annual review

floflo..x

Newbie
Messages
4
Ahhh, today i have my first ever annual review and i am so scared.Im so worried that there is going to be something wrong with me and i really dont want to start 2013 off to a bad year.i was only diagnosed last january 4th so it hasn.t even been a year although very close.I have no idea what they do and was wandering if anyone could give me a breif insight as to what the doctors do.please help me im absloutley petrified:(:(:(
 

viviennem

Well-Known Member
Messages
3,140
Type of diabetes
Treatment type
Other
Dislikes
Football. Bad manners.
Our wonderful practice nurse does mine, and there is really nothing to worry about. If you have a needle phobia, say so immediately you walk in; they are trained to cope with that.

She asks my weight (or she may weigh you), she prods my feet - very gently! - with a small blunt pin, or tickles them with a filament, while I keep my eyes closed, to see if the feeling in them is correct, and she checks that she can hear a pulse in my ankles to make sure the blood flow is good.

She then checks my blood pressure, and after that takes blood samples. I always go fasting, but this is not always necessary; make sure you tell her if you have eaten, just so that she (or the doctor) can interpret the results correctly. For me, the blood is to check HbA1c, kidney and liver function, a full blood count, vit B12 & folate levels, thyroid (I'm hypothyroid so I would have this whether or not I was diabetic) and cholesterol - a full blood lipid levels test.

I usually take a first-thing urine sample for my annual review. I get the sample bottle from reception a few days before the test. I use a plastic cup to catch the sample - eg a water fountain type cup, which squashes easily to make a pouring lip to transfer into the sample bottle.

Most of the results are back within 24 hours, but the HbA1c takes longer with us. I usually go to see the doctor about a week later to discuss my results - whether he wants to see me or not! - and I always get a full print-out of the results for my own files. I even have the receptionists trained for this, so I get the print-out as soon as I walk in, and read them while I'm waiting. Then I know if there's anything I want to talk about, which saves the GP's time. Usually all's well; in fact, now I understand what my readings mean, I often don't need to see the GP at all.

Our morning surgery is 'walk-in'; no appointment necessary, so sometimes you have to wait a while to see the doctor.

As a separate appointment, my eyes are photographed annually to check for retinopathy; people from our local hospital bring a mobile unit to the surgery for that. You may have to go to the hospital clinic for yours, depending how far away it is.

Hope this helps!

Viv 8)
 

floflo..x

Newbie
Messages
4
thankyou so much but im so scared something is going to be wrong with me because my dad has kidney faliure and is blind due to diabetes and i have highblood preasure im so scared :cry:
 

Daibell

Master
Messages
12,674
Type of diabetes
LADA
Treatment type
Insulin
Hi. I agree with much of what Viviennem lists except at my surgery you have your bloods taken with urine sample and sent for test around 2 weeks before the review so that the GP/nurse has the results ready at the review. I either go to the local hospital to give the blood samples taking the urine sample with me or I book the phlebotomist at the surgery. My GP gives me the blood test form at the end of the review ready for the next one. My GP isn't so good with giving results so I have to ask her for each one and she doesn't really want to discuss them; I also don't get a print out. Sounds like Viviennem has a really good above average surgery; let's hope your is as good.
 

Merehoare1952

Member
Messages
6
Type of diabetes
Type 2
I have been Type 2 diabetic for 6 years. Blood sugars up and down but more on the down now. The annual review is nothing to be scared of. Dad may have lost his sight due to poor managent of his diabetes and high blood pressure is easily controlled with a tablet as is mine. Don't worry they are there to help and guide, take full advantage of the review to ask as many questions as you can.
 

viviennem

Well-Known Member
Messages
3,140
Type of diabetes
Treatment type
Other
Dislikes
Football. Bad manners.
floflo..x said:
thankyou so much but im so scared something is going to be wrong with me because my dad has kidney faliure and is blind due to diabetes and i have highblood preasure im so scared :cry:

Many people will tell you that diabetes is progressive, and it is for some, but diabetes care has improved so much that, if you work with your GP team and take control of the dear disease, IMHO you may never get complications, or they are a very long way in the future.

The key is to keep tight control of your blood glucose levels; has your GP given you a blood glucose monitor and test strips? They are essential for learning which foods you can and cannot eat. In my case I cannot handle much carbohydrate, so I avoid that as much as possible. The NHS-recommended diet does not work for me - it pushes my blood glucose too high. We are all different!

Do let us know how you get on with your review, and the results. Plenty of support and good advice on here! :D

Viv 8)
 

JontyW

Well-Known Member
Messages
89
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Ignorance & Arrogance.
floflo..x said:
thankyou so much but im so scared something is going to be wrong with me because my dad has kidney faliure and is blind due to diabetes and i have highblood preasure im so scared :cry:

Hi floflo..x,

Please update us with what happened at your first annual review, since many members offered their comments to assure you it would be OK, so it is only polite to let them know how you got on :)

Being a Type 1 for only one year it is vital that you get regular feedback on your HbA1c, BP, cholesterol and kidney function levels so that you don't suffer the same way that your father did, which was obviously due an extended period of poor blood glucose control.

Was it as bad as you thought it would be ... let us know?

Jonty