DESMOND Course .

Kentoldlady1 said:

I have just done the xpert course. The leader was really nice, but didn't really know much.

She was t1d and told us that it was all our own fault. Not in so many words, but she did say that she keeps telling her husband that if he does not watch his weight he will end up with t2d.
She said that there are no long term studies of lchf, didn't know about its use for other health problems or why its a good idea.
She said take metformin with food because it works on the food response (?) and that it is useless to take it without food. Not because of tummy problems, but because of the insulin response!
She took time to explain the starvation mode (I kid you not) and said that t2ds must not use intermittent fasting.
She said that we could eat up to 260grms carbs a day, but less was ok. But not too much less. But we needed to eat carbs because that is brain food.
She said we can eat anything we like, so long as we don't eat too much. No mention of carb craving, hunger response etc.
She di9dnt know anything about reasons for t2d, except we are all fat. Not everyone in class is overweight. I am not, but she made no mention of that)
She did give us all a glucose metre and said she would ensure we all get given strips. Hurray!! But then said we only need to test once or in exceptional circumstances, twice a month. Not a day. A month. How that helps I am not sure.

On the other hand she did explain food labels, which was correct.

It has taken nearly a year to get on this course, and I am so glad for the delay. If I had got on it at the beginning I would not have gone looking for myself and found this forum, Jason fung and keto.

I did start out thinking I was going to argue, but decided not to--not because I am shy but because I think that for about 2/3 of the class this was probably the only input they have had into t2d. Some of us had already done a fair bit of digging, but most had not. Some had never heard of carbohydrates although we all had heard of calories.

Nothing I said was going to make any difference to her and it would have confused some of the others. I did disagree with her on the section about carbs and fasting, but she just skated over the bits I disagreed with--and just carried on.

My experience has just shown me that no one size fits all. Some people needed a great deal more than the few classes that were offered and some (like me) probably didn't need any. It is not a good system but is better than nothing.

There is a written appraisal and I will be honest. But I don't think much will change. It takes actual money to change anything. And as long as the nhs is willing to pay for this rubbish it will keep getting pushed on us as helpful.

Strangely enough, the book was far more helpful, more balanced and much more up to date. Think there might be a problem with the training.

Sorry, not a funny response!!!

Click to expand...

Kentoldlady1 said:

I have just done the xpert course. The leader was really nice, but didn't really know much.

She was t1d and told us that it was all our own fault. Not in so many words, but she did say that she keeps telling her husband that if he does not watch his weight he will end up with t2d.
She said that there are no long term studies of lchf, didn't know about its use for other health problems or why its a good idea.
She said take metformin with food because it works on the food response (?) and that it is useless to take it without food. Not because of tummy problems, but because of the insulin response!
She took time to explain the starvation mode (I kid you not) and said that t2ds must not use intermittent fasting.
She said that we could eat up to 260grms carbs a day, but less was ok. But not too much less. But we needed to eat carbs because that is brain food.
She said we can eat anything we like, so long as we don't eat too much. No mention of carb craving, hunger response etc.
She di9dnt know anything about reasons for t2d, except we are all fat. Not everyone in class is overweight. I am not, but she made no mention of that)
She did give us all a glucose metre and said she would ensure we all get given strips. Hurray!! But then said we only need to test once or in exceptional circumstances, twice a month. Not a day. A month. How that helps I am not sure.

On the other hand she did explain food labels, which was correct.

It has taken nearly a year to get on this course, and I am so glad for the delay. If I had got on it at the beginning I would not have gone looking for myself and found this forum, Jason fung and keto.

I did start out thinking I was going to argue, but decided not to--not because I am shy but because I think that for about 2/3 of the class this was probably the only input they have had into t2d. Some of us had already done a fair bit of digging, but most had not. Some had never heard of carbohydrates although we all had heard of calories.

Nothing I said was going to make any difference to her and it would have confused some of the others. I did disagree with her on the section about carbs and fasting, but she just skated over the bits I disagreed with--and just carried on.

My experience has just shown me that no one size fits all. Some people needed a great deal more than the few classes that were offered and some (like me) probably didn't need any. It is not a good system but is better than nothing.

There is a written appraisal and I will be honest. But I don't think much will change. It takes actual money to change anything. And as long as the nhs is willing to pay for this rubbish it will keep getting pushed on us as helpful.

