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<blockquote data-quote="phoenix" data-source="post: 992645" data-attributes="member: 12578"><p>I live in France but am T1, I see a specialist for all my diabetes related care and have good care. I've only seen my GP three times in fourteen years! I know though that T2 is normally dealt with by the GP.</p><p>It's not the same as in the UK though. It is up to me to be proactive in getting appointments and making sure that I have lab tests in good time </p><p>As a T2 you have a chronic condition called an ALD and all your diabetes related care should be reimbursed at 100%. When you go to the well woman appointment I should certainly ask about this .</p><p> It does take some time for the paperwork to be done. it won't make much difference for metformin but your top-up insurance won't be needed for any diabetes related specialist appointments as long as the specialist only charges normal rates.</p><p></p><p>Your doctor should at a minimum test your HbA1c every 3-6 months and there are other blood tests for cholesterol and blood and urine tests for kidney function .He should also look at your feet at least once a year. Very importantly you should be advised to go to an ophthalmologist for a retinopathy check. (but where I live there is a dearth of them so you have to make appointments 4-6 months in advance)You might be able to get an appointment to see a dietitian; I know several type 2s who have seen one in my local area. My local hospital also runs T2 courses but I think the provision does vary from area to area. </p><p></p><p>According to the Sophia site (see below) an ECG and perhaps a stress test are also normal. (I have one every 2 years and also a scan of my arteries)</p><p></p><p>There is a telemedicine scheme called Sophia which is available for all people with diabetes, though of course it does rely on talking on the phone; not always the easy option if your French isn't good.. Here is their website. <a href="https://www.ameli-sophia.fr/service-sophia/presentation-du-service-sophia.html" target="_blank">https://www.ameli-sophia.fr/service-sophia/presentation-du-service-sophia.html</a> There is also quite a lot of information on the site</p><p> Lastly, here is some of the official documentation regarding T2 and what the care should be. (in medico/legal French I'm afraid) <a href="http://www.has-sante.fr/portail/jcms/c_1735060/fr/guide-parcours-de-soins-diabete-de-type-2-de-l-adulte" target="_blank">http://www.has-sante.fr/portail/jcms/c_1735060/fr/guide-parcours-de-soins-diabete-de-type-2-de-l-adulte</a></p></blockquote><p></p>
[QUOTE="phoenix, post: 992645, member: 12578"] I live in France but am T1, I see a specialist for all my diabetes related care and have good care. I've only seen my GP three times in fourteen years! I know though that T2 is normally dealt with by the GP. It's not the same as in the UK though. It is up to me to be proactive in getting appointments and making sure that I have lab tests in good time As a T2 you have a chronic condition called an ALD and all your diabetes related care should be reimbursed at 100%. When you go to the well woman appointment I should certainly ask about this . It does take some time for the paperwork to be done. it won't make much difference for metformin but your top-up insurance won't be needed for any diabetes related specialist appointments as long as the specialist only charges normal rates. Your doctor should at a minimum test your HbA1c every 3-6 months and there are other blood tests for cholesterol and blood and urine tests for kidney function .He should also look at your feet at least once a year. Very importantly you should be advised to go to an ophthalmologist for a retinopathy check. (but where I live there is a dearth of them so you have to make appointments 4-6 months in advance)You might be able to get an appointment to see a dietitian; I know several type 2s who have seen one in my local area. My local hospital also runs T2 courses but I think the provision does vary from area to area. According to the Sophia site (see below) an ECG and perhaps a stress test are also normal. (I have one every 2 years and also a scan of my arteries) There is a telemedicine scheme called Sophia which is available for all people with diabetes, though of course it does rely on talking on the phone; not always the easy option if your French isn't good.. Here is their website. [URL]https://www.ameli-sophia.fr/service-sophia/presentation-du-service-sophia.html[/URL] There is also quite a lot of information on the site Lastly, here is some of the official documentation regarding T2 and what the care should be. (in medico/legal French I'm afraid) [URL]http://www.has-sante.fr/portail/jcms/c_1735060/fr/guide-parcours-de-soins-diabete-de-type-2-de-l-adulte[/URL] [/QUOTE]
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