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Will we ever get monitoring on the NHS?
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<blockquote data-quote="Dark Horse" data-source="post: 1122598" data-attributes="member: 52527"><p>You can be prescribed a meter and strips on the NHS. Current NICE guidelines say:-</p><p></p><p>Do not routinely offer self‑monitoring of blood glucose levels for adults with type 2 diabetes unless:</p><ul> <li data-xf-list-type="ul">the person is on insulin or<br /> <br /> </li> <li data-xf-list-type="ul">there is evidence of hypoglycaemic episodes or<br /> <br /> </li> <li data-xf-list-type="ul">the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery or<br /> <br /> </li> <li data-xf-list-type="ul">the person is pregnant, or is planning to become pregnant. For more information, see the NICE guideline on <a href="http://www.nice.org.uk/guidance/ng3" target="_blank">diabetes in pregnancy</a>. [new 2015]<br /> </li> </ul><p>This suggests that all Type2s on insulin or hypoglycaemia-causing drugs (e.g. many sulphonylureas) or planning pregnancy/pregnant <u>should </u>be offered meter and strips. Also, the guidance says "do not offer routinely" it doesn't say "don't ever give".</p><p></p><p>The problem is that each GP needs to balance their books and previous evidence has suggested that, for most Type 2s, using a meter and strips does not improve HbA1c. However, as many people on this forum will attest, using meter and strips can be beneficial for Type 2s who are well-informed and well motivated. A GP might be persuaded to prescribe meter and strips if their patient can put a good case for it - evidence it can be helpful, a plan for reducing HbA1c and a well thought -out testing schedule. If a patient convinces the GP of their commitment and reminds them of how much money they will save in drug prescribing if they are successful, the GP is more likely to invest some of their precious budget.</p></blockquote><p></p>
[QUOTE="Dark Horse, post: 1122598, member: 52527"] You can be prescribed a meter and strips on the NHS. Current NICE guidelines say:- Do not routinely offer self‑monitoring of blood glucose levels for adults with type 2 diabetes unless: [LIST] [*]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 [URL='http://www.nice.org.uk/guidance/ng3']diabetes in pregnancy[/URL]. [new 2015] [/LIST] This suggests that all Type2s on insulin or hypoglycaemia-causing drugs (e.g. many sulphonylureas) or planning pregnancy/pregnant [U]should [/U]be offered meter and strips. Also, the guidance says "do not offer routinely" it doesn't say "don't ever give". The problem is that each GP needs to balance their books and previous evidence has suggested that, for most Type 2s, using a meter and strips does not improve HbA1c. However, as many people on this forum will attest, using meter and strips can be beneficial for Type 2s who are well-informed and well motivated. A GP might be persuaded to prescribe meter and strips if their patient can put a good case for it - evidence it can be helpful, a plan for reducing HbA1c and a well thought -out testing schedule. If a patient convinces the GP of their commitment and reminds them of how much money they will save in drug prescribing if they are successful, the GP is more likely to invest some of their precious budget. [/QUOTE]
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