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Farewell

zatpac said:
Goodbye one and all and thank you for all the useful info,it has helped me greatly. I received the results of my last review today.
HbA1c 39
My Diabetes Nurse and GP tell me I am no longer Diabetic.
I will visit from time to time and wish you all well in you own battles to control or reverse the condition known as Diabetes.
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I would advise checking that you have been correctly coded by your GP. The guidance from PHE is:-

"Current evidence shows that all people with diabetes should be screened for diabetic retinopathy for life once there has been a definite diagnosis of diabetes, excluding gestational diabetes. New GP Read codes were introduced in 2014 to take this guidance into account.

Before 2014, many GPs used the code ‘Diabetes resolved’ for patients whose blood sugar levels normalised following treatment, such as pancreatic transplant, or intensive weight reduction. These patients were then removed from the register of people requiring annual retinal screening – even though their risk of developing diabetic retinopathy may have increased following a rapid improvement in diabetes control.

Such patients should now be classified as ‘Diabetes in remission’. This ensures they are still invited for screening.

GPs should therefore review all patients with a ‘Diabetes resolved’ Read code and amend to ‘Diabetes in remission’ as appropriate. Local diabetic eye screening programmes should review their registers to ensure that patients who should be recalled for screening are not marked as ‘no longer diabetic’ in their screening programme software systems."

Reference: https://phescreening.blog.gov.uk/20...dont-slip-through-diabetic-eye-screening-net/
 
The big differences in the way GP's and other Diabetes staff appear to classify T2D is quite strange.

My GP or DN have never mentioned that I am either cured, reversed or in remission despite the only three HbA1c tests taken after I was diagnosed being 32,26 and 22.

It would be helpful if they could all "sing from the same hymnsheet"
 
I have had non diabetic HbA1c's for 7 years now but I still have an annual retinopathy test and attend an annual diabetic clinic, why would I not want to keep having these check ups its my eye sight and general health that are at risk here, as for the tag of being diabetic its never bothered me.

I am also approaching my retirement date and because I am diabetic I will be getting a higher annuity amount from my pension pot and if thats not a reason to be cheerful I dont know what is :)

So be careful what you wish for ;)
 
well done, it's not only men that can achieve these things I have too. Stabilising blood sugars is a tricky thing but I eat little and often and it seems to work for me. I have gone sugar free but not carb free, I have never been a big carb fan so choose sugar free route, surprised at how much the food manufacturers stuff into all our foods and drinks, real eye opener. Feel so much better off the roller coaster.
 
Hello Again
For those of you in doubt.I have been informed by both my DN and the Senior Practice Registrar.That I have put Diabetes into remission.I no longer have the disease and have been told I no longer require annual monitoring or eye tests.I explained to them that others had informed me it was for life.Both advised me that old habits die hard and modern upto date practices are now better informed.To that end I have been removed from a registrar that I didn`t even know I was on.
 
zatpac said:
Hello Again
For those of you in doubt.I have been informed by both my DN and the Senior Practice Registrar.That I have put Diabetes into remission.I no longer have the disease and have been told I no longer require annual monitoring or eye tests.I explained to them that others had informed me it was for life.Both advised me that old habits die hard and modern upto date practices are now better informed.To that end I have been removed from a registrar that I didn`t even know I was on.
Click to expand...
If you look at the guidance from Public Health England, you can see that it is dated May 2016 which is pretty much bang up to date:- https://phescreening.blog.gov.uk/20...dont-slip-through-diabetic-eye-screening-net/

Basically, the only people who should be withdrawn from eye screening are a) those who were diagnosed as being diabetic in error or b) those who had a temporary diabetic-like profile while they were taking medication such as steroids. Anyone else who had a definite diagnosis of diabetes (not including gestational diabetes) should be invited for eye screening even if they have put the disease into remission.

Your surgery may be up-to-date in realising that it is possible for people with diabetes to improve their control by lifestyle changes but they are not up-to-date with eye screening guidance if they think that someone with diabetes in remission does not need to be screened.

I would write to your GP, quoting the PHE guidance, and ask them to put in writing that you no longer need eye screening.
 
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