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Type 2 Diabetic or not?

Discussion in 'Ask A Question' started by moey90moey90, Aug 15, 2019.

  1. Colin Crowhurst

    Colin Crowhurst Type 1 · Well-Known Member

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    So is this really the level of training on Diabetes given to GP's ? I saw a report that 10% of the NHS budget is diabetes related treatment, if 10% of my money was going somewhere I would take a GREAT interest in it being spent wisely!
     
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  2. EllieM

    EllieM Type 1 · Moderator
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    He doesn't say what type of doctor, and at 28 he's unlikely to be much more than very recently qualified....

    And he doesn't say whether he's a GP or some other kind of doctor - not surprising that he isn't up to date with the most recent advice on diabetes...

    And remember that low carb is still not "official" dietary advice. (Or is it? I know that plenty of folk on here are still having to educate their GPs and DNs by reversing their T2 through diet.)
     
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  3. moey90moey90

    moey90moey90 · Member

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    What do you do for a living?
     
  4. Walking Girl

    Walking Girl Type 2 · Well-Known Member

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    Out of curiosity, do all diabetics in Germany get to see a diabetologist? In the U.S., appointments with an endocrinologist areby referral only, and a GP generally will not refer a T2 who “only” needs oral meds and/or basal insulin. Plus, wait times fro an appointment with an endocrinologist can be months out. So, the vast majority of T2s in the US are seen only by a GP. Which makes it all the more disturbing that they get so little nutritional training.

    Anyway, back on topic, I had a very high A1c at diagnosis of 11.8%, lost 92 lbs and my BG is totally normal these days even when I eat carbs. All my other blood tests also improved dramatically and are all normal, as well as my blood pressure. I assume, for me, it was obesity that was my main issue. I don’t see why that wouldn’t be the case for some others as well.
     
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  5. Colin Crowhurst

    Colin Crowhurst Type 1 · Well-Known Member

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    My point here is that I would not presume to "advise" if I was not correctly qualified. I was hoping that someone would come up and explain what the current level of GP training is. Given the level and scale of this medical issue should more training be provided?
     
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  6. moey90moey90

    moey90moey90 · Member

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    Well me too..i lost about 25 kilos in 3 months and everything is normal now and im eating so much carbs and sweets and stuff to actually test if my cells are actually responding good to this sudden high intake of artifical sugars..ill give it a few days and post it here
     
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  7. moey90moey90

    moey90moey90 · Member

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    First of all you didnt answer my question which actually doesng really matter because im pretty sure youre no pro in whatever you do for a living
    Second of all i didnt give any advice to anyone here
    And lastly i didnt study in the USA and for your information a GP knows a bit about everything and not everything about everything..thats why hes called a GP
     
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  8. Brunneria

    Brunneria Other · Guru
    Retired Moderator

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    Hi Everyone,

    This is a reminder that you are posting on a support forum where personal attacks and rudeness are against our forum rules.
    Please bear this in mind whenever you post.

    Anyone who needs to remind themselves of the forum rules (and the consequences of breaking them) can find a link to them in my signature.
     
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  9. Listlad

    Listlad Prediabetes · BANNED

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    You might well be right. One of my GP’s had a gastric bypass recently.
     
  10. woollygal

    woollygal Type 2 · Well-Known Member

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    My Dr always looks slightly sheepish when talking to me about diet. To be fair she does acknowledge that she needs to lose some and just doesn’t eat the right things.
     
  11. KK123

    KK123 Type 1 · Well-Known Member

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    Let's not forget that the Poster is posting as one of US, a person with diabetes seeking advice and the experience of others. I really don't think he deserves some of these comments.
     
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  12. woollygal

    woollygal Type 2 · Well-Known Member

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    I agree.

    Poor soul confided on this forum and he gets a load of rubbish for it.

    That’s not supportive. He is a diabetic before he is his job. And he is a human before he is diabetic.

    This forum isn’t always as supportive as it should be st times.
     
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  13. Colin Crowhurst

    Colin Crowhurst Type 1 · Well-Known Member

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    If someone actually reads the words I have written, it was neither an attack on the OP, who has my heartfelt best wishes I am a type 1 of only just over 9 months and have not and will not offer advise only state what has or hasn't worked for me in this case the difference between type 1 and type 2 would not let me make any comment, nor was it an attack on GP's in general.

    However, I was asking a reasonable question, what level of training IS given to GP's on Diabetes and do WE as the service users need to make a bit of a fuss about this IF we feel its inadequate. In the case maybe the OP would like to comment?
     
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  14. woollygal

    woollygal Type 2 · Well-Known Member

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    Then start a new thread discussing the usefulness of GP system.

    But this guy posted for assistance in his diabetes not a discussion on his job or how good he is at it.

