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Sick of Counting! Grrrrr
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<blockquote data-quote="AloeSvea" data-source="post: 2573516" data-attributes="member: 150927"><p>Thinking about counting, and doctors and nurses again, groan, as I have been warned that I have a review looming. Because of the metformin. </p><p></p><p>My records do not count, which say I started this latest metformin regime at the beginning of April last year. (I'm mildly OCD so I keep excellent accounts <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" />.) Their records say July, as that was the second prescription.</p><p></p><p>Alas, the life circumstance that meant I could go back to seeing my old excellent city GP did not work out, and I must keep going to the rural medical practice that I have the counting problems with. Oh dear. I don't want more negative experiences added, but it seems it cannot be avoided <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown :(" loading="lazy" data-shortname=":(" />.</p><p></p><p>I wrote in a B12 thread, in here in the medications section on metformin, about my last experience with the practice nurse just before Xmas, where I had to argue about being tested for B12 levels at my HBA1 c test. (This is supposed to be standard practice in NZ if the patient is on metformin, as it is a well established drug mugging side effect of the medication.) It was - yes - down to numbers. and she was using the picograms versus picomoles measurement argument on me, saying I must be measuring with picograms, not picomoles. Because I keep good records, and had written about this, and researched my lab notes as well as articles on this online, I knew what she was talking about, and I knew it was not a measurement issue. I had to insist that I did not get the borderline range (which I was very close to, for being deficient, as in two numbers off) from Dr Google, but from a city lab, where they wrote this range on my results in the past. So - NZ-proof. </p><p></p><p>Interesting that this was the kind of discussion thought to be normal whilst taking blood. </p><p></p><p>And definitely not in line with a nurses number one measure in improving health outcomes for people with diabetes - to "reduce the personal burden of disease for people with diabetes". (Number two is to provide consistent services across the country.) (Number three is to reduce the cost of T2D to the country.)</p><p></p><p>Does this practice love me for knowing these things? Ah...... (This is maybe something I should actually count on?!)</p></blockquote><p></p>
[QUOTE="AloeSvea, post: 2573516, member: 150927"] Thinking about counting, and doctors and nurses again, groan, as I have been warned that I have a review looming. Because of the metformin. My records do not count, which say I started this latest metformin regime at the beginning of April last year. (I'm mildly OCD so I keep excellent accounts :D.) Their records say July, as that was the second prescription. Alas, the life circumstance that meant I could go back to seeing my old excellent city GP did not work out, and I must keep going to the rural medical practice that I have the counting problems with. Oh dear. I don't want more negative experiences added, but it seems it cannot be avoided :(. I wrote in a B12 thread, in here in the medications section on metformin, about my last experience with the practice nurse just before Xmas, where I had to argue about being tested for B12 levels at my HBA1 c test. (This is supposed to be standard practice in NZ if the patient is on metformin, as it is a well established drug mugging side effect of the medication.) It was - yes - down to numbers. and she was using the picograms versus picomoles measurement argument on me, saying I must be measuring with picograms, not picomoles. Because I keep good records, and had written about this, and researched my lab notes as well as articles on this online, I knew what she was talking about, and I knew it was not a measurement issue. I had to insist that I did not get the borderline range (which I was very close to, for being deficient, as in two numbers off) from Dr Google, but from a city lab, where they wrote this range on my results in the past. So - NZ-proof. Interesting that this was the kind of discussion thought to be normal whilst taking blood. And definitely not in line with a nurses number one measure in improving health outcomes for people with diabetes - to "reduce the personal burden of disease for people with diabetes". (Number two is to provide consistent services across the country.) (Number three is to reduce the cost of T2D to the country.) Does this practice love me for knowing these things? Ah...... (This is maybe something I should actually count on?!) [/QUOTE]
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