I find it is best to be reasonable and polite but firm with receptionists. If you need an extended appointment, or more than one, just tell them. If you don't get anywhere and your appointment turns out to be too short get the doctor to make another appointment while you are there.I was told I was t2d after one hbalc of 53. No other tests. Have never seen a gp about this or the other 2 diagnoses I received at the same time. I dont think all gps even know that there is a handbook.
I have made an appointment ( for October, made t h is last week and it was the first bookable appointment for chronic conditions) to talk about my diagnosis, but as I could . Only book a single appoint I must decide which ofmy 3 problems I need to talk about.
I just checked my online test results and they show that there was a Plasma Fasting Glucose Level of 7.5 mmol/L when my HbA1c was 48, so that must be why I was diagnosed T2.Strange, although I wouldn't have known about my FBG and random tests without the print outs I asked for. I was only told the HbA1c result - another incidence of HCPs filtering out information!
@Prem51 it looks like you were cearly on the road to Type2 for along time, and hence the doctor did not need much comformation before giving you the news.
Yes you were right, I didn't know about the random fbg test being done with the HbA1c test. My GP did say to me I was in danger of becoming diabetic the year before I was diagnosed, but I didn't really take much notice thinking it was the usual HCP scare story.Often a random BG test is done on the same blood sample as the HbA1c - mine come back as 34, hence no need for a 2nd HbA1c test.
It will be interesting to see when this handbook gets updated
Yes you were right, I didn't know about the random fbg test being done with the HbA1c test. My GP did say to me I was in danger of becoming diabetic the year before I was diagnosed, but I didn't really take much notice thinking it was the usual HCP scare story.
I find it interesting that a random plasma test has to be 11.1 before it can be used for possible diagnosis. This is also the 2 hour cut off for the OGTT. Why then are we told non-diabetics never (or rarely) go above 7.8?
I think it is based on when it becomes cost effectative for the NHS (etc), e.g. when the risk of eye damage etc becomes a factor. Also random plasma test are random depending what someone had to drink on the way to the GP, a lot of none-diabetics will get above 8 a few times in their life's.
I was told to eat less fat ect when I was "pre-diabetes" its only after the fact that I did my own research (starting with the BBC Doctor in the House blog etc) that I discovered Low Carbs and this site.
I agree. My doctor is so authoritarian and is like "do as I say or else". he never listens to my opinions and if I tell him of new research he simply poo pooh's it. I live in fear before every check up
Or could it be some sort of calculation based on research we know nothing about, or just a figure plucked from the air? I am well aware a lot of non-diabetics rise to double figures on occasions. My own husband reached 10.2 at an hour, 8 at 2 hours, and 7.3 at 2.5hrs. after a traditional Sunday roast dinner with rice pudding to follow. He is not diabetic, his FBGs are always low 4s and his last HbA1c was 36.
can I ask why aspirin should not be given to diabetics?I found it all very interesting, especially the section on blood pressure controls, the section on Aspirin, and the section on Metformin and heart benefits.
Metformin - from how I read it, this is beneficial for the heart COMPARED WITH other diabetes drugs. This could mean it is the other drugs causing heart problems whereas Metformin doesn't, rather than Metformin being beneficial in itself.
Blood pressure - it seems the 140/80 target appears too tight and more people die with BP under 110/70, and the bottom figure should be not much less than 70.
Aspirin should not be prescribed to diabetics, full stop.
I need to read it all again.
can I ask why aspirin should not be given to diabetics?
Thanks - extremely interesting and useful.
cheers I thought there might have been another reason, my GP said they used to prescribe aspirin but are now told not to because of the risk of bleeds yet at the same time saying glucose makes the blood thicker or somethingBecause NICE say so, and they are very clear about it. I have no idea what the reasoning is.
https://www.nice.org.uk/guidance/ng28/chapter/1-Recommendations#blood-glucose-management-2
1.5 Antiplatelet therapy
1.5.1 Do not offer antiplatelet therapy (aspirin or clopidogrel) for adults with type 2 diabetes without cardiovascular disease. [new 2015]
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