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Further NHS Diabetic Cutbacks - This Time It's The Diabetic Review Intervals
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<blockquote data-quote="Daibell" data-source="post: 716827" data-attributes="member: 21149"><p>Hi. I think you have been lukcy and have had more attention at your surgery than others. I also live in Hertfordshire but before I went onto insulin I had annual checks based on my HBa1C being reasonable. I have always had my blood and urine done by the Phlebotomist or hospital path lab up to 2 weeks before the actual review so the results were available for that. I have traditionally been seen by the diabetes GP or sort-of DN. Once on insulin I have been managed by an experienced DN who sadly has now left so will be seen by a nurse who may have had very basic diabetes training. I'm still listed as T2 although actually a LADA so I get mid-way insulin attention. So, I think there is no need to see the GP unless there is no nurse avaialble with diabetes training or there are specific problems. I think annual checks are fine if you are known to be stable and have well-managed BS. I have never understood why some surgeries take blood at the review; seems daft to me to be honest and a waste of skilled GP/nurse time. Although I know there is a formal list of 14 things to check, I think some are a bit unnecessary unless you are known not to have well-managed BS. I also have my retinopathy done at the local hosptial annually so the surgery never check my eyes. Diabetes costs the NHS a small fortune so I look for treatment to be cost effective and tailored to the nneds of the patient. Some patients are truly awful at managing their condition and will have serious issues so need close monitoring. I like to think I'm well-managed and will raise health concerns if I have them at or between a review.</p></blockquote><p></p>
[QUOTE="Daibell, post: 716827, member: 21149"] Hi. I think you have been lukcy and have had more attention at your surgery than others. I also live in Hertfordshire but before I went onto insulin I had annual checks based on my HBa1C being reasonable. I have always had my blood and urine done by the Phlebotomist or hospital path lab up to 2 weeks before the actual review so the results were available for that. I have traditionally been seen by the diabetes GP or sort-of DN. Once on insulin I have been managed by an experienced DN who sadly has now left so will be seen by a nurse who may have had very basic diabetes training. I'm still listed as T2 although actually a LADA so I get mid-way insulin attention. So, I think there is no need to see the GP unless there is no nurse avaialble with diabetes training or there are specific problems. I think annual checks are fine if you are known to be stable and have well-managed BS. I have never understood why some surgeries take blood at the review; seems daft to me to be honest and a waste of skilled GP/nurse time. Although I know there is a formal list of 14 things to check, I think some are a bit unnecessary unless you are known not to have well-managed BS. I also have my retinopathy done at the local hosptial annually so the surgery never check my eyes. Diabetes costs the NHS a small fortune so I look for treatment to be cost effective and tailored to the nneds of the patient. Some patients are truly awful at managing their condition and will have serious issues so need close monitoring. I like to think I'm well-managed and will raise health concerns if I have them at or between a review. [/QUOTE]
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