1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2021 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

NHS Dietitian Contradicting Himself

Discussion in 'Diabetes Discussions' started by NewTD2, Mar 16, 2018.

  1. NewTD2

    NewTD2 Type 2 (in remission!) · Well-Known Member

    Messages:
    1,563
    Likes Received:
    2,400
    Trophy Points:
    178
    Just had a visit with my NHS Dietitian.

    Whilst congratulating me for going into "remission" and lowering my HBA1c from 85 to 38 in just over 4 months, he did not like the fact that I changed my diet to an extremely low-carb and very healthy diet.

    He said my fasting blood glucose readings between 4 - 6 mmols/l are false and I'm cheating.

    He also emphasized to me to eat "normally" and stressed out that the NHS does NOT agree with low-carbing and it's strongly NOT advisable.

    So I was sitting there in his office thinking this is just another waste of my time and while I was listening to his sermon, I saw a book sitting on his desk about "Carb and Calories", the best selling book on counting carbohydrates and calories for Diabetics!!!

    Absolutely confusing!!!!!!!
     
    • Like Like x 16
    • Funny Funny x 2
    • Winner Winner x 2
    • Agree Agree x 1
  2. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

    Messages:
    25,102
    Likes Received:
    30,588
    Trophy Points:
    298
    I wonder if his normal clientele are T1s on insulin? In which case they have to carb count in order to calculate dosage. ? Just a thought.
     
    • Agree Agree x 4
    • Like Like x 3
    • Winner Winner x 1
  3. SueJB

    SueJB Type 1 · Well-Known Member

    Messages:
    3,259
    Likes Received:
    4,013
    Trophy Points:
    198
    I had a similar "You can't eat low carb" from the NHS dietitian and likewise said NHS couldn't support it. When I first met her she advised me to buy the same book.
    I love the idea that you're cheating!!
     
    • Like Like x 5
    • Funny Funny x 2
    • Agree Agree x 1
    • Winner Winner x 1
  4. NewTD2

    NewTD2 Type 2 (in remission!) · Well-Known Member

    Messages:
    1,563
    Likes Received:
    2,400
    Trophy Points:
    178
    His registered patients are mixed from T1, T2 to Gestational etc.

    I won't be seeing my NHS Dietitian again. Absolute waste of time.
     
    • Agree Agree x 10
    • Like Like x 3
    • Winner Winner x 1
  5. rab5

    rab5 Type 2 · Well-Known Member

    Messages:
    842
    Likes Received:
    1,290
    Trophy Points:
    158
    How where you cheating , did he elaborate. A HBa1C of 38 is a fantastic drop well done. But it works out at an average of
    6.39 mmol/l thats if Im reading this right.
     
    • Agree Agree x 2
    • Like Like x 1
  6. Guzzler

    Guzzler Type 2 · Master

    Messages:
    10,578
    Likes Received:
    6,974
    Trophy Points:
    278
    May I ask why you were sent to a dietician?
     
    • Like Like x 1
  7. eggs11

    eggs11 Type 2 · Well-Known Member

    Messages:
    638
    Likes Received:
    1,414
    Trophy Points:
    158
    Did he think just the fasting bg was 'cheating' or all your blood levels? I am trying to understand what he means by 'cheating' - does he mean that by removing/lowering carbs, your body has less 'work' to do processing your meals and therefore it's not surprising the numbers are lower. If so, it's not 'cheating', it's a 'solution'. Does he thinking using medication is cheating - or in fact any form of dietary/lifestyle intervention is cheating? He sounds strange!
     
    • Agree Agree x 6
    • Like Like x 4
    • Funny Funny x 1
    • Winner Winner x 1
  8. Ian_Laye

    Ian_Laye Type 2 (in remission!) · Well-Known Member

    Messages:
    296
    Likes Received:
    1,361
    Trophy Points:
    178
    I know this is going to sound awful but the when I saw "Health Care Assistant " at my local surgery and was being asked if I was eating a healthy diet and taking regular exercise all I could do was look around the room for the hidden cameras, I was sure I was on Candid Camera or someone was playing a practical joke. This women that was asking me all these questions about diet and exercise was almost as wide as she was tall. Not exactly setting a very good example.
     
    • Funny x 12
    • Agree x 5
    • Like x 3
    • Friendly x 1
    • Creative x 1
  9. Tophat1900

    Tophat1900 Type 3c · Well-Known Member

    Messages:
    2,411
    Likes Received:
    1,362
    Trophy Points:
    178
    You don't need a dietician with a HBA1C reading like yours. Let alone an insulting, condescending one.You are already doing just about everything right, there is nothing that can be added to your success, except continued success. :)
     
    • Like Like x 8
    • Agree Agree x 8
    • Winner Winner x 3
    • Friendly Friendly x 1
  10. lucylocket61

    lucylocket61 Type 2 · Expert

    Messages:
    5,363
    Likes Received:
    2,288
    Trophy Points:
    178
    the reasons why she was overweight may be many and varied and nothing to do with not eating healthily or not exercising.
     
    • Agree Agree x 12
    • Like Like x 3
    • Winner Winner x 1
  11. Munkle

    Munkle Type 1 · Member

    Messages:
    22
    Likes Received:
    8
    Trophy Points:
    43
    Much much more likely those are the reasons though.

