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Message: <blockquote data-quote="Oldvatr" data-source="post: 2598414" data-attributes="member: 196898">We all know that NG28 governs what GP's do for T2D in adults.  It is only guidelines, but somehow that is immaterial - it is what the practice is contracted to deliver.  The NG28 guidelines also say that patients should be involved in the discussion.  I was involved in a discussion on HbA1c.  I was given a choice of treatment to acheive the recommended level for HbA1c.  Next time make it >56, or stop hypoglycemic medication and let nature take its course with the standard level of 48.  My choice.  Both targets are viable.I am a long term diabetic of over 30 years since DX.  I need my glic since remission is unlikely for me although I have been close to acheiving it for a short while and non diabetic for nearly 8 years now.  But I only control it, and can easily return to full diabetes again if I am not watchful.  The Beast is still lurking.I will keep my GP since his change in attitude is systemic and reflecting recent changes in NHS guidelines.  Now I have seen what the CCG lays on the practice, I can see that he has been instructed to follow their routemap, and I may plot a different course.  My choice.</blockquote>

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