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gp dietician

angievee

angievee

Member
Messages
19
Location
newcastle on tyne
Type of diabetes
Type 2
Treatment type
Diet only
Dislikes
rudeness, anger.
Our local GP has recently added a diabetic dietician service, which is great news and a good step forward. I saw her about 3 weeks ago and she wanted to know how I had got my hba1c down from 93 to 31 - 33, which she said was "fantastic". When I told her low carb I could see a veil coming down! When I went through a typical days food intake, she said I needed more carbs! She also said she doesnt count veg in a daily carb total, and to eat ALL veg freely, also she said fruit is fine, including bananas, which we agreed to disagree on. I have introduced more carbs generally over the last 6 months and that is when i went from 31 to 33 and I am happy at this level - I maybe have around 80grm a day. So, I wont be taking her advice thus far - I see her again 15th January and will see what happens then. Not sure if all GP's yet offer this service but I am happy to see her as often as I am offered, all info is good, even if you dont agree with it. I think she may be offering group sessions which would be good to attend, though she may see me as a disruputive force!
 
My Diabetic nurse questioned me about my diet and gave useful tips. As it became clear I was already doing nearly all of it, Seemed she just gve up, commenting that "Diabetes is inevitable for some people"
Of course no mention of Low Carb eating.
My GP had banged on about Low Fat as now have slightly raised cholesterol, without realising had been doing low fat for decades because of IBS. To be fair he is new to practice and it was decades ago symptoms were troublesome. His advice about the Prediabetes was more akin to what I now understand to be low GI eating.

On the other hand, the nurse was appalled that the Preventing Diabetes course recommended by the GP but apparently unheard of anywhere else in the practice, was not running in my hometown. Commenting she had seen five people that morning who might benefit from it. Maybe the invitation received few months later was as a result of her intervention.

So fight the good fight. Wave the Low Carb High Fat banner high.
 
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My DN has never asked my about my diet or how I manage my diabetes although she would probably disagree with the fact that I eat full, as opposed to low, fat foods.
 
SlimLizzy said:
My Diabetic nurse questioned me about my diet and gave useful tips. As it became clear I was already doing nearly all of it, Seemed she just gve up, commenting that "Diabetes is inevitable for some people"
Of course no mention of Low Carb eating.
My GP had banged on about Low Fat as now have slightly raised cholesterol, without realising had been doing low fat for decades because of IBS. To be fair he is new to practice and it was decades ago symptoms were troublesome. His advice about the Prediabetes was more akin to what I now understand to be low GI eating.

On the other hand, she was appalled that the Preventing Diabetes course recommended by the GP but apparently unheard of anywhere else in the practice, was not running in my hometown. Commenting she had seen five people that morning who might benefit from it. Maybe the invitation received few months later was as a result of her intervention.

So fight the good fight. Wave the Low Carb High Fat banner high.
Click to expand...
@SlimLizzy not sure we have the preventing course is available here but it is a great idea to fight it from that end, rather than wait for people to be diagnosed! They are slowly catching up which is great. Yes I continue the fight forever :)
 
The course is NHS funded and deliverered by X-PERT Health. Its being rolled out nationwide. As a group of Prediabetics the emphasis is on prevention, but the handbook is Prevention and Management and I believe X-PERT HEALTH also run courses for people newly diagnosed with Diabetes.
Interestingly they dont try to recommend a one size fits all dietry approach and Low Carb is one of the options discussed.
angievee said:
@SlimLizzy not sure we have the preventing course is available here but it is a great idea to fight it from that end, rather than wait for people to be diagnosed! They are slowly catching up which is great. Yes I continue the fight forever :)
Click to expand...
 
angievee said:
Not sure if all GP's yet offer this service but I am happy to see her as often as I am offered, all info is good, even if you dont agree with it.
Click to expand...

You say "diabetic dietician" but I hope she will help anyone with a need to see a dietician. She quite clearly isn't a specialist diabetic dietician because she doesn't seem to realise that certain foods cause the BG of a type II diabetic to rise.

angievee said:
She also said she doesn't count veg in a daily carb total, and to eat ALL veg freely, also she said fruit is fine, including bananas, which we agreed to disagree on.
Click to expand...

I get just under 50gms of carb from the vegetable (above ground) I eat, which is probably about 1/4 of my RDA if I was to follow the eatwell plate. She's more concerned with calories than carbs, so much for the diabetic client. She must count root vegetables or is she totally mad. I don't think you should agree to disagree on anything, I'll even give you a print out of my BG after eating a banana. You might be able to cope with a bit more carb than most type IIs, you're lucky.

angievee said:
all info is good, even if you dont agree with it.
Click to expand...

No, it's not good, if it's wrong it's rubbish. These are things that aren't down to opinion, it's right or it's wrong.

I think you've been very kind to this person and I think you have a good point about being a disruptive person if you attend her group sessions.

The present advice being given to type II diabetics will ensure that they are dependent upon medication and will one day need insulin.

Sometimes I think that these people should actually be type II diabetic as a pre-requisite, it would help them understand. I'm surprised that they don't, it's very simple, less carbs, less need for insulin, less need for medication which in my personal experience has made my health suffer even more.

You need a nurse like this lady, perhaps you can print this off for your "diabetic" dietician.
http://diabetestimes.co.uk/low-carb-nurse-advocate-up-for-top-health-award/

Good luck.
 
Since the creation of the professional dietician, supplanting grandma’s wisdom, has this profession done more harm or more good for society?
 
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