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Diabetic Review with Doctor


Hi Cath,

Brilliant is the only word for what you do. It says in the article that you have helped put T2s into remission with the low carb diet. Can you tell us what you (or your GP practice) class as remission please? There seems to be a lot of debate on this forum about it, and GPs don't seem to have clear guidelines.
 
Doctors should know about diabetes. It’s not as if it’s a rare thing. They get paid well and should, but for the money they should know more
 
Doctors should know about diabetes. It’s not as if it’s a rare thing. They get paid well and should, but for the money they should know more

It comes down to training. One boffin (can't remember which one) puts it like this, five years after graduating med uni 50% of that which you were taught will be out of date or wrong. The problem is that you won't know which 50%.
 
Was it okay for the canned fruit to be in syrup?
No no no had to be in natural juice , when I reminded her that it's still loaded with sugar she said it's ok to have with natural yoghurt
 
Doctors should know about diabetes. It’s not as if it’s a rare thing. They get paid well and should, but for the money they should know more
Doctors should know about the menopause, which is even more prevalent than diabetes, but when I had problems with it I found out that they haven't the faintest idea, even the female ones. There must be many things they do know about, but I never seem to suffer from them.
 
Bless you thank you! As I understand it the DIRECT trial classes people in remission with an Hba1c under 48mmol/mol with no meds. I personally would rather see under 42mmol/mol which some of my patients have achieved through LCHF and some with LCHF and intermittent fasting.
 

Thank you. My GP goes a bit further and needs several consecutive HbA1cs under 48 over a couple of years, no meds. Other GPs refuse to mark anyone as in remission, and others have different ideas. There is no consistency at all, and from what I can gather, no clear guidelines from "up above" at all. Possibly because it has, until recently, been unheard of or at best, very rare.

Personally, I agree with you that under 42 for 12 months at least seems more relevant. But all this is for another thread. Sorry to derail.
 
a couple of my friends love a good drink, so I feel our friendships and social life will deteriorate :/
If they are true friends then they should understand and support you! I never have any problem eating out with my friends - I just eat slightly different things to them, and they eat what I can't off my plate! Carvery is easy and I've even managed a small portion of cauli cheese as I didn't have much sauce. Just beware the gravy!
 
Hi Cath
Met you at the PHC.
I think that Virta health also uses the 48mmol/m as a sign of remission which is unfortunate but still they got 60% I think in their trial.
 
I agree I think under 42 is better then not in pre-diabetes range then neither. Yes under 48mmol/mol for one year to code type 2 diabetes in remission.
This is all new to us as I’d never really seen this happen until I discovered low carb last year January! The odd patient here and there did but we didn’t code them until now as it’s only latter years that we’ve realised it can go into remission. Thank god I saw the light! My consultations and advice are very different these days!
 
Hi Cath
Met you at the PHC.
I think that Virta health also uses the 48mmol/m as a sign of remission which is unfortunate but still they got 60% I think in their trial.
Hello! Wasn’t it the best conference you’ve ever been too! I’m still on a high, I loved every single minute of it!
Yes I would much rather say under 42 and that’s what I aim for and so would my patients.
 

Would you consider coming to live near me?
 
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