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Changed GPs - No more strips

Discussion in 'Type 2 Diabetes' started by Anfalas, Dec 14, 2017.

  1. Anfalas

    Anfalas Type 2 · Active Member

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    Hello, I have recently changed GPs as I moved quite a distance.
    The new nurse says its not in their practice to prescribe testing stuff unless on inulin as this is not an accurate way of
    measuring your sugar...

    I am new at this diabetes thing and I like checking to see what different food does to me. For example I have had a banana and my sugar went crazy but had a slice of pizza and it was ok (even later than two hours)...

    Can I do anything about this? I can not afford strips on my own.

    To be honest, I am very upset with the whole experience, she said my results are not that bad and that was it, I didn't get any information, I dont know who to go to if I have a question, I dont know when my next appointment will be.. I am very upset with their standard of care. Especially this was my first diabetic appointment ever before I have just seen a nurse at my old GP who said she cant do much as I am moving!

    I heard there are courses to learn about t2 and stuff but she has mentioned nothing. I am quite shy in person, so I smile and nodded while I was there but I am quite upset.
     
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  2. ally1

    ally1 Type 2 · Expert

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    Unfortunatly many gp surgeries won,t issue t2,s with test strips unless you are on isulin and other meds like glitzicide. Annoying yes but it would cost a fortune to issue every t2 with strips.
    I struggle to pay for my strips as am on benefits. It took me months before I realised I could cut back on non essential things to buy the strips.
    Many of us buy the codefree strips as they are one of cheapest to buy.
     
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  3. Guzzler

    Guzzler Type 2 · Master

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    Keep smiling and nodding but do not leave without the information that it is your right to have. Make sure that you have been referred for retinal screening, insist on foot checks and get all your test results. There is nothing, sadly, that you can do if your practice do not issue free strips and if you cannot afford them then all you can do is to learn as much as you can with the last strips you may have and avoid the really bg raising carbs which, as I am sure you know, are bread, potatoes, pasta, rice etc.
    You can read around the forum on such questions as fruit (bananas and grapes are the biggest baddies) and vegetables etc. I would urge you though to try your best to self fund your strips as this is the best way to find your individual 'trigger' foods. Good luck.
     
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  4. ickihun

    ickihun Type 2 · Master

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    I'll be honest pre low carb I bought occasional takeaways and went out for meals.
    Only because I set aside xmas funds did we have our Christmas meal on monday.
    However, if I needed that money for strips to check I won't hypo on insulin, I'd have no choice. They are cheaper than a pizza takeout and other luxury foods.
    I'd have no choice.

    Without insulin I go in 22-30 range even on metformin, even low carbing as I convert protein to glucose too. My insulin resistance is so bad that I need insulin to be able to reduce my own insulin energetically.
    Running on 20s and 30s isn't a clear minded way of reducing insulin via exercise and diets after diets that don't work when your IR is so high the little difference it makes don't even dent the problem. Only injected insulin can support such horrendeous IR.

    So when people say type2s don't need injected insulin, some do.

    This is what the nhs is facing when they refuse type2s basic care. Basic as test strips so they can self manage.

    All type2s will end up like me. Highly IR because of lack of care and knowledge. A vicious circle.

    Mind u maybe that's what the nhs wants. Morbidly obese highly resistant insulin users and bariatric surgery waiting lists. £9, 000 ops as a regular occurance.
    Then what. Those who don't reverse will be refused testing strips and it all starts again.
    Whose idiotic idea Is that?
     
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  5. TheBigNewt

    TheBigNewt Type 1 · Well-Known Member

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    Here I don't think we supply strips to all Type 2's. I buy my own and I'm Type 1: ADW Diabetes is the website. TrueTrack is the brand. 50 strips for $10 if you buy in bulk. Meters and lancets basically free. That's cheap, if you test twice a day it's $12/month.
     
  6. himtoo

    himtoo Type 1 · Well-Known Member
    Retired Moderator

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  7. daisy1

    daisy1 Type 2 · Legend

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    @Anfalas

    Hello Anfalas and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find this interesting and useful. Ask as many questions as you need to and someone will help.


    BASIC INFORMATION FOR NEW MEMBERS

    Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

    A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 259,000 people who are demonstrating this.

    On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

    The role of carbohydrate

    Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

    If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

    The bad news

    Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

    The good news

    People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

    Controlling your carbs

    The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

    There are two approaches to controlling your carbs:
    • Reduce your carbohydrate intake
    • Choose ‘better’ carbohydrates
    Reduce your carbohydrates

    A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

    The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

    Choosing better carbohydrates

    The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

    Read more on carbohydrates and diabetes.

    Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

    Eating what works for you

    Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

    To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

    The blood sugar ranges recommended by NICE are as follows:

    Blood glucose ranges for type 2 diabetes
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 8.5 mmol/l
    Blood glucose ranges for type 1 diabetes (adults)
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 9 mmol/l
    Blood glucose ranges for type 1 diabetes (children)
    • Before meals: 4 to 8 mmol/l
    • 2 hours after meals: under 10 mmol/l
    However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

    Access to blood glucose test strips

    The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

    • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
    • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

    Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

    You may also be interested to read questions to ask at a diabetic clinic.

    Note: This post has been edited from Sue/Ken's post to include up to date information.

    Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.
    • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why
    • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
     
  8. Salvia

    Salvia Prediabetes · Well-Known Member

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    Hello Anfalas, welcome to the forum. It's easy to understand your plight about the cost of buying your own strips - you'll find that many of us have the same issue. If you're unable to fund strips on a regular basis, perhaps you could try to do so for, say, a week each month, or every other month, or something - just so that you can keep a bit of an eye on how your bg is doing compared to the meals you have. You could try this alongside the other advice given above.

    If you find that the strips for your current meter are too expensive for you (and they often are if the meter is NHS-supplied), perhaps consider buying a different meter that has cheaper test strips. That could prove to be cost-effective in the longer term. The two meters bought fairly often by type 2s on this site appear to be the Codefree or the TEE2*. I don't have the contact/purchase details for these, but I believe @Bluetit1802 has them (with apologies to Bluetit1802 if my memory is faulty).

    edit: *The TEE2 meter & starter kit are actually free; you pay only for the strips, which are slightly more than the Codefree, though the Codefree has special codes that allow a reduction for bulk purchases.
     
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  9. Art Of Flowers

    Art Of Flowers I reversed my Type 2 · Well-Known Member

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  10. first14808

    first14808 Type 2 · Well-Known Member

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    So a crazy idea.

    Write to your GP asking them to confirm in writing that they're refusing to provide you with the means to manage your medical condition safely. To avoid complications like diabetic neuropathy, and the negative effects that may have on your quality of life, you need to monitor your glucose levels.

    Then that letter should stay on file, and if they refuse in writing, any personal injury lawyer would have a field day if you developed any complications. Which you could have avoided if you could test. Which is why the GP may change their mind and give you a prescription rather than risk liability. Yes, it's a cost to the NHS, but the cost of dealing with diabetic complications is a lot higher.
     
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