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NHS Direct doctor says... NO testing when taking Metformin
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<blockquote data-quote="Davyb" data-source="post: 989832" data-attributes="member: 35131"><p>Any Doctor who reads directly from a prepared script as this supposed NHS direct doctor did is not worthy of being a doctor and needs to re-train.</p><p></p><p>The NICE guidelines here are TOTALLY wrong, they are written by committee dominated by beancounters aka accountants and have little relevance when balanced against the cost of treatments such treatment of ulcers etc and amputation following diabetic complications.</p><p></p><p>This should be absolutely clear cut. metformin works by making your liver store glucose in a form that is harder to be converted back into glucose and will eventually be excreted via urine.</p><p></p><p>Self testing makes you more aware of your body, the informed patient is a better patient and makes you quickly seek to be put onto better treatments.</p><p></p><p>If you are a driver DVLA medical guidelines require you to self test before driving and periodically during driving, usually every 2 hours, anyone who does not risks an accident and may possibly be found to be not insured, and consequently eventually loose their driving licence. If anyone has problems getting adequate numbers of test strips, they should look at the DVLA guidance on GOV.UK, print it out and talk to their doctor with this in their hands.</p><p></p><p>Anyone with a fasting blood sugar of 12 mmol/L when treated with Metformin is clearly on the wrong treatment, they should be on blood glucose reducing tablets or possibly even insulin(s).</p><p></p><p>Many people on metformin long term will eventually become intolerant to the medication. I did. There are slow release formulations.</p></blockquote><p></p>
[QUOTE="Davyb, post: 989832, member: 35131"] Any Doctor who reads directly from a prepared script as this supposed NHS direct doctor did is not worthy of being a doctor and needs to re-train. The NICE guidelines here are TOTALLY wrong, they are written by committee dominated by beancounters aka accountants and have little relevance when balanced against the cost of treatments such treatment of ulcers etc and amputation following diabetic complications. This should be absolutely clear cut. metformin works by making your liver store glucose in a form that is harder to be converted back into glucose and will eventually be excreted via urine. Self testing makes you more aware of your body, the informed patient is a better patient and makes you quickly seek to be put onto better treatments. If you are a driver DVLA medical guidelines require you to self test before driving and periodically during driving, usually every 2 hours, anyone who does not risks an accident and may possibly be found to be not insured, and consequently eventually loose their driving licence. If anyone has problems getting adequate numbers of test strips, they should look at the DVLA guidance on GOV.UK, print it out and talk to their doctor with this in their hands. Anyone with a fasting blood sugar of 12 mmol/L when treated with Metformin is clearly on the wrong treatment, they should be on blood glucose reducing tablets or possibly even insulin(s). Many people on metformin long term will eventually become intolerant to the medication. I did. There are slow release formulations. [/QUOTE]
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