Diabetic Review with Doctor

[Robbity]

I consider myself very lucky that my GP has been happy with both my testing (although he won't give me test strips due to Practice Manager's prohibitions) and supports my low carb diet. He did in fact originally suggest I tried Atkins for weight loss. My DN initially was standard "Eat Well Plate", but when she first saw my results, this became "Whatever you've been doing keep on doing it..."!

Robbity

 

[shelley262]

How accurate has ur mySugr been in the past if you don’t mind me asking. I’m due for my first 3 month a1c tomorrow morning. I’m sh*****g it a wee bit

Mysugr predicted me at 31.5 and my hbaca1 came in at 30 I use a code free meter good luck to you with ours it’s like taking exams isn’t it?

 

[rab5]

Mysugr predicted me at 31.5 and my hbaca1 came in at 30 I use a code free meter good luck to you with ours it’s like taking exams isn’t it?

I use codefree also I will take this all day long.

 

[Boo1979]

But how does that relate to the OP?

It was in response to rab5’s question as to why medics might want a higher hba1c

 

[Biggles2]

We all deserve to have normal BG levels

No truer words said @Mel dCP!
@NewTD2 your results are stellar. Well done you!

 

[Biggles2]

He became quite upset and angry and suggested that I should eat more fruits and expects my HBA1c to go up even higher between 45 to 48 which is the "normal range", according to him, for a diabetic.

So sorry that you had such a negative experience @NewTD2. Actually, if your doctor were smart he should have seen you as an outlier - someone whose diabetes trajectory is going in a different direction to the accepted wisdom. His professional curiosity should have been piqued - IMHO he should have been peppering you with questions on how you achieved such great results. Maybe then he could help others avoid diabetic complications.

 

[There is no Spoon]

(I’ve never seen a nurse!)

They look like this, can usually be spotted round the back of Dr's surgery in group (think it's called a gaggle of nurses) with cream bun in one hand and a fag in the other.

 

[NewTD2]

So sorry that you had such a negative experience @NewTD2. Actually, if your doctor were smart he should have seen you as an outlier - someone whose diabetes trajectory is going in a different direction to the accepted wisdom. His professional curiosity should have been piqued - IMHO he should have been peppering you with questions on how you achieved such great results. Maybe then he could help others avoid diabetic complications.

Unfortunately my doctor is an idiot!

 

[Rachox]

They look like this, can usually be spotted round the back of Dr's surgery in group (think it's called a gaggle of nurses) with cream bun in one hand and a fag in the other.

I know exactly what they look like, I was one for 36 years! I did eat cream buns but never smoked. Loving the cartoon though!

 

[jlarsson]

I don't know(or care, to be perfectly honest) enough about T2 to know how different it is in daily management from T1, but it seems to me that there is far too much obsession over HbA1c rather than figuring out the cause of actual hypos and hypers on these forums, no? There also seems to be a lot of complaining(especially from T2s) over doctors and nurses being idiots and incompetent and so on, which makes me wonder if there is some sort of victim complex going on in at least some people. I've had appointments in two different countries with people from even more different countries over 15 years as a diabetic, I've never had any even close to as bad experiences as seem to frequently be described on here despite being according to myself a very bad patient in that I don't care enough about how I take care of myself and being very open about it to them.

 

[ringi]

@jlarsson two factors

1. People with type2 don't get to see consulatants and mostly see none spaliat nurses.
2. The stand diet advice from the medics is to eat lots of carbs! As they think eating fats is the issue.

 

[Deleted member 308541]

This was due to the fact that he suggested way back in February to have 2-3 fruits daily in my diet.

Your GP may suggest you eat fruit, but you do not have to eat it if you do not want to.

Just agree with him, and carry on the way you have been controlling your T2.

 

[rab5]

Mysugr predicted me at 31.5 and my hbaca1 came in at 30 I use a code free meter good luck to you with ours it’s like taking exams isn’t it?

I’m nervous to say the least a lot riding on this

 

[Bluetit1802]

It would be lovely if my HbA1c results even vaguely tallied with either my meter or my Libre. Nowhere near. I have learned over the years to completely ignore it. It keeps my nurse happy but that is all it does.

 

[bulkbiker]

I’m nervous to say the least a lot riding on this

Good luck matey.. stressing won't do you any good (easy for me to say I know). It will be whatever it is but its just more data at the end of the day. Yippee!

 

[dbr10]

No truer words said @Mel dCP!
@NewTD2 your results are stellar. Well done you!

Absolutely true.

 

[rab5]

It would be lovely if my HbA1c results even vaguely tallied with either my meter or my Libre. Nowhere near. I have learned over the years to completely ignore it. It keeps my nurse happy but that is all it does.

Oh S**T.... how far out have they been. Im worried now lmao

 

[Bluetit1802]

Oh S**T.... how far out have they been. Im worried now lmao

5 or 6 points. Every one in the last 4 years, and very few test as often as I do. My only theory is my red blood cells live a helluva long time longer than the standard 120 days. I am by no means the only one of our forum regulars.

 

[rab5]

Good luck matey.. stressing won't do you any good (easy for me to say I know). It will be whatever it is but its just more data at the end of the day. Yippee!

Im hoping I have kicked this right in the jewels!

 

[EllieM]

I don't know(or care, to be perfectly honest) enough about T2 to know how different it is in daily management from T1, but it seems to me that there is far too much obsession over HbA1c rather than figuring out the cause of actual hypos and hypers on these forums, no? There also seems to be a lot of complaining(especially from T2s) over doctors and nurses being idiots and incompetent and so on, which makes me wonder if there is some sort of victim complex going on in at least some people. I've had appointments in two different countries with people from even more different countries over 15 years as a diabetic, I've never had any even close to as bad experiences as seem to frequently be described on here despite being according to myself a very bad patient in that I don't care enough about how I take care of myself and being very open about it to them.

I think T1s and T2s get treated very differently by the "professionals".
T1s - we're all on insulin, so as long as we can convince our specialists we're numerate we get help to manage the disease ourselves rather than lectures.

T2s- never get to see a specialist (maybe if they move to insulin?), rely on competence of GP's nurse, who handles diabetes along with lots of other things. There are so many of them that there's no time other than to hand out metformin and tell them that they shouldn't blood test as it will only worry them? (Though to be fair, my father's T2 and has been told this, and his condition has been stable for the last 7 years on 1500mg metformin per day.He's 87, has a moderately but not very low carb diet, and it's not going to be diabetes that kills him.) Also, it's automatically assumed that younger (under 50,60?) T2s are going to progress to insulin eventually (which totally sucks IMO as they have to have huge quantities compared to T1s, and they still can't metabolise carbs properly).

BUt havingsaid that, there are good nurses and less than good ones, just as there are with consultants, so there's an element of luck of the draw as to whether you get someone who can help you.