Prescription for test strips & monitor for Type 2

Stuart7152

Active Member
Messages
40
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I'm new to this forum and this is my first post!!

Any advice how I can force local specialist diabetic doctor to give me prescription for test strips and monitor as currently refusing despite my repeated objections. Next appointment on 5 December and would like to be armed with a water tight strategy. Very upset and worried about what damage I've been doing to my health with any daily spikes over this last year as only currently receiving HbA1c tests every 3 months and Liver and Cholesterol every 6 months. Doctor just says balanced diet with exercise and will not specify any macro nutrients ratios or target grams for protein, carbs and fat and is trying to get me to accept less testing. I had to really push doctor to prescribe medication over last 3 months as he preferred to leave me for 12 months with just my own change to diet and exercise, not sure I did the right thing?
 
A

asparagusp

Guest
Welccome. Daisy1 will be here shortly to give you an introduction. I'm sorry to have to tell you that unless you are on insulin you will not be given a meter and strips, no matter how pushy you are.

It's good you want to test your blood sugar though and you can of course buy your own meter and strips. Many here do. I think the one people tend to use is "Codefree"
 
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walnut_face

Well-Known Member
Messages
1,748
Type of diabetes
Type 2
Treatment type
Diet only
Hi @Stuart7152 you do not state what medication you are on. IMHO you are on a hiding to nothing.

The NICE guidelines are

1.6.13Do not routinely offer self-monitoring of blood glucose levels for adults with type 2 diabetes unless:

  • the person is on insulin or

  • there is evidence of hypoglycaemic episodes or

  • the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery or
  • the person is pregnant, or is planning to become pregnant. For more information, see the NICE guideline on diabetes in pregnancy. [new 2015]

  • So unless you meet any of the above criteria, your only option is to self fund, as most do, sorry I cannot be more upbeat for you
You might be able to get a meter from your Dr, they often have some in their drawer from reps, but you will still have to buy the strips
 

Chasida

Well-Known Member
Messages
76
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Pubs/clubs
My doctor refused too, and so I got my own meter and if you buy the strips two boxes at a time they are quite cheap
 

anteater2012

Well-Known Member
Messages
127
Type of diabetes
Other
Treatment type
Other
Dislikes
People who don't listen to others i.e. the 8 members of this forum I have put on ignore as they talk such utter **** all the time. This now includes the member who thinks they are a moderator.
@Stuart7152

As you might discover, even if the doc gives you a free meter, the test strips can be a bit expensive to purchase.
(I.e. for my Bayer Contour meter a pot of 50 strips can set me back approx £25.00-£2800. Slightly less if I shop on somewhere like ebay which I am reluctant to do.)

If you budget is tight a lot of people use the SD CodeFree meter and strips. You do have to purchase the meter yourself (Approx £12.00) but the strips are a lot cheaper i.e. £7.69 for 50 strips. (You can also buy in bulk - I have just bought 250 strips for £29).

If you are interested then the meters and strips can be purchased from https://homehealth-uk.com/product-category/blood-glucose/
(You need to chose a meter set to mmol as that is the standard in the UK). It does come with some strips.

You can also buy strips in 5 packs or 10 packs which work out very cheap, especially as there are discount codes:-
(A pack is a pot of 50 strips).

5 packs - Discount Code 264086
10 packs - Discount Code 975833
Enter the discount code either in the coupon field or the check out page.

Enjoy
 
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Stuart7152

Active Member
Messages
40
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi @Stuart7152 you do not state what medication you are on. IMHO you are on a hiding to nothing.

The NICE guidelines are

1.6.13Do not routinely offer self-monitoring of blood glucose levels for adults with type 2 diabetes unless:

  • the person is on insulin or

  • there is evidence of hypoglycaemic episodes or

  • the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery or
  • the person is pregnant, or is planning to become pregnant. For more information, see the NICE guideline on diabetes in pregnancy. [new 2015]

  • So unless you meet any of the above criteria, your only option is to self fund, as most do, sorry I cannot be more upbeat for you
You might be able to get a meter from your Dr, they often have some in their drawer from reps, but you will still have to buy the strips
Metformin 500mg twice a day
 
