We did succeed in getting his HBAIC result (only the third time of asking !) which back in the middle of June was 11. She wants him to get down to 4 but then said that 6 was 'normal'. Converting his latest BG reading from self testing he is at 10.2.
Stick to your guns and throw those sheets away. That diet advice kills diabetics.Afternoon everyone,
Just back from accompanying Hubby to his first meeting with the diabetic nurse which went pretty much as I expected. She was running half an hour late then spoke at a hundred miles an hour going through her set 'spiel'.
We did succeed in getting his HBAIC result (only the third time of asking !) which back in the middle of June was 11. She wants him to get down to 4 but then said that 6 was 'normal'. Converting his latest BG reading from self testing he is at 10.2.
She then went through the expected talk on diet and exercise and printed off various diet sheets. At no point did she mention self checking of blood glucose levels and didn't seem particularly interested that he had his own monitor. He is to have another HBAIC test in 3 months.
Right at the end she said that she wanted to start him on Metaformin (no surprises there) beginning with one a day and going up to four so starting on 500mg and increasing to 2000mg. She said that the Metaformin would take 3 months to have any effects on his BG. Hubby does not intend to take any tablets all the time he can see that his BG is reducing via low carb dieting and exercise. If his BG levels start to stall or rise then he would of course take the meds.
Whilst talking about diet she said that you'must have carbs' in your diet ( no mention of how much) and to choose those with low GIs and to make sure that the diet was low calorie and that T2 was a lifetime condition. When I mentioned that people had reversed ( or well controlled) it by a low carb diet and got their levels back into the normal range I was ignored.
When I got home I read the diet sheets and I was gobsmacked how inaccurate they were. According to our practice it is perfectly okay to eat potatoes, rice is good and pasta is recommended. The nurse advocated eating bananas and biscuits (yes really !!) as long as they were oatmeal or Rich Tea.
I had to really, really bite my lip. There are people who would take those diet sheets away and follow them because a 'professional' had issued them and they still would not gain control of their blood glucose levels and just end up on more and more medication. We plan to carry on with the low carb diet and monitor the BG ourselves. We will soon know if it is working or not.
I'm very grateful to have found this forum and been able to do my own research before he had the appointment. Seems to me that the folk here are far better informed and better able to advise than our local surgery.
Thank you for reading !
In my opinion, HCPs take the 48mmol number as a minimum. It should be a maximum!I'm not sure what the nurse actually said, but an HbA1c of 4% converts to an average finger prick check of 3.8mmol/l. I doubt any human ever achieves this.An HbA1c of 6% (42 in new money) is the highest point of non-diabetic. The NICE recommendation seems to be an HbA1c of 6.5% (48 in new money), which is the lowest point of the diabetic range.
Indeed - mine just can't believe it when I keep getting round about 34 mmol/mol each time, when I was diagnosed at 107 mmol/mol. I can only imagine it isn't something they are used to.In my opinion, HCPs take the 48mmol number as a minimum. It should be a maximum!
That's a good idea to ask for a print out of test results. He is having more blood tests on Thursday and back next week for the results so I will ask for that then. They forgot to check for kidney/thyroid and cholesterol when they tested in June......Still shaking my head over those diet sheets !!I'm not sure what the nurse actually said, but an HbA1c of 4% converts to an average finger prick check of 3.8mmol/l. I doubt any human ever achieves this.An HbA1c of 6% (42 in new money) is the highest point of non-diabetic. The NICE recommendation seems to be an HbA1c of 6.5% (48 in new money), which is the lowest point of the diabetic range.
We are all gobsmacked when we are given the NHS dietary advice. What you received is normal, and quite shocking. Personally I was told to cut out sugar (and I never did have much of a sweet tooth) but otherwise eat more or less normally making sure I ate plenty of wholemeal bread, and had a jacket spud with baked beans for lunch. I went away euphoric at the time because I didn't need to change a thing! I had a shock when I found this forum, but it is the best thing that could have happened.
It may help you to ask for a print out of your husband's test results. It should also include the results of any other tests he had, such as cholesterol, liver and kidney functions etc. GPs are too fond of filtering out information that could be useful, so seeing the results in black and white is the best way to go.
