Definitely push to be referred to a hospital. I have an annual appointment at my GP, but all they do is check my feet and update my prescriptions, they have never given me any useful advice on diabetes management.
At the hospital, my consultant is extremely supportive and will go through all my testing results with me to spot areas for improvement and will suggest where I need to change my carb:insulin ratio or whether I should increase my basal etc. He would never tell me off and completely understands how difficult it can be to manage. They make me feel like they're genuinely trying to help me, and I never ever feel judged! I could never manage without them.
Hi Jay- I've been Type 1 for 58 years so have seen many diabetic specialist quacks in my time. I used to feel a bit intimidated like yourself but managed to get over it by meeting it head on and by almost making a joke over a poor HBA1c by saying to him something like " I suppose you're going to give me a bloody great bollocking this time eh? ! Well I don't care because it's MY DIABETES AND MINE ALONE! They usually say " oh no I'm not going to do that" your control isn't too bad or acceptable or words to that effect. They back pads like mad- its a joy to watch! Don't be frightened of these guys is the key in my opinion, they are human beings after all and **** and defecate like everybody else on the planet!Hi all,
A bit of a rant and I'm looking for advice. I know I am by no means perfect with my control but whenever I go to the doctors I feel like a child being told off. There's a complete lack of reality on their side and the doctors I go to have never offered a practical solution to improve my bg control.
Ultimately this leads to me to complete panic and feeling like a failure (N.B I do also have anxiety around letting people down). I absolutely dread going to the doctors and lose sleep before appointments etc.
I'm just looking for advice on a way to move this forward. How did you start the process of getting better help from your GP?
Sorry for the rant!
J
Hi thereHi all,
A bit of a rant and I'm looking for advice. I know I am by no means perfect with my control but whenever I go to the doctors I feel like a child being told off. There's a complete lack of reality on their side and the doctors I go to have never offered a practical solution to improve my bg control.
Ultimately this leads to me to complete panic and feeling like a failure (N.B I do also have anxiety around letting people down). I absolutely dread going to the doctors and lose sleep before appointments etc.
I'm just looking for advice on a way to move this forward. How did you start the process of getting better help from your GP?
Sorry for the rant!
J
You will know a lot more than them the longer you have had this truly horrible disease. They don't have to live with it every hour of every day of every year like you.I feel like changing to a GP with more knowledge would be ideal, I'm stuck with where I am for the moment though.
It is worrying when the person who is meant to be helping you has said that I know more about Diabetes than them..
Awful attitude. It's like a brick wall. Even when your next figures are better, they will dismiss it. If so, you must carry on.I went to my gp and told him I was going low carb
I told him I found this site. Well talk about body language I felt uncomfortable he couldn’t even look at me just kept his eyes on the computer. He obviously doesn’t agree with low carbing giving the chat we had. I had been keeping a food diary along with my hba1c results which I thought were good. He didn’t want to look at it. He said it wouldn’t be a true record. I came out thinking to myself well I’ll show you just wait until my next clinic appointment which of course should have been December. So I’m thinking the longer it takes for them to send me an appointment my levels and weight should be better. At my next appointment the conversation should be interesting. I have printed out some interesting information. What I have learned after being type 2 for 13 years is that you just need to look after yourself because they are not really that interested it they don’t have the time.
Our local diabetes nurses are no better.Hi there
I’m Type 1 and a GP too. I would be the first to admit that not all GPs are clued up about diabetes, be it type 1 or 2. Does your Practice have a specific nurse for diabetes? If not and you are not in a position to change surgeries I would respectfully request a referral to your local Diabetes Specialist Nurse. It is completely unacceptable these days not to have a source of advice and support to help you manage your Diabetes. It also sounds as though your GP might be lacking in empathy. Never a good thing!
I went to my gp and told him I was going low carb
I told him I found this site. Well talk about body language I felt uncomfortable he couldn’t even look at me just kept his eyes on the computer. He obviously doesn’t agree with low carbing giving the chat we had. I had been keeping a food diary along with my hba1c results which I thought were good. He didn’t want to look at it. He said it wouldn’t be a true record. I came out thinking to myself well I’ll show you just wait until my next clinic appointment which of course should have been December. So I’m thinking the longer it takes for them to send me an appointment my levels and weight should be better. At my next appointment the conversation should be interesting. I have printed out some interesting information. What I have learned after being type 2 for 13 years is that you just need to look after yourself because they are not really that interested it they don’t have the time.
I think HbA1c of 46 is very good. What do others think?My GP told me that my A1c of 46% is “normal”, which clearly isn’t!!!
She hasn’t got a clue about diabetes so I changed GP/surgery straightaway!
You will know a lot more than them the longer you have had this truly horrible disease. They don't have to live with it every hour of every day of every year like
Thanks for your reply much appreciated. Although I’m just checking through the threads and think I have posted this in the the type 1 section by mistake sorry about that I’m new to this.Spot on - Type 2 or Type 1 - it's down to you to look after yourself as best you possibly can to avoid serious complications down the road ahead. Like you say- they don't really have the time at the clinic or docs to make that much of a difference. " Going through the motions" is most of the quacks I've ever seenGood luck Bud !
