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<blockquote data-quote="xyzzy" data-source="post: 268483" data-attributes="member: 40343"><p>No I don't see anything in what you say as offensive. In fact I think you've got it just about right. To minimise complications the NHS needs to do a number of things.</p><p></p><p>1. Give up on the starchy carbs with every meal message. All informed and successful T2's know a reduced carb regime not only reduces the risks of complications but would also lower the NHS drugs bill. A good diet is ten times better than most drugs</p><p></p><p>2. Start telling T2 patients the facts of life rather than the wishy wash rubbish they get told today. Do an education campaign similar to that done for anti smoking, drink drive etc that has some real teeth to the message. Stop trying to con people that treatment targets are being successfully met by doing things like easing off on what level is safe after two hours. The targets maybe being met but the complications and harm they cause will be ever increasing.</p><p></p><p>There will always be a core of T2 people who will pay no attention to any message. That's no different from T1's who don't control. I have no issue with being critical of people once they have been given good advice and help on self management. Trouble is at the moment, advice is patchy and poor and the ones who are taking note of the current "good" advice are getting much the same results as the ones who don't.</p></blockquote><p></p>
[QUOTE="xyzzy, post: 268483, member: 40343"] No I don't see anything in what you say as offensive. In fact I think you've got it just about right. To minimise complications the NHS needs to do a number of things. 1. Give up on the starchy carbs with every meal message. All informed and successful T2's know a reduced carb regime not only reduces the risks of complications but would also lower the NHS drugs bill. A good diet is ten times better than most drugs 2. Start telling T2 patients the facts of life rather than the wishy wash rubbish they get told today. Do an education campaign similar to that done for anti smoking, drink drive etc that has some real teeth to the message. Stop trying to con people that treatment targets are being successfully met by doing things like easing off on what level is safe after two hours. The targets maybe being met but the complications and harm they cause will be ever increasing. There will always be a core of T2 people who will pay no attention to any message. That's no different from T1's who don't control. I have no issue with being critical of people once they have been given good advice and help on self management. Trouble is at the moment, advice is patchy and poor and the ones who are taking note of the current "good" advice are getting much the same results as the ones who don't. [/QUOTE]
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