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Type 1 Diabetes
Choice of Diabetes Specialist Nurse?
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<blockquote data-quote="Daibell" data-source="post: 1355258" data-attributes="member: 21149"><p>Hi. What a sad situation for you. As I'm a mis-diagnosed LADA and still listed as T2. I have only ever been seen at my surgery but I was really lucky as the surgery DN used to work at the db clinic and started me on insulin and had great experience. She left but I now have alovely DN who is really just T2. My comments on your post include:</p><p>1) I take insulin for any snack with 40gm carb or higher if I remember!</p><p>2) 3x a day for insulin is stupid. It needs to be at least x4 if on Basal/Bolus and one Basal a day. This assumes all meals have, say, at least 40gm carb</p><p>3) Interestingly my expert DN said not to do correction doses either (must be the same silly Diabetes training?). I think most of us know you do correction doses when needed but mustn't stack insulin.</p><p>4) Carb-counting only for beginners -wot. I wonder whether she thinks carb-counting is weighting carbs on the scales?</p><p>5) The 'foods' thing sounds the usual NHS denial of carbs. Yes, fat and protein affect blood sugar a bit, but only a bit. What an ignorant comment.</p><p></p><p>If I were you I would do what you believe to be right and smile nicely at the DN, but let some of it pass over your head.</p></blockquote><p></p>
[QUOTE="Daibell, post: 1355258, member: 21149"] Hi. What a sad situation for you. As I'm a mis-diagnosed LADA and still listed as T2. I have only ever been seen at my surgery but I was really lucky as the surgery DN used to work at the db clinic and started me on insulin and had great experience. She left but I now have alovely DN who is really just T2. My comments on your post include: 1) I take insulin for any snack with 40gm carb or higher if I remember! 2) 3x a day for insulin is stupid. It needs to be at least x4 if on Basal/Bolus and one Basal a day. This assumes all meals have, say, at least 40gm carb 3) Interestingly my expert DN said not to do correction doses either (must be the same silly Diabetes training?). I think most of us know you do correction doses when needed but mustn't stack insulin. 4) Carb-counting only for beginners -wot. I wonder whether she thinks carb-counting is weighting carbs on the scales? 5) The 'foods' thing sounds the usual NHS denial of carbs. Yes, fat and protein affect blood sugar a bit, but only a bit. What an ignorant comment. If I were you I would do what you believe to be right and smile nicely at the DN, but let some of it pass over your head. [/QUOTE]
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