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Not impressed by diabetic clinic GP!!!!

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blackcat79

Well-Known Member
Messages
122
Well it didnt go as id hoped :-( Ive come home feeling so down n fed up with this that i feel like just giving up! Eat what n when i like dont bother with meds so that i end up in A n E cos mayb then they will listen n see how dam ill etc i feel!
Gp wasnt nice wouldnt listen to me about having yet more pills due to the upset n pain they cause my hitus hernia just said i should be having that much pain from one of those! That couldnt give me anything else as only type 2 n young to start on insulin n reading werent that bad 11-24! Hbac1 64. 8%. Finally after breaking down in tears i got her to request GAD and islet cells for other types. Also getting refered to gasto re stomach pain n podiatry re plantar fasictis pain in my feet. Refer to B.E.A.T.S a
local thing. Also got given 2 meters Accu-Chek mobile n strips n lancets on prescription along with a sharps bin. New meds yo go along with metformin n juavan is glimpiride as glacazide didnt work. Then came the dietician who told me to up my carbs from 70g a day as not good for body or brain to 130-200gs a day n cals of 1600! Well if these new pills dont work ill b having BS of 20+ mostly eating that many as 2 wheatbix sends them up 2 19.5!
Time will tell i guess tho they better work fast as im sick n tired of feeling so **** im at the end of my rope if honest n cant afford to much more time of work! Grrrr :'(:'(:'(:'(:'(
Sue
 
Hi. First if it was me I would totally ignore the dietician who is talking nonsense (they often do). The brain can cope quite well with NO carbs. There are various communities around the world who have no carbs who appear to survive quite well. There is no valid science behind the dietician's comments; where do they get their training. Good to hear you are having the GAD test etc. An Hba1C is too high to be ignored. Worth trying Januvia as I did 2 years ago. It no longer helps me but it did for a while before most of my islet cells disappeared. It extends insulin production after a meal by suppressing an enzyme that stops it. Glimipride is very similar to Gliclazide and prods the pancreas as well. This has also stopped helping me as there are few cells to prod. Are you being given a c-peptide test to check insulin production? I had one done privately before Christmas as I suspected my pancreas was expiring and the result showed virtually no insulin present. Problem is once you get labelled T2 then the docs assume you are insulin resistant and swimming in insulin. My being older my GP gave up on tablets and agreed insulin was the right move; I hope that if needed you do get moved onto it. NICE says that with an HBa1C over 7.5% and having tried three tablets you should move to insulin (regardless of age) so push for this if the tablets don't hold your sugars. You can download a copy of the NICE Pathways doc from their website. Good luck.
 
Not only do we know that we can cope perfectly well on NO carbs at all, but someone here, not long ago, quoted from a dietetics textbook, which says as much.
whatever you do DON'T GIVE UP. The price you'd pay in complications isn't worth it. Keep those carbs as low as you can, whilst you fight for better understanding. of your case. You might find diabetes UK's advocacy service helpful. Check their web site
Hana
 
Sue, I'm so sorry, that all sounds horrible. Please, please, please ignore what your dietician said. There is no pill in the world that is going to give you decent control eating 200g carbs per day if you react so badly to carbs (as most of us do). I really wouldn't be eating the two weetabix in the first place if they were having such an effect on me.

Your hba1c is exactly what mine was when I was diagnosed in January, but after 2 months of low carbing my estimated (according to my meter averages) is 5.2%. But I have to go lower than 70g per day - if I ate that my BG would be in the teens for sure. I usually eat under 30g, and have BG between 5 and 6 generally (but if I eat more than 15g carbs in a meal I will spike to 7 or 8).

Everybody's different of course, and that's one of the frustrating things, but at the very least, carry on with your low carb diet and see if the meds help. And don't bother seeing the dietician again. She's incompetent. If she was competent, she would know that the "body and brain" does not require 200g carbs a day, in anyone, let alone a diabetic.


Sent from the Diabetes Forum App
 
Well first day on new pills b4 brekky 11.8 had porridage n tea took pills went for a walk n 2hrs after 14.8 better than normal then b4 lunch 8.8 yay single figures b4 a meal had pitta bread n ham cheese salad 2hrs after 8.8 still carb intake so far is around 80g n BS r better then ever b4! So seems pills working n dietician could b right. Think ill increase carbs a bit each day n see what happens. But looking n feeling better than i have do in wks! Yay may it continue. Just dont want to put weight on ive lost 1st in 4 wks n 2 more to go as BMI is 32! Eek 89kg need to get as much off as i can so can drop some pills off as they really hurt my tummy n upset it
Many thanks

Sue
X
 
Sue, I'm so pleased that your figures are better (and not just lower, but they look a bit more "consistent" as well). But what leap of logic is it that tells you that it means your dietician is right? You have just increased your medication significantly. All you know is, that with large amounts of medication, you can handle carbs of 80g per day rather better than you did on less medication. Those levels, while fantastic progress, are not normal (hopefully they will get better and better). There is no logic in increasing your sugar intake just because meds have bought it down a bit. Maybe if you'd had long term normal levels, consistently of 4-5mmol, on minimal medication, that might be the time to think you could handle more sugar. Right now, you are making really great progress - don't scupper it!


Sent from the Diabetes Forum App
 
Hi. I agree with Finzi. Meds will often help balance out the level of carbs you are on. It's your decision what that balance is but sadly over a few years the meds may reduce their effect and you will need to reduce your carbs again (my experience over 8 years). I don't think your dietician is right as he is assuming the solution is meds to balance the carbs; nothing 'wrong' in that if you are happy to take meds
 
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