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Confused By My DN

I would insist on seeing the doc. Ring up, ask for an appointment. Don't discuss with receptionist. Complain to practice manager if probs!
Pre prandial means before food.
Post prandial after.
I would get a bs monitor from home health (sd code free as strips are cheapest on market) and test fasting bs. Bs before any food and drink first thing in a morning.
I would ditch any pasta, rice, bread or potatoes
Keep a food diary and test before meals and 2 hours after for a fortnight. Then you'll have some data.
Good luck.
 

I have ditched all bread, I didn't eat pasta or rice anyway. I ate chips which I've stopped. I have been testing my BG. Before I cut these foods out my post meal figures were high 8's or 9's. Now they are low 7's or high 6's mostly. So I don't want to put the carbs back in. I'm going to mention about this GAD test if she says I should be on insulin. The doctor who used to take care of the diabetic patients prior to the nurse is on holiday at the moment, and he probably would be the next best bet


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Are you on meds?
 
No, my DN said she wanted to try by diet at first


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Well then there's no way you should be on insulin unless you are not producing any! It is possible to take metformin and then gradually reduce and come off them! I weighed 16 st 1lb at the start of my journey on 28th of Jan 2014. Fasting bloods 13. My doc was as much use as a chocolate fire guard (not my current one) and the diabetic nurse has refused to see me as I refuse to stuff my face with carbs at every meal.
I now way 13st 5lbs, I halved my hba1c to 42. My Metformin has been reduced from 3 tablets to 1 tablet a day.
If I were you, I would refuse to see this woman. I think she sounds incompetent and insist on seeing the doc. Why don't you ask about metformin? Some people don't get on with it as they get diarrhoea but you can get the slow release (it's more expensive so they give everyone the original first). The metformin helps lower bs and is an appetite suppressant. Do you need to lose weight?
I would also ask for a bs monitor. You are entitled to one although your doc might refuse if you are T2 although NICE recommend them for those who are T2 and have just been diagnosed. If you are T1 then all T1 are entitled.
Presumably you have been put on one of the education courses and sent for a foot check plus a retinopathy scan? If not you need to complain.
Please do not be too nice. Your doc is paid additional money for you. In an ideal world. You would be given good advice and the tools to help you manage your diabetes but unfortunately this is not the case for many on this forum. Good luck!
 
 
Hi, I just thought I'd update everyone. Been to the doctors today, my hba1c has come back at 6.3 (was 7.9 in May). The DN said she has been speaking to someone and she now reckons it's because of what I'm eating (or not eating) is the reason that ketones are present! She said my kidney function test came back fine, there's no need to go on insulin and to carry on doing what I'm doing She wants me to back in October.


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@Eurobuff
As we all thought! So pleased for you!
Still think your dn is an idiot and that you should see the doc instead!
 
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