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If you are Type 1 then fact an HbA1c of 39mmol/mol may be getting too low. There is good evidence to suggest that Type 1s who run below 48 may be putting themselves at too high a risk of hypos. People have never had nor will ever become diabetes might have an HbA1c of 40; I wonder if we’re...

My note of caution about hypos is based on statistics: Those patients with T1 diabetes with very low HbA1c levels are at higher risk of permanent disability and death than those with slightly higher readings. Having said that there are 2 obvious points. Firstly, you are a person, not a...

No GP Practice should refuse any patient on the grounds they have a long term condition. Some of us DO care and passionately so. I may not always agree with my patients but I will always try to answer their questions and explain, particularly if I disagree. Unfortunately medicine is not a...

No problem. You can find me on Facebook and use messenger if you make it clear who you are (but once I’m back at work the replies might dry up!)

An HbA1c of 46 is excellent if you are Type 2. So good in fact that if you had never had one done before you would not be diagnosed with diabetes although you would be classified as being at high risk of developing diabetes (42-47 to be precise). A word of warning for those with type 1 (and...

Sure, no problem. I’m currently laid up having broken my leg falling off my bike (No, exercise IS good for diabetes, at least if done sensibly!). So, for the next 3 weeks or so I have time on my hands though posting here is something I wouldn’t normally have time to do. The disintegrating NHS is...

That’s truly appalling and something no-one should have to put up with but sadly it happens. My nephew was diagnosed with Diabetes in 2016. Losing weight ++ and so obviously type 1 to anyone who had eyes to see. GP registrar referred him to diabetic specialist nurse and was told he should be...

It might be worth contacting your local CCG to see if they hold information on GOs in your area with a special interest in diabetes. Failing that you could try speaking to the secretary in your local hospital diabetes department and asking them if they know who the “good” GPS are as far as...

Hi there I’m Type 1 and a GP too. I would be the first to admit that not all GPs are clued up about diabetes, be it type 1 or 2. Does your Practice have a specific nurse for diabetes? If not and you are not in a position to change surgeries I would respectfully request a referral to your local...

There are a number of threads here. I am type1 (35 years) and also a GP. The NHS is in dire straits due not only to lack of funding but also the waste of funds that it does have. I totally agree about the needless duplication of appointments, blood tests etc. To understand why this happens is...

Hi I am Type 1 but also happen to be a GP. I agree there is a lot of ignorance from GPs. You are right in thinking that some GPs do not differentiate between Type 1 and Type 2 when prescribing testing strips. On the other hand there are indeed great pressures on keeping prescribing costs down...

Perhaps I can help here. I have been Type 1 fro 32 years but I am also a GP. The change of the strips was advised as these ones; Glucomen Rx and Wavesense Jazz test strips are 50%cheaper than nearly all the others (about £9.50 vs £15 for 50 strips. The ruling from our medicines management team...