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Dietetics

Have your say about anything of concern to the diabetes community. This is your platform to make complaints and discuss the best way to solve them. We aim to assist you in any way.

Re: Dietetics

Postby SweetHeart » May 2nd, 2012, 1:31 pm

xyzzy wrote:Hey Ju

Well I'd go back one more time. Take the same printouts and when she puts them in the bin just walk over and take them out again, put them on her desk, tell her to her face how rude and childish she is and that you will be writing a letter of complaint, then just walk out.

Alternatively, I think it IS your decision if you see her again. I thought there was something called getting the patients consent. In any event as part of self management your DSN at your practice should be discussing what is the best approach for you. Mine asked "Do you think seeing a dietician would help?" I simply said "no thanks as we'd just end up arguing." That was even before my latest successful visit to her. When does your husband have his next HbA1c? The only way to shut them up maybe to prove to your local DSN / GP that you are doing really well. That way you can do what I did the other day and talk from a position where they know you've done everything "wrong" and yet can't argue will the results.

Pass on my best regards to your husband and tell him he's doing great. Oh and tell him he should be proud to have a wife as caring and supportive as you!


Thanks from both of us Xyz! Immodestly, I'm proud of both of us too! :D :lol:

Wish I'd thought to do exactly as you said in your first paragraph. MH got annoyed towards the end - unusual for him, he's very laid back - but we still don't know what his diagnosis HbA1c was otherwise we would have mentioned that - we aren't quite as armed as you were with test results. Yet :D . So far, the DSN has yet to mention having another one done. We have to go to the surgery tomorrow so I shall get MH to request a print out and make an appt for another test. I'm looking at self-testing meters just now.....a tad costly.

She admitted that MH was doing well and, if it wasn't through anything that we have done - then was it a miracle that happened all by itself? It IS our decision to see her again - I think I'm correct in saying that no one has to do anything their GP, Nurse, Consultant says if they do not agree with it; I think there's something about that in the Patient's Charter.

On the plus side, our GP won't actively endorse low carbing but she did say 'carry on the way you are; it's showing good results' so I think that's better than nothing at all.

Up the Revolution!

Ju
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Re: Dietetics

Postby xyzzy » May 2nd, 2012, 1:32 pm

jopar wrote:For a 6ft2 man, the weights she's suggesting and their carb value are reasonable amount of carbs.. But I do mean a standard amount so may not be suitable for various reasons for your husband..


:lol: Well I'm 6' 2" and it would kill me dead. I take it by "not be suitable for various reasons for your husband" you might mean

"not be suitable for various reasons for your husband because he's a Type 2 diabetic"

or

"not be suitable for various reasons for your husband because he can't inject insulin to cover the amount of carbs as he's diet only"

just asking...
Type 2, Latest HbA1c Jun 2012 31 mmol 4.98%, Apr 2012 35 mmol 5.3%, Dec 2011 11.3%, Mar 2011 8.3%
Cholesterol: Apr 2012 Tot/HDL Ratio 2.79, Jul 2012 Tot/HDL Ratio 3.33
Diet: 60g per day LCHF regime.
Meds: 3 x 500g Metformin

Eat to your meter.
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Re: Dietetics

Postby ladybird64 » May 2nd, 2012, 1:34 pm

jopar wrote:As to the 'it isn't your decision' being uttered well this can't believe that was ever said... I have dealt with and been treated by many of the health care profession and even been called a liar by one of my original consultants... But I have never heard a patient being told 'it's not their decision' when that patient is campus mentus (Isp) I've only heard it uttered to an relative who is trying to enforce a relative into a decision they don't want or when somebody has been sectioned under the mental health act!

It's not said, purely because it's pointless to say it...

Edited to clarify,


Careful Jo, that kind of a statement is guaranteed to provoke a strong reaction and rightly so. It is irrespective whether you have heard this said or not, you were not there, Ju was and she has repeated what was said. To say it wasn't said impies she is a liar and that is an unreasonable and provocative accusation.

There are many of us here who have had a lot of contact with medical professionals in both work and personal life There are many who have been on the receiving end of statements that you may consider fabrications. They happen, of that there is no doubt.

I wouldn't have thought that calling someone a liar, or rather implying it is a good way of promoting cordial relations on the forum, would you?
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Re: Dietetics

Postby SweetHeart » May 2nd, 2012, 1:40 pm

ladybird64 wrote:
jopar wrote:As to the 'it isn't your decision' being uttered well this can't believe that was ever said... I have dealt with and been treated by many of the health care profession and even been called a liar by one of my original consultants... But I have never heard a patient being told 'it's not their decision' when that patient is campus mentus (Isp) I've only heard it uttered to an relative who is trying to enforce a relative into a decision they don't want or when somebody has been sectioned under the mental health act!