Strangely enough, the book was far more helpful, more balanced and much more up to date. Think there might be a problem with the training.

Sorry, not a funny response!!!

Click to expand...

Kentoldlady1 said:

I have just done the xpert course. The leader was really nice, but didn't really know much.

She was t1d and told us that it was all our own fault. Not in so many words, but she did say that she keeps telling her husband that if he does not watch his weight he will end up with t2d.
She said that there are no long term studies of lchf, didn't know about its use for other health problems or why its a good idea.
She said take metformin with food because it works on the food response (?) and that it is useless to take it without food. Not because of tummy problems, but because of the insulin response!
She took time to explain the starvation mode (I kid you not) and said that t2ds must not use intermittent fasting.
She said that we could eat up to 260grms carbs a day, but less was ok. But not too much less. But we needed to eat carbs because that is brain food.
She said we can eat anything we like, so long as we don't eat too much. No mention of carb craving, hunger response etc.
She di9dnt know anything about reasons for t2d, except we are all fat. Not everyone in class is overweight. I am not, but she made no mention of that)
She did give us all a glucose metre and said she would ensure we all get given strips. Hurray!! But then said we only need to test once or in exceptional circumstances, twice a month. Not a day. A month. How that helps I am not sure.

On the other hand she did explain food labels, which was correct.

It has taken nearly a year to get on this course, and I am so glad for the delay. If I had got on it at the beginning I would not have gone looking for myself and found this forum, Jason fung and keto.

I did start out thinking I was going to argue, but decided not to--not because I am shy but because I think that for about 2/3 of the class this was probably the only input they have had into t2d. Some of us had already done a fair bit of digging, but most had not. Some had never heard of carbohydrates although we all had heard of calories.

Nothing I said was going to make any difference to her and it would have confused some of the others. I did disagree with her on the section about carbs and fasting, but she just skated over the bits I disagreed with--and just carried on.

My experience has just shown me that no one size fits all. Some people needed a great deal more than the few classes that were offered and some (like me) probably didn't need any. It is not a good system but is better than nothing.

There is a written appraisal and I will be honest. But I don't think much will change. It takes actual money to change anything. And as long as the nhs is willing to pay for this rubbish it will keep getting pushed on us as helpful.

Strangely enough, the book was far more helpful, more balanced and much more up to date. Think there might be a problem with the training.

Sorry, not a funny response!!!

Click to expand...

rab5 said:

I have been forced by my better half and daughter to attend this course on Thursday.

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Guzzler said:

Her advice on Metformin is possibly why so many people think that it actively lowers their blood glucose to the extent that they can carry on eating all the foods they always have but in smaller quantities. If the lady is a trained HCP then someone needs to take her to one side and have a quiet word.... or a small smack.

Click to expand...

Kentoldlady1 said:

I have just done the xpert course. The leader was really nice, but didn't really know much.

She was t1d and told us that it was all our own fault. Not in so many words, but she did say that she keeps telling her husband that if he does not watch his weight he will end up with t2d.
She said that there are no long term studies of lchf, didn't know about its use for other health problems or why its a good idea.
She said take metformin with food because it works on the food response (?) and that it is useless to take it without food. Not because of tummy problems, but because of the insulin response!
She took time to explain the starvation mode (I kid you not) and said that t2ds must not use intermittent fasting.
She said that we could eat up to 260grms carbs a day, but less was ok. But not too much less. But we needed to eat carbs because that is brain food.
She said we can eat anything we like, so long as we don't eat too much. No mention of carb craving, hunger response etc.
She di9dnt know anything about reasons for t2d, except we are all fat. Not everyone in class is overweight. I am not, but she made no mention of that)
She did give us all a glucose metre and said she would ensure we all get given strips. Hurray!! But then said we only need to test once or in exceptional circumstances, twice a month. Not a day. A month. How that helps I am not sure.

On the other hand she did explain food labels, which was correct.

It has taken nearly a year to get on this course, and I am so glad for the delay. If I had got on it at the beginning I would not have gone looking for myself and found this forum, Jason fung and keto.

I did start out thinking I was going to argue, but decided not to--not because I am shy but because I think that for about 2/3 of the class this was probably the only input they have had into t2d. Some of us had already done a fair bit of digging, but most had not. Some had never heard of carbohydrates although we all had heard of calories.

