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NHS Direct doctor says... NO testing when taking Metformin
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<blockquote data-quote="brush-head" data-source="post: 864937" data-attributes="member: 183073"><p>I was diagnosed nearly 7 years ago. I'm 5'6" & then weighed around 95Kg (nearly 15 stones). Not good. Set about reducing the amount I was eating with only marginal input from the practice which by & large I was happy with. However when I asked about testing I was given the usual line that the twice yearly Hba1c test was adequate & that if I followed a sensible diet I'd be fine.</p><p>2 years after diagnosis I had got down to around 78Kg by making "sensible" choices. I knew I needed to lose more weight (I have a personal goal to get down to around 75Kg in the short term & eventually 70Kg long term).</p><p>Two years ago I moved to another part of the country. Almost immediately my metformin was doubled even though my Hba1c was still around 6.5-7 as it had been for the past 5 years. Presumably my LFT had revealed a few proteins so I was put on Ramipril for my BP (side effect I get a cough now & again & yes I've checked this isn't something more serious) which is supposed to lessen the effect of the Atenolol. At the new practice not much advice about diet other than "eat sensibly".</p><p>I am about to embark on the self testing regime (I will probably start tomorrow being the first of the month) and reduce my carbs & meal size portions.</p><p>I get plenty of exercise (minimum of 5 hours/ 11 miles a week strenuous walking with two groups - I live in the Peak District, plus I always walk to the shops which adds another 3-4 miles per week, and a little cycling). I think my mental health is quite good - I sleep well apart from getting up in the night to visit the loo - normal especially when I think I hit 70 in 10 days time.</p><p>I am looking forward to mentioning my self testing when I ask if the surgery will take my sharps boxes for disposal. Even if I get an adverse reaction I will still carry on (my last 3 years of work was in a GP surgery looking after clinical systems so I'm not too overawed by the medical profession, especially as I'm seen only twice a year at the diabetes clinic).</p><p>Might even consider setting up a blog with my experiences if I can find the time.</p><p>Good luck to everyone & remember - nil carborundum.</p></blockquote><p></p>
[QUOTE="brush-head, post: 864937, member: 183073"] I was diagnosed nearly 7 years ago. I'm 5'6" & then weighed around 95Kg (nearly 15 stones). Not good. Set about reducing the amount I was eating with only marginal input from the practice which by & large I was happy with. However when I asked about testing I was given the usual line that the twice yearly Hba1c test was adequate & that if I followed a sensible diet I'd be fine. 2 years after diagnosis I had got down to around 78Kg by making "sensible" choices. I knew I needed to lose more weight (I have a personal goal to get down to around 75Kg in the short term & eventually 70Kg long term). Two years ago I moved to another part of the country. Almost immediately my metformin was doubled even though my Hba1c was still around 6.5-7 as it had been for the past 5 years. Presumably my LFT had revealed a few proteins so I was put on Ramipril for my BP (side effect I get a cough now & again & yes I've checked this isn't something more serious) which is supposed to lessen the effect of the Atenolol. At the new practice not much advice about diet other than "eat sensibly". I am about to embark on the self testing regime (I will probably start tomorrow being the first of the month) and reduce my carbs & meal size portions. I get plenty of exercise (minimum of 5 hours/ 11 miles a week strenuous walking with two groups - I live in the Peak District, plus I always walk to the shops which adds another 3-4 miles per week, and a little cycling). I think my mental health is quite good - I sleep well apart from getting up in the night to visit the loo - normal especially when I think I hit 70 in 10 days time. I am looking forward to mentioning my self testing when I ask if the surgery will take my sharps boxes for disposal. Even if I get an adverse reaction I will still carry on (my last 3 years of work was in a GP surgery looking after clinical systems so I'm not too overawed by the medical profession, especially as I'm seen only twice a year at the diabetes clinic). Might even consider setting up a blog with my experiences if I can find the time. Good luck to everyone & remember - nil carborundum. [/QUOTE]
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