a profession, we tend to be very risk-averse, and the last thing any of us wants to do is sign someone off to do something and have them get hurt (and then we get sued . . . :(). You need a physician who is truly aware of the implications of diabetes in a diver, and who can objectively evaluate your history and your control and approve your application. I do not think, given the information you have posted and your obvious insight into your disease, that that should be a major problem.

Great advice above. You general doctor may not have the experience or understanding to make an informed decision about you and diving. DAN will provide someone that can.

I'm an insulin dependent diabetic happily diving for about 5 years. No issues what so ever. My A1c bounces between 6.0 ad 6.3.

Here's some recent interesting reading on the subject of diabetes and diving:
http://www.scubaboard.com/forums/basic-scuba-discussions/249457-diabetes-diving.html
 
I travel to lakeland 4 or 5 times a year for martial arts stuff. (the HQ for the USCDKA is located there).

I am also a diabetic and recently researched the crud out of this. You need a doctor who is knowledgeable in both diabetes and diving. Don't think of it as doctor shopping but getting the right information from the right source. My doctor knows about both and given my history he had no problem recommending me for classes.

Find someone who knows about both and talk with them indepth about what you do to control it, etc.

I have read, during my research, that there are quite a few diabetic divers ranging from oral medication to full blown pumps. If they can do it you should be able do unless there is something else causing your doctor to say no.

Get advice from an expert, call Dan and talk to the doc that Gene_Hobbs recommended.

Good luck
 
Thanks for all the replies. I truly appreciate it. It may seem I am doc shopping but it is not the case.. I do not believe my doctors have ever been faced with a situation like mine. I will not falsify documentation to get what I want or just find some random doc that will do anything I would like only bc I am willing to give him a co pay. I am only asking from my doc to discuss the issue with me instead of having his nurse contact me to tell me no. I am still researching a good doc not some doc in a box to go over the current issue and treat me like a person as well as a patient. I do not want to be unsafe about the issue or put the group who knows about my issue in an unsafe situation either. Thanks again for the input
 
I believe the current issue of DAN's magazine has an article on just this topic no gang?

If not this month, very recent...perhaps you could get to a dive shop and borrow it or call DAN and ask them how to get it. Good luck. Some really great responses above! I'm proud of SB! Or maybe PM me your address and I can send it to you assuming I can find it....
 

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