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A good first visit!

KennyS

Well-Known Member
My nurse wanted me to come back to see her in a month after my diagnosis to verify that I was on track as I rejected pills immediately when she told me she wanted to put me on them. The visit was very good but I must say that I had done my homework and was prepared for it. I must say from the start however, she has been pretty cooperative thus far and has recognized that I want to be proactive.

Since diagnosis, I have tested, generally, 7 times a day, logging the time, event (FBG, Before Lunch, After Dinner, etc), my readings and what I ate and did. I also monitored my blood pressure 3 times a day and my weight once a week.
All of this data went on spread sheets with charts that detailed my spikes and their probable cause, my blood pressure/pulse and weight.

Before I showed her my results, she did her BP test and weight, noting that my weight had come down very well. She also told me that when people are diagnosed with diabetes that NHS policy is that patents be put on cholesterol drugs irrespective of their lipid readings. I told her that, at least for the near term, I did not want those drugs and as a matter of fact, should my current trends continue, I would want a review of my blood pressure meds.
She also wanted me to test again for cholesterol. Told her that I wanted to do that as well but not while I was loosing weight. She asked why and we discussed the process of increased fatty acids and triglycerides being put into the blood stream during the weight loss process and she agreed that we would wait until my weight loss was complete and stable. (As long as I was making forward progress.

She then asked to see what I had brought here.... All of the charts which make the data much easier to see, shows that my:

*BG is trending down from the high 6's to mid 5's
*Fasting BG averages at 5.1
*Estimated HbA1c at 5.2% (only one months data so far)
*Systolic and Diastolic trending down from a medicated 'normal' reading
*Pulse trending down
*Weight loss at 10 pounds for the month

She was impressed with the way I laid out the data and the results I had obtained thus far. She asked if she could share what I had done with the group nurse and also suggested that I might consider speaking to other diabetics. I told her that it was still very early days, I have a lot to learn and she might want to reconsider my talking with NHS patients because I just might be contradicting some of NHS current policies and conventional wisdom..... Open for future discussion. I think that I would rather speak to pre-diabetics. Changes they make could very well preempt the restrictive nature of being type 2 diabetic.

At any rate, I asked her for a prescription for my AccuChek Mobile and she didn't hesitate to give me one. Said that as a general rule they don't support testing for people who are not on medication as the testing does little good but would support someone who is proactive and wanting to test for specific purposes.

She was happy and I must admit, I too am pretty chuffed with the results.
So... All in all.... good for a first visit.

Kenny :wave:
 
KennyS said:
Before I showed her my results, she did her BP test and weight, noting that my weight had come down very well. She also told me that when people are diagnosed with diabetes that NHS policy is that patents be put on cholesterol drugs irrespective of their lipid readings.

So much for "evidence based medicine". That kind of advice should be criminal. Whenever you prescribe a drug, you do so in the knowledge that you are exposing the patient to the risk of side-effects. The Doctos needs to balance the potential benefits against the risk of side-effects. By blanket prescribing all diabetics to a drug which has only ever been shown to benefit a small number of the population, they are exposing us to risks, without any benefit. :thumbdown:
 
Well done so far Kenny, I took similar to my nurse, it was a cursory glimpse and a dead look as tho' she didn't understand them. ah well at least some seem a bit more enlightened.
 
Hi Kenny, :)

Well done on a very good result. Your diet must have been quite good and well controlled.

If your type 2 and managed to get a prescription for a AccuChek Mobile, good for you.

I would nice if all nurses and doctors had a attitude that was positive towards all Diabetes patients.

Roy. :)
 
Well done Kenny :clap:
 
borofergie said:
KennyS said:
Before I showed her my results, she did her BP test and weight, noting that my weight had come down very well. She also told me that when people are diagnosed with diabetes that NHS policy is that patents be put on cholesterol drugs irrespective of their lipid readings.

So much for "evidence based medicine". That kind of advice should be criminal. Whenever you prescribe a drug, you do so in the knowledge that you are exposing the patient to the risk of side-effects. The Doctos needs to balance the potential benefits against the risk of side-effects. By blanket prescribing all diabetics to a drug which has only ever been shown to benefit a small number of the population, they are exposing us to risks, without any benefit. :thumbdown:

Here's a link which shows the Originial Hippocratic Oath and the Modern Version - the oath which doctors and other healthcare professionals are supposed to take before practicing -

http://nktiuro.tripod.com/hippocra.htm

There used to also be a saying 'First do no harm' - which was to be remembered before prescribing or treating.
 
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