Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Ask A Question
Feeling really angry!
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="Oldvatr" data-source="post: 1900466" data-attributes="member: 196898"><p>If you look at the history of Diabetes. even when I was diagnosed there was a prevalence of T1D over other types, so a majority of diabetics used insulin regimes. Even T2D had poor access to effective oral meds, and so progressed naturally to becoming Insulin Dependant. So it made sense in those days that the guidelines used carby diets to support Insulin treatment. Also there were no effective or cheap means of measuring the bgl in the home, so SMBG was not an option, and eating to meter was a lottery too since we had no means of guaging our bgl levels apart from HbA1c once a year. Sadly the GP advice given at the time was also based on Eatwell, so the system was therefore predictable as being progressive. We did not know, nor did the HCP;s,, that carbs were so directly linked to bgl and the internet did not exist to wake us up to alternatives.</p><p></p><p>We live in an era where SMBG is possible for anyone prepared to make the investment, and food labelling has made carb chasing simpler to implement, It is much easier to follow an LC type lifestyle now than it was in the days when I started my PWD journey. The problem we have now is that the guidelines are so entrenched and so controlling our medical system that it now presents this brick wall against change, so until the training of HCP's changes, then there will remain this resistance to self management. BUT. The taking of GP meds and advice is subject to our agreement, and there is no legal means they have of forcing their POV on us unless sectioned under the Mental Health Act, or our freedom curtailed by the High Court. So we are able to make our own choices of treatment. NICE now recognises this, and have changed their guidelines to be more patient inclusive and lifesyle management is becoming an option otherwise Drs Unwin , Taylor et al would have been constrained in their efforts to bring diet management into the general practice arena.</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 1900466, member: 196898"] If you look at the history of Diabetes. even when I was diagnosed there was a prevalence of T1D over other types, so a majority of diabetics used insulin regimes. Even T2D had poor access to effective oral meds, and so progressed naturally to becoming Insulin Dependant. So it made sense in those days that the guidelines used carby diets to support Insulin treatment. Also there were no effective or cheap means of measuring the bgl in the home, so SMBG was not an option, and eating to meter was a lottery too since we had no means of guaging our bgl levels apart from HbA1c once a year. Sadly the GP advice given at the time was also based on Eatwell, so the system was therefore predictable as being progressive. We did not know, nor did the HCP;s,, that carbs were so directly linked to bgl and the internet did not exist to wake us up to alternatives. We live in an era where SMBG is possible for anyone prepared to make the investment, and food labelling has made carb chasing simpler to implement, It is much easier to follow an LC type lifestyle now than it was in the days when I started my PWD journey. The problem we have now is that the guidelines are so entrenched and so controlling our medical system that it now presents this brick wall against change, so until the training of HCP's changes, then there will remain this resistance to self management. BUT. The taking of GP meds and advice is subject to our agreement, and there is no legal means they have of forcing their POV on us unless sectioned under the Mental Health Act, or our freedom curtailed by the High Court. So we are able to make our own choices of treatment. NICE now recognises this, and have changed their guidelines to be more patient inclusive and lifesyle management is becoming an option otherwise Drs Unwin , Taylor et al would have been constrained in their efforts to bring diet management into the general practice arena. [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Ask A Question
Feeling really angry!
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…