Find another GP. My GP and Endo have frequently told me that 'we' (Dr and I) need to work out how to improve my HbA1c, but neither have NEVER made me feel like a failure, exactly the opposite and I have had some horrible HbA1c results. When you find a great GP hang onto them. My Dr visits are oh gooddy I'm off to see a friend. All they need to do is provide tea and a cake or preferably a beer! NB and CM your the best!Hi all,
Ultimately this leads to me to complete panic and feeling like a failure (N.B I do also have anxiety around letting people down). I absolutely dread going to the doctors and lose sleep before appointments etc.
I'm just looking for advice on a way to move this forward. How did you start the process of getting better help from your GP?
Sorry for the rant!
J
HI there is no easy way here. I DID the Newcastle Diet in spite of active discouragement from the GP. After I got my blood sugars down I phoned them up and almost scolded them , and I got a weak response i.eHi all,
A bit of a rant and I'm looking for advice. I know I am by no means perfect with my control but whenever I go to the doctors I feel like a child being told off. There's a complete lack of reality on their side and the doctors I go to have never offered a practical solution to improve my bg control.
Ultimately this leads to me to complete panic and feeling like a failure (N.B I do also have anxiety around letting people down). I absolutely dread going to the doctors and lose sleep before appointments etc.
I'm just looking for advice on a way to move this forward. How did you start the process of getting better help from your GP?
Sorry for the rant!
J
Hi there
I’m Type 1 and a GP too. I would be the first to admit that not all GPs are clued up about diabetes, be it type 1 or 2. Does your Practice have a specific nurse for diabetes? If not and you are not in a position to change surgeries I would respectfully request a referral to your local Diabetes Specialist Nurse. It is completely unacceptable these days not to have a source of advice and support to help you manage your Diabetes. It also sounds as though your GP might be lacking in empathy. Never a good thing!
That’s truly appalling and something no-one should have to put up with but sadly it happens. My nephew was diagnosed with Diabetes in 2016. Losing weight ++ and so obviously type 1 to anyone who had eyes to see. GP registrar referred him to diabetic specialist nurse and was told he should be contacted in a month or so. Kicked up a stink and was seen earlier to be told that he probably had type 2 and we’ll see you in a couple of months. Dietary advice consisted of “don’t drink alcohol at all as it has sugar in and don’t eat sweets and we’ll see you in a couple of months. Fortunately I was able to advise, otherwise he would have ended up in ketoacidosis pretty quickly. Patients must not tolerate care like that. One word of advice though. Never tell a doctor or nurse like that that they are useless, even if they are. Just respectfully request a second opinion and if it doesn’t happen, a.) complain formally and b.) vote with your feet if you can. Good doctors and nurses encourage constructive criticism, bad ones don’t.Dr Bailey,
I’m very sad to tell you that my first meeting with my Diabetic Senior Nurse was quite an unpleasant experience.
I was diagnosed at Barnet A&E with diabetes after a severe Ketoacidosis last Sept 2017.
Unfortunately I was discharged the next day due to “lack of beds” and didn’t hear anything from my GP or Diabetic team until around 6 weeks later!
When I finally had a meeting with my DN, she immediately pricked my finger, showed 9mmol/l and told me I need to be put on insulin straightaway without any explanation whatsoever.
She very quickly and abruptly showed me how to inject myself in a very rushed manner, and “off you go and goodbye, get on with it”, sort of attitude.
The whole session lasted less than 6 minutes.
Literally in tears and I went home shocked, completely helpless and lost. And the worst thing was the frequent hypoglycaemia attacks which was all new to me and didn’t know what to do. I also made several mistakes with injecting myself with insulin!
I tried to call my DN several times but the office was always on voicemail, the whole team were always out.
I ended up conducting my own research online and thank God I found this site and all the wonderful people here!
Andrew
That’s truly appalling and something no-one should have to put up with but sadly it happens. My nephew was diagnosed with Diabetes in 2016. Losing weight ++ and so obviously type 1 to anyone who had eyes to see. GP registrar referred him to diabetic specialist nurse and was told he should be contacted in a month or so. Kicked up a stink and was seen earlier to be told that he probably had type 2 and we’ll see you in a couple of months. Dietary advice consisted of “don’t drink alcohol at all as it has sugar in and don’t eat sweets and we’ll see you in a couple of months. Fortunately I was able to advise, otherwise he would have ended up in ketoacidosis pretty quickly. Patients must not tolerate care like that. One word of advice though. Never tell a doctor or nurse like that that they are useless, even if they are. Just respectfully request a second opinion and if it doesn’t happen, a.) complain formally and b.) vote with your feet if you can. Good doctors and nurses encourage constructive criticism, bad ones don’t.
Sure, no problem. I’m currently laid up having broken my leg falling off my bike (No, exercise IS good for diabetes, at least if done sensibly!). So, for the next 3 weeks or so I have time on my hands though posting here is something I wouldn’t normally have time to do. The disintegrating NHS is wholly another subject all together. I’d like to think that most of us DO care but it’s not easy when you’re fighting fires every day of every week. I hope that you get the care that you deserve.I just changed surgery straightaway because I felt all alone and uncared for.
Now my new GP is excellent and my go to person/people now are NOT my DN or diabetic team but from this wonderful forum.
Thank you for your advice Dr Bailey I really appreciate it.
I hope I can also come to you if I have questions?
Anybody else panic at the doctor's?
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