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walnut_face

Well-Known Member
Messages
1,748
Type of diabetes
Type 2
Treatment type
Diet only
Metformin is not regarded as a drug that might induce a hypo, thus you will not be prescribed a meter. In fact you might well be told that you shouldn't test :rolleyes:
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@Stuart7152

Hello Stuart and welcome to the forum :) Here is the basic information we give to new members and I hope you will find it useful. Ask questions when you want and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 220,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
 

Maggie/Magpie

Well-Known Member
Messages
279
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Butternut Squash, Cabbage and confrontation.
Hi and Welcome,

I was diagnosed at the end of September, Type 2 on Metformin. Both my GP and diabetic nurse told me not to test and it wasn't necessary, I would only gain sore finger tips. They refused to give me a meter to so I bought one from the local Boots. Most chemists sale them but the strips are quite expensive but I feel worth it for peace of mind but you can probably get one cheaper on line.

Good luck with it all
 
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Stuart7152

Active Member
Messages
40
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Welccome. Daisy1 will be here shortly to give you an introduction. I'm sorry to have to tell you that unless you are on insulin you will not be given a meter and strips, no matter how pushy you are.

It's good you want to test your blood sugar though and you can of course buy your own meter and strips. Many here do. I think the one people tend to use is "Codefree"
Cheers, just ordered a Codefree version to start monitoring
 
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Reactions: Tanis

Stuart7152

Active Member
Messages
40
Type of diabetes
Type 2
Treatment type
Tablets (oral)
@Stuart7152

As you might discover, even if the doc gives you a free meter, the test strips can be a bit expensive to purchase.
(I.e. for my Bayer Contour meter a pot of 50 strips can set me back approx £25.00-£2800. Slightly less if I shop on somewhere like ebay which I am reluctant to do.)

If you budget is tight a lot of people use the SD CodeFree meter and strips. You do have to purchase the meter yourself (Approx £12.00) but the strips are a lot cheaper i.e. £7.69 for 50 strips. (You can also buy in bulk - I have just bought 250 strips for £29).

If you are interested then the meters and strips can be purchased from https://homehealth-uk.com/product-category/blood-glucose/
(You need to chose a meter set to mmol as that is the standard in the UK). It does come with some strips.

You can also buy strips in 5 packs or 10 packs which work out very cheap, especially as there are discount codes:-
(A pack is a pot of 50 strips).

5 packs - Discount Code 264086
10 packs - Discount Code 975833
Enter the discount code either in the coupon field or the check out page.

Enjoy
Thank you very much for the above advise, just ordered from the specified web page and received good discount on additional strips
 
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miahara

Well-Known Member
Messages
1,019
Type of diabetes
Type 3c
Treatment type
Insulin
I really do wonder at the competence of SOME NHS staff. When first diagnosed I was given a meter to self test for a couple of weeks for BG and possible ketoacidosis. When I returned to the surgery with my results I asked the nurse what I should now do with the meter. The answer was, 'throw it away.'
Fortunately I hung onto it and I'm glad I did and shortly later changed my GP and she's quite happy to issue prescriptions for lancets and test strips and I'm so pleased, as without self testing I wouldn't have a clue about my progress or how foods impact on my BG.
HbA1C tests are fine, but they only show an average, they don't show highs or lows and one can have the same average for either a small range or large range as in essence it's the one in the middle that's being measured.

I suspect that NHS Scotland may have a slightly more enlightened approach to self testing than NHS South of Hadrian's fence.

The meter I have is a Menari GlucomenLX Plus and I have to say that the support from the company is brilliant. I decided I ought to check calibration of the meter and needed test solution. Emailed them, had a nice reply, and it arrived in two days free of charge.
 

Jix200903

Member
Messages
22
Type of diabetes
Type 2
Treatment type
Diet only
I suspect that studies like this might explain their reluctance to prescribe strips. Essentially, it appear that it has no demonstrable benefit against the cost. I disagree, myself, and have found testing invaluable in keeping my BG figure down (HbA1c no.3 next week, fingers crossed).
 

miahara

Well-Known Member
Messages
1,019
Type of diabetes
Type 3c
Treatment type
Insulin
I suspect that studies like this might explain their reluctance to prescribe strips. Essentially, it appear that it has no demonstrable benefit against the cost. I disagree, myself, and have found testing invaluable in keeping my BG figure down (HbA1c no.3 next week, fingers crossed).
Have to agree. I wouldn't have a clue about how I was managing the condition without self testing.
 