Well done for everything you are doing for your husband.
the diet sheets were printed off the West Sussex Health Authority web page-same advice which is given out to everyone. One size fits all approach.Yes a Mediterranean diet with low carb seems the basis of the way to go xJust a curiosity: the sheet was a boilerplate sheet or was made after a personalized interview?
American Diabetes Association dietary advice endorses Mediterraean Diet
http://www.diabetes.org/mfa-recipes/tips/2011-09/the-basics-of.html
http://www.diabetes.org/mfa-recipes/about-our-meal-plans.html
(Take ADA guidelines as example - also Italian guidelines are different now)
HI @Sam50. I know what it is like to be innundated with contradictory information. The forum provides good information without hearsay or biased content, it takes the confusion out of how to manage diabetes.Afternoon everyone,
Just back from accompanying Hubby to his first meeting with the diabetic nurse which went pretty much as I expected. She was running half an hour late then spoke at a hundred miles an hour going through her set 'spiel'.
We did succeed in getting his HBAIC result (only the third time of asking !) which back in the middle of June was 11. She wants him to get down to 4 but then said that 6 was 'normal'. Converting his latest BG reading from self testing he is at 10.2.
She then went through the expected talk on diet and exercise and printed off various diet sheets. At no point did she mention self checking of blood glucose levels and didn't seem particularly interested that he had his own monitor. He is to have another HBAIC test in 3 months.
Right at the end she said that she wanted to start him on Metaformin (no surprises there) beginning with one a day and going up to four so starting on 500mg and increasing to 2000mg. She said that the Metaformin would take 3 months to have any effects on his BG. Hubby does not intend to take any tablets all the time he can see that his BG is reducing via low carb dieting and exercise. If his BG levels start to stall or rise then he would of course take the meds.
Whilst talking about diet she said that you'must have carbs' in your diet ( no mention of how much) and to choose those with low GIs and to make sure that the diet was low calorie and that T2 was a lifetime condition. When I mentioned that people had reversed ( or well controlled) it by a low carb diet and got their levels back into the normal range I was ignored.
When I got home I read the diet sheets and I was gobsmacked how inaccurate they were. According to our practice it is perfectly okay to eat potatoes, rice is good and pasta is recommended. The nurse advocated eating bananas and biscuits (yes really !!) as long as they were oatmeal or Rich Tea.
I had to really, really bite my lip. There are people who would take those diet sheets away and follow them because a 'professional' had issued them and they still would not gain control of their blood glucose levels and just end up on more and more medication. We plan to carry on with the low carb diet and monitor the BG ourselves. We will soon know if it is working or not.
I'm very grateful to have found this forum and been able to do my own research before he had the appointment. Seems to me that the folk here are far better informed and better able to advise than our local surgery.
Thank you for reading !
Maybe you can go prepared, with diet advices from reputable sistrs like american diabetes associatipn, diabetes Canada, this diabetes.co.uk and diabetes.org.uk.Gulp got my first meeting with a dietary/diabetes nurse tomorrow afternoon would have done what they advised but after reading this not so sure?. only 4 days in from diagnosis and I am confused enough as it is.
Gulp got my first meeting with a dietary/diabetes nurse tomorrow afternoon would have done what they advised but after reading this not so sure?. only 4 days in from diagnosis and I am confused enough as it is.
Hi Perry1960 good luck for your appointment but I would be guided by what other members here on the forum tell you. After all they are the ones living with the condition and the NHS seems to issue a lot of incorrect information. If you haven't already done so, buy yourself a BG monitor so that you can check your own levels. It's the only way to really know where you are at and a 3 month HBA1C test on it's own is not enough. Low carb diet as all carbs turn to glucose once they are digested.Gulp got my first meeting with a dietary/diabetes nurse tomorrow afternoon would have done what they advised but after reading this not so sure?. only 4 days in from diagnosis and I am confused enough as it is.
It probably just does not compute. We do seem to be dealing with some people just following instructions robotically and without question. Mine's 34 too; but it wouldn't be if I took NHS advice.Indeed - mine just can't believe it when I keep getting round about 34 mmol/mol each time, when I was diagnosed at 107 mmol/mol. I can only imagine it isn't something they are used to.
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