Nothing I said was going to make any difference to her and it would have confused some of the others. I did disagree with her on the section about carbs and fasting, but she just skated over the bits I disagreed with--and just carried on.

My experience has just shown me that no one size fits all. Some people needed a great deal more than the few classes that were offered and some (like me) probably didn't need any. It is not a good system but is better than nothing.

There is a written appraisal and I will be honest. But I don't think much will change. It takes actual money to change anything. And as long as the nhs is willing to pay for this rubbish it will keep getting pushed on us as helpful.

Strangely enough, the book was far more helpful, more balanced and much more up to date. Think there might be a problem with the training.

Sorry, not a funny response!!!

Click to expand...

sally and james said:

When you get home, tell them that it was a brilliant course and that the latest advice is that you should cut right down on all carbs and that it is strongly advised that families support you by eating a broadly similar diet.
Perhaps you could secretly print off some of the excellent food "posters" showing where the carbs are, from Diet Doctor https://www.dietdoctor.com/low-carb/visual-guides before you go and then stick them on the front of the fridge when you get home.
That should sort it!
Sally

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Kentoldlady1 said:

No idea about her work history, but she is not a hcp. She has t1d and has done the course for 10 years, so is very "qualified"!!!!!

Click to expand...

sally and james said:

When you get home, tell them that it was a brilliant course and that the latest advice is that you should cut right down on all carbs and that it is strongly advised that families support you by eating a broadly similar diet.
Perhaps you could secretly print off some of the excellent food "posters" showing where the carbs are, from Diet Doctor https://www.dietdoctor.com/low-carb/visual-guides before you go and then stick them on the front of the fridge when you get home.
That should sort it!
Sally

Click to expand...

Goonergal said:

I attended the DESMOND course. Did ask some questions and made a few pointed remarks that didn’t go down too well. Waste of a day - and they handed out biscuits!

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DJC3 said:

I’m booked on this course later in the month so look forward to your take on it @rab5.

Bit disappointing that DESMOND and Xpert both seem so rubbish, but maybe not surprising sadly.

I had to laugh at the handing out of biscuits at the course @Goonergal attended. Brilliant! Good old NHS.

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Kentoldlady1 said:

I have just done the xpert course. The leader was really nice, but didn't really know much.

She was t1d and told us that it was all our own fault. Not in so many words, but she did say that she keeps telling her husband that if he does not watch his weight he will end up with t2d.
She said that there are no long term studies of lchf, didn't know about its use for other health problems or why its a good idea.
She said take metformin with food because it works on the food response (?) and that it is useless to take it without food. Not because of tummy problems, but because of the insulin response!
She took time to explain the starvation mode (I kid you not) and said that t2ds must not use intermittent fasting.
She said that we could eat up to 260grms carbs a day, but less was ok. But not too much less. But we needed to eat carbs because that is brain food.
She said we can eat anything we like, so long as we don't eat too much. No mention of carb craving, hunger response etc.
She di9dnt know anything about reasons for t2d, except we are all fat. Not everyone in class is overweight. I am not, but she made no mention of that)
She did give us all a glucose metre and said she would ensure we all get given strips. Hurray!! But then said we only need to test once or in exceptional circumstances, twice a month. Not a day. A month. How that helps I am not sure.

On the other hand she did explain food labels, which was correct.

It has taken nearly a year to get on this course, and I am so glad for the delay. If I had got on it at the beginning I would not have gone looking for myself and found this forum, Jason fung and keto.

I did start out thinking I was going to argue, but decided not to--not because I am shy but because I think that for about 2/3 of the class this was probably the only input they have had into t2d. Some of us had already done a fair bit of digging, but most had not. Some had never heard of carbohydrates although we all had heard of calories.

Nothing I said was going to make any difference to her and it would have confused some of the others. I did disagree with her on the section about carbs and fasting, but she just skated over the bits I disagreed with--and just carried on.

My experience has just shown me that no one size fits all. Some people needed a great deal more than the few classes that were offered and some (like me) probably didn't need any. It is not a good system but is better than nothing.

There is a written appraisal and I will be honest. But I don't think much will change. It takes actual money to change anything. And as long as the nhs is willing to pay for this rubbish it will keep getting pushed on us as helpful.

Strangely enough, the book was far more helpful, more balanced and much more up to date. Think there might be a problem with the training.

Sorry, not a funny response!!!

Click to expand...