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Message: <blockquote data-quote="EllisB" data-source="post: 393661" data-attributes="member: 66472">NHS /NICE guidelines are predicated with the assumption that most diabetics:<ul> <li data-xf-list-type="ul">Do not have the resolve to lose weight (if they need to)</li> <li data-xf-list-type="ul">Will not get enough exercise, whether due to laziness or other medical issues</li> <li data-xf-list-type="ul">Will be unable to successfully manage their BG in the long term.</li> <li data-xf-list-type="ul">Are not able to understand the complex mechanisms going on in their own bodies</li> <li data-xf-list-type="ul">Will not follow the advice anyway</li> </ul>I know that is patronising but, unfortunately, the truth is that there is a large body of evidence that this is the case and that those of us who can take control and keep our BG  at close to normal levels are in the minority.There is a much smaller body of evidence that the secret of successful management of DM is for the patient to be empowered and supported in learning how different foods and treatments affect their BG.So your Dr and other HCPs are used to dealing with people who are not in control and getting them to improve bit by bit.So trust in your evidence : energy, general well being, HbA1c, Blood Lipids, BMI and, if you are self monitoring, your BG measurements.  If it is working for you brilliant!  If not, then it is time to listen to the HCPs.</blockquote>

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