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Message: <blockquote data-quote="pleinster" data-source="post: 1535264" data-attributes="member: 221545">Hi. It is pretty basic really...three words - ignorance, arrogance and complacency. The fact that some (very good) medical professionals are completely up to speed with the benefits of a low carb high fat diet in relation to those seeking to get their blood sugar levels under control serves to demonstrate not that others are experts who disagree as a result of superior knowledge but that, sadly, they are doing the minimum and following guidelines that are outmoded or they are not updating their training (where NHS and council budgets can be a factor).  I meet regularly with on of a team of four renal specialists since my transplant two years ago (which was NOT due to diabetes) and all of them are pleased with my diet as they can see the results..and they test my blood in all kinds of ways. I see a diabetes consultant too and he is extremely well informed...he tells me that the low carb approach is slowly starting to catch on and he personally thinks it is generally the best way to go for Type 2s at least, particularly if their BS is not ridiculously high, as part of a lifestyle change before trying meds. He is staggered by the sloppy approach of some others, particularly those who tell diabetics to eat plenty of carbs! It is nuts! Many who have been advising a "healthy diet" for so long are reluctant to now have to be seen to be changing their minds...some know very little about diet at all...others simply think they know best regardless. It is not good enough...but meantime, thankfully, we have access to the direct experience of diabetics who do very well indeed on a low carb diet (if they stick to it). One thing to partly explain a slight hesitancy to promote a low carb diet is that if it is adhered to strictly in conjunction with certain meds (such as Gliclazide) it can contribute to blood sugars dropping so low that hypos happen. There needs to be a greater drive from NHS management and in the design of training programmes..and while lack of financial resources is undoubtedly a factor, there is no real excuse for trained staff to issue advice that is completely wrong. I guess, you have to make your own mind up and keep your doctor/nurse informed. I found that keeping records of my meter readings and the food I was eating served me well in convincing any doubters, so I had the minimum of difficulty with medical staff. Also.. self testing meters...they also talk a lot of rubbish about how these are not required (ie. they cost money)...but meters are in my opinion the only way for us to identify the foods which have most impact on us as individuals and to take control and stay in control. Good luck.ps.  I tend to talk until someone hits me!</blockquote>

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