I had a visit to the Diabetic Practice Nurse today, feeling I needed some support and encouragement to get on track dealing with Type 2, on Metformin. I have been diagnosed a couple of years but, due to other pressures and committments going on, I haven't been able to focus on dealing with this until now.
So, the nurse was very nice, told me my recent test was 'fine'. I had to ask what it actually was - 7, and was reassured this was within normal limits. I felt I was being spoken to as someone who had no intelligence or knowledge of diabetes etc. I asked her what were the previous tests, as I'd not kept a note - 7, 6.8, 7.3, 7.2. I gave up asking any further. I then asked her how valid was an 'average' reading, when the peaks/troughs could be shallow or deep. Well, her response was that it was a measure of how well controlled the diabetes was. Umm, that explains everything, doesn't it? I asked how often was this test done and told 'annually' once you were stable. So, I'm considered 'stable'!!! Well, from what I've read, I shouldn't be regarding 7 as acceptable, but should be aiming for about 6.5. However, the nurse said this level is 'fine', I don't need testing for another year, as I'm 'stable' which just gives me the message that I don't need to improve levels, everything is 'fine' and carry on. So, why do I bother at all???
We did talk about home testing of BGs. Needless to say, the nurse wasn't keen and asked me how often I checked. I told her I only checked if the result was going to give me information that was useful. She explained (as if I was stupid) that home testing only shows you the 'here and now'. Oh, isn't she clever!!! I didn't know that, did I??? Oh, how they hate the patient to have any IQ etc.
Apparently, the 'average' is a good measure, regarding peaks/troughs, unless one has symptoms or of going hypo! Oh, that's good then. As I don't have hypo situations (being Type 2 and not on glucose lowering meds), then the 'average' measurement is a good control. However, even mentioning I do have symptoms, she didn't want to know, so I just gave up.
A few prods to the soles of my feet, and checking pulses (no feedback as to whether I had any palpable pulses, of course); asked me if I knew my weight, wanted confirmation I was a non-smoker (stopped 16 yrs ago and it's on their system); how much do I drink (again, already on the system that I rarely drink - considering taking it up at the moment, though!!!).
Yes, it just ended up feeling like she was 'ticking the boxes' and not wanting to discuss anything else to do with diabetes. I have been very depressed for sometime, hence feeling I could do with some support, encouragement and guidance to get on top of the diabetes. She didn't mention a thing about my weight, in spite of me being very much overweight. She didn't mention anything about exercise, nor diet.
In spite of actually being in tears while I was with her, she didn't question anything, why I was upset, what problems I was having regarding diabetes etc. I certainly felt totally 'fobbed off', not of any importance etc.
So, the outcome of this, when I had actually said I needed some help to get to grips with it all??? Ha!!! Yes, off to Sainsbury's, into the coffee shop, Scampi and chips then for some shopping - bread, some 'nice' yoghurts, chocolate things etc. So much for her being of help.
I know it's my body and down to me but I'm in a hole, have tried to get out of it myself, can't, so ask for help. I'm not bothered about going back for further checks. They are a complete waste of time.
So, needless to say, I'm totally p'd off with it all. I'm even more depressed that I was to start with. I have other issues which contribute to depression which I can't change - just have to endure as best I can. Things are due to get more difficult in due course, a lot of family issues which are likely to come to explode in time etc. On top of that, I do have long-term depression which I have had a lot of support for but, as I say, I can't change the situation that is causing me a huge problem and diabetes is just another thing to try to deal with. I have no option but to 'hang in here' for the time being but I can't see a future.
Sorry, just needed to rant.
Type 2, Metformin