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Another One Of Those Conversations With GP

Discussion in 'Diabetes Soapbox - Have Your Say' started by AdamJames, May 25, 2018.

  1. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

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    My original comment was aimed at the study that concluded testing is a waste of time - because the 2 groups in the study that did test only tested once a day - and didn't do any better than the group that didn't test at all. That's why I said the once a day was nonsense - they didn't improve because they learnt nothing about their food choices. Had they been taught to eat to their meter by testing out meals it would have been different. The study was nonsense.
     
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  2. Jenny15

    Jenny15 Type 2 · Well-Known Member

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    I've noticed that absolute statements and blanket generalisations about individual health choices lead to never ending squabbles in online forums.

    I would have said something like "One sizes does not fit all. I found once daily testing was great for me."

    I agree with you that once daily testing at certain times is useful if there are no better alternatives. But there are better alternatives available to most people.

    If for some reason I could only afford or access 7 test strips a week, I'd probably use them once a day, too. IMO the immediate priority is to get your fasting BG down. It is possible to do this without testing before and after every meal.

    Once my fasting BG was below 7.0 I might then save up my test strips to study the effect of individual foods at mealtimes. It's totally up to you, as long you are working towards your BG goals.

    So, IMHO you're both right. But word choices matter.

    Just my two cents worth.
     
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  3. Jenny15

    Jenny15 Type 2 · Well-Known Member

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    Just my two cents worth here, but I think if a 92 year old wants to eat desserts and not greens, she should do it to her heart's content.

    I hope I make it to 92 and that I am allowed to eat whatever I want without others trying to persuade me differently. My parents are getting up there in age and there's no chance of persuading them to do anything different with their eating, lifestyle or health choices.

    My Dad has health issues that I know would be much easier for him to bear if he took medication for them but he will not budge. So I respect his autonomy and focus on enjoying the time he has left with me. I like your approach: What will be will be.
     
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  4. ickihun

    ickihun Type 2 · Master

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    I'm wondering if that is why msk department is getting busier at our hospital.
    No strips policy is false ecomony.
    Just my opinion.
    I'll quiz msk more in 2mths time. Its going to take a lifetime to get my physio help at this rate.
     
  5. ickihun

    ickihun Type 2 · Master

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    Although I've agreed.
    I've never only tested once a day since diagnosis in 2002.
    Only burn out 4yrs ago had an occasional day where I was testing less. Even then.

    It becomes part of your life like brushing hair.
     
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  6. bulkbiker

    bulkbiker Type 2 · Oracle

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    Completely agree that's why I mention to her that she eats too much sugar but let her get whatever she wants whenever we take her out shopping. If only she didn't moan all the time about the aches and pains that I reckon she gets because of various inflammation problems... hey ho
     
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  7. Jenny15

    Jenny15 Type 2 · Well-Known Member

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    Yes, I have to put up with my Dad's complaining about the health problems he won't get modern treatments for, too. To be fair, there might not be a clearcut link between what she eats and her pain. The geriatric body is winding down and maintenance issues are to be expected.

    IMO anyone in pain should get it treated, to restore quality of life but I know a lot of people won't go down that path. I have a chronic pain condition so I take whatever I need, within what is prescribed for me. If I don't, I am too miserable.
     
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  8. ickihun

    ickihun Type 2 · Master

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    It is difficult when a parent just doesn't get it or even care. My mum yesterday took apples from 5yrs old mini trolley for her fruit feast which compliments her fruity yoguarts. I think she's addicted. She'd been told about her fatty liver. I'd hate for her to become type2. It will devastate her. She just doesn't see how fruit addiction can cause T2. She is determined not to listen. She talks over my advice and dumbs it down. What should I do? Shout it at her. No. :(
    She has huge osteoarthritis pain. Whole family do but I don't. Never have. I'm only one with T2 even though all morbidly obese too.
     
    #68 ickihun, May 30, 2018 at 11:05 AM
    Last edited: May 30, 2018
  9. ickihun

    ickihun Type 2 · Master

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    Most GPS are content in treating ailments rather than preventing them all to our mental health detriment.
    I now have full faith in my gp who is excellent in treating my ailments. Prevention is my job if I which to take all my preventative mismatching needs and my own decision which to prioritise. Your gp feels heartattacks and strokes are worth preventing.
    I feel you have an attentive one. Not all are.
     
