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<blockquote data-quote="gems_goldet" data-source="post: 383655" data-attributes="member: 70743"><p>Dear all, </p><p>Thanks ever so much for your posts, very informative indeed. This research was born out of an encounter I had with a patient a few weeks ago who mentioned to me that he was diabetic and was being offered all sorts of food (like cake and juice) that he thought completely inappropriate in the management of his diabetes. In my hospital, this is how it works: you get a menu that you can chose from (nowhere is there any indication of the glycaemic index on the menu) then that goes to the catering staff who know absolutely nothing about your medical history. If you're good at managing your diabetes, and if there happen to be diabetes-appropriate options and if the catering staff stick strictly to what you ordered, this works fine. But you can see that there's a lot of 'ifs' in that sentence. So the idea was to sound out the patients and nurses in my hospital to try to find out where things were going wrong when this was the case and how practice can be improved. To that end, if would be useful to know if there were an NHS hospital in the UK were diets were managed better so that I had a standard to which a comparison might be made.</p><p>Hana DR: thanks very much for your post. I was particularly interested to read that your hospital had a little "D" on the menu (that is not the case in my hospital and was actually a simple measure that I thought might be appropriate - though I hear what your saying about the fact that the D may in fact be misplaced). May I ask what hospital you are referring to?</p><p>Sid Bonkers: enormous thanks for your post - I really appreciated it. Firstly I wanted to apologise if my choice of language was/is inappropriate/patronising. I really did not mean to offend. And I can completely understand that my bringing up this issue may seem fairly naïve. I also totally take on board the notion that there is no such thing as one sole diabetic diet. Patients in my hospital do receive a choice on their menu and options will be marked as V (vegetarian), Hallal, contains nuts, milk gluten free etc... and some of these options must be more appropriate in general terms than others for patients with diabetes. That said, I'm aware that this may well sound rather paternalistic of me. My idea here was not to try to remove choice from those who manage their diabetes well but to help guide those who, for example, are newly diagnosed. I hope that does not sound to condescending, I assure you it is not meant as such.</p><p></p><p>Thanks very much again to you all.</p></blockquote><p></p>
[QUOTE="gems_goldet, post: 383655, member: 70743"] Dear all, Thanks ever so much for your posts, very informative indeed. This research was born out of an encounter I had with a patient a few weeks ago who mentioned to me that he was diabetic and was being offered all sorts of food (like cake and juice) that he thought completely inappropriate in the management of his diabetes. In my hospital, this is how it works: you get a menu that you can chose from (nowhere is there any indication of the glycaemic index on the menu) then that goes to the catering staff who know absolutely nothing about your medical history. If you're good at managing your diabetes, and if there happen to be diabetes-appropriate options and if the catering staff stick strictly to what you ordered, this works fine. But you can see that there's a lot of 'ifs' in that sentence. So the idea was to sound out the patients and nurses in my hospital to try to find out where things were going wrong when this was the case and how practice can be improved. To that end, if would be useful to know if there were an NHS hospital in the UK were diets were managed better so that I had a standard to which a comparison might be made. Hana DR: thanks very much for your post. I was particularly interested to read that your hospital had a little "D" on the menu (that is not the case in my hospital and was actually a simple measure that I thought might be appropriate - though I hear what your saying about the fact that the D may in fact be misplaced). May I ask what hospital you are referring to? Sid Bonkers: enormous thanks for your post - I really appreciated it. Firstly I wanted to apologise if my choice of language was/is inappropriate/patronising. I really did not mean to offend. And I can completely understand that my bringing up this issue may seem fairly naïve. I also totally take on board the notion that there is no such thing as one sole diabetic diet. Patients in my hospital do receive a choice on their menu and options will be marked as V (vegetarian), Hallal, contains nuts, milk gluten free etc... and some of these options must be more appropriate in general terms than others for patients with diabetes. That said, I'm aware that this may well sound rather paternalistic of me. My idea here was not to try to remove choice from those who manage their diabetes well but to help guide those who, for example, are newly diagnosed. I hope that does not sound to condescending, I assure you it is not meant as such. Thanks very much again to you all. [/QUOTE]
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