Voodoorising

Well-Known Member
Messages
144
Type of diabetes
Type 2
Treatment type
Tablets (oral)
@Stuart7152 - Hi and welcome to the forum I am also newly diagnosed so it's all still new to me and I am learning. I had already bought my own meter ( code free ) when I was told I was type 2 while waiting for my appointment to see my diabetic nurse. Like you and others have said she was reluctant to give me a meter and said I didn't need to self test. My argument was well that's fine but this is my health were dealing with and not yours so how am I supposed to know if I am eating the the right things and what effect there having on me. I said to put herself in my shoes and would she be happy being told the same thing knowing what she knows as a diabetic nurse. Eventually she agreed to me having one for curiosity only as she put it and to only test once a week like that's going to tell me anything. I also managed to get my strips on prescription but she said there use will be monitored. I tend to use my own all the time and the prescribed one once or twice a week. To me it's the principle. Since monitoring I have eaten something's I thought would be ok only to find my readings high 2 hrs later so that food or combination gets crossed off the list. I have also been out for meals tested after and been perfectly ok.

The point is and this why I can't understand the mentality of the NHS is that with out testing you haven't a clue what's going on. Put a valid case to your Dr / nurse you may get a result.
 

Liam1955

Master
Messages
10,964
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
Anti-Gay People, Self Centre People, Two Faced People and Bad Language.
@Voodoorising - Well Done and for putting your concerns across to the Diabetes Nurse. You are one of the lucky ones to be given a Meter.
 

Stuart7152

Active Member
Messages
40
Type of diabetes
Type 2
Treatment type
Tablets (oral)
@Stuart7152 - Hi and welcome to the forum I am also newly diagnosed so it's all still new to me and I am learning. I had already bought my own meter ( code free ) when I was told I was type 2 while waiting for my appointment to see my diabetic nurse. Like you and others have said she was reluctant to give me a meter and said I didn't need to self test. My argument was well that's fine but this is my health were dealing with and not yours so how am I supposed to know if I am eating the the right things and what effect there having on me. I said to put herself in my shoes and would she be happy being told the same thing knowing what she knows as a diabetic nurse. Eventually she agreed to me having one for curiosity only as she put it and to only test once a week like that's going to tell me anything. I also managed to get my strips on prescription but she said there use will be monitored. I tend to use my own all the time and the prescribed one once or twice a week. To me it's the principle. Since monitoring I have eaten something's I thought would be ok only to find my readings high 2 hrs later so that food or combination gets crossed off the list. I have also been out for meals tested after and been perfectly ok.

The point is and this why I can't understand the mentality of the NHS is that with out testing you haven't a clue what's going on. Put a valid case to your Dr / nurse you may get a result.
I've ordered a meter and test strip just in case doctor says no.

Also, I'm very confused with these LCHF threads as since March I've followed the doctors advise on more exercise and a balanced clean diet with the necessary life style changes with steady improvements. No mention of restricting carbs & high fat macro nutrients. I must say I've taken the exercise to the extreme hence the need for a larger calorie intake and have been following a high protein, low fat strategy and just simply adjust carbs to remain in 500 calories deficit. Every gram of food/drink is logged. Following reading various threads in this forum I'm really worried about the fact I've been eating approx. 200g of carb's per day since March. Lets see what the BG monitoring shows on a daily bases and not the 3 month HA1C which on the face of it is improving every time and hence the doctors reluctance to advise any change to my diet and just continue with my current strategy.
 
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moonshine195

Newbie
Messages
3
Type of diabetes
Type 2
Treatment type
Diet only
Hi @Stuart7152 - I am a Type 2 too - same thing , diet & exercise and they would review my bloods in 3 months. That's now changed until 4 months after diagnoses because that's how the practice works. only stated monitoring my sugars because I was feeling shaky, going light headed and feeling confused. Was told by my DSN that it wasn't a hypo.but she would give me a machine to test my sugar on. The test strips are dear but it's helped me manage and accept my diabetes which has been hard. Good Luck .