  10. AdamJames

    AdamJames Type 2 · Well-Known Member

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    To be honest I'm not so sure about that. More often than not I have to correct him about things like how long it's been since he last saw me, and whether or not I'm on medication.

    On the visit that I mentioned in the OP, he weighed me at one point, then two minutes later said he should probably weigh me. I kid you not! Luckily the penny dropped when I said "errr....." before he weighed me a second time.
     
  11. Jenny15

    Jenny15 Type 2 · Well-Known Member

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    I was reading your post and thinking "my doctor forgets things like how long since he last saw me, but they're busy," then I read that he forgot he had weighed you after two minutes and I'm like "Yep. Adam may indeed have a slightly inattentive doctor there." A bit of a worry really. But I am sure you will help him stay on task better. Good luck!
     
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  12. AdamJames

    AdamJames Type 2 · Well-Known Member

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    Yes, thanks! I really see him as someone to prescribe medication as and when needed rather than for advice.

    My main concern was that he seemed very pleased that I'd gone from 42 to 47, and was happy to just see me again in 6 months. It seemed to be simple maths to him. I was at less than 48, so computer says I'm doing fine. Never mind the trend over the last 3 months, or science.
     
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  13. dbr10

    dbr10 Type 2 · Well-Known Member

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    It's bizarre.
     
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  14. Fenn

    Fenn Type 1.5 · Well-Known Member

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    Doctors, plumbers, taxi drivers... good and bad, be happy we have the internet.

    I will be honest, I don’t see any point in testing once a day, I don’t actually see any point in fasting tests in the morning, unless we re eating late at night and that is affecting our morning reading? I’m not sure how it could but what do I know. The more I learn about diabetes, the less I understand

    When my numbers were great, my early morning numbers were always much worse, as I figured I couldn’t change them, I never bothered with the testing, I just tested before and after eating because that was the thing I could fix.

    On saying that, I do get pleasure from the numbers people post each day on those threads and I am finding it inspirational, i am doing the test in the morning just to play the game (even though my numbers are not good enough to post) in fact I am finding this whole forum inspirational, it’s making me take much greater care of myself. I have almost pulled my head clear of the sand
     
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  15. Jenny15

    Jenny15 Type 2 · Well-Known Member

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    He is a robot, an automaton. They could replace him with an actual robot and get the same results, with less money.:D
     
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  16. Jenny15

    Jenny15 Type 2 · Well-Known Member

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    Good to hear!

    I think the reason for the focus on fasting BG is that it's the one time of day when we can usually be expected to be on a level playing field, from person to person ie, we've all gone at least 8 hours without food (give or take). By that amount of time we know one thing: we won't have been affected by the fluctuations that occur within 2 hours of eating.

    This is helpful for conducting research. A lot of the parameters used in clinical medicine seem to arise from what is needed in research.
     
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  17. Fenn

    Fenn Type 1.5 · Well-Known Member

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    The only thing is that our livers presumably dump at different rates, I am convinced my liver leaves my body once I’m sleeping and goes down the local tandoori, returning 2 hours before I wake
     
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  18. lucylocket61

    lucylocket61 Type 2 · Expert

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    My fasting blood sugars are the highest reading i get all day.
     
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  19. Jenny15

    Jenny15 Type 2 · Well-Known Member

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    I think you're right, there is a lot of variation. I haven't had to manage the liver dump problem myself but I have read that if you eat something just before bed, that can counteract it to some extent. Others here know more about this than me.
     
  20. ickihun

    ickihun Type 2 · Master

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    Oh dear! He doesn't sound well himself.
    There is such a shortage of GPs now. Female ones are paid less so once wage is equal the nhs will overwork them even more.
    I know I'm so different to you but I'm a more complicated patient to manage and my GP does me proud. I'd hate a patient like me. I'm hard work, my health is brittle at times. I've just received help on not being able to walk properly for nearly or more than 3yrs. I was coping but at times don't. I must drive my gp nuts?!
    My GP would love it if I only had type2 and was an overweight male. A much gentler patient.
     
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