Oh dear, hugs for the tummy upset.Thank you all so much for your support. I really appreciate it.
I have a telephone appt booked with the GP next week and in advance have written him a letter (kept a copy) about my concerns and totally horrible experience and that I felt coerced into agreeing to something for fear of not getting my Insulin. Also that I don't wsnt to be ref to One Life as I am in contact with the Diabetic Dietician based at the clinic and she is of great help. She actually just sent me loads of info on carb free and very low carb snacks.
I said while I appreciate the surgery and GP still need to see my results on the shared database and remain the prescriber, I don't understand the need for these group meetings when in fact my actual care is discussed with me and monitored by the hospital team. They are also my "go to" with problems.
I'll see what he says next week.
I spoke to my DN at the clinic today as she wanted an update on my numbers and I unfortunately have had a mild dose of food poisoning over last couple of days and today which has been very unpleasant.
Because of the rushing to loo on numerous occasions(sorry if tmi) she checked with the Consultant regarding my Forxiga. The Consultant actually rang me and advised I stop it until 48 hours after the upset tummy is completely better incase I lose too much fluid. I am drinking lots of water.
Anyway, the DN, (who is an absolute keeper) had told her about all this and she said she would be writing to the GP to say in her opinion it is unnecessary for them to duplicate the HBA1C and/or follow me up afterwards as their data is shared anyway and he is alerted when anything has been done. Diplomatically of course! Hopefully that will be the end of that.
Both her and the DN are happy with my progress so far and said it's a marathon, not a sprint. I am happy to have a boot up the bum when needed but they also support me in a way that I feel positive about the future, the other method just makes you feel useless.
I'll update on how the GP chat goes.
Again, thankyou.
Hi all.
I've been under the care of my hospital's Diabetic unit since last Oct. I was ref by the GP surgery as they ran out of ideas how to treat me. (DN's words, not mine).
Anyway, long story short...after ascertaining I am making a little of my own Insulin but not enough and a few treatment changes I am on Humulin M3, 28 units am and 32 units pm plus Forxiga. I am improving a lot and the DN I speak to each 2 weeks is great, as is the Diabetic Dietician, she promotes lowish carb. I'm working hard to get and stay in the targets given. Doing well.
I am plumpish but haven't gained any weight since being on insulin.
The hospital do my HBA1C each 3 months, followed by a face to face with my DN and the Consultant each 6 months.
Basically my surgery have no input and all my tests are shared with the GP.
However they still insist on a seperate HBA1C each 3 months done with them (the 2 never tally!) This is followed up by a tel conversation for literally 5 minutes with the surgery DN where she basically tells me what I already know.
2 months ago after my HBA1C the DN at the surgery rang and said she doesn't do the tel calls now and to "save her time because of the sheer nos of Diabetics she deals with" they hold group HBA1c follow ups and I was to attend. I said I wasn't keen and thankyou, but I know my results, I was told if I didn't attend the GP wouldn't do my repeat prescriptions for Insulin.
When I told the hospital DN she said "what about patient confidentiality?"
Reluctantly I attended to be faced by 9 others who were either pre-diabetic or diet controlled. No one else fitted my situation.
There was a big whiteboard with everyone's B.P, weight, BMI, HBA1C and Cholesterol readings, plus some scale thing which predicts your chance of a major heart attack or stroke.
I was really upset because how is this confidential? Unfortunately, my HBA1C was highest and the DN went on about "what you can all do to get these good low numbers...just don't eat cake and crisps, you're doing so well, well, apart from you looking at your result" and looked at me. Having got my HB from 14% to 8.0% so far...way to go I know...I thought it was a big improvement.
I felt so humiliated, how does this motivate you? When she went round the table for people's individual "chats" (and no disrespect to the others) they had no clue what I was talking about re carbs etc. I also added I had been diagnosed 15 years ago where as most of the others were in their early days or less than a year.
Without sounding paranoid I felt like I was there as a deterrent to others!
When I told my DN at the hospital she was appalled and said don't go again.
However the surgery want my HBA1C again in Sept and expect me to attend again. They are also pushing me to go on the one-life course. I don't want to, I exercise and my diet is not based on the dreaded eatwell plate because I have a good dietician at the hospital. I no longer comfort eat etc. It is a journey but i'm giving 100%
I don't want this group thing again but am worried the GP Will refuse my prescription. Surely this breaches patient confidentiality? We were told not to talk about it outside the group but what if someone knows you? I feel very upset, what do you all think?
Hi all.
I've been under the care of my hospital's Diabetic unit since last Oct. I was ref by the GP surgery as they ran out of ideas how to treat me. (DN's words, not mine).
Anyway, long story short...after ascertaining I am making a little of my own Insulin but not enough and a few treatment changes I am on Humulin M3, 28 units am and 32 units pm plus Forxiga. I am improving a lot and the DN I speak to each 2 weeks is great, as is the Diabetic Dietician, she promotes lowish carb. I'm working hard to get and stay in the targets given. Doing well.
