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BBC news item with comments section

Jonathane

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People might be interested in this item on the BBC website this morning.

http://www.bbc.co.uk/news/health-17829012

It has a comments section, I posted a comment about conflicting diet advice and the preference for self monitoring of blood glucose for people with type 2 diabetes but some of you older hands might want to post something as well.

Jonathan
 
There was a rather snotty woman on the breakfast programme on 5Live this morning banging on about obesity and Type 2. It would be nice if people like her would maybe put their mouths behind the testing debate instead.
 
Can't see any comments on that piece, nor on the same story in the Telegraph.
Astonishing and yet unsurprising "news". How they come up with actual numbers baffles me esp out to 2035, as if us oldies could care less :lol:
The NHS is therefore doomed because imho the root cause is much more far reaching and involves serious changes to "lifestyle" that few want or can do. We are hemmed in by temptation and peer pressure so changing eating habits and activities is a hiding to nothing. The NHS is not in the biz of prevention; it is all about fixing us up. It is too good at that so people overely on it, it is perhaps a victim of its success.....?
I would have liked to see comparable numbers about the other majors sources of illness such as CV, AIDS, cancer etc.
By 2035 some clever **** will have figured DM out and a cure will be cheap and universally available so it is all a tad too hysterical to me. 8)
 
Cowboyjim said:
By 2035 some clever **** will have figured DM out and a cure will be cheap and universally available so it is all a tad too hysterical to me. 8)

You don't have to wait until 2035, Richard K. Bernstein figured it out in 1969: test your BG and eat less carbs. It isn't a cure, but it will (in general) minimise both the medication required and risk of future complications (and therefore the cost implications to the NHS).

All that the NHS need to do is to dump their unscientific "low-fat" dogma and invest in a re-education plan which stresses the benefits of testing and carbohydrate management for diabetes and metabolic syndrome.
 

Start Quote
If this rise in diabetes is allowed to continue, it will simply be disastrous for NHS budgets”
End Quote
Baroness Barbara Young

Chief executive of Diabetes UK

I can see where this may be heading,a quick fix for the NHS by changing the diagnostic criteria from fasted glucose level of >7.0mmol/l to a much higher figure,say for example,>9.0mmol/l so that many people who would be newly diagnosed now-would no longer be diagnosed solving the rise in Diabetes{well on paper anyway}
 
Interesting to see the breakdown of how much of the Budget is spent on different types. Yearly checks are not enough, we need better education to stop 80% of the budget being spent on complications.
 
borofergie said:
You don't have to wait until 2035, Richard K. Bernstein figured it out in 1969: test your BG and eat less carbs. It isn't a cure, but it will (in general) minimise both the medication required and risk of future complications (and therefore the cost implications to the NHS).

All that the NHS need to do is to dump their unscientific "low-fat" dogma and invest in a re-education plan which stresses the benefits of testing and carbohydrate management for diabetes and metabolic syndrome.

:clap:

Smidge
 
It looks like the BBC has turned the ability to send a comment in off.

There is a piece by the Guardian on the same story with a comment section.

http://www.guardian.co.uk/society/2012/apr/25/diabetes-treatment-bankrupt-nhs-generation
 
I was at my local diabetes clinic yesterday the main reason being to go over my pump with the consultant there but in the end we had a long conversation probably for nearly an hour on the current state of affairs re the NHS and diabetes... He was for the most part wholly in agreement with many of the opinions expressed here re type II treatment... those being:

1. The current approach does not work and we need to change this approach... He was all for 'controlled carb' and admitted that subject to some longer term research on low carb / high protein diets he had no problems with VLC diets..

2. That treating type II in the community is not working... Basically he said from his experience that in most (there are apparently some very good ones as well) GP's surgeries in my local area the 'diabetes specialist' nurse or GP had a very poor working knowledge of the condition and that their knowledge was based on information often decades out of date..

3. Testing for Type II is a must for those that want to manage their condition.

4. That the local practises are failing to explain diabetes to individuals; they rely on 'dictating management' rather than explaining on the individuals level and letting the individual make pro-active choices.

5. That PCTs are lead by yearly budgets rather than long term strategic thinking..
 
Hope I'm reading the right article as the link doesn't work in the OP's post, but this is astonishing:

"But the most shocking part of this report is the finding that almost four-fifths of NHS diabetes spending goes on treating complications that in many cases could have been prevented.

