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<blockquote data-quote="Daibell" data-source="post: 2313736" data-attributes="member: 21149"><p>Hi. I've been down a similar route but suing would be a waste of time and money. The NICE or NHS standards for diabetes typing are too loose and Diabetes UK (not this site) is also behind the times which is why I resigned. Until the C-Peptide test becomes a standard test at diagnosis time little will change and GPs will continue to guess and dump people in the T2 group with no tests. Because NICE doesn't say that routine C-Peptide tests should be carried out, GPs can get away with it. Even then because LADA can come on slowly there is a period of time when you can be in the middle of the C-Peptide range. I was on max 320gm Gliclazide and struggling and my GP refused to agree I was T1/LADA when I challenged the T2 diagnosis; she also refused me insulin. Like you, I did consider challenging the GP about having me on full dose Gliclazide for a year or two and possibly damaging my beta cells but I can't prove that. So, just accept the fact that the medical profession is slow to change, rule-bound and procedural. It's a good job my engineering profession isn't like that. For info my last private C-Peptide showed me at the top of the T1 range and I'm waiting for the Clinic to do an NHS C-Peptide so it an be confirmed T1; my lovely DN has referred me for that as she knows more than the diabetes GP and recommends a low-carb diet!</p></blockquote><p></p>
[QUOTE="Daibell, post: 2313736, member: 21149"] Hi. I've been down a similar route but suing would be a waste of time and money. The NICE or NHS standards for diabetes typing are too loose and Diabetes UK (not this site) is also behind the times which is why I resigned. Until the C-Peptide test becomes a standard test at diagnosis time little will change and GPs will continue to guess and dump people in the T2 group with no tests. Because NICE doesn't say that routine C-Peptide tests should be carried out, GPs can get away with it. Even then because LADA can come on slowly there is a period of time when you can be in the middle of the C-Peptide range. I was on max 320gm Gliclazide and struggling and my GP refused to agree I was T1/LADA when I challenged the T2 diagnosis; she also refused me insulin. Like you, I did consider challenging the GP about having me on full dose Gliclazide for a year or two and possibly damaging my beta cells but I can't prove that. So, just accept the fact that the medical profession is slow to change, rule-bound and procedural. It's a good job my engineering profession isn't like that. For info my last private C-Peptide showed me at the top of the T1 range and I'm waiting for the Clinic to do an NHS C-Peptide so it an be confirmed T1; my lovely DN has referred me for that as she knows more than the diabetes GP and recommends a low-carb diet! [/QUOTE]
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