Interesting! I just had an email suggesting that the phone call yesterday may have been misinterpreted and asking if its convenient for me to be available for a conference call with the Practice Manager and other relevant parties at 12 today.
Now what????
Interesting! I just had an email suggesting that the phone call yesterday may have been misinterpreted and asking if its convenient for me to be available for a conference call with the Practice Manager and other relevant parties at 12 today.
Now what????
Could you ask to have a glucose tolerance test as evidence that you need testing strips to control your BG levels to avoid spikes that will cause you to have to move onto other medication including insulin? Don't do it yourself, it would have to be done through your GP or specialist where they measure your insulin and glucose over the two hours. My GP and specialist wanted to know about how my response to eating after fasting, phase 1 of phase 2 insulin production was impaired. I have no phase 1 insulin after eating, which suggests beta cell destruction, as well as 2 rising to 4 mmol/l of phase 2 insulin. It was very informative and it's how I manage my diabetes without insulin.
@Chook is type 2. The type we are is under our profile photo, if we fill it in. Some type 2's need to keep on insulin, and some can come off it.You take no insulin at all ert?? I didn't think that was possible for a type 1? x
The comment quoted a T1 member who said they manage without insulin.@Chook is type 2. The type we are is under our profile photo, if we fill it in. Some type 2's need to keep on insulin, and some can come off it.
@Chook
Thinking about it, if you are intimidated by the inclusion of 'other parties' in the phone call, then you are at liberty to refuse a group call on exactly those grounds.
Simply say that the disapproving tone, condescending attitude and closed mind of the doc you spoke to yesterday makes you uncomfortable at the thought of him/her and others ganging up on you during the call.
Even if you go ahead with the phone call, it will give them pause and probably mean the conversation is a lot more positive for you.
And from this siteGood idea.
Wow!
Can I suggest that you have all the docs about Dr Unwin, and links to the educational module for medical professionals (put together by Dr Unwin) ready to hand, so that you can refer to them, if necessary, and send them over by email, following the conversation.
Stand your ground.
I will be rooting for you!
My diagnosis is type 1 by I think I'm type 2 like chook. My body still produces insulin. Just long-acting (phase 2) and not much, but enough to clear 6 -12 grams of carbohydrates in a meal over 6 - 8 hours. So just two meals a day. Nuts and cream stop me from losing weight and HBa1c results are impaired, rather than diabetic. It's not much fun, but I'm holding on to try to demonstrate I'm type 2 and not type 1. If I were type 1 wouldn't I need insulin by now, after two years? I do get GP's questioning my use of testing strips, as I'm not on insulin. I just point them towards my glucose tolerance test. C-peptide results don't mean so much to them, just my specialist.You take no insulin at all ert?? I didn't think that was possible for a type 1? x
@ert your profile says T1, this may explain the confusion.My diagnosis is type 1 by I think I'm type 2 like chook. My body still produces insulin. Just long-acting (phase 2) and not much, but enough to clear 6 -12 grams of carbohydrates in a meal over 6 - 8 hours. So just two meals a day. Nuts and cream stop me from losing weight and HBa1c results are impaired, rather than diabetic. It's not much fun, but I'm holding on to try to demonstrate I'm type 2 and not type 1. If I were type 1 wouldn't I need insulin by now, after two years?
Well done, sounds like they learned a lot! Are you still going to get your strips?Well, that was interesting. It seems like my GP practice is moving on from the Dark Ages. The reason for yesterday's phone call was the new DN was being brought up to speed by my GP (the same one who three years ago called my proposed low carb diet 'a hippy, dippy diet' that he couldn't recommend or support me on). As they were going through all the T2s discussing meds, courses, other treatments, apparently my records stood out as being completely different because of my HbA1C being at non diabetic levels and, on looking in more detail they found that I haven't had a prescription for insulin for nearly three years yet I'm still getting the strips.
One funny bit, I know their record keeping is a bit haphazard but they thought I must have had some sort of bariatric surgery that they didn't know about.
So the phone call yesterday was to find out EXACTLY what I'm doing. The reviews with the DNs don't include a tick box answer for discussing controlling with a low carb diet and even though it has been discussed at every review it hasn't been noted and that's why I'm still shown as insulin dependant. And that's why I still get the strips. I did get a sort of apology for yesterday because the DN had passed on that the doctor may have been a bit harsh (!) and maybe hadn't explained fully the reason they were calling..
All the people in on todays conference call introduced themselves (eight of them) but only one asked questions which the others had given to him in advance. What they really wanted was to know what made me take this option, how long it took, what support I had at the beginningand what my diet and life is like on a daily basis.
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