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Message: <blockquote data-quote="Oldvatr" data-source="post: 2598400" data-attributes="member: 196898">This is what advice my CCG is giving to their GPs in relationship to their PWD"Blood glucose controlThe VADT, ACCORD and ADVANCE trials show that tight control of blood glucose in long standing Type 2 diabetics (reducing HbA1c to below 53mmol/mol or 7%) may be harmful.  •    Involve the person in decisions about their individual HbA1c target which may be above the general target of 48mmol/mol or 6.5% especially in long standing diabetes. •    Offer lifestyle advice and medication to help achieve and maintain the HbA1c target. •    Inform patients with a higher HbA1c that any reduction towards the agreed target is advantageous to their health. •    Avoid pursuing highly intensive management to levels of <48mmol/mol or 6.5%. ♦ Self-monitoring of blood glucose should be offered to a patient newly diagnosed with T2DM only as an integral part of his/her self- management education. Its purpose should be discussed and there should be agreement how the results should be interpreted and acted upon."I think it is clear why my GP has changed his approach to my care,  It is coming direct from the CCG guidelines that govern his Practice..</blockquote>

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