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Lack of GP referrals to structured diabetes education
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<blockquote data-quote="Lesscarbs" data-source="post: 585155" data-attributes="member: 117020"><p>I read with interest the comments on diabetes education. In March 2013 at my annual review my HbA1c was 7.2, after the nurse at my doctors told me I would soon be on insulin (I was not on any medication) I discussed with her what I needed to do. Her advice was eat half a plate of carbohydrates, fruit between meals and only eat oily fish such as salmon sparingly, I don’t eat meat or chicken so this gave me a lot of problems.</p><p></p><p>Unfortunately I followed her advice and in March 2014 my HbA1c had gone up to 7.8. A few days later I got a call from my doctors to pick up my prescription. Without any discussion the nurse had got the doctor to prescribe Metformin for me. I made an appointment and saw the doctor I was most unhappy with what had gone on. Without help from my doctors I got myself on the X-Pert Diabetes course (they had told me there were no courses in our area).</p><p></p><p>What an eye opener! I changed my eatwell plate, no longer half a plate of carbs. 3 meals a day, no eating in between, fruit with the meal not in between and reduced/limited my carbs. I upped my exercise and in just 10 weeks I lost 12lbs in weight 1.5 inches off my waist. My blood pressure came down to below normal. I had another HbA1c and when I saw my doctor it was now 6.5 and he reduced my blood pressure tablet from 10mg to 5mg.</p><p></p><p>Without going on the course I would with the help of my nurse probably be on insulin.</p><p></p><p>I can’t recommend the X-Pert Diabetes course enough.</p></blockquote><p></p>
[QUOTE="Lesscarbs, post: 585155, member: 117020"] I read with interest the comments on diabetes education. In March 2013 at my annual review my HbA1c was 7.2, after the nurse at my doctors told me I would soon be on insulin (I was not on any medication) I discussed with her what I needed to do. Her advice was eat half a plate of carbohydrates, fruit between meals and only eat oily fish such as salmon sparingly, I don’t eat meat or chicken so this gave me a lot of problems. Unfortunately I followed her advice and in March 2014 my HbA1c had gone up to 7.8. A few days later I got a call from my doctors to pick up my prescription. Without any discussion the nurse had got the doctor to prescribe Metformin for me. I made an appointment and saw the doctor I was most unhappy with what had gone on. Without help from my doctors I got myself on the X-Pert Diabetes course (they had told me there were no courses in our area). What an eye opener! I changed my eatwell plate, no longer half a plate of carbs. 3 meals a day, no eating in between, fruit with the meal not in between and reduced/limited my carbs. I upped my exercise and in just 10 weeks I lost 12lbs in weight 1.5 inches off my waist. My blood pressure came down to below normal. I had another HbA1c and when I saw my doctor it was now 6.5 and he reduced my blood pressure tablet from 10mg to 5mg. Without going on the course I would with the help of my nurse probably be on insulin. I can’t recommend the X-Pert Diabetes course enough. [/QUOTE]
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