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NICE guidelines & HbA1c testing
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<blockquote data-quote="Oldvatr" data-source="post: 2060605" data-attributes="member: 196898"><p>To be fair, I have always regarded the HCA reviews as a data collection exercise. My GP gets the results from the BP, the blood tests and urine analysis , and checks that all is well. He rings me if there is a problem or I need an appt or a re-test. Our HCA does the mandatory foot checks, but again this is not a highly specialised task either. Yes, meds get discussed, and the HCA adds notes to record if I make any requests to change. I sometimes leave a letter at reception for GP if I have any specific problems, but generally I see my GP for my non diabetic conditions nowadays since for me those are much more life threatening than my well controlled bgl. My GP is very good at notifying me if he detects any trending issues, such as my recent low sodium levels.</p><p></p><p>Because I self check my bgl, then I have a good idea where my HbA1c is likely to fall. It is a tick box exercise for the NHS, but it does not tell me any more than I already know. </p><p></p><p>It is necessary for anyone not taking their own readings of course and is important to many with diabetes who do not have the support I have. The NICE guidelines do not help in this respect especially for T2D and this is not likely to change in the near future sadly. But the HbA1c test is no substitute for SMBG testing or the use of CGM,</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 2060605, member: 196898"] To be fair, I have always regarded the HCA reviews as a data collection exercise. My GP gets the results from the BP, the blood tests and urine analysis , and checks that all is well. He rings me if there is a problem or I need an appt or a re-test. Our HCA does the mandatory foot checks, but again this is not a highly specialised task either. Yes, meds get discussed, and the HCA adds notes to record if I make any requests to change. I sometimes leave a letter at reception for GP if I have any specific problems, but generally I see my GP for my non diabetic conditions nowadays since for me those are much more life threatening than my well controlled bgl. My GP is very good at notifying me if he detects any trending issues, such as my recent low sodium levels. Because I self check my bgl, then I have a good idea where my HbA1c is likely to fall. It is a tick box exercise for the NHS, but it does not tell me any more than I already know. It is necessary for anyone not taking their own readings of course and is important to many with diabetes who do not have the support I have. The NICE guidelines do not help in this respect especially for T2D and this is not likely to change in the near future sadly. But the HbA1c test is no substitute for SMBG testing or the use of CGM, [/QUOTE]
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