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Message: <blockquote data-quote="Smallbrit" data-source="post: 1665807" data-attributes="member: 456748">I'm in Cardiff, but used to live in the US, and I have to say I got much more information and up to date advice ten years ago there than I've been given here, possibly because they were dealing with gestational diabetes - the diabetes nutritionist there taught me how to test with a meter, what glucose ranges to stay in, how to carb count; I even got shouted at when I ate a banana <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink    ;)" loading="lazy" data-shortname=";)" /> I was pregnant here in Wales last year and my GP and the midwife were indifferent rather than anti anything; they just told me to do what I was comfortable with when I asked.All my treatment in Cardiff has involved regular visits to the diabetic nurse, with little in the way of constructive advice - I was told to exercise more and eat more healthily, although I wasn't specifically told what that meant. I got diagnosed with prediabetes after the usual first check up when I moved here three years ago. I had the usual referral to the nutrition course, which seemed to be aimed at people who needed to lose weight and was teaching about calories, and have the yearly retinal screening apoointments. I saw my GP only when he intervened last year when my HBA1C shot up from low 40s to 89 in a three month period, which I think it's safe to say is what happens when you eat biscuits continually to console yourself. Even then, he didn't really tell me that I wasn't at a prediabetes level anymore or that I should have a more radical approach with such high numbers. I figured that out from here <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown    :(" loading="lazy" data-shortname=":(" />I'm going to say that my GP's surgery at least go with the hands-off approach and don't try to tell me anything contradictory to what I learnt in the US. I went down from 89 to 76 HBA1C after 3 months, by only adding exercise and eating a few less biscuits and my only advice from the GP was to keep doing what I was doing. Which is not really good enough, I think.</blockquote>

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