apparently all patients must have a liver function test, especially if in the past you have suffered liver damage (with me it was a gallstone problem). I did not.
Was the blood test for a HbA1c? This measures average blood sugar over 3 months. Eating will not affect the result.
HiWhere did you get this from? All patients must have an LFT? Do you mean all patients on Piogltazone or all diabetic patients? There are plenty of drugs that come with a risk of impacting on liver function and are often accompanied with recommendation for LFTs while taking them. There is no NICE guideline for regular LFT testing for diabetic patients. Liver damage is not a complication of diabetes, so there is no reason to screen for liver damage in diabetic patients.
I know docs are under pressure and empathise, truly. However, when a doc is a diabetes specialist he or she needs to be absolutely clear with their patients. Footnote; my doc said that if he were a lawyer the bill would be mounting up! And it was not a joke.They're right
Thanks; yes this us the question right now. Years ago, I had a diabetic nurse who kept asking me if I wanted a heart attack and kept telling me to be quiet while she was typing. I changed her after she suddenly prodded my stomach feintly aggressively because my blood sugar not come down like before!I would find another doctor if it were me.
Yes, but with my pancreas dying off a bit, this might explain the levels. However, I have no ideas what 'new way of measuring blood sugar' is! Which mysteriously alluded to. Anyone have any ideas?Was the blood test for a HbA1c? This measures average blood sugar over 3 months. Eating will not affect the result.
NICE states that a liver function test should be made prior to being prescribed Pioglitazone.
Yes, but with my pancreas dying off a bit, this might explain the levels. However, I have no ideas what 'new way of measuring blood sugar' is! Which mysteriously alluded to. Anyone have any ideas?
OK now you sound really patronising!Really? I can't find a NICE guideline that provides for this. BNF simply states that Piogltazone shouldn't be prescribed to people with hepatic dysfunction and patients should be warned of signs and symptoms of acute liver dysfunction as this is a rare side effect of the drug (the warning will be in the patient information leaflet in the pill box).
How do you know your pancreas is dying off a bit? Have you had a cpeptide test to see what your insulin production is looking like?
Who has "mysteriously" alluded to new ways of monitoring blood sugar? Do you actually monitor your blood sugar at the moment, are you testing before and two hours after eating to see what impact food is having? The allusion may have been to the freestyle libre, a flash glucose monitor, which is available for anyone to purchase.
Really? I can't find a NICE guideline that provides for this. BNF simply states that Piogltazone shouldn't be prescribed to people with hepatic dysfunction and patients should be warned of signs and symptoms of acute liver dysfunction as this is a rare side effect of the drug (the warning will be in the patient information leaflet in the pill box).
You have read through properly. So your opinion is surplus. But thanks anyway.
How do you know your pancreas is dying off a bit? Have you had a cpeptide test to see what your insulin production is looking like?
Who has "mysteriously" alluded to new ways of monitoring blood sugar? Do you actually monitor your blood sugar at the moment, are you testing before and two hours after eating to see what impact food is having? The allusion may have been to the freestyle libre, a flash glucose monitor, which is available for anyone to purchase.
You have not read it through; I used to work for a drug company so I know my way around. I exercise my free will, don't you? Or do work for a drug company?OK now you sound really patronising!
I don't wish to discuss this with you anymore. Bye!Really? I can't find a NICE guideline that provides for this. BNF simply states that Piogltazone shouldn't be prescribed to people with hepatic dysfunction and patients should be warned of signs and symptoms of acute liver dysfunction as this is a rare side effect of the drug (the warning will be in the patient information leaflet in the pill box).
How do you know your pancreas is dying off a bit? Have you had a cpeptide test to see what your insulin production is looking like?
Who has "mysteriously" alluded to new ways of monitoring blood sugar? Do you actually monitor your blood sugar at the moment, are you testing before and two hours after eating to see what impact food is having? The allusion may have been to the freestyle libre, a flash glucose monitor, which is available for anyone to purchase.
ThanksThe standard western medical treatment for type 2 diabetes is:
1. Follow the government recommended low fat high carb diet.
2. Metformin.
3. A statin.
4. A blood pressure reducing med.
As the patient’s blood glucose levels rise, prescribe stronger diabetes meds until finally they need to be on insulin.
No she doesn't. @catapillar is always very helpful with her advice.OK now you sound really patronising!
OK now you sound really patronising!
OK now you sound really patronising!
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