    I had the same experience when first diagnosed and it just made the appointment a joke. It's a bit like an endocrinologist having an A1c of 12 while still trying to tell you how to lower yours.
     
    • Agree Agree x 5
    • Like Like x 1
    • Winner Winner x 1
  12. zand

    zand Type 2 · Expert

    Messages:
    9,934
    Likes Received:
    16,000
    Trophy Points:
    198
    I don't think we should be fat shaming anyone, this is a support forum. I am glad there are some obese workers in the NHS, they are more likely to be sympathetic to those of us who really struggle to lose weight. All the willpower in the world sometimes simply does not work. It's a tough life if you are obese, let's not make it worse for those worse off then ourselves by judging them.
     
    • Agree Agree x 16
    • Winner Winner x 8
    • Like Like x 6
  13. Brunneria

    Brunneria Other · Guru
    Retired Moderator

    Messages:
    21,796
    Likes Received:
    35,039
    Trophy Points:
    298
    Agreed.

    Stooping to insults and making uninformed judgements about other people’s health and appearance never supports an argument.

    In fact, as soon as I see people judging each other on such things as BMIl I lose respect for them, and any other opinions they hold.
     
    • Agree Agree x 9
    • Like Like x 3
    • Winner Winner x 1
  14. Diakat

    Diakat Type 1 · Expert
    Retired Moderator

    Messages:
    5,600
    Likes Received:
    4,170
    Trophy Points:
    198
    Carbs and cals is an excellent aid for me.
    But the cheating comment was idiotic.
     
    • Like Like x 2
    • Agree Agree x 2
    • Winner Winner x 1
  15. carty

    carty Type 2 · Well-Known Member

    Messages:
    3,257
    Likes Received:
    2,054
    Trophy Points:
    178
    I was sacked by a dietician because I was not fat !
    CAROL
     
    • Funny Funny x 5
    • Like Like x 3
  16. Rachox

    Rachox Type 2 (in remission!) · Moderator
    Staff Member

    Messages:
    12,004
    Likes Received:
    15,482
    Trophy Points:
    298
    I agree that fat shaming anyone is so unfair. I was an obese nurse until retirement in 2016 and believe I did a good job despite my weight, plus I probably was more empathetic to obese patients. Working for the NHS is stressful and with irregular shifts, it’s all too easy to have irregular eating and sleeping patterns and also to comfort eat. Who knows if my diabetes diagnosis was as a result of this, but having struggled to lose weight during my nursing career I now realise that this was probably due to my diabetes gradually developing. Who knows how many other obese health care professionals will end up on this forum?
     
    • Agree Agree x 15
    • Like Like x 7
    • Winner Winner x 3
  17. lindisfel

    lindisfel · Well-Known Member

    Messages:
    3,568
    Likes Received:
    3,914
    Trophy Points:
    158
    If there is any blaming to be done, it is not to put anyone on a guilt trip but to analyse the cause of increasing obesity.
    When I look at my school photographs of the fifties we kids were almost invariably slim as were adults, of course there was a very small percentage of exceptions. We had enough to eat, but the adult and the younger population had a different balance of macro and micro nutrients.
    If there is any blaming to done it should be what some think is the flawed Ancel Keys diet heart hypothesis that is driving obesity and the upsurge of T2D and certain cancers in late part of the twentieth century and now in the 21st.
    The whole population is encouraged to it cut down on fat and eat refined carbs.
    Exercise long term may help but the body runs extremely efficiently and most of the population don't ever work on stored fat as the keto guys.
    It is no good ignoring the elephant in the room in the guise of political correctness.
    D.
     
    • Agree Agree x 10
    • Like Like x 3
    • Winner Winner x 1
    #17 lindisfel, Mar 17, 2018 at 10:41 AM
    Last edited: Mar 17, 2018
  18. dbr10

    dbr10 Type 2 · Well-Known Member

    Messages:
    2,237
    Likes Received:
    1,183
    Trophy Points:
    198
    Dietician. "We recommend carbs at every meal". I pointed out that, being diabetic, I am carbohydrate intolerant.
     
    • Like Like x 7
    • Agree Agree x 4
    • Funny Funny x 3
  19. Hiitsme

    Hiitsme Type 2 · Well-Known Member

    Messages:
    2,378
    Likes Received:
    13,806
    Trophy Points:
    198
    Not all NHS dietitians are the same. I got sent to one for losing too much weight. Dietitian went through what I was eating and was very impressed. She was quite happy that most of my carbs came from vegetables. The only advice I got was not to be afraid of trying different foods.
     
    • Like Like x 4
    • Winner Winner x 3
  20. Squire Fulwood

    Squire Fulwood Type 2 · Expert

    Messages:
    6,063
    Likes Received:
    4,824
    Trophy Points:
    178
    In situations like this I think we get confused with the HCP's personal view and the official line. They are not allowed to deviate from the official line unless they wish to be charged with malpractice. My DN and I have a way of talking on and off the record which has taught me that she would like to advocate low carb and wishes that dietitians would stop telling people to eat carbs with every meal. I have my dietitians action plan somewhere where it says just that.

    The fact that your dietitian had carbs and cals lying around might suggest what her personal thoughts are.
     
    • Like Like x 7
    • Agree Agree x 1
    • Winner Winner x 1
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook