benedict said:Just a quick note to say that we have had a spot of bother in the past with some people joining the forum only to 'take'. The research forum has suffered from this fate as it became overwhelmed by market research asks.
Ideally, new members should join to be a part of the forum rather than to use the forum. Healthcare professionals can join but it's reasonable to expect people to give something back if they are looking to ask questions of us. An example would be to give the forum some more information on why the talk is taking place and what the aims of the talk will be.
benedict said:Hi Albert
When a post is removed for reasons such as this, I get back to them as to why. New members cannot send PMs so this contact needs to be made by email.
If you have more questions, please contact me via PM and I'll be happy to answer.
Benedict
iHs said:If it wasn't for reading a request on the forum from a market research company, I would never have been able to give my input regarding the development of a new insulin pump.
I'm only too pleased to be able to help improve everyone's quality of life by helping any company with their research.
I hope the forum will still allow the research requests?
WhitbyJet said:+1 viviennem
I never forget the day I sat in the consulting room, my 6 month baby happily gurgling away on my lap, the consultant looking at me sternly saying 'Type 2 diabetes destroys all your organs, one by one, there is no cure for it, nothing. It's worse than someone having cancer. The best you can do is eat a healthy, plenty of baked beans, jacket potatoes, cottage cheese, wholemeal bread, porridge, vegetables and fruit, but be aware, this is a progressive disease,no bones about it'.
I almost walked under a bus on the way home, couldnt see traffic for tears.
Blast, tears coming now at the memory of it :cry: :cry:
Considering the solid evidence for the negative effect of hyperglycemia on diabetes complications as well as cardiovascular disease the present high-carbohydrate dietary advice resulting in unnecessary hyperglycemia and insulin resistance seems difficult to support [17-19] and for diabetes patients, current dietary recommendations seem to be a major part of their problem rather than being part of the solution. Carbohydrate restriction, however, reverses or neutralises all aspects of the metabolic syndrome
Hi pipstick.pipstick said:Hi everyone,
firstly, i would like to say thank you so much for all of your replies, it really lifted me to see some really positive and helpful comments after the shaky start i had. I know some of you are still confused as to why i wanted some quotes in the first place; let me give you the synopsis of the talk that i'm doing. I am a dietitian that is very interested in giving patients back ownership of their diabetes, and I get really annoyed with the daft comments that medics or practice nurses use as 'scare' tatics to try and shock the patient into doing what they want them to do. I'm a huge believer in allowing patients to make their own minds up about what their priorities are and not being made to feel a failure or 'non-compliant' when they can't match up to HCP's expectations. My idea was, to try and get some anecdotes to use in the beginning of the talk to show that "fear itself does not lead to behaviour change",
(eg. when my dad was told to get his act together or i shall have to prescribe you metformin - he'd just been to NZ for 4 weeks and enjoyed every minute, and, probably bad timing, but was due to go and see my bro in italy a few weeks after this - , he felt awful and promtly went out, bought two pork pies and ate them both on the short drive home!)
and that HCPs need to wise up and brush up on their communication skills if they are ever going to get any kind of rapport with their patients. To the follow up on this i am going to try and give them an idea how to actively listen to their patients and help them to self manage their diabetes, (not try and manage it for them!) by using certain communication skills that a fair few are lacking in.
I can let you know how the talk goes if you like? it's happening a week next tuesday, so i'm getting nervous now!
thank you all again
pipstick
I can let you know how the talk goes if you like? it's happening a week next tuesday, so i'm getting nervous now!
thank you all again
pipstick
IanD said:Dear Pip,
I'm always glad to "meet" a diabetes health professional who is interested in the views of actual diabetics!
I never forget the day I sat in the consulting room, my 6 month baby happily gurgling away on my lap, the consultant looking at me sternly saying 'Type 2 diabetes destroys all your organs, one by one, there is no cure for it, nothing. It's worse than someone having cancer. The best you can do is eat a healthy, plenty of baked beans, jacket potatoes, cottage cheese, wholemeal bread, porridge, vegetables and fruit, but be aware, this is a progressive disease,no bones about it'.
That quote from W-J reflects my experience at diagnosis (the year Steve Redgrave was winning gold medals.) My Dr told me - "as a diabetic you are in line for heart disease, stroke, blindness, amputation, kidney failure .... & while you are here I will compute the probability of a heart attack. 25%. Diabetes is a progressive disease, so that however carefully you follow our advice, complications will come, so don't think you have failed."
I left the surgery in a state of shock that lasted months. My tennis friend experienced similar feeling when she was diagnosed with liver cancer. You've got the disease that will kill you.
11 years after diagnosis I am fit & well, with no perceived complications. That is because when the complications did arrive, 3½ years ago, I joined this forum & followed the advice to cut the carbs. 3 months after cutting out all the obvious carbs I was out of pain & playing tennis again.
I'll quote from emails with the local dietitian, who gave me the high carb advice after diagnosis, & whose advice I had carefully followed.
Dear R---
The chairman of our Diabetes Support Group recommends I contact you regarding diet. We have met several times, & I followed the recommended low GI diet for the first 8-9 years of diabetes.. When I checked, my carb consumption was over 300 g of "good" carb daily. Its now below 100 g.
I have recently been thoroughly checked under the Imperial College "SABRE" [heart & diabetes] project & all is well. I am much better under the low carb diet, whereas I was becoming disabled with intense leg pains.
The dietary advice which has restored my active life was obtained from contributors to the http://www.diabetes.co.uk forum which is run by patients rather than medics. The experience of other patients is very helpful.
I should be grateful for your comments on a reduced carbohydrate diet. Its over a year since the first email, & I would not consider reverting to the GI diet.
HBA 6.2, BMI 24, Chol 4.8.
Apologies for not replying earlier to your e-mail. Firstly congratulations on your excellent blood results and BMI (HBa1c and Cholesterol). It is safe to continue following a lower carbohydrate diet provided the balance of the energy is from fruit & vegetables, monounsaturated fats (e,g. nuts, seeds, lean meat, olive/rapeseed oil), low fat dairy foods as opposed to saturated fats.
Also if a patient is following this diet they should monitor their blood glucose levels and adjust medication/insulin to reduce risk of hypos. on a lower carbohydrate intake. Regular blood tests to monitor lipid levels are also advised.
The ADA recommend that a minimum of 130g carbohydrate/day but if you go lower than this keep above precautions in mind.
I hope this answers your queries.
We run an Xpert group education course for Type 2 patients and Hidap for Type 1 patients. You are welcome to attend these sessions and I am sure other patients would benefit from hearing about how you are self manging your diabetes so well.
I took up her invitation to go on the XPERT course. You will find my log of that course here.
Hope that helps your search, & patients will benefit from your visit to the forum. I'm happy to answer further questions.
Regards,
Ian
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