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Did anyone else take a back step after the diabetic nurse??
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<blockquote data-quote="AndBreathe" data-source="post: 1224762" data-attributes="member: 88961"><p>Undoubtedly, many of us have had erm,.... sub-optimal experiences around diagnosis and post-diagnosis advice, and of course that's at best unfortunate, and at worse, it can lead to lack of progress, or in some cases, progression down the diabetes route, in the wrong direction.</p><p></p><p>I thought David Unwin's interview with the Fat Emperor to be pretty spot on to reflect how some Docs must feel and how others are likely to feel as Guidelines change over time: [MEDIA=youtube]LUJE78Rm8Nc[/MEDIA]</p><p></p><p>As I've said many times, I was fortunate (although it didn't feel like it at the time) to be leaving the UK, so I had a number of months to decide how I would deal with these interactions moving forward. In the meantime, I found this, and another forum, where I learned loads, and fortunately home home testing informed me I was moving in the right direction.</p><p></p><p>Right up front I had decided that diabetes wasn't going to drive my life, for any longer than it took to get to grips with it. There's far too much living to do, and too many adventures to be had. From time to time, I'd actually need medical support because that's how life tends to work, so I decided I couldn't afford to alienate my Practise. I'd always been very happy with the practise and really didn't want to change, because the grass isn't always greener elsewhere.</p><p></p><p>The rest of my interactions with the Practise have been perfectly charming, although having got to very non-diabetic bloods within the first 4 months, the feedback has simple been "keep doing what you're doing", with no real enquiry what exactly that might be. I've only ever had challenging discussions since on my lipids, which don't fit the very basic NHS picture, but lifting the lid they're very good. I've shared my learnings and beliefs on lipids with the GP I usually see and she's now fine with it all. </p><p></p><p>I think we sometimes need to step back and look a the bigger picture, and of course, for some whose diabetes differs from mine, or who have symptoms of the beginnings of complications, their bigger picture may be very different to mine. As things currently stand, my health markers are all excellent, and I have a decent relationship with my Practise. Unfortunately, they have no appetite to explore implementing some of David Unwin's ways of working or his reduced carb programme, but rather that complete rejection, I just think of that as a work in progress.</p><p></p><p>We can't <em>make</em> others change, but we can make informed choices and changes to and for ourselves. We have to work out how we achieve continuing medical care, because things happen in life that are not diabetes related, so let's not throw the baby out with the bath water.</p><p></p><p>However challenging our interactions are with the NHS, at least we have it. In another place where I spend a far bit of time, there is no NHS and each and every thing has to be paid for, from the individual's pocket. For some there, they're simply never going to be diagnosed, never mind have constructive treatment.</p></blockquote><p></p>
[QUOTE="AndBreathe, post: 1224762, member: 88961"] Undoubtedly, many of us have had erm,.... sub-optimal experiences around diagnosis and post-diagnosis advice, and of course that's at best unfortunate, and at worse, it can lead to lack of progress, or in some cases, progression down the diabetes route, in the wrong direction. I thought David Unwin's interview with the Fat Emperor to be pretty spot on to reflect how some Docs must feel and how others are likely to feel as Guidelines change over time: [MEDIA=youtube]LUJE78Rm8Nc[/MEDIA] As I've said many times, I was fortunate (although it didn't feel like it at the time) to be leaving the UK, so I had a number of months to decide how I would deal with these interactions moving forward. In the meantime, I found this, and another forum, where I learned loads, and fortunately home home testing informed me I was moving in the right direction. Right up front I had decided that diabetes wasn't going to drive my life, for any longer than it took to get to grips with it. There's far too much living to do, and too many adventures to be had. From time to time, I'd actually need medical support because that's how life tends to work, so I decided I couldn't afford to alienate my Practise. I'd always been very happy with the practise and really didn't want to change, because the grass isn't always greener elsewhere. The rest of my interactions with the Practise have been perfectly charming, although having got to very non-diabetic bloods within the first 4 months, the feedback has simple been "keep doing what you're doing", with no real enquiry what exactly that might be. I've only ever had challenging discussions since on my lipids, which don't fit the very basic NHS picture, but lifting the lid they're very good. I've shared my learnings and beliefs on lipids with the GP I usually see and she's now fine with it all. I think we sometimes need to step back and look a the bigger picture, and of course, for some whose diabetes differs from mine, or who have symptoms of the beginnings of complications, their bigger picture may be very different to mine. As things currently stand, my health markers are all excellent, and I have a decent relationship with my Practise. Unfortunately, they have no appetite to explore implementing some of David Unwin's ways of working or his reduced carb programme, but rather that complete rejection, I just think of that as a work in progress. We can't [I]make[/I] others change, but we can make informed choices and changes to and for ourselves. We have to work out how we achieve continuing medical care, because things happen in life that are not diabetes related, so let's not throw the baby out with the bath water. However challenging our interactions are with the NHS, at least we have it. In another place where I spend a far bit of time, there is no NHS and each and every thing has to be paid for, from the individual's pocket. For some there, they're simply never going to be diagnosed, never mind have constructive treatment. [/QUOTE]
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