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Type 2 First Appointment With Diabetic Consultant...what To Expect?

Libby3781

Libby3781

Well-Known Member
Messages
162
Location
Bridgend, South Wales
Type of diabetes
Type 2
Treatment type
Insulin
Since June I’ve been under the hospital for my diabetes. My sugars aren’t lowering, so was put on a slow release insulin. All appointments have been with the DN.

In two weeks time, I have my first appointment with the consultant.

What will this appointment be like????

Will he/she make the decisions of whether I need to go on a fast acting insulin with my meals?
My DN implied that would be quite likely. For some reason, I’m absolutely dreading the appointment.

Therefore, any help & advice would be greatly appreciated x
 
Hi. If you are quite slim it's possible the consultant will query whether you are actually T1 and not T2 and can do tests if he thinks that's possible. He may well add a mealtime insulin (Bolus) if your HBa1C is still not good enough. If a Bolus is added do ask about carb-counting for mealtime carbs. For some reason the NHS thinks this is very complex and may send you on a 1 week course. My DN explained it to me in 15 minutes when she added the Bolus.
 
Use it to ask as many questions as possible.
Hi consultant - what are we going to discuss today?
Are you the person deciding on my treatment?
Why are you making that suggestion?

Make a list of things you'd like to know. Take someone with you if you feel you need support.
 
Daibell said:
Hi. If you are quite slim it's possible the consultant will query whether you are actually T1 and not T2 and can do tests if he thinks that's possible. He may well add a mealtime insulin (Bolus) if your HBa1C is still not good enough. If a Bolus is added do ask about carb-counting for mealtime carbs. For some reason the NHS thinks this is very complex and may send you on a 1 week course. My DN explained it to me in 15 minutes when she added the Bolus.
Click to expand...

I’ve bought a book for carb counting, from amazon. It’s brilliant, it’s shows the amount of carbs,sugars etc. I wouldn’t have thought that carb counting is that difficult.
Do you carb count????
 
Libby3781 said:
I’ve bought a book for carb counting, from amazon. It’s brilliant, it’s shows the amount of carbs,sugars etc. I wouldn’t have thought that carb counting is that difficult.
Do you carb count????
Click to expand...
Hi. Yes, once my DN told me what to do and gave me a leaflet from Roche which shows the amount of carbs in a typical portion of popular foods. In my opinion having Basal/Bolus with fixed meal-time carbs is an accident waiting to happen. On some posts I've seen people waiting many months to go on a 1 week course before starting carb-counting; amazing.
 
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