rab5
Well-Known Member
- Messages
- 842
- Type of diabetes
- Type 2
- Treatment type
- Diet only
- Dislikes
- My Diabetic nurse
To be honest I think you should think about staying away from statins. Ha ha ha
View attachment 27952
Yes, I just had an appt last week with HCA for annual review and had bloods and urine samples sent, plus weight, BP and feet checked, smoking, alcohol etc... I recently received my leaflet in the post, similar to yours. I think I may fill it in like this!Appt with GP on Friday to review it!
It is indeed a box ticking exercise. Once my nurse told me that the practice only gets paid by the NHS if the patient’s results meet the minimum standards. Hence the tick list! In my opinion all type 1s should be seen at the diabetic clinic in hospital. Seeing a practice nurse for Type 1 is a complete waste of time, especially when you see a clueless locum nurse!Never seen one before. Thanks @Mr_Pot .
It could be useful, but would need time and commitment from both patient and nurse. Possibly could just be another box ticking exercise. Unless the patient insists on completing their part and insisting HCP complies. Used that way I think it could be an improvement on the current nothing I have and suspect that is the same for others too.
Some time ago i remember reading that Care Plans were being introduced for some patients to see if they were helpful.
From memory (which may be wrong!) I think there was a financial incentive for surgeries to get Care Plans implemented.
Maybe they were shown to be effective and have now been rolled out further...?
I thought I’d better check the aboveand found this:
http://www.pulsetoday.co.uk/news/ne...o-achieve-20000-des-payments/20006342.article
For some reason I think @ally1 might have posted about having one. I hope I am not confusing you with someone else, Ally!
Thanks for the link Brunneria.
Mmm, I’m not sure I’m in the 2% of most vulnerable patients!
Oh yes I hadn’t thought of it like that! Phew!That was back in 2014
They’ve probably rolled it out much wider since then.
Presumably with more financial incentives, too...
"Slow release carbs are fine".....if only it were that simple.....!!!I think I would have to write something about not eating the recommended carbs with every meal. Every conversation with dietitians and HCPs always includes them telling me wholemeal bread, pasta, and brown rice is fine, as the carbs are released slowly.
Oh, I so agree....one I used to have got unpleasant, personal & rude if I disagreed with her but she seemed to know very little at all about diabetes. Surgery got another DSN, only saw her once but she seemed very knowledgeable but has apparently left after only a few months.It is indeed a box ticking exercise. Once my nurse told me that the practice only gets paid by the NHS if the patient’s results meet the minimum standards. Hence the tick list! In my opinion all type 1s should be seen at the diabetic clinic in hospital. Seeing a practice nurse for Type 1 is a complete waste of time, especially when you see a clueless locum nurse!
Yes you are right that I have a care plan at my surgery.Some time ago i remember reading that Care Plans were being introduced for some patients to see if they were helpful.
From memory (which may be wrong!) I think there was a financial incentive for surgeries to get Care Plans implemented.
Maybe they were shown to be effective and have now been rolled out further...?
I thought I’d better check the aboveand found this:
http://www.pulsetoday.co.uk/news/ne...o-achieve-20000-des-payments/20006342.article
For some reason I think @ally1 might have posted about having one. I hope I am not confusing you with someone else, Ally!
She was probably too caring and took too long with her patients and thereby inefficient so was asked to move on! Something similar happened to a nurse at my practice too.Oh, I so agree....one I used to have got unpleasant, personal & rude if I disagreed with her but she seemed to know very little at all about diabetes. Surgery got another DSN, only saw her once but she seemed very knowledgeable but has apparently left after only a few months.
I feel your pain. I would love to know why my body can't lose weight on an 800cal, less than 20g of carbs a day.I know the one you mean (sorry, just seen the PDF, I know the one). It does document your results very well and should motivate people to be more involved in their care, not that we aren't already, that goes without saying.
I said my weight was a major issue, but with the food diaries I have provided them, they're stumped. Their only comment was "your metabolism is broken". No suggestions from DN/GP for improving the situation. I'm hoping Jason Fung has the answer, I have dieted and reduced calories for so long that my metabolism will only allow 1200 calories a day That's only a rough guess. Exercise doesn't necessarily increase metabolism although it may increase the amount of ghrelin (hormone increasing hunger).
I would love to know why my body can't lose weight on an 800cal, less than 20g of carbs a day.
Yes that is pretty much the same as we get…husband and I both have T2 his is steroid induced mine is a mystery never been overweight or had a bad high starchy carb diet my GP was so suprised when I was diagnosed...I think it is the new NHS care plan so everyone soon will be dealt the same way at their reviewsI have reduced the resolution....
I don't really understand how a slow metabolism works. If your body is doing the same thing but with less energy input that means a much greater efficiency, is that really happening? Surely we would all want a slow metabolism in that case.I do feel that I have more answers now after watching several videos with Dr. Jason Fung. What I liked about what he says is that it isn't just anecdotal he backs up his claims with research that has been done, sometimes up to 100 years ago.
I think in some people's case, they have dieted for so long and reduced their calorie intake gradually over many years and their metabolism has slowed down bit by bit over those years. Like you I quite often only consume 800 calories for weeks at a time but no weight loss.
I had always been told that exercise would give the metabolism a boost, I didn't find that to be true for me, on a weekly basis I would spend 1 hour with a PT, 5 X 500m - 1km swimming, 3 x 1 1/2 hour in the gym and a round a golf and all I did was ache a lot. Jason Fung mentions some proper empirical evidence that supports my anecdotal information.
Well yes it's efficient in one way....it runs on very few calories...but when you are overweight this means it's almost impossible to lose weight. You need a certain amount of calories to provide a healthy diet to ensure that you get a good mix of vitamins and minerals - so you have a choice.. eat less to lose weight and risk becoming ill or eat the same and stay fat and put up with all the comments from HCPs and the rest of the world. Or a third choice of trying to find out why your particular body doesn't work like everyone else's. I tried the first two and am now on the third one.I don't really understand how a slow metabolism works. If your body is doing the same thing but with less energy input that means a much greater efficiency, is that really happening? Surely we would all want a slow metabolism in that case.
No I’m not at all keen on the idea of Statins, how did you guess?!
That’s my argument with the Q risk score too, when it asks about Diabetes it should also have the facility to put in an HbA1c score.
My qrisk score drops significantly just by taking out my postcode!
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