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<blockquote data-quote="jenrose" data-source="post: 26000" data-attributes="member: 11454"><p>I had been getting prescriptions for strips and lancets until my last diabetes review in June when the nurse told me she didn't think I needed strips. My HbA1c was 6, 9 months before it was 6.9 and when I was diagnosed 9 months before then it was 16. Two months later the doctor prescribed Metformin 500 mg twice a day which I have been taking. The nurse says you don't go too low on that but I have been as low 2.9 mmol/L when I have walked further than usual. Without a meter I wouldn't of been able to know what my bg was. At first I used to get symptoms like a hyp at 5.0 mmol/L but now it goes lower. She said to see a dietician. Anyway I read in the Diabetes Uk magazine that they wanted to know if anyone had difficulty getting strips on prescription so I emailed them that I did and they said to write to my MP amd PCT. I followed their advice and haven't had a reply back from the PCT but my MP said he would write to Ann Keen MP Department of Health. When he received the letter from her he forwarded a copy to me. In the letter, Ann Keen MP, wrote that the NICE guidelines stress that there are benefits from self-monitoring and that Sue Roberts, the National Clinical Director for Diabetes, has produced a factsheet for Strategic Health Authorities on home blood glucose monitoring. The factsheet suggests that 'PCTs may wish to link their strategy on self-monitoring to that on patient education'. </p><p></p><p>The letter also reveals that NICE is currently reviewong it guidelines on Type 2 diabetes. The progress of the reviewed guidelines can me monitored on NICE's website. It was pointed out that 'Any PCT which is automatically discouraging the prescription of blood glucose testing strips is not acting in accordance with NICE's advice that self-monitoring may prove useful to people in their overall approach to self-care'.</p><p></p><p>I am hoping that PCT's will change their minds about saving money this way. I feel it is short-term gain and long term loss for the NHS. My nurse did changed my review to 6 monthly which is better than every 9 months and I think to wait a year until you know how what your HbA1c (which tells you your average bg level over 2 -3 months) when you are going 'blind' is not good enough.</p></blockquote><p></p>
[QUOTE="jenrose, post: 26000, member: 11454"] I had been getting prescriptions for strips and lancets until my last diabetes review in June when the nurse told me she didn't think I needed strips. My HbA1c was 6, 9 months before it was 6.9 and when I was diagnosed 9 months before then it was 16. Two months later the doctor prescribed Metformin 500 mg twice a day which I have been taking. The nurse says you don't go too low on that but I have been as low 2.9 mmol/L when I have walked further than usual. Without a meter I wouldn't of been able to know what my bg was. At first I used to get symptoms like a hyp at 5.0 mmol/L but now it goes lower. She said to see a dietician. Anyway I read in the Diabetes Uk magazine that they wanted to know if anyone had difficulty getting strips on prescription so I emailed them that I did and they said to write to my MP amd PCT. I followed their advice and haven't had a reply back from the PCT but my MP said he would write to Ann Keen MP Department of Health. When he received the letter from her he forwarded a copy to me. In the letter, Ann Keen MP, wrote that the NICE guidelines stress that there are benefits from self-monitoring and that Sue Roberts, the National Clinical Director for Diabetes, has produced a factsheet for Strategic Health Authorities on home blood glucose monitoring. The factsheet suggests that 'PCTs may wish to link their strategy on self-monitoring to that on patient education'. The letter also reveals that NICE is currently reviewong it guidelines on Type 2 diabetes. The progress of the reviewed guidelines can me monitored on NICE's website. It was pointed out that 'Any PCT which is automatically discouraging the prescription of blood glucose testing strips is not acting in accordance with NICE's advice that self-monitoring may prove useful to people in their overall approach to self-care'. I am hoping that PCT's will change their minds about saving money this way. I feel it is short-term gain and long term loss for the NHS. My nurse did changed my review to 6 monthly which is better than every 9 months and I think to wait a year until you know how what your HbA1c (which tells you your average bg level over 2 -3 months) when you are going 'blind' is not good enough. [/QUOTE]
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