I wonder just how Dr. David Unwin's DNs get around the rules then? Is it that he leads every T2 educational session so that his DNs are not put into the position of losing their livelihoods?
Firstly a nurse can keep to what a doctor tells them to do, even if it is outside of the NICE guidelines. A nurse presenting the Xpert diabetes training is also covered as the handbook presents "low carb" as one of the options someone should consider. (Most CCGs have not noticed that Xpert training now pushes low carb and 5:2, as their GPs approved the course before it was updated..... But a lot of the trainers skip over the low carb bit of the Xpert training.)
A nurse can also tell people about this forum as a source of support, as they are advised to point people towards support groups.... A nurse could also explain how best to use a BG meter, and let people discover low carb for themselves, but CCGs will not allow many people with Type2 to have a prescription for test strips.
A nurse can also say "it seems that people who read XXX book" gets good results, but I have not had time to read to book myself yet....... Or just have some books on display on her/his desk without saying anything about them......
The NICE guidelines say diet advice should be individualised according to the needs of the person, Dr David Unwin says his clients need to reduce their carbs....... (The NICE guidelines also say statins should be OFFERED, but that a GP can record someone has declined to take them. There is nothing stopping a GP offering statins along with explaining how limited the benefits are.....)
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