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Advice for GP appointment

Discussion in 'Prediabetes' started by Dexie1, Apr 22, 2018.

  1. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    Hi

    I’m due to see my GP tomorrow to ask to be tested for diabetes (hba1c). I suspect I’m pre-diabetic. I’ve been recording my fasting BG all week (5.5, 5.8, 7.3, 5.6, 5.8, 6.8, 6) plus a couple of 2hour post meals. I’ve been using the glucorx nexus which is the one NHS use.

    I’m worried I’m going to be fobbed off by the doctor. Is there anything that I can say or ask to make sure I get the right tests/advice/treatment? I was going to ask for a referral to a dietician as well. Not sure if that would be standard though?

    Thanks in advance
     
  2. Diakat

    Diakat Type 1 · Moderator
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    Why do you suspect? Have you been tested before?
     
  3. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    Never been tested before (apart from couple of random BG tests a few years apart at health check ups for life insurance etc) but never came up high back then. I was unwell a couple of weeks ago and I gues started paying more attention to my body. Noticed I was thirsty and drinking more. Plus I’m obese and my waist circumference isn’t great. I don’t eat any fruit/veg/salad so basically live off carbs (the bad kind) and protein. I’m nearly 40. Don’t exercise near enough as I should. My dad is type 2 and my paternal grandad was type 2. I’m surprised I’ve not developed full blown T2 sooner. Started doing the fasting BG tests this week and they’re in the prediabetes range...
     
  4. Diakat

    Diakat Type 1 · Moderator
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    I think just tell the GP that. You can ask for dietician but will likely just get told to eat more veg!
     
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  5. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    Thanks. The ‘just eat more veg’ isn’t going to work. I’m actually phobic about it! As in retch and gag any time I try to eat it. I know it is completely psychological as I don’t mind the taste of most things but can’t stand the texture. So it becomes a vicious cycle. I’m looking in to counselling/therapy to try and break it. I know I need to make dietary changes but the thought of it actually is causing me more distress than the worry of possibly developing diabetes! It’s really debilitating some times.
     
  6. Diakat

    Diakat Type 1 · Moderator
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    How are you with meat/fish/dairy? If they are OK then LCHF may help you.
     
  7. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    No fish but chicken and meat and dairy are fine. Been trying to follow a LCHF diet loosely this week. And managed some carrot ‘fries’ and sweet potato. I can manage veg soup if blended well. So slowly making changes. Also trying to incorporate some more physical activity every day. Despite being obese I am actually quite fit. Ok I can’t run a marathon but I can walk fast for well over 30 min. Probably 45 min or more if I tried. I’ve joined the low carb program to educate myself as well.

    Thanks for your help.
     
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  8. Glink

    Glink Prediabetes · Well-Known Member

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    I think you're right to be making changes to diet and activity levels on your own even if the Dr does blow you off. Good for you!
    On the veg front, have you tried courgette noodles yet? I sautee them and find them a remarkably good substitution for spaghetti.
     
  9. Contralto

    Contralto Other · Expert

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    One of my sisters is food phobic. She went to a kind of group therapy for a year which really helped her after being phobic for 35 years.
     
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  10. Prem51

    Prem51 Type 2 · Well-Known Member

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    Hi @Dexie1 and welcome to the forum. Tell your gp of your worries, and that there is Type 2 diabetes in your family. You say you are obese so your gp should take your concerns seriously. My gp wanted me to see a dietitian when I was overweight, not obese, but I couldn't go as the appointments were during my working times.
    Your gp might do the finger prick test at the appointment, or refer you to the practice nurse to do it. If you are referred for a full HbA1c blood test, ask for a printout of the results if you don't have online access to your medical test results.
     
  11. Diakat

    Diakat Type 1 · Moderator
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    Hope all goes well.
     
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  12. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    Well the doctor was less than helpful. She made me feel like an inconvenience. She wanted me to book an appointment with the nurse for blood test (hba1c) but I said no I would rather have it done this morning since that’s why I was there. So she grudgingly did it. She didn’t bother with a finger prick test. Hardly made eye contact with me even when I was getting a bit teary about it.

    Sorry rant over. I’ve to phone back on Wednesday for results. She checked my blood pressure as well which was fine thankfully and took blood to test cholesterol too
     
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  13. Contralto

    Contralto Other · Expert

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    Actually, I think you lucked out since the A1c test is more useful than the finger prick. I shows how high your blood sugars have been over the past three months rather than just showing a single moment like a finger prick test you could have done yourself.

    A lot of these functionaries kind of avoid our emotions. You are entitled to every single worry and emotion you have. Make sure you write down all the results and also ask for a formal copy and join any kind of online health monitoring group they have. Keeping track is half the battle to getting the kind of help you want.

    As for emotional support, there is this forum and you will find other folks like yourself. I think you are already doing a stellar job of self management, much better than I did at diagnosis since I continued in a kind of denial for quite a while in an absence of helpful advice and I did not have something like this forum. You found this forum. You acted on it. You planned your important first diagnostic visit. You acted on that planning. You are a winner!
     
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  14. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    Awe thanks for the kind words and encouragement contralto. It has been a massive wake up call for me. Even if my a1c comes back in normal range I am still going to make the changes as my life style to now and current weight and family history makes me a prime target for T2. And you’re right this forum has been great so far!
     
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  15. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    Hi guys. Got my results back today and my hba1c came back 33! I am still a bit worried that my fasting bg is hovering between 5.5&6 so going low carb and hoping it’ll bring that level down a bit too.

    Thanks for your help and support
     
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  16. Prem51

    Prem51 Type 2 · Well-Known Member

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    Good result there @Dexie1, well done! Low carbing should help with your fbgs, though they are good, and should also help with weight loss.
     
  17. Dexie1

    Dexie1 Don't have diabetes · Active Member

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  18. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    Sorry never typed there - what should my fbg be ideally?
     
  19. Prem51

    Prem51 Type 2 · Well-Known Member

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    For a non-diabetic it should be 4.0-5.9.

    Screenshot 2018-04-26 at 14.05.39.png
     
  20. Dexie1

    Dexie1 Don't have diabetes · Active Member

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    Would the higher end not be classed as prediabetes though?
     
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