It's not said, purely because it's pointless to say it...

Edited to clarify,


Careful Jo, that kind of a statement is guaranteed to provoke a strong reaction and rightly so. It is irrespective whether you have heard this said or not, you were not there, Ju was and she has repeated what was said. To say it wasn't said impies she is a liar and that is an unreasonable and provocative accusation.

There are many of us here who have had a lot of contact with medical professionals in both work and personal life There are many who have been on the receiving end of statements that you may consider fabrications. They happen, of that there is no doubt.

I wouldn't have thought that calling someone a liar, or rather implying it is a good way of promoting cordial relations on the forum, would you?


Agreed. I was there, I asked pertinent questions to clarify certain points. I am neither stupid or deaf. I know it's easy to misinterpret information if you are a bit cheesed off - but I didn't.

Ju
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Re: Dietetics

Postby hanadr » May 2nd, 2012, 1:43 pm

I've been told several times by dieticians [who I've met at meetings never as a patient] that if I don't eat carbs, I'll suffer some kind of deficiency. I always ask them what One said "Calcium", so Iasked about the calcium in dairy foods. the others haven't been able to tell me anything. Likewise when I've asked for the scientific evidence, they've got none.
I have convinced my GP AND my DSN that it's OK and they've both come to agree with me.
If anyone tells you again to eat carbs, ask for the title of the study which proves it. When none is forthcoming,and i doubt it will be, just turn and go away.
I've come to the conclusion that dieticians know[ from their reference books] what's in a food, but have little idea of how it acts in the body. They also don't seem to have much idea of good science.
Hana
Hanadr Grandmother of Amelie and Joshua.

T2 since July 2003
Stroke survivor
using 2 x 500mg Metformin and reduced carbs
last HbA1c 5.4% August 2009 Feb 2010 5.1% Way hey!!
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Re: Dietetics

Postby Defren » May 2nd, 2012, 2:02 pm

ladybird64 wrote:
jopar wrote:As to the 'it isn't your decision' being uttered well this can't believe that was ever said... I have dealt with and been treated by many of the health care profession and even been called a liar by one of my original consultants... But I have never heard a patient being told 'it's not their decision' when that patient is campus mentus (Isp) I've only heard it uttered to an relative who is trying to enforce a relative into a decision they don't want or when somebody has been sectioned under the mental health act!

It's not said, purely because it's pointless to say it...

Edited to clarify,


Careful Jo, that kind of a statement is guaranteed to provoke a strong reaction and rightly so. It is irrespective whether you have heard this said or not, you were not there, Ju was and she has repeated what was said. To say it wasn't said impies she is a liar and that is an unreasonable and provocative accusation.

There are many of us here who have had a lot of contact with medical professionals in both work and personal life There are many who have been on the receiving end of statements that you may consider fabrications. They happen, of that there is no doubt.

I wouldn't have thought that calling someone a liar, or rather implying it is a good way of promoting cordial relations on the forum, would you?


[mod edit -getting a touch too personal]

Yes Jules, you were there and I for one would not doubt a word you said. It's a shame you can't just post your rant, which I think you were well justified in having, and then be supported.
Dx T2 March 5th 2012 HbA1c 7.0 Latest July 4.9%
Metformin 500mg 1X2

I've done the Newcastle diet.

All advice I give is based on my own experience!

Eat to your meter
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Re: Dietetics

Postby SweetHeart » May 2nd, 2012, 2:17 pm

Someone wading in and alleging that I am lying won't change the fact that this was our unfortunate experience this morning. Everyone is entitled to their opinion, but it would be fairer all around if, even if you don't agree with another opinion, you respect that person's right to hold it. I should have pointed that out to the dietician this morning.

Ju
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Re: Dietetics

Postby jopar » May 2nd, 2012, 2:18 pm

Ladybird

At least she's is able to defend herself, the dietician isn't!

Sweatheart is accusing the dietician of 'Gross Misconduct'

Which if true, and I say this as yes we weren't present and we can't hear the other persons story... Then it's gross misconduct that needs to be addressed....
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Re: Dietetics

Postby Defren » May 2nd, 2012, 2:23 pm

SweetHeart wrote:Someone wading in and alleging that I am lying won't change the fact that this was our unfortunate experience this morning. Everyone is entitled to their opinion, but it would be fairer all around if, even if you don't agree with another opinion, you respect that person's right to hold it. I should have pointed that out to the dietician this morning.

