Disappointing trip to practice nurse

Oldvatr said:

Glic is not a good idea long term because it forces the pancreas to increase insulin output, which stresses it and may lead to burnout (not proven). I had regular hypo's while I was on the high doses, but unlike an insulin hypo, the ones from Glic are much more gentle and in a way predictable, so I was able to counteract them easily without needing help. I was not worried by them once I understood their characteristics and I was hypo aware so it was not a problem. I did up the carb input at bedtime to make sure I woke in the morning if my night reading was less than 5. I don't get them now

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Alexandra100 said:

Might you consider changing GPs in order to get a new nurse?

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serenity648 said:

for many of us in the UK, changing practice, or doctor, is impossible : (

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Alexandra100 said:

Sadly the article seems to be available to subscribers only.

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Oldvatr said:

I am a mere user, not an expert. As a T2D I have insulin Resistance (IR) and so in order to shift glucose out of my blood stream I need to boost the insulin to compensate. Now Glic does that but its a bit like using a sledgehammer to crack a nut. There is no proof that overstimulation of the pancreas actually does damage to it, but it has to be a possibility. The pancreas is known to suffer burnout with prolonged diabetes, which means that when they talk of D being a progressive disease, then all roads lead to injecting insulin as the last resort before the terminus. However. we on this site that use a low carb diet have new hope that we can avoid this through lifestyle changes only, and certainly it seems that many of us, myself included, have managed to significantly reduce and even stop medication.

I cannot say that staying on Glic or any other sulphanurea med will make this disease progress or not, and there are other alternatives such as bariatric surgery to consider, but I for one will continue with my LC diet and at least buy time before checkout time.

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Oldvatr said:

Good to hear that some practices are supportive like yours and mine. Can I suggest that you find an App that shows graphs over time (I use a spreadsheet and do mine manually) so that you can give graphic pictures that show how you have progressed. The GP has limited time to absorb your input, so it is best to take some effort to simplify the data, and graphs or charts are easier to understand rather than trawling through a load of numbers. If you can use your data to suggest medication changes needed as you progress, then that is extra bonus points and a NICE goal to get to.

I log food, meds dose and timing, weight and bgl readings along with things like HbA1c, formal test results. etc. I used to colour code my hypo events too so it was clear when I was needing a meds change. My spreadsheet works out averages and trends easily, and this helps to condense the info I present, again to save GP time. I also send him a letter with the results in advance of our meeting, so we spend our time discussing the way forward rather than getting bogged down in a presentation of results in detail. I enclose an example showing an Xmas and an Easter and how I recovered from these binges,

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serenity648 said:

for many of us in the UK, changing practice, or doctor, is impossible : (

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Butterfly1960 said:

I'd say it's really made very difficult but not impossible to change dr.... I've done it twice before moving to west wales. ths current surgery is the best I've ever had whilst needing medical attention
by the way @serenity648 , that's a beautiful avatar! Is it a mandala?

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david1241 said:

I don't bother with the doctors and nurses at our malpractice.I haven't seen a doctor or nurse for over 2 years.The doctors i've seen are bloody useless .The nurses i have seen are stroppy and dictatorial.The problem for me is i'm over 65 retired .I used to get good treatment on the NHS but since retiring The treatment or lack of it has gone right down the pan.An insight into my treatment at retirement .,was just before i retired something snapped in my left hip rendering me to have to use a--walking stick.I limped badly into the doctor's surgery.The first thing .he said was i think you have some wear and tear in your hip.Then he said I won't send you for a x-ray ,i want to keep you away from the surgeons. thats how it's been there since i retired in 2010 i had the 6 monthly routine blood pressure chcck and blood test 2 years ago. i was summond to see the doctor.she said My blood sugar was high I said i'll get some strips for my GC meter.She you've no need to test your blood you are only a type 2 diabetic.I said how will know what foods to eat to keep my blood sugar down.So stoppily she said oh well i can't prescribe test strips' i said i'll buy them myself.She also insisted i should take statins. which i've always refused.So she got nasty.so i said i'll sort it out myself.and walked out of the surgery never to return.i'd had diabetes for 6 years without them telling me about it.you may be thinking how did he know about it. well i was in the Philippines,I had an accident and injured my left knee .I had to have an operation to repair it.After the doctor had done his examination.He said do you know you have diabetes.Shock Horror!I said no ,I feel fine. He said yes you've had it for 6 months.I recently had a routine blood test in the UK.I rang my surgery and asked them about the results of my blood test the woman on the phone said my tests were normal nothing to worry about.The surgical wound healed ok .I felt fine ,so i forgot about the diabetes.While in hospital in Cagayan de Oro..They gave me diabetic drugs and pumped me full of insulin.I had visions of coming out in a bodybag .Six months ago I developed weeping none healing ulcers on legs below the knees.My feet were totally numb.I went on a 24 hour alternate fasting diet.in which I lost 3st in weight .I reduced my blood glucose fasting reading from between 10.8mml and 16 mml.To between 3.7 mml and 5.8mml..I can eat what i like without any ill effects .I am totallyfree of diabetes.My blood sugar is normal.To say i am chuffed about it is an understatment.The feeling in my feet has returned.And all the other complications have cleared up.I recommend trying the fasting diet to lose weight.and with luck your diabetes.

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DCUKMod said:

@Butterfly1960 - Apologies for being delayed arriving at your posts, but you might find either of the following links, from @andcol's signature to make interesting reading if you're interested in expanded data collection and feedback.

Blood Glucose Application
http://www.diabetes.co.uk/forum/threads/writing-bg-management-app.56644/
https://drive.google.com/folderview?id=0B-z_UPs-Jl8aMTNrd0pMemd6Q2c&usp=sharing

Good luck with it all.

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