Annual review- what should have happened?

[LouT]

I had my first annual review at the GP surgery today- it was done by a paramedic
No weight check, no foot check, no check of blood sugars, used the blood and urine tests results from August,
She told me I need to reduce my blood sugar levels, and loose weight, no repeat HBA1c until April 2027 so 8 months after my last one, the previous surgery was going 3 monthly as newly diagnosed,
She then prescribed Dapagliflozin 10mg tablets on top of the metformin, no real explanation yet my notes say she

• Patient counselled on potential side-effects of medication
• Patient advised re sick day rules (AcuuRx sick day rules)
• 9 points of care for annual review outstanding - plan in place - no idea what the plan is
• Education about ketoacidosis
• Education about Fournier's gangrene

None of this was explained at the appointment other the it will make you wee more,

Best to say I won’t be starting it until it’s all explained
Should they not have got up to date blood results before starting a new medication?
I felt that really I wasted my time in attending the appointment and gain nothing from it or am I missing something

 

[MrsA2]

Sorry to hear that. Good diabetes care does seem to be patchy across the country (from reading the stories on here) and you're not alone. I'm wondering if it was just a medication review? In any case you are right to make sure you get it all fully explained.

My first diabetes appointment back in 2020 was farcical so I haven't had one since. I just manage and monitor myself , but I'm not on meds.

I have just had an overall health check in person with the practice nurse - first time theyve seen me in the flesh since 2020. Think I must have ticked all the boxes because that was a good couple of months ago now and I've heard nothing since.

So as you can see, yours was not unusual and you're right to keep them on their toes. You could report your dissatisfaction formally, after all they'll probably send a "how did we do" message in the next few days. I'd reply to it

 

[LouT]

It was meant to be my first annual diabetes review I’m on metformin, I’m prescribed 2g a day but don’t tolerate it so only take 1g,
I’m just disappointed that didn’t seem to want to listen to what I had to say, and to turn round and say you need to loose weight, reduce your blood sugars without having up to date information and even when I offered it she said I have everything I need here on the screen - for starters my weight is from last October
I made sure she was aware that the weight is from last October and she just said she knew that,