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"Expert" course

K

KathrynB

Well-Known Member
Messages
56
Location
NW England
Type of diabetes
Type 2
Treatment type
Tablets (oral)
After 10 years of reasonable Hba1c results, ranging from 6 to 6.5, I was asked by the practice nurse if I'd like to go on the Expert course. I was asked by an incredulous nurse (the course leader) "why on earth are you self-testing?" I explained that as I'm on Gliclazide I sometimes feel a bit hypo and I feel it's necessary. She gave me an amused look. The session about nutrition was illuminating. Apparently we type-2s should be eating 230g of carbs a day. Hmmm. I followed the official recommendations and guess what? Last Hba1c had jumped up to 8.2. Anyway, I am back to self-testing and limiting myself to 100g carbs a day, blood sugars are good, mostly under 5 pre-meals. Expert? I don't think so!
 
It sounds like a bit of a waste of time then??

This course was suggested to me at my first appointment with my diabetic nurse; I did an online check and couldn't find one running locally, I don't drive and my husband can no longer drive in the dark, which limits my travel a bit. I won't bother to check again....

Robbity
 
KathrynB said:
After 10 years of reasonable Hba1c results, ranging from 6 to 6.5, I was asked by the practice nurse if I'd like to go on the Expert course. I was asked by an incredulous nurse (the course leader) "why on earth are you self-testing?" I explained that as I'm on Gliclazide I sometimes feel a bit hypo and I feel it's necessary. She gave me an amused look. The session about nutrition was illuminating. Apparently we type-2s should be eating 230g of carbs a day. Hmmm. I followed the official recommendations and guess what? Last Hba1c had jumped up to 8.2. Anyway, I am back to self-testing and limiting myself to 100g carbs a day, blood sugars are good, mostly under 5 pre-meals. Expert? I don't think so!
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I done the xpert course last year it was ran by a diabetic nurse and dietician from my diabetes clinic. And everyone on the course had different stories and medication and as far as I am aware it helped every single person on the course. But is it a case of different areas interpreted the course differently. I mean from the hcp side of things


Sent from my iPad
 
Yep, the Xpert course I did was excellent, but heard some real horror stories from other HCP's, seems the usual lottery rules apply. In my area testing is recommended, LCHF is acceptable etc


Sent from the Diabetes Forum App
 
Yes I agree it depends on area as my friend did one in a neighbouring authority and got lots of good advice. I was just unlucky.
 
I was invited onto the course by a dietitian when I emailed about my success with LCHF. She reduced her recommendation for carbs to 130 g/day.

2 years later, I was invited onto a refresher course as an example of how o achieve good control.

My reports are on the forum somewhere. I'll try to find the links.
 
KathrynB said:
After 10 years of reasonable Hba1c results, ranging from 6 to 6.5, I was asked by the practice nurse if I'd like to go on the Expert course. I was asked by an incredulous nurse (the course leader) "why on earth are you self-testing?" I explained that as I'm on Gliclazide I sometimes feel a bit hypo and I feel it's necessary. She gave me an amused look. The session about nutrition was illuminating. Apparently we type-2s should be eating 230g of carbs a day. Hmmm. I followed the official recommendations and guess what? Last Hba1c had jumped up to 8.2. Anyway, I am back to self-testing and limiting myself to 100g carbs a day, blood sugars are good, mostly under 5 pre-meals. Expert? I don't think so!
Click to expand...
I think you were very brave to test the high-carb diet!
 
I simply don't get how they can not see it doesent work
 
mrs gimli said:
I simply don't get how they can not see it doesent work
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Easy - if they "see" that LCHF works, they have to admit that they have been advising us to eat poison for the last 20-30 years.

It's a matter of saving face - not medical/dietary advice.
 
l had a bad experience turns out l was the first person in about the yr they have been running that my DN referred. She offers but no one takes her up. After my comments she wasnt impressed either
 
Totto I'm not sure about brave! :) I think it was more that I have (had) an inbuilt trust that says the medical profession know what they are talking about. Anyway, it's probably done me a favour as I now question everything and even told the nurse that I wanted to cut my glic dose due to spells of feeling lightheaded (she suggested it might be caused by something else, despite bg readings in the low 3s, but that's another story).

IanD thanks for the link.
 
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