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Dear All,
I just checked the new NICE guidelines (NG28) on blood tests for T2 and fell out of my chair. I'm pretty certain these represent a significant change of view (in the wrong direction, of course) but I can't put my hands on the previous NICE guidelines to check. Does anyone have them to hand?
It's not just telling GPs not to prescribe test strips-- it's the direction that in the cases where T2s dare to self-monitor (even at their own expense) GPs should carry out an annual assessment of the person's self-monitoring skills, the quality and frequency of testing, the impact on the person's 'quality of life' and 'the continued benefit to the person'. It would be interesting to know what they are looking for re ''quality of life' and 'the continued benefit' -- presumably if people get worried or have sore fingers it's a good time to stop monitoring. Reminds me of a clinical paper published last year saying that the main task was to stop diabetics testing if they were not at risk of hypos, and that the problem was of diabetics being 'psychologically dependent' on testing. So much for Sir David Nicholson's speech (previous Chief Executive of NHS) saying that self-monitoring for T2s was a wonderful example of how the NHS would be saved by people taking responsibility for managing their condition...
I just checked the new NICE guidelines (NG28) on blood tests for T2 and fell out of my chair. I'm pretty certain these represent a significant change of view (in the wrong direction, of course) but I can't put my hands on the previous NICE guidelines to check. Does anyone have them to hand?
It's not just telling GPs not to prescribe test strips-- it's the direction that in the cases where T2s dare to self-monitor (even at their own expense) GPs should carry out an annual assessment of the person's self-monitoring skills, the quality and frequency of testing, the impact on the person's 'quality of life' and 'the continued benefit to the person'. It would be interesting to know what they are looking for re ''quality of life' and 'the continued benefit' -- presumably if people get worried or have sore fingers it's a good time to stop monitoring. Reminds me of a clinical paper published last year saying that the main task was to stop diabetics testing if they were not at risk of hypos, and that the problem was of diabetics being 'psychologically dependent' on testing. So much for Sir David Nicholson's speech (previous Chief Executive of NHS) saying that self-monitoring for T2s was a wonderful example of how the NHS would be saved by people taking responsibility for managing their condition...