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Type 2 Diabetes
DESMOND Course - What should I expect?
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<blockquote data-quote="Dougie22" data-source="post: 231004" data-attributes="member: 34509"><p>I was on my course yesterday and I should say right away that I would recommend it to anyone who gets the chance to go. The format was 9.30 till 4.00 with a half hour or so break for lunch. 9 patients, two of whom had brought their (non diabetic) partners with them. One guy was 28, then mostly 50's, 60's and 70's. Longest diagnosis 18 months ago, mine 7 months, most of the rest 4 to 6 weeks. I was the only one self testing by meter, one other person was using urine strips. We had 2 DSNs, a dietician and a trainee observing.</p><p></p><p>Format was as Anna described above. Plenty of interaction and drawing out of the more timid individuals so a professionally presented course which goes through the standard NHS/NICE/SIGN recognised material in reasonable depth. Those with no prior knowledge were probably overcome by the volume and variety of information. Those with a lot of knowledge had the basics reinforced.</p><p></p><p>My question, posted at the beginning was something like "Will the information delivered today take into account common elements of patient experience, as outlined in the on-line community, etc.". In fairness this question was answered. It's just that for all practical purposes, the answer was "no". It needs to be bourne in mind that this is an "accreditted" course, which means it must follow the curriculum and content laid down by the NHS/NICE/Etc. Educators have to supply the agreed "line", even when asked awkward questions. This is probably the best thing for newly diagnosed.</p><p></p><p>Experienced forum users would probably find a number of specific points to be controversial at least:</p><p></p><p>* Active discouragement of self testing of BG with a meter - wholly unnecessary and non beneficial</p><p>* Encouragement of daily testing with urine strips - confirmation that anything under 10 won't show</p><p>* Description of cholesterol as "blood fat" and emphasis on controlling with statins</p><p>* No real mention of intra day spikes as an issue - HbA1c adequate to avoid complications</p><p>* No recognition of low carbing as a potential long term solution for some</p><p></p><p>Having said all the above, if you are a newly diagnosed T2 and you get the opportunity to go on a DESMOND course, grab it with both hands. If your partner is the main shopper and cook, take them too.</p></blockquote><p></p>
[QUOTE="Dougie22, post: 231004, member: 34509"] I was on my course yesterday and I should say right away that I would recommend it to anyone who gets the chance to go. The format was 9.30 till 4.00 with a half hour or so break for lunch. 9 patients, two of whom had brought their (non diabetic) partners with them. One guy was 28, then mostly 50's, 60's and 70's. Longest diagnosis 18 months ago, mine 7 months, most of the rest 4 to 6 weeks. I was the only one self testing by meter, one other person was using urine strips. We had 2 DSNs, a dietician and a trainee observing. Format was as Anna described above. Plenty of interaction and drawing out of the more timid individuals so a professionally presented course which goes through the standard NHS/NICE/SIGN recognised material in reasonable depth. Those with no prior knowledge were probably overcome by the volume and variety of information. Those with a lot of knowledge had the basics reinforced. My question, posted at the beginning was something like "Will the information delivered today take into account common elements of patient experience, as outlined in the on-line community, etc.". In fairness this question was answered. It's just that for all practical purposes, the answer was "no". It needs to be bourne in mind that this is an "accreditted" course, which means it must follow the curriculum and content laid down by the NHS/NICE/Etc. Educators have to supply the agreed "line", even when asked awkward questions. This is probably the best thing for newly diagnosed. Experienced forum users would probably find a number of specific points to be controversial at least: * Active discouragement of self testing of BG with a meter - wholly unnecessary and non beneficial * Encouragement of daily testing with urine strips - confirmation that anything under 10 won't show * Description of cholesterol as "blood fat" and emphasis on controlling with statins * No real mention of intra day spikes as an issue - HbA1c adequate to avoid complications * No recognition of low carbing as a potential long term solution for some Having said all the above, if you are a newly diagnosed T2 and you get the opportunity to go on a DESMOND course, grab it with both hands. If your partner is the main shopper and cook, take them too. [/QUOTE]
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