Amputations: letter to the press

hanadr

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I heard the announcement on the radio this morning from Diabetes UK that 100 people per week with diabetes suffer an amputation.
That is a disgrace and shouldn't be happening.
Whilst inevitably, there are some patients who will not comply with their care team and whose condition deteriorates as a result, there are many who are badly served by the dietary advice given by these same medical professionals and Diabetes UK itself. Not to mention the policies of many PCTs in refusing to allow blood testing equipment to be prescribed to type 2 diabetics.
For some years now, it has been customary to tell people with this condition to base their eating plan on carbohydrates and low carbohydrate eating is actively discouraged. I have been told that this is because diabetics shouldn't be deprived of eating anything they like and that compliance with a low carbohydrate diet is difficult. Does this make sense? If you can't metabolise something, should it be the basis of your eating plan? and if you want something, should you be advised to have it even if it harms you? We try to cure alcoholics, smokers and drug addicts don't we?
This nonsense is contributing to poor health in many people who believe it. Just look at the " Ideal Plate" diagram on the Diabetes Uk website. One third of it is carbohydrate foods and a large portion of the fruits and vegetables section is sugary fruits.
There is a strong world wide movement among diabetics, to get back to low carbohydrate eating for blood sugar control and to set tighter control targets than those accepted by Diabetes UK and the medical establishment in this country. Also there are campaigns to get blood test strips for home testing at least once a day, so that diabetics can monitor their own condition. I suspect that most non-diabetics would assume that is in place, but it too is actively discouraged, "because it costs too much"
Since contracting diabetes is seen as a consequence of committing the "Mortal Sin" of being overweight, Are diabetics to be convicted and sentenced to abominable health care?
What about the 75% of overweight people who are not diabetic and what about the thin diabetics? How are we to punish them?
Lastly How much will all these amputees and their subsequent care cost? Not to mention the heartache. A restricted carbohydrate diet is effectively free to the NHS. A sensible year's supply of blood testing strips would cost under£200( retail price) per patient and how much would it save?
 

Nellie

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Handr, I'm with you all the way about the testing strips and the adoption of lower HbA1c targets but I cannot accept that an extremely low carbohydrate diet is necessarily the answer.

My local hospital (which has a diabetes specialism) has had no amputations for many years. They give individual dietetic advice and that includes eating carbohydrates albeit counted and a huge emphasis on the less refined ones. The amount of veg suggested is far larger than normal portion sizes in the UKs .Fruit is also enocouraged (but again counted within allowances). Meat portions are on the other hand are small. All diabetics, type 1 or 2 are referred initially to the hospital, although type 2s normally have only yearly checks there, with 3 monthly checks at the GPs. People who are out of control, both type 1 and 2 are hospitalised to help them get control. It works, cost effective ?

Personally I feel that much of the problem in the UK is from portion sizes (even the plates seem bigger when I go back to the UK now, does the plate model say how big the plate is?) and ready processed high fat/high refined carb meals, coupled (if posters on this website are typical) with a refusal to intervene and blood sugars being allowed to remain chronicaly high.
 

timo2

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hanadr said:
A sensible year's supply of blood testing strips would cost under£200( retail price) per patient
Hi hanadr,

You must give me the name of you test strip supplier. £200 for a year is a unbelievable bargain.

Regards,
timo.
 

hanadr

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Timo

I use a Freestyle Mini and Abbott Diabetes Care will sell a pack of 50 strips for £14.33 including postage and packaging. I was calculating 1 pack per month. It's a bare minimum, but should do a type 2. It's a good meter too and I bet the NHs pays less.
 

timo2

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Thanks hanadr,
That's over £10 less than for 51 accu-check strips :shock:

I think I may invest in a freestyle meter.
 

hanadr

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From Boots or the local pharmacy, the Freestyle strips are also over £24.
Try your meter's supplier for a better price. freestyle are supplied by Abbot, which is a very helpful company.
 

Amanda Hugankiss

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As a type 2, I'm expected to test less than twice a day?

did I do my sums right - its not one of my strong points :roll:
 

hanadr

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As a type 2 in some parts of the country, you're not meant to self test at all.