I have recently had a bariatric consultation that involved seeing an endo and a dietician. I have today received a written report and I have had to read it twice just to be sure I understand the comments surrounding blood checking. I will type it word for word below (the specific bit about testing that is) -
We did discuss that she is over testing her blood sugar levels and that we advise people to test only before meals and at bedtime to get a true picture of what is happening with their levels. As she tests after eating, she notices the normal fluctuations in blood glucose that occur, and is concerned that any dietary changes would cause mealtime spikes in her blood glucose levels, for example she has noticed that after consuming certain fruits she sees a rise in her blood sugar levels which is normal and would not affect her overall control.
Blah blah we discussed some dietary changes and that this may well be at the expense of very stable blood glucose levels throughout the day but not impact on her HBA1C.
I am astounded at the above, having been complimented elsewhere in the letter on my good control and current HBA1C result, I am being accused of over testing (erm I have had this last box of strips for at least 4 months and it is still less than half gone.....) and testing at the wrong times because all that is doing is revealing the normal spikes you see after food!
How on earth do they think I have reduced my HBA1C from 12.6 at diagnosis to 6.4 at the time of this consultation? By following NHS advice, not seeing what spikes my levels and not adjusting my diet accordingly? How on earth can ignoring post prandial spikes and eating fruit in my diet as prescribed not have an affect on my overall HBA1C? That is just not possible because if my levels are raised more often, this will affect the average surely?
Maybe I am reading this all wrong, thoughts anybody?
Ali
We did discuss that she is over testing her blood sugar levels and that we advise people to test only before meals and at bedtime to get a true picture of what is happening with their levels. As she tests after eating, she notices the normal fluctuations in blood glucose that occur, and is concerned that any dietary changes would cause mealtime spikes in her blood glucose levels, for example she has noticed that after consuming certain fruits she sees a rise in her blood sugar levels which is normal and would not affect her overall control.
Blah blah we discussed some dietary changes and that this may well be at the expense of very stable blood glucose levels throughout the day but not impact on her HBA1C.
I am astounded at the above, having been complimented elsewhere in the letter on my good control and current HBA1C result, I am being accused of over testing (erm I have had this last box of strips for at least 4 months and it is still less than half gone.....) and testing at the wrong times because all that is doing is revealing the normal spikes you see after food!
How on earth do they think I have reduced my HBA1C from 12.6 at diagnosis to 6.4 at the time of this consultation? By following NHS advice, not seeing what spikes my levels and not adjusting my diet accordingly? How on earth can ignoring post prandial spikes and eating fruit in my diet as prescribed not have an affect on my overall HBA1C? That is just not possible because if my levels are raised more often, this will affect the average surely?
Maybe I am reading this all wrong, thoughts anybody?
Ali