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My visit to the Dorchester Diabetes Centre.....

white43

Well-Known Member
Messages
45
Location
Dorset
Diagnosed three months ago, I was invited to attend an 'education' afternoon at the NHS Diabetes Centre in Dorchester, Dorset.

My thoughts on the visit:

- I seemed to be the only one who really understood the condition. Many people knew absolutely nothing. I suspect that Google doesn't exist in their lives.

- There was basic Q&A about blood testing and urine samples. Advocation that all T2's need is urine test, but admitted that nothing would show up unless you were maybe 10mmol. No further chat about blood testing or whether it should be done....appears they don't think so.

- The 'specialist' dietician made some very odd statements in places:

"You can't have too little food" was the one that stuck out for me. She claimed that you eat very little and 'maybe' your metabolism would slow down, but that's OK, because it will pick up and all will be well. She inadvertantly advocated starving yourself.

- Sugar is good, fat is bad. Sugar=good, fat=bad(repeat!). Even though we're diabetics. It's OK to eat alot of sugar, as long as you keep the fat down.

- She claimed that men should be eating at least 10 pieces of fruit a day. But not all at once you understand, because that might be too much sugar at one. She said she'd shoot my practice nurse who told me to perhaps keep fruit to maybe 3 pieces a day. Cos that is NOT current thinking. See.

- She was baffled at why Shredded Wheat and Fruit N' Fibre should double my blood glucose levels. "Maybe it was a one off" she says.

Despite saying that we're all different, we respond differently to different foods, she heavily played the 'one size fits all' government 'balanced diet'.

One woman was concerned that after drinking a glass of apple juice(which is very high sugar) and eating a banana(also high in fructose), she went for a walk and felt light-headed. The advice was - basically, that's OK as you're having a banana. Even though previously, the dietician had said that really, all fruit juices should be really avoided......as they're concentrated fructose, 'but the real problem here is that they don't have the fibre..'

- No investigation whatsoever into any other diets, although there was a brief mention of the Glycemic Index diet, but no real explanation of how it would differ to the government/NHS prescribed 'balanced' diet. Although if you do follow the GI diet, watch out, as fat/meat is low in GI....and you don't want to eat that do you? I at least expected her to attack the low-carb diet....

- At one point, the dietician was advocating eating a Kit Kat chocolate bar than something more higher in fat! I mean, come on! It's SUGAR that's the problem for us!

One more : One woman, who was faithfully following the NHS plan said that her urine was registering high amounts of glucose. The response? "Perhaps they would need to increase your medication." rather than "Perhaps we should look at your diet."

I was very disappointed in this. It felt almost like propaganda. Same old. Keep taking the poison, but just find the 'slower hit' poison. I wouldn't be so suspicious if I didn't see the NHS advocating this 'balanced' diet in almost every condition I read about, as well as trying to force it down the public's neck at every opportunity. Whether people want to hear it or not, we diabetics are not the same as everyone else, there cannot be a one size fits all diet for us and how we should follow the same diet as you normals(!) is beyond me. Anyone with any sense should be weary.....

Anyway, time will tell. Either I'm(and many other diabetics) are completely wrong or, the government is feeding a nation of diabetics a bad diet that will progress the condition quickly to the point of complication and a much shorter life. Now why would they do that?
 
Well - I am alarmed at the advice you have been given - did the dietitian actually say 10 pieces of fruit. I encounter pts who have very high blood sugars from eating huge amounts of fruit daily! My record is a lady eating 22 /day - her bs got up to an average of 10 !

this question of slowing the metabolism is interesting. I think she may have been trying to explain the anecdotal fact that people who appear not to eat much during the day do not lose weight! Does not sound like she explained herself very well.

if this is what they told you then I actually feel the urge to speak to this dietetic dept - I am a Dietitian myself and am appalled at what she has said. And the use of urine tests - what age group were they aiming at - only on rare occaissions we use them for much older people who cannot cope with blood testing - AHHHHHHHHHHHHHHHHHHHHHHHHHHHH!!

pm me if you want to have a chat

allyx
 
Ally,

She said that current thinking suggested that men in particular should be eating TEN pieces of fruit, women SEVEN.

She was even holding up handfuls of grapes etc, which my practice nurse had advised against.

What I was getting from her about not eating, was that it was OK to not eat much as the metabolism will eventually kick in again. It wasn't well explained.

I was the youngest in the group at 34, a few in their 40's, 50's and up.
 
I often find these sessions are attended by older people as they are easy for them to attend! We tried evening sessions but they didnt work!