I am plumpish but haven't gained any weight since being on insulin.
The hospital do my HBA1C each 3 months, followed by a face to face with my DN and the Consultant each 6 months.
Basically my surgery have no input and all my tests are shared with the GP.
However they still insist on a seperate HBA1C each 3 months done with them (the 2 never tally!) This is followed up by a tel conversation for literally 5 minutes with the surgery DN where she basically tells me what I already know.
2 months ago after my HBA1C the DN at the surgery rang and said she doesn't do the tel calls now and to "save her time because of the sheer nos of Diabetics she deals with" they hold group HBA1c follow ups and I was to attend. I said I wasn't keen and thankyou, but I know my results, I was told if I didn't attend the GP wouldn't do my repeat prescriptions for Insulin.
When I told the hospital DN she said "what about patient confidentiality?"
Reluctantly I attended to be faced by 9 others who were either pre-diabetic or diet controlled. No one else fitted my situation.
There was a big whiteboard with everyone's B.P, weight, BMI, HBA1C and Cholesterol readings, plus some scale thing which predicts your chance of a major heart attack or stroke.
I was really upset because how is this confidential? Unfortunately, my HBA1C was highest and the DN went on about "what you can all do to get these good low numbers...just don't eat cake and crisps, you're doing so well, well, apart from you looking at your result" and looked at me. Having got my HB from 14% to 8.0% so far...way to go I know...I thought it was a big improvement.
I felt so humiliated, how does this motivate you? When she went round the table for people's individual "chats" (and no disrespect to the others) they had no clue what I was talking about re carbs etc. I also added I had been diagnosed 15 years ago where as most of the others were in their early days or less than a year.
Without sounding paranoid I felt like I was there as a deterrent to others!
When I told my DN at the hospital she was appalled and said don't go again.
However the surgery want my HBA1C again in Sept and expect me to attend again. They are also pushing me to go on the one-life course. I don't want to, I exercise and my diet is not based on the dreaded eatwell plate because I have a good dietician at the hospital. I no longer comfort eat etc. It is a journey but i'm giving 100%
I don't want this group thing again but am worried the GP Will refuse my prescription. Surely this breaches patient confidentiality? We were told not to talk about it outside the group but what if someone knows you? I feel very upset, what do you all think?
Hi all.
I've been under the care of my hospital's Diabetic unit since last Oct. I was ref by the GP surgery as they ran out of ideas how to treat me. (DN's words, not mine).
Anyway, long story short...after ascertaining I am making a little of my own Insulin but not enough and a few treatment changes I am on Humulin M3, 28 units am and 32 units pm plus Forxiga. I am improving a lot and the DN I speak to each 2 weeks is great, as is the Diabetic Dietician, she promotes lowish carb. I'm working hard to get and stay in the targets given. Doing well.
I am plumpish but haven't gained any weight since being on insulin.
The hospital do my HBA1C each 3 months, followed by a face to face with my DN and the Consultant each 6 months.
Basically my surgery have no input and all my tests are shared with the GP.
However they still insist on a seperate HBA1C each 3 months done with them (the 2 never tally!) This is followed up by a tel conversation for literally 5 minutes with the surgery DN where she basically tells me what I already know.
2 months ago after my HBA1C the DN at the surgery rang and said she doesn't do the tel calls now and to "save her time because of the sheer nos of Diabetics she deals with" they hold group HBA1c follow ups and I was to attend. I said I wasn't keen and thankyou, but I know my results, I was told if I didn't attend the GP wouldn't do my repeat prescriptions for Insulin.
When I told the hospital DN she said "what about patient confidentiality?"
Reluctantly I attended to be faced by 9 others who were either pre-diabetic or diet controlled. No one else fitted my situation.
There was a big whiteboard with everyone's B.P, weight, BMI, HBA1C and Cholesterol readings, plus some scale thing which predicts your chance of a major heart attack or stroke.
I was really upset because how is this confidential? Unfortunately, my HBA1C was highest and the DN went on about "what you can all do to get these good low numbers...just don't eat cake and crisps, you're doing so well, well, apart from you looking at your result" and looked at me. Having got my HB from 14% to 8.0% so far...way to go I know...I thought it was a big improvement.
I felt so humiliated, how does this motivate you? When she went round the table for people's individual "chats" (and no disrespect to the others) they had no clue what I was talking about re carbs etc. I also added I had been diagnosed 15 years ago where as most of the others were in their early days or less than a year.
Without sounding paranoid I felt like I was there as a deterrent to others!
When I told my DN at the hospital she was appalled and said don't go again.
However the surgery want my HBA1C again in Sept and expect me to attend again. They are also pushing me to go on the one-life course. I don't want to, I exercise and my diet is not based on the dreaded eatwell plate because I have a good dietician at the hospital. I no longer comfort eat etc. It is a journey but i'm giving 100%
I don't want this group thing again but am worried the GP Will refuse my prescription. Surely this breaches patient confidentiality? We were told not to talk about it outside the group but what if someone knows you? I feel very upset, what do you all think?
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