    It’s completely irrelevant.
     
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  15. EddyC

    EddyC · Newbie

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    Hi Jo...of course a GP needs a vast amount of knowledge, I understand that. I just find it peculiar this particular GP seems clueless about their own condition. Most of us take to Dr Google to read up on anything we get diagnosed with...I guess I think they are full of bs...and yip, I’ve dealt with big text books, anyone at uni has...not to get into any debate, I’m simply looking for advice I can trust...we get minutes with a gp, who can open google and search like a newbie...anyway, take care
     
  16. JoKalsbeek

    JoKalsbeek I reversed my Type 2 · Well-Known Member

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    ...I'm Dutch. Am I not welcome? There are Australians here, Americans, Canadians, people from India, Denmark, we come from all over the world with the same purpose: To heal what can be healed, control what can be controlled, and support one another... While the site is British indeed, and the Queens' English is the way to communicate, it is mentioned on the forum start page (on the app at least, off the top of my head) that it is "A Global Community".

    Nothing wrong with being a GP, nor with being German. Seriously... If he's not welcome, then so's quite a few other people here. Personally, I think a GP looking for knowledge, especially as the usual stuff being touted obviously isn't helping and the route the most of us are taking is both unorthodox as well as effective... It's commendable AND will help not just this GP, but the patients in the practice too. Please, for the sake of hundreds of their future patients, don't chase someone off who's willing to actually listen to us.

    Edited by mod to remove text from the quote which breached our forum rules on civility.
    Jokalsbeek’s text has not been edited.
     
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    #36 JoKalsbeek, Aug 20, 2019 at 4:40 AM
    Last edited by a moderator: Aug 20, 2019
  17. Goonergal

    Goonergal Type 2 · Moderator
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    All

    Please remember that this forum is a place for support and the exchange of information related to diabetes. It is absolutely not somewhere where rudeness or personal attacks are tolerated.

    Some posts have been deleted for infringing these rules.

    This is the second time that a moderator has felt it necessary to intervene on this thread. This time it was necessary to remove a hostile post. Any further infringements of the forum rules, which can be found in the signature of any moderator and are linked below, will also result in post deletions and possibly further sanctions.

    Thank you.

    https://www.diabetes.co.uk/forum/threads/community-ethos-forum-rules.50278/
     
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    #37 Goonergal, Aug 20, 2019 at 5:36 AM
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  18. DawnOfTheZed

    DawnOfTheZed · Well-Known Member

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    Thanks to OP for posting. Your weightlifting may well have counterbalanced your overconsumption of carbs (for you). Stopping that and increased weight pushed you into diabetes. I think things have changed now so one can't order tests (or px) for oneself (good old days - or perhaps more ethical attitude?)
    So suggest OP confirm T2 controlled by diet rather than T1.5 or Lada/Mody etc by requesting c-peptide, insulin and Gad ab blood tests. Then going fwd, may I ask if there's a reason you've not gone back to weight lifting? I presumed you've had the hernia repaired, but does that indicate a general weakness so no more weights?
    Please read around here. Others have found intermittent fasting, eg 16:8, or 5-2, various exercise from gym to walking, helped.
    Most successful to many here is not eating the food stuff your body metabolises poorly, so lower carb than nhs eatwell plate. Success particularly by avoiding simple sugars, ie fruits except a few berries, starches, ie rice, potato, root veg, floured products., ie breads, cakes. Suggest you have regular hba1c as you try to work out what works for you. Better would be using a (self funding?) glucometer to check what different meals do for you.
    I would strongly recommend Dr Unwins module on the RC GP site, specially for GPs. And please spend some time training up on this area for both your own and your patients benefits. Likelihood is diabetes will increase in the population for some time unfortunately (due to eatwell plate and food industry lobbying).
    Good luck!

    Edited to correct grammatical errors.
     
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    #38 DawnOfTheZed, Aug 21, 2019 at 12:26 AM
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  19. Mr_Phillips 2

    Mr_Phillips 2 Type 2 · Member

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    I don’t normally post but have done so in this instance for the good doctor. Yes, it is possible to have a normal diet and still maintain a normal HbA1c ie. below 42. When I stopped taking my glicazide medication for diabetes about three years ago, I initially tried the eatwell plate diet as recommended by my GP and dietician and this worked beautifully for the first two years.
    Approximately one year ago, my circumstances changed and since that date I have not been on any diets. I try eating healthily by cooking at home but do indulge in takeaways at least once a week. Takeaways are normally Chinese, Indian or Burger King Whoppers. Like you, I am not overweight and there is no history of diabetes in the family.
     
  20. moey90moey90

    moey90moey90 · Member

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    Congratulations for that
    And how is your blood glucose measuremants so far when youre not dieting ?
     
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