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NHS Direct doctor says... NO testing when taking Metformin
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<blockquote data-quote="AloeSvea" data-source="post: 932518" data-attributes="member: 150927"><p>Relevant bit from handbook (Gee I am pleased you popped in the page numbers - struth!) </p><p>"SMBG [Self Monitoring Blood Glucose] may be of value to individuals with newly-diagnosed type 2 diabetes who as part of self-management wish to determine the effect of changes to food or exercise on their blood glucose levels. Selected individuals may benefit from continuing SMBG where this is having a positive impact on their management. "</p><p></p><p>Righto. I am very pleased to read that! But being a "selected individual" is very different to hassle-free, bargaining-free prescriptions - ie I can see how my enthusiastic bargaining has assisted in me getting test strips in NZ! And yes - only 50 test strips at a time - which is what the pharmac regulation said - only lasts me a week. What a bore for me, the practice nurse, the pharmacists, and I have to say - contributes wildly to my stress levels! And stress ain't good for my BG! That is what procuring test strips on the state in my home country is like. (And I can see why it was relatively easy when I was newly diagnosed last year, but was not nearly a year later.)</p><p></p><p>In Sweden I get 300 test strips, every month and a half. No hassle. I just fill in a form and off it goes. And the 300 test strips come back in the post. Yes - cost free. My Diabetes Nurse does not need to be bargained with. (However I can wait a month and a half for an appointment with her. And this is rather common in nurse and doctor-deficient-in-numbers Sweden. And don't get me started on talking about bargaining for a ruddy doctor's appointment! The test strip prescriptions are not linked to my appointments though.) My Swedish GP, when I actually get to see her, did not blink an eye, or figure out if I was a selected individual or not. Or need to consider what is 'newly diagnosed'. Stress and hassle-free. </p><p></p><p>That is what I believe should be the model for really good diabetes care when it comes to test strip availability. But that's just me.</p><p></p><p>And last but not least - suggesting I change GPs in NZ was... a little over-enthusiastic in offering a suggestion? I understand liking to give advice, as I do too - it's how we are helping one another, and share info, which is marvellous. But I actually said in my piece that I have wonderful GPs. We were actually discussing official regulations - and had nothing to do with me requesting advice on GPs. Just a note there!</p><p></p><p>But I thank you profusely for getting me to read the actual official regulations. (And I rather like knowing I was individually selected! lol.) And the reading of the official Kiwi regulations is thanks to you for making it easier for me to do so. Thanks again for that. (Now I am going back to catching up on Eastenders <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" />.)</p></blockquote><p></p>
[QUOTE="AloeSvea, post: 932518, member: 150927"] Relevant bit from handbook (Gee I am pleased you popped in the page numbers - struth!) "SMBG [Self Monitoring Blood Glucose] may be of value to individuals with newly-diagnosed type 2 diabetes who as part of self-management wish to determine the effect of changes to food or exercise on their blood glucose levels. Selected individuals may benefit from continuing SMBG where this is having a positive impact on their management. " Righto. I am very pleased to read that! But being a "selected individual" is very different to hassle-free, bargaining-free prescriptions - ie I can see how my enthusiastic bargaining has assisted in me getting test strips in NZ! And yes - only 50 test strips at a time - which is what the pharmac regulation said - only lasts me a week. What a bore for me, the practice nurse, the pharmacists, and I have to say - contributes wildly to my stress levels! And stress ain't good for my BG! That is what procuring test strips on the state in my home country is like. (And I can see why it was relatively easy when I was newly diagnosed last year, but was not nearly a year later.) In Sweden I get 300 test strips, every month and a half. No hassle. I just fill in a form and off it goes. And the 300 test strips come back in the post. Yes - cost free. My Diabetes Nurse does not need to be bargained with. (However I can wait a month and a half for an appointment with her. And this is rather common in nurse and doctor-deficient-in-numbers Sweden. And don't get me started on talking about bargaining for a ruddy doctor's appointment! The test strip prescriptions are not linked to my appointments though.) My Swedish GP, when I actually get to see her, did not blink an eye, or figure out if I was a selected individual or not. Or need to consider what is 'newly diagnosed'. Stress and hassle-free. That is what I believe should be the model for really good diabetes care when it comes to test strip availability. But that's just me. And last but not least - suggesting I change GPs in NZ was... a little over-enthusiastic in offering a suggestion? I understand liking to give advice, as I do too - it's how we are helping one another, and share info, which is marvellous. But I actually said in my piece that I have wonderful GPs. We were actually discussing official regulations - and had nothing to do with me requesting advice on GPs. Just a note there! But I thank you profusely for getting me to read the actual official regulations. (And I rather like knowing I was individually selected! lol.) And the reading of the official Kiwi regulations is thanks to you for making it easier for me to do so. Thanks again for that. (Now I am going back to catching up on Eastenders ;):).) [/QUOTE]
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