- Messages
- 25
- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
Yesterday: Three Monthly Review. Present: V (newly trained DN) and J (Diabetic Dietician) seen at 1st Review 2 Apr 14, where I disagreed with her & DN's dietary recommendations. Had spent days since diagnosis on 25 March, on DCUK and became informed as to the reality of the NHS Healthy Plate. I had already started implementing LCHF, and BG had dropped from the blood test result of 20.3 on 25 March to (fasting) finger prick test on 2nd April of 17.7. J DD had done an HbA1c in the surgery, and had whispered the result of 113 to the DN, which I had just managed to hear. At my next review I asked my DN to confirm what it had been; she admitted it wasn't on the computer and she didn't know. She contacted J DD who also had no record of it.
Okay, back to yesterday. J DD took control from the start, saying she was there to aid V DN in her diabetes training. Like at our first meeting she said she worked for a private company and would I sign a document as I had done the previous year. I did read it but to be honest didn't take it all in, but noted that it said no personal information would be used and I signed it.
J DD asked why I had increased dose from 1 to 2 Metformin - I her told her because during January to early April I was experiencing same symptoms I had when I was first diagnosed. Did the Doctor increase the dose? No, I did it myself. She got a bit uppity - I explained that when the DN had prescribed Metformin last year, to be taken 4 x once per day! Instead of increasing them slowly. I was terribly ill for four or so days, and cut back to 1 x twice per day. DN on next review accepted this. I then decreased to 1 per day and on next review DN happy with that, as BG was coming down. A look of distain crossed her face, and I ended up saying it was my body and I would do what I thought was best for it. Out the corner of my eye I saw V DN smile and nod.
Then J DD asked me what I ate for breakfast, lunch and dinner. Looked skeptical when I said no bread, rice, pasta, potatoes. and for fruit, only berries and occasional small pc of apple; what I drank; when I took my tablets and so on. Then asked if I had been on a course (I think it is D.E.R.E.K) She was supposed to set it up last year, but, the like the retinopathy test, it too never came to anything. Took three more attempts by three doctors, to eventually get one in October, even though I had said at the outset that I had had a sudden eye problem! Anyway, she then asked if I would like to go on it. I said no, having read some comments on here where folk found it to be geared to the NHS Healthy Plate, and with that V DN laughed out loud and said, I have three more patients who have all said the same thing. J DD was not impressed, but still she asked me again and received my refusal. Had she bothered to look at my HbA1c's she would have been fully aware that I was doing pretty well. 2014: May - 81, Aug - 44, Nov - 40, 2015: Feb 15 - 41, May - 42. I then said to her I am using Low Cab High Fat.
I then questioned the fact that my TSH level has risen from 2 mIU/L last March to 5mIU/L in May this year, and the FT4 level had dropped from 13 to 10 pmol//L. My weight has started to rise and was seriously disturbing me, and I wanted to know if this was the reason. She sort of started waiving aside my concern, then asked if it ran in the family, to which I responded no, neither does diabetes. She then said see the Doctor and get him to do the test again.
I then said I test regularly, which brought forth an indrawn breathe. I responded with how else am I to find out which food spike, especially as I don't eat the exact same meals, constantly changing them. I already buy my own strips as 50 is totally inadequate. Response. Well 'we' ? don't give meters and strips to those only on Metformin as it doesn't lower BG levels. I gave in.
In fact J DD made no mention of any of the latest blood test results! There was a lot more about food, drink and exercise, but enough is enough, as it is already long winded, and I am sorry for that.
She (J DD) has set up to see me again in 3 months time ... and because I really don't feel comfortable with her, do not want her present again at any further review.
So here is my Question: Can I refuse to have her (J DD) present at all future reviews?
Okay, back to yesterday. J DD took control from the start, saying she was there to aid V DN in her diabetes training. Like at our first meeting she said she worked for a private company and would I sign a document as I had done the previous year. I did read it but to be honest didn't take it all in, but noted that it said no personal information would be used and I signed it.
J DD asked why I had increased dose from 1 to 2 Metformin - I her told her because during January to early April I was experiencing same symptoms I had when I was first diagnosed. Did the Doctor increase the dose? No, I did it myself. She got a bit uppity - I explained that when the DN had prescribed Metformin last year, to be taken 4 x once per day! Instead of increasing them slowly. I was terribly ill for four or so days, and cut back to 1 x twice per day. DN on next review accepted this. I then decreased to 1 per day and on next review DN happy with that, as BG was coming down. A look of distain crossed her face, and I ended up saying it was my body and I would do what I thought was best for it. Out the corner of my eye I saw V DN smile and nod.
Then J DD asked me what I ate for breakfast, lunch and dinner. Looked skeptical when I said no bread, rice, pasta, potatoes. and for fruit, only berries and occasional small pc of apple; what I drank; when I took my tablets and so on. Then asked if I had been on a course (I think it is D.E.R.E.K) She was supposed to set it up last year, but, the like the retinopathy test, it too never came to anything. Took three more attempts by three doctors, to eventually get one in October, even though I had said at the outset that I had had a sudden eye problem! Anyway, she then asked if I would like to go on it. I said no, having read some comments on here where folk found it to be geared to the NHS Healthy Plate, and with that V DN laughed out loud and said, I have three more patients who have all said the same thing. J DD was not impressed, but still she asked me again and received my refusal. Had she bothered to look at my HbA1c's she would have been fully aware that I was doing pretty well. 2014: May - 81, Aug - 44, Nov - 40, 2015: Feb 15 - 41, May - 42. I then said to her I am using Low Cab High Fat.
I then questioned the fact that my TSH level has risen from 2 mIU/L last March to 5mIU/L in May this year, and the FT4 level had dropped from 13 to 10 pmol//L. My weight has started to rise and was seriously disturbing me, and I wanted to know if this was the reason. She sort of started waiving aside my concern, then asked if it ran in the family, to which I responded no, neither does diabetes. She then said see the Doctor and get him to do the test again.
I then said I test regularly, which brought forth an indrawn breathe. I responded with how else am I to find out which food spike, especially as I don't eat the exact same meals, constantly changing them. I already buy my own strips as 50 is totally inadequate. Response. Well 'we' ? don't give meters and strips to those only on Metformin as it doesn't lower BG levels. I gave in.
In fact J DD made no mention of any of the latest blood test results! There was a lot more about food, drink and exercise, but enough is enough, as it is already long winded, and I am sorry for that.
She (J DD) has set up to see me again in 3 months time ... and because I really don't feel comfortable with her, do not want her present again at any further review.
So here is my Question: Can I refuse to have her (J DD) present at all future reviews?