"That's hugely wasteful - in human life, in the quality of human life, and in NHS budgets. We need to stop this now and make sure people get the right sort of care early on in their condition."
 
Hi Folkes,

I have just read some of the comments on this article. Some hugely varied opinions and sooooo many ill informed presumtions. No mention of the Type 1.5s who are being treated as T2 when actually it seems as if the medical profession take too long in their diagnosis ( I have read on here 2-5 yrs in some cases. ) Also no mention of the large number of people who have T1 and other autoimmune conditions. The people who have got T1 because of severe pancreatitus or had to have their pancreas removed.

And certainly no reporting on the large number of T1 and T2s trying very very hard to maintain a stable BG level.

OH NO THEY HOME IN ON THE NEGATIVES!!!
 
I agree with several others of you on this topic, the problem of complications needs addressing. the medical profession needs persuading that they are not inevitable. which i think they TRULY BELIEVE. The concept of a carb based "Healthy Balanced" diet needs to be consigned to the bin. All T2s, who are capable of doing so, should be handed over the management of their own condition. Strips would cost less than amputations and aftercare. Especially if the NHS would use a consistent buying policy to get the prices down.
I'm planning on confronting Baroness Young ASAP. She has her weekend cottage just aross the street from my Mum. She's not been there much during the winter, but the village rumour is that she's going to be there more often now. and she'll be attending church on Sundays, as my Mum does.
I'm next going up to Bedfordshire for a few days next month to stay with my mother and take her out and about and to the RSPB headquarters just up the road.
Hana
 
Just read the comments on the Guardian web site and its just a Type 2 ass kicking competition, so many T1's just have no idea about T2 and think we are all lazy fat slobs - Typical Guardian readers I guess, pretending to be so 'right on' and really as up tight as they can be, tree huggers the lot of them :evil:

ARRRRRRRRRRRRRRRR it makes me so mad when T1's wants to be distanced from T2's and whinge that "its not my fault". Well its not my fault I am T2 either I didnt choose to be diabetic, if we could just all learn to stand together and educate people about carb restriction, starting with the NHS and DUK then it could save the NHS millions, but instead we just argue amongst ourselves, its all very sad really.
 
Good for you Hana! I sometimes wonder whiose side she is on!

I often feel very gilty about the cost of my eye condition which is a complication but which was actually caused by the headlong dash to reach targets -and this ifs the opinion of the hospital and my case is unusually well documented.

The only consolation ,for me is that I am assured that it would cost more should I lose my sight and that surgeons and their students have learnt from experiences.

I have often heard staff expressing their horror at the problems caused by local Practices because of the advice and care {or lack of}given to diabetics . They often intervene as I have found and have cause to be very grateful to them!

Apologies if this is posted elsewhere but I have just , in trying to log-on to the innternet seen part of a report saying that here are plans to "refuse insulin" to diabetics who do not "eat a healthy diet"/ My blood ran cold. Who is to decide what a "healthy diet might be".

I can't help feeling that all the horror stories and hysteria about the diabetes "epidemic" will actually be to our disadvantage.
I am very angry with DUK. They do us no favours.
 
Sid Bonkers said:
Just read the comments on the Guardian web site and its just a Type 2 ass kicking competition, so many T1's just have no idea about T2 and think we are all lazy fat slobs - Typical Guardian readers I guess, pretending to be so 'right on' and really as up tight as they can be, tree huggers the lot of them :evil:

ARRRRRRRRRRRRRRRR it makes me so mad when T1's wants to be distanced from T2's and whinge that "its not my fault". Well its not my fault I am T2 either I didnt choose to be diabetic, if we could just all learn to stand together and educate people about carb restriction, starting with the NHS and DUK then it could save the NHS millions, but instead we just argue amongst ourselves, its all very sad really.

:thumbup: :thumbup: :thumbup: :thumbup: :thumbup:

Yes, I've seen exactly this kind of prejudice on the Diabetes UK (charity) Facebook pages where I sometimes fight a lonely battle against the parents of T1 diabetic children who complain that their kids are labelled "fat and lazy" because of the association with "fat and lazy" T2 diabetics.

I was surprised by it. No matter what problems this forum has, we thankfully don't have to put up with much of that T1 vs T2 nonsense.
 
Indeed we don't and long may it continue! We're all diabetic at the end of the day and that's all that matters!
 
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