Ju


Take no notice Jules, you vent away all you like, this is your thread, and I for one don't doubt you for a second. This accusing people of being liars is wrong, very wrong. (((Jules))).
Dx T2 March 5th 2012 HbA1c 7.0 Latest July 4.9%
Metformin 500mg 1X2

I've done the Newcastle diet.

All advice I give is based on my own experience!

Eat to your meter
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Re: Dietetics

Postby SweetHeart » May 2nd, 2012, 2:50 pm

We can pull this to bits, put it back together, argue it backwards, forwards and inside out, upside down, whatever.

Jopar is entitled to that opinion. No one has to agree with it.

When we mentioned that we found a lot of help and support on this forum, the dietician said 'There's a lot of rubbish on the internet' Yes, there is. I pointed out that she was right, but that there is also a wealth of good information - you just need to be able to see what applies to you and what doesn't. Sort through it, and make up your own mind.

Ju
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Re: Dietetics

Postby borofergie » May 2nd, 2012, 2:53 pm

jopar wrote:At least she's is able to defend herself, the dietician isn't!


Did I miss something? No-one named the dietician, so her personal reputation hasn't been tarnished.

I'm not sure about "Gross Misconduct", but I do think that this is "Instiutional Negligence", and the more times that people like Ju are willing to flag it, then the more chance we will have of protecting less-informed diabetics in the future.
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Re: Dietetics

Postby borofergie » May 2nd, 2012, 3:10 pm

SweetHeart wrote:When we mentioned that we found a lot of help and support on this forum, the dietician said 'There's a lot of rubbish on the internet' Yes, there is. I pointed out that she was right, but that there is also a wealth of good information - you just need to be able to see what applies to you and what doesn't. Sort through it, and make up your own mind.


She's right of course. There is a lot of rubbish about diabetes on the internet. This is my favourite rubbish:
http://rdfeinman.wordpress.com/2012/03/ ... 15-theses/
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Re: Dietetics

Postby ladybird64 » May 2nd, 2012, 6:50 pm

jopar wrote:Ladybird

At least she's is able to defend herself, the dietician isn't!

Sweatheart is accusing the dietician of 'Gross Misconduct'

Which if true, and I say this as yes we weren't present and we can't hear the other persons story... Then it's gross misconduct that needs to be addressed....


Jopar

I have got no intention of turning this thread into a personal battleground to get points, it's not my style. It is really very simple. You may have thought that the OP misheard what was said, in which case you could have asked and thus avoided things getting personal. Mods are always reminding us not to make personal remarks so I am actually quite surprised that they didn't seem to pick up on the fact that you more or less said the OP was fabricating things - a VERY personal statement IMHO.

Anyway, I would like to leave that well and truly behind. It is entirely up to the OP's hubby if they wish to make a complaint and has nothing to do with you. As for the dietician needing to be defended..I doubt it somehow. We don't know who she is, where she works, there are no identifying factors included in this post, just the info about what happened at the visit.

I have had personal experience with dieticians, I didn't mention it because it wasn't pertinent to the post but as we are talking extremes such as nameless NHS staff having to defend themselves, I'll include it. I saw three different dieticians while my daughter was in her early teens, they were for her, not me. She has a rare condition but one that I would expect a dietician to know about or certainly read up on. I told her that my daughter didn't have snacks between meals and in front of my daughter, she told me that I should "loosen the reins and let her have some treats! A packet of low fat crisps every day won't hurt".

That was the last consultation. I wouldn't go near them with a bargepole after that.

Ju, so glad hubs is doing well. Sounds like he is doing just fine without the assistance of this woman, long may it continue. :thumbup:
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Re: Dietetics

Postby jopar » May 2nd, 2012, 7:46 pm

I think that if somebody makes accusations against somebody else then I or anybody else are entitled to ask questions concerning the incident and just because somebody is asking questions doesn't mean they are accusing somebody of being a lair. It means that they asking for more information as I said earlier I can't ask the other person for their version of events...
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Re: Dietetics

Postby ladybird64 » May 2nd, 2012, 8:00 pm

jopar wrote:I think that if somebody makes accusations against somebody else then I or anybody else are entitled to ask questions concerning the incident and just because somebody is asking questions doesn't mean they are accusing somebody of being a lair. It means that they asking for more information as I said earlier I can't ask the other person for their version of events...


My last post on this subject for the reasons I gave above.

You didn't ask questions. You said this:

As to the 'it isn't your decision' being uttered well this can't believe that was ever said... and this: It's not said, purely because it's pointless to say it...No questions as far as I can see.
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