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Another One Of Those Conversations With GP
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<blockquote data-quote="Lally123" data-source="post: 1790928" data-attributes="member: 379571"><p>Probably a huge variation between GPs though. Unfortunately all GPs are not equal even those with a speciality which could mean a little bit of training. Or a lot. My own GP is great, I'm not convinced of the depth of his knowledge but because he and I go back a long way, some of which time working together, he is happy to go along with my choices ( and ignore his recommendations on.statins). But we do have to remember that they are generalists and will always stick to the NHS guidelines which are there to do the most good for the most people. In your opinion, and that of the doctors you follow, a low carb diet is the way forward and personally I think lower carb diets are hugely beneficial. I believe you do keto though which I can't do, and I really can't see the NHS recommending that restrictive a diet to the millions of people with type 2 diabetes out there. If people with diabetes generally are bad at taking their meds and taking responsibility for their health, I would hold out no hope that they would happily accept the restrictions of a keto diet. So I guess the answer lies somewhere in the middle and not sure we are there yet though.diabetes UK 2018 guidelines do seem to be beginning to address the carb issue. I suspect that we will end up with GPs/dietitiàns/nurses recommending a lower carb version of the eat well plate in the near future. But until a keto diet is proven safe in the long term, and there are no long term studies available as of now, how could it be recommended. Likewise and back to the original point, testing for all is prohibitively expensive and unless it can be proven in a large scale study involving hundreds of thousands of people, that issuing bg meters and strips can improve health and reduce dependence on meds in type 2s then it's not happening. GPs have a hard job, it's difficult to be all things to all people, and they will never get it right.for everyone. But like most people they go to work to do the best job they can.</p></blockquote><p></p>
[QUOTE="Lally123, post: 1790928, member: 379571"] Probably a huge variation between GPs though. Unfortunately all GPs are not equal even those with a speciality which could mean a little bit of training. Or a lot. My own GP is great, I'm not convinced of the depth of his knowledge but because he and I go back a long way, some of which time working together, he is happy to go along with my choices ( and ignore his recommendations on.statins). But we do have to remember that they are generalists and will always stick to the NHS guidelines which are there to do the most good for the most people. In your opinion, and that of the doctors you follow, a low carb diet is the way forward and personally I think lower carb diets are hugely beneficial. I believe you do keto though which I can't do, and I really can't see the NHS recommending that restrictive a diet to the millions of people with type 2 diabetes out there. If people with diabetes generally are bad at taking their meds and taking responsibility for their health, I would hold out no hope that they would happily accept the restrictions of a keto diet. So I guess the answer lies somewhere in the middle and not sure we are there yet though.diabetes UK 2018 guidelines do seem to be beginning to address the carb issue. I suspect that we will end up with GPs/dietitiàns/nurses recommending a lower carb version of the eat well plate in the near future. But until a keto diet is proven safe in the long term, and there are no long term studies available as of now, how could it be recommended. Likewise and back to the original point, testing for all is prohibitively expensive and unless it can be proven in a large scale study involving hundreds of thousands of people, that issuing bg meters and strips can improve health and reduce dependence on meds in type 2s then it's not happening. GPs have a hard job, it's difficult to be all things to all people, and they will never get it right.for everyone. But like most people they go to work to do the best job they can. [/QUOTE]
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