I've been T2 for 14 years now (I'm 50), admit to not taking my diabetes seriously, and my HBA1C has been rising. I weigh 63 kg/10st, 5ft3", with normal blood pressure, renal function, cholesterol. I decided to start getting fit, watching what I eat and drink, etc... My DN declined to provide me with testing strips and lancets, saying the surgery no longer provided them to T2s. I decided to buy my own and purchased the T2 Testing Kit via this website (£99). Got quite a shock to see how raised my BG were (highest 21 and lowest 6.3), and the blood testing helped me immensely when I could see that after exercising my BG levels were reduced, and this encouraged me to continue watching my diet, alcohol intake and exercise.
My last HBA1C was 9.8 and armed with my BG finger testing results I went for my review. The DN was extremely dismissive of blood glucose testing for T2s. She did not look at my charts and was not interested in discussing my concerns over my BS spikes. Her exact words were "you can test your blood till the cows come home, but they will never go down". When I tried to explain to her that I purchased the T2 Kit in an effort to control my BS's she said "there are lots of people out there who are happy to rip you off and take your cash, there is no need to do finger testing for T2s". She put me on Sitigliptin (as well as the 3x750 Metformins) that I take daily, and was told to do more cardio-exercise.
I told her that I was concerned that my BSs were high in the morning (12 15) and she said it was clearly what I had eaten the previous night. I had been eating salads for dinner that week with low carbs. When I mentioned Dawn Phenomena, she told me that she didn't believe in that stuff and I besides, I would need to test my BS at 3am. When I said I had already done so, she asked me what my reading was???!! Then asked me what it was the night before!!! So wasn't it a good job I was finger testing then??
I was disappointed with my DN as her attitude appeared somewhat frustrated - almost annoyed - with "you diabetics" (as she referred to). There was no support or encouragement (great! you are really trying, little pat on the back stuff, keep on doing what you're doing), because it is hard, very hard for some of us to get a handle on our diabetes.
I also really think it would be worth while discussing an exercise plan in addition to your meds when you have your reviews. In my opinion, it's only exercise that will help bring down sugar levels - even a 15 min walk does the trick!
My gripe is this: when I didn't test my blood sugars, I was told you need to take your diabetes seriously. Now I AM testing my bloods they say it doesn't help. How are you meant to control the condition without finger testing, if you are unable to see for yourself how/what foods cause spiking. I wonder if they are saying this because they don't want to pay and/or provide patients with the testing strips and lancets. Has anyone challenged them on this?
p.s. really sorry for the long spiel, but I just wanted to talk to others who may be experiencing the same thing...