• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

N.I.C.E. Guidelines

Sweet enough

Well-Known Member
Messages
50
Does anybody know the current N.I.C.E. Guidelines regarding the prescribing of test strips for T2.

I have checked the internet but being the internet things are out of date or confused.

I'm hoping to present my Dr with the facts re strip prescription as well as the evidence that blood testing does make a difference to BGL's if used right.

instance: 1 (one) potaoe caused a massive5.5 rise in my BGL, I'm continuosly told Potates are ok to eat ! How would I have known potatoes are as good as poison to me without self testing!

Wholemeal Pasta suprisingly caused only a 0.2 rise in my BGL - How would I have known I could eat this valuable high fibre high carb staple food without self testing.

Ignoring or rather "treating with suspicion" "professional" NHS diet advice and self testing has brought my bloods down from 15.8 at DX to around 7.5 in 3 weeks. Even assuming the metaformin has kicked in, I doubt very much this would have been the case had I not self tested and cut out the foods that the NHS recommended, that caused such huge increases in BGL.

We are all different and react differently even to similar group foods. This is where self testing is crucial in determining what "spikes" and doesnt spike Bg levels. I've spent around £120 on strips over the last 3 weeks just to determine how I might best keep my legs, kidneys and eyes together and become less of a burden on the NHS rather than moreso.

So if you have any information that might help me and others get strips for self testing and help demand from our G.P.s that we are treated on a clinical basis rather than from a financial perspective I would be most grateful to hear from you with any factual information regarding the guideline or better on prescribing of strips.
Thanks
 
I'm pretty sure that newly diagnosed folks should have strips.[according to NICE]
 
Offer self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education Discuss its purpose and agree how it should be interpreted and acted upon

1.3.3 If HbA1c levels remain above target levels, but pre-meal self-monitoring levels remain well controlled (< 7.0 mmol/litre), consider self-monitoring to detect postprandial hyperglycaemia (> 8.5 mmol/litre) and manage to below this level if detected (see sections 1.5–1.7).

This paragraph would imply that self monitoring is taking place therefore to do this test strips would be required!

1.4.2 Self-monitoring of plasma glucose should be available:
• to those on insulin treatment
• to those on oral glucose-lowering medications to provide information on hypoglycaemia
to assess changes in glucose control resulting from medications and lifestyle changes
• to monitor changes during intercurrent illness
• to ensure safety during activities, including driving.

Again, you can argue that the ' life style' change is testing to control your blood sugar and food intake.
 
CONGRATULATIONS SUE. 10000 POSTS




Still here, still posting, keep 'em coming...... :D
 

Attachments

  • 3072622t.gif
    3072622t.gif
    1.9 KB · Views: 465
Back
Top