HELP!! GP vs Diabetes Clinic

[kev4182]

Hello, my name is Kevin and I am a type one diabetic with good sugar control (5-12 mmol/L). I understand the control isn't great but booked on the Dafne course for 15/07/13 at Guys hospital in London.

When to the diabetic clinic this morning (12/06/13) to have normal diabetes tests and checks. Good news was told everything is good and getting better (HBA1C of 10, which is lower than last time 11 over four months ago). Then after lunch today (12/06/13) had a call from GP, which informed me about problem with protein in urine and told to start taking Ramipril 1.25mg capsules for this new problem.

So after phone call with GP, I called the diabetic clinic about this new problem and my diabetes doctor told me "not to take Ramipril because no protein in urine" and he would write to them about this mistake.

GP then called me and told me " i have to take Ramipril".

What should I do? who is right?
Would also like to know if this has happened anyone?

Thank you for reading and would find any reply helpful

Kevin (kev4182) (sorry for any spelling/ grammar mistakes)
:crazy:

 

[misslotty1]

Could re do the urine test ? Maybe this way the gp may believe the new results and put your mind at rest. Good luck x

Sent from the Diabetes Forum App

 

[kev4182]

Diabetic clinic doctor told me "you could do retest but wouldn't really useful because you did one this morning and it was normal".
Sorry should of said GP results was completed on 14 May 2013 so maybe out of date because made real changes to my diabetes.

I think I am going with diabetes doctor because he is a specialist in diabetes and GP is not. Just hope I am right.

Thank you for your reply misslotty1

Kevin (kev4182) (sorry for any spelling/ grammar mistakes)

 

[robert72]

If that is the only test your GP has done, you should ask for further investigations.

I once had a urine test in 1996 that showed protein but all subsequent tests have been clear, so it's hopefully it's just a blip.

 

[charon]

I would have expected your GP to know that you have had a further test and to take that into account.
It's a pretty serious matter if your GP is trying to medicate you unnecessarily even after you told him that you have had a further test. You should point this out and get it agreed so hopefully it doesn't happen to anyone else.

Of course, it could be that your GP knows something that the diabetes clinic doesn't so you should get that cleared up.

 

[kev4182]

Trying to get the issue cleared up but at the moment both disagreeing with each other, which doesn't really help.
I think diabetic clinic is looking at result of my test and looking at my diabetic future but GP may play on safe side and try to protect from what could happen or maybe I wrong on that point... just not know at the moment.

hopefully is just a blip on GP records and will be fixed if wrong on first idea..

Thank you for your reply charon and robert72

Kevin (kev4182) (sorry for any spelling/ grammar mistakes)

 

[EllisB]

Kev,

access to results may be the issue here. While some GP surgeries send their bloods to the same hospital you attend for clinic, others use a different hospital. If that is the case, it is likely that neither can see the other's test results. In that case, you are back to the good old letter, typed up by a secretary and posted to the other team.

You may do better if you get the raw results from the clinic, visit your GP, explain the conflict between teams' advice and discuss the clinic's results and their reasons for putting you on Ramipril.

If they come across as superior, and knowing more than you, it's time for a second opinion!

 

[noblehead]

Kev, as your probably aware Ramipril belongs to a group of medicines called Ace inhibitors that is often given to diabetic patients to help or prevent kidney disease, entirely up to yourself and I don't wish to sway you either way but a 1.25mg dose is really low and might pay dividends in years to come.

I started on Ramipril several years ago to get my bp around 130/70 mark after developing diabetic retinopathy, I tolerate it well and have had no side-effects to speak of, ask your Endo if they feel that there's any benefits to you health starting a low-dose now.