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The title is - University of Birmingham and University of York Health Economics Consortium (NCCID) Development feedback report on piloted indicators QOF indicator area: Diabetes prevention Pilot period: 1 st October 2016 – 28th February 2017 Potential output: Recommendations for NICE menu

PDF loads ok for me in England. I think it is a new way of getting funding. I think White Coat Syndrome lead to high fasting bloods at the GPs, they're ok at home, ditto Blood Pressure.

The above appeared on my Medical record last year without explanation. This year this has appeared - "(Quality and Outcomes Framework) non-diabetic hyperglycaemia quality indicator-related care" invitation, It seems GPs are trawling through patients' records looking for candidates. I once had a...

Anything to stop you recording the conversation, so you can can go over the advice later;)

“Your blood sugar level has increased from 42 to 44 since you last spoke to Dr [Niceguy] in Dec 2020, which suggests that you were not successful in the lifestyle measures you were planning to take.” Wow, that was encouraging. I'd be inclined to question the negative wording, and the...

The devil is in the detailed breakdown of Cholesterol. Do you have it?

Keep losing weight and your Hba1c will probably drop too.

It is like this for me! fasting 7.2 Hba1c 35, then 6.4 & 25, 6.4 & 26, OGT 7.2 before, 8.1 after. No symptoms, was given 3 diagnoses - prediabetes, diabetes and no you don't have diabetes. My Hba1c goes up and down with my weight.

My home BP readings are fine. One surgery reading on their and my monitor - 214/104.(white coat syndrome) I always feel I'm going into battle with a surgery!

I'd say yes. In 2007 at age 58, I had a reading of 48. I didn't have access to results then, and nobody told me that it was CKD stage 3. When I did find out and not knowing what it was, the nurse just said 'Oh, everybody gets it'. Since then, I've read that the only way is down! HOWEVER...

My brother also has this problem, he takes them with food, rather than water. Given the minimal effect that Metformin has, is it worth the discomfort? Liquid Metformin is available.

As above, use home readings. I don't know how useful the 24hr thingy is, as I've never been asked what I was doing, when it 'goes off'. Just looked back at 2 of mine: Nurse -214/104, on both hers and my machine. Home - 130/68. My BP goes up if I even think about it, my head is calm, my heart ain't!

You should be able to get a replacement from the council offices, google yours for details.

Liquid Metformin is available. My brother has trouble swallowing the tablets, takes them with something to eat rather than drink, but he does have a problem with his oesophagus.

Don't think being asked would bother me, but the notes on a recent consultation said 'Ex smoker smoking cessation advice'. (ex 40+ years). As that didn't happened, I queried it, was told they have to give advice(?). She wouldn't remove it from my record. There must be money involved somewhere.

And from this site How does blood glucose testing help to control diabetes? Blood glucose testing can help to control diabetes in a number of ways: Informing food choices and portion quantities Assisting medication dosing decisions Identifying periods of high or low blood glucose levels In...

Suggestion is a bit tongue-in-cheek, but would show how serious OP is about taking responsibility for their diabetes even if DN isn't.

That wasn't a review! Maybe ask for one when the results are in.

To be clear, did the DN have the blood tests RESULTS, but didn't share them with you?

Are you saying your review has taken place before this year's test results are available?