Has this article already been posted? http://www.newstatesman.com/politic...start-viewing-type-2-diabetes-lifestyle-issue. Shame the NHS does not tell patients they are pre diabetic.
I agree. Unfortunately, there's no mention of carbs in the article. They do mention diet, but there's no doubt they mean following the government low fat/high carb diet. Essentially the article recommends that efforts to get people to follow the standard advice should be increased. However, it's well known that following the standard advice doesn't work. I was told not long after diagnosis for type 2 that I should follow the low fat/high carb "healthy" government diet and exercise 30 minutes 5 times a week. If I did that, my diabetes would get worse and worse over time, I'd be on more and stronger meds, then insulin, then get complications, and probably die from diabetes complications. Needless to say, like most people on this forum, I didn't follow their advice, and have had normal blood glucose levels for a few years now.Was watching food truth or scare the other day and it seems Gloria Hunniford was told she was pre-diabetic and by cutting down on carbs she was able to avoid full blown T2 diabetes. So yes it it a shame if people are kept ignorant as if they know they can do something about it.
I noticed a culture in the NHS where pass the parcel of blame is the name of the game. This is not a new attitude and someone even wrote a song about it called It's Illegal, It's Immoral or it Makes You Fat.Is it just me, or does 'treat it as a lifestyle choice' mean 'blame the people who have it'?
Don't get me wrong - I am a great believer in the capacity of lifestyle change to prevent, control and even reverse T2. I am doing my best to reverse my own, even after 19 years with it. However:
1) The article repeats the 'obesity causes IR' model, whereas there is evidence showing the causal relationship is the other way round (IR causes obesity, given the right -or rather the wrong- diet)
2) The dietary advice you would generally get from the NHS under the proposed solution would be low fat, high starch. And while that's better than high sugar, high processed food, it is a long way from optimal.
It is a stupid article. But if you consider the "dietary change" to be fewer carbs then it's pretty much got the solution.
It is a stupid article. But if you consider the "dietary change" to be fewer carbs then it's pretty much got the solution.
Has this article already been posted? http://www.newstatesman.com/politic...start-viewing-type-2-diabetes-lifestyle-issue. Shame the NHS does not tell patients they are pre diabetic.
Not my GP that is why I said it. I had a blood test April 16 which sad I was but GP never acted on it. I had my first free NHS test in May 17. I am 60.They do these days. The National Diabetes Prevention Programme started last year and is being rolled out. New members on here have mentioned being sent on it. We have many new members arriving here weekly, even daily, with pre-diabetes "diagnosed" by their GP. Everyone over 40 is now invited for a health check which includes an HbA1c. I have no idea what percentage of these people actually take up the offer. This is an extension of the previous system of inviting the over 60's. (That's how I was diagnosed)
I agree the article is silly. It doesn't really say anything, and the science behind the cause of T2 is incorrect.
Not my GP that is why I said it. I had a blood test April 16 which sad I was but GP never acted on it. I had my first free NHS test in May 17. I am 60.
tee hee that explains it. My gp must think the checks are only done for patients on the excluded list and waited until I was diagnosed diabetic before carrying one out. This morning I received the results of the MRI scan carried out 18 June. I have arthritis of the hip. My cup of joy runneth over. At one point it was diagnosed as a sprained wrist!!. Now I have got to add arthritis to my already long list of family medical challenges. Pleased to have a name for the problem at last.The over 40s health checks are the responsibility of the Local Authorities which have a legal requirement to do this. They can be done at the surgeries, health centres or in mobile units and are performed by the NHS.
The Local Authorities Regulations 2013 set out legal duties for local authorities to make arrangements:
https://www.nice.org.uk/advice/lgb15/chapter/Introduction
- for NHS Health Checks to be offered to each eligible[1] person aged 40–74 years once every 5 years and for each person to be recalled every 5 years if they remain eligible
- so that the risk assessment includes specific tests and measurements, as well as to ensure the person having their health check is told their cardiovascular risk score and their other results
- for specific information and data to be recorded and, where the risk assessment is conducted outside the person's GP practice, for that information to be forwarded to the person's GP.
- People diagnosed with the following are excluded from the programme: coronary heart disease, chronic kidney disease, diabetes, hypertension, atrial fibrillation, transient ischaemic attack, hypercholesterolaemia, heart failure, peripheral arterial disease and stroke. Also excluded are people who are being prescribed statins or who have previously had an NHS Health Check, or any other check undertaken through the health service in England, and found to have a 20% or higher risk of developing cardiovascular disease over the next 10 years.
http://www.nhs.uk/conditions/nhs-health-check/pages/what-is-an-nhs-health-check-new.aspx
http://www.nhs.uk/Conditions/nhs-health-check/Pages/NHS-Health-Check.aspx
Yes I sometimes wonder about GPs my mother's diagnosed her with a strained groin so she ended up walking around for twelve weeks with a fractured hip.I have arthritis of the hip. My cup of joy runneth over. At one point it was diagnosed as a sprained wrist!!.
OMG she must have been in complete agony. I just cannot understand why it is such a challenge to get the basics diagnosed.Yes I sometimes wonder about GPs my mother's diagnosed her with a strained groin so she ended up walking around for twelve weeks with a fractured hip.