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Gp's And Obesity

Interesting stuff. I've only scanned it but interesting to note that GPs know that they lack knowledge in the causes/outcomes of obesity but agree that patients should take more responsibility for their own weight issues. So where does that leave a patient struggling with their weight?

An interesting topic for discussion would be the question as posed 'Is obesity a disease?'.
 
bulkbiker said:
Figure 24 shows how far we have to go to educate GP's...
Click to expand...

Aye, that one's a doozy. And not surprisingly I am ever so slightly irritated by it. Sorry, full sarcasm mode is switched on this morning.
 
Guzzler said:
Aye, that one's a doozy. And not surprisingly I am ever so slightly irritated by it. Sorry, full sarcasm mode is switched on this morning.
Click to expand...
No worries.. I'm in complete agreement with you I loved figure 9 10% of GP's think they do should more 16 % think HCP's should do more but 74% think that all HCP's should do more.. staggeringly "anyone but me" should be doing something about it and a bit sad...
 
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I have a slightly anxious feeling about what these fine bunch of GP's will be taught about giving advice on obesity. Figure 24 already shows that most of them think that lack of exercise and eating fat/sugar are the main causes.

I am happy that they wish to be trained but by whom.
 
Squire Fulwood said:
I have a slightly anxious feeling about what these fine bunch of GP's will be taught about giving advice on obesity. Figure 24 already shows that most of them think that lack of exercise and eating fat/sugar are the main causes.

I am happy that they wish to be trained but by whom.
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As long as it is not by NHS Dietitians...
 
Figure 24 doesn't even have a question about obesity occurring when the body simply doesn't work properly anymore due to accidents, past illnesses, past diets, life, pollution etc. Gobsmacked, I would have thought that would have been next to the genetic question. Plenty of 'blame the patient' questions though. :rolleyes:
 
Squire Fulwood said:
I have a slightly anxious feeling about what these fine bunch of GP's will be taught about giving advice on obesity. Figure 24 already shows that most of them think that lack of exercise and eating fat/sugar are the main causes.

I am happy that they wish to be trained but by whom.
Click to expand...
Well it would be helpful if they spoke to and listened to their patients. That would be a good start. :rolleyes:
 
It would have been interesting to see the response to the cause of obesity if the 'eating high-fat, high-sugar foods' was actually split..............
 
How do you educate a GP in 10mins?

My both intelligent GPs don't GET obesity. One is genetically tall and slim. The other I suspect has type2 or his wife. He has fairly good knowledge. He knows obesity is damaging to some diabetics. However his answer is...... you need to lose weight.
I honestly feel Newcastle diet predisposed mind set about fat hasn't helped diabetics. Yes, low eating for a long period puts some type2s into Remission..... How long? Depends on the length of reduced food intake period effect, which is individual. Yearly 8-10 week diabetic diet doesn't seem to be suffient, for some. Either longer period or more frequent food restriction may be needed. Exercise longterm influences Remission, if done properly. (not hard).
And there's more.......
GPS cannot get this through to patients in 10mins.
Well, I couldnt and I've trained computer illiterate people who were scared of a mouse so badly it gave them nightmares to go on for promotion where they are savy now in computers and train others.
The role of a GP is changing but some cannot retrain. :(
 
Type2 full understanding isn't being educated. Even now.
How do we change that?

Write a book? Shout from the hit tops or just try to educate IF the sufferer and gp etc. wants to listen?

Better designed training courses need to be available.
Even my bariatric nutritionalist knows how diabetes is different in metabolism than none diabetics but no imput in course. I was disappointed but nhs won't do separate courses and extra dietician appointments only to bridge the loss of knowledge. But from the wrong people. :(
So even bariatric training courses don't cater for IR. IR is mostly ignored except from endocrinologist and his team. Even diabetic psychologist knew but not bariatric psychologist.
A huge gap in education in the nhs. :(
 
slip said:
It would have been interesting to see the response to the cause of obesity if the 'eating high-fat, high-sugar foods' was actually split..............
Click to expand...
To me this suggests that the people asking the questions don't know the subject either. They assume that eating a lot makes you fat.
 
ickihun said:
Type2 full understanding isn't being educated. Even now.
How do we change that?

Write a book? Shout from the hit tops or just try to educate IF the sufferer and gp etc. wants to listen?

Better designed training courses need to be available.
Even my bariatric nutritionalist knows how diabetes is different in metabolism than none diabetics but no imput in course. I was disappointed but nhs won't do separate courses and extra dietician appointments only to bridge the loss of knowledge. But from the wrong people. :(
So even bariatric training courses don't cater for IR. IR is mostly ignored except from endocrinologist and his team. Even diabetic psychologist knew but not bariatric psychologist.
A huge gap in education in the nhs. :(
Click to expand...

Well, although this is relating to T2, bearing in mind the source content, it seems likely obesity will to touched upon, at least.

upload_2018-7-9_10-28-9.png

This is taken from the RCGP e-Learning zone, for self-serrvice and even has CPD credits.
 
I 'like' fig 34.
Too thick and lazy??
:banghead:
 
For as long as the "education" is likely to be more emphasis on Low fat, high Carb dieting, I am happy for my gp to be ignorant and leave me alone, unchallenged, in my food choices. The last thing I want is to have them arguing with me or making me feel even worse about LCHF.

as we have seen from racist, ageism, homophobia and all the other isms, a lot of people, even the ones trained in the field, wont let facts get in the way of prejudice. And do we really think bug business is going to let them admit that carbs are an issue? Nope. Not going to happen.
 
The link in the OP is very, very depressing.

But that level of ignorance, incorrect understanding, blame and issue-dodging is an inevitable consequence of the last 50 years of diet advice. Poor docs. They are paralysed, aren’t they? A kind of learned helplessness.

After all, if you spend your life handing out the approved but useless CICO/exercise advice, then watch them get fatter, less active and sicker, then you end up losing the will to live, don’t you?
 
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