Did she mean fruit and veg combined >
 
She certainly seems to have conveyed rather strange messages.
A four finger kit kat is high in both fat and sugar so it doesn't matter which way you look at it, it wouldn't be a good food choice for most people.
Carbohydrate 28.2g
of which sugars 22.8g
Fat 12.2g
of which saturates 8.3g
25% of RDA for sugar
42% of RDA for saturated fat.
(doesn't leave much for your meals)
 
Do a lot of diabetics in this country have their medication doses increased due to poor control of blood sugars?

Must keep the pharmaceutical companies happy!!!

Great post anyway, it would be interesting for me to meet a group of diabetics who don't google.
 
I realise there are notable exceptions( Ally 8) , but in my experience, many dietitians know what's in food, but not what it does in a human body yours doesn't even know that if she says all fruit juices are full of fructose. Firstly they aren't, many contain particularly sucrose and in any case Fructose doesn't put BG up. It has other associated problems, like its effect on triglycerides.
 
white43 said:
- She was baffled at why Shredded Wheat and Fruit N' Fibre should double my blood glucose levels. "Maybe it was a one off" she says.

The last time I checked, Shredded Wheat scored higher on the glycemic index than table sugar. :shock: Yet we're told to avoid sugar and eat Shredded Wheat. :?

You can excuse DUK giving out this advice because Shredded Wheat (Read: Nestlé) are "corporate partners", but from the NHS it's bizarre.
 
Hana - that is not what they are taught honestly - I have recently had some input into a dietetics course and the students are very knowledgable - blimey I was taught those basics years ago!

My guess is she was prob a basic grade who just got told to do the course, it is actually very daunting and as a basic grade I can remeber a few things I said !! - its not seen as glam as perhaps working in a clinical enviroment. I have had a few dietitians look at me in disgust as I work in sport!

What I think is perhaps at fault is that some unis do not teach them how to put it across.
 
timo2 said:
white43 said:
- She was baffled at why Shredded Wheat and Fruit N' Fibre should double my blood glucose levels. "Maybe it was a one off" she says.

The last time I checked, Shredded Wheat scored higher on the glycemic index than table sugar. :shock: Yet we're told to avoid sugar and eat Shredded Wheat. :?

You can excuse DUK giving out this advice because Shredded Wheat (Read: Nestlé) are "corporate partners", but from the NHS it's bizarre.

Next time you see Ian Botham advertising shredded wheat, throw something at the TV!
 
Reading the above doesn't surprise me one bit, after being diagnosed type 2 I got home, googled it, found this site and others and read, and read, and read...

Then about 3 months later I had to go see the dietitian (cant beat good old NHS quick response times) who asked what my diet consisted of, I told her the basics of my low carb diet and was told that I would make myself very ill, I should eat plenty of fruit, potatoes and bread, rice is also good and shredded wheat for breakfast to keep my bg down, if my bg stayed high then I was to see the doc and get my medication increased (although she said that she didn't understand why I had been given a meter to test "as type 2's dont need to, they just need to eat less").

After politely explaining things to her the way I saw it she said she wouldn't see me again (hey ho) and I was headed back towards the diabetic nurse for a telling off, the following argument resulted in her not wanting to see me again after I pointed out that I didn't need her talking to me like a child and all my dealings being dealt with by the PCT's head diabetic nurse, a thoroughly lovely type 1 diabetic who told me that although she low carbs herself she's not allowed to promote it as its not NHS policy :?
 
Andy A said:
Reading the above doesn't surprise me one bit, after being diagnosed type 2 I got home, googled it, found this site and others and read, and read, and read...

Then about 3 months later I had to go see the dietitian (cant beat good old NHS quick response times) who asked what my diet consisted of, I told her the basics of my low carb diet and was told that I would make myself very ill, I should eat plenty of fruit, potatoes and bread, rice is also good and shredded wheat for breakfast to keep my bg down, if my bg stayed high then I was to see the doc and get my medication increased (although she said that she didn't understand why I had been given a meter to test "as type 2's dont need to, they just need to eat less").

After politely explaining things to her the way I saw it she said she wouldn't see me again (hey ho) and I was headed back towards the diabetic nurse for a telling off, the following argument resulted in her not wanting to see me again after I pointed out that I didn't need her talking to me like a child and all my dealings being dealt with by the PCT's head diabetic nurse, a thoroughly lovely type 1 diabetic who told me that although she low carbs herself she's not allowed to promote it as its not NHS policy :?

Might make an interesting story for the local media!
 
Might make an interesting story for the local media!

While I agree with you 100% I live in a very rural setting and the local PCT covers a large geographic area with a low population and it could make the head nurse a bit of a target for telling patients the wrong thing, bloody shame though as the local rag needs some decent content instead of missing cats and obituary reports :lol:
 
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