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Not much info from Dr Surgery on Type 2

Rosie1953

Well-Known Member
Messages
106
Location
Norwich
Type of diabetes
Treatment type
Tablets (oral)
My story.

I was sent for my annual blood tests for full blood count, thyroid, liver or kidney, diabetes fasting test. I had not had anything to eat or drink apart from water for 15hrs. I received a phone call from a GP the next morning saying from my fasting test she was sorry to tell me I was a diabetic.

She said she wanted another fasting blood test and a HbA1c test done in two weeks. I had that done and a couple of days later I called my Drs surgery I was told it was bloods was alright and they would retest in a year.

I I had been feeling dry and drinking up to 4-5 litres of fluid a day for the last couple of months, and also feeling tired and light headed all the time.

A week after I made an appointment to see a Dr she was a stand in one for the surgery. I explained my symptoms to her and she looked at my results and said she could not understand why they was leaving me a year with the results I had had. She said she wanted me to have another HbA1c test done in six weeks.

I went for the blood test a different Dr left a message on my mobile to say I needed to contact the surgery to make an appointment about my blood test and sort out treatment.
I got an appointment with that Dr the next day. She then said she not too concerned about the result and would retest in 3 months, I said I still have the symptoms that I had been to the Dr with a few weeks ago. She then said as you have the symptoms of diabetes and your last HbA1c was 50 she would class me as being labeled a Type 2 Diabetic and would start me on 500g Metformin daily and make a appointment to see DN.

The DN was on holiday for two weeks so they made me an appointment a week after seeing Dr for another nurse at the practice. I decided to search the net for NHS guilds on diabetes to get a guide line on what to eat. I kept a food diary to show her to see if I was on the right tracks.

September 24th

When I went for that appointment the nurse weighed me, took blood pressure, measured my waist, she already had my high as she is my asthma nurse, she checked my feet. She gave me a diabetic record book that she recorded the above details, she told me she would book me into a 2 type 2 diabetic awareness course if I wished, I said yes, and she would also get me booked in for a eye scan at the diabetic clinic at the hospital. I'm having the eye scan on November 8th and going on the course on 12th November. I said I had a food diary and she just replied they will explain and talk about on the course as we don't have enough time to do things like that.

The details she recorded was
weight 83kg. BMI 31.24 BP 130/70 HbA1c 50 Cholesterol 6.1

She didn't say anything about trying to loss weight, she asked if my BP was alway a bit high and said about speaking to the Dr about putting me on meds for the cholesterol I told her I was not going to take Satins as they put me on them a tear and half ago and I ended up in hospital with pain and pins and needles going down my left arm. She asked weather it was the Dr or hospital that told me to stop them I said neither I had stopped them myself and had not had any problems since, she said I will speak to your Dr about it, I have not heard anymore about it.

I have managed to loss a stone in weight so far and about a couple of weeks age joined this forum, and brought myself a blood glucose monitor, and started on the low carb diet, which I still find out what I can and can't eat.

I should have another HbA1c test sometime in November.
So I have not received much I for at all form my Dr surgery. So I'm glad I came across and decided to join the forum.
 
My story.

I was sent for my annual blood tests for full blood count, thyroid, liver or kidney, diabetes fasting test. I had not had anything to eat or drink apart from water for 15hrs. I received a phone call from a GP the next morning saying from my fasting test she was sorry to tell me I was a diabetic.

She said she wanted another fasting blood test and a HbA1c test done in two weeks. I had that done and a couple of days later I called my Drs surgery I was told it was bloods was alright and they would retest in a year.

I I had been feeling dry and drinking up to 4-5 litres of fluid a day for the last couple of months, and also feeling tired and light headed all the time.

A week after I made an appointment to see a Dr she was a stand in one for the surgery. I explained my symptoms to her and she looked at my results and said she could not understand why they was leaving me a year with the results I had had. She said she wanted me to have another HbA1c test done in six weeks.

I went for the blood test a different Dr left a message on my mobile to say I needed to contact the surgery to make an appointment about my blood test and sort out treatment.
I got an appointment with that Dr the next day. She then said she not too concerned about the result and would retest in 3 months, I said I still have the symptoms that I had been to the Dr with a few weeks ago. She then said as you have the symptoms of diabetes and your last HbA1c was 50 she would class me as being labeled a Type 2 Diabetic and would start me on 500g Metformin daily and make a appointment to see DN.

The DN was on holiday for two weeks so they made me an appointment a week after seeing Dr for another nurse at the practice. I decided to search the net for NHS guilds on diabetes to get a guide line on what to eat. I kept a food diary to show her to see if I was on the right tracks.

September 24th

When I went for that appointment the nurse weighed me, took blood pressure, measured my waist, she already had my high as she is my asthma nurse, she checked my feet. She gave me a diabetic record book that she recorded the above details, she told me she would book me into a 2 type 2 diabetic awareness course if I wished, I said yes, and she would also get me booked in for a eye scan at the diabetic clinic at the hospital. I'm having the eye scan on November 8th and going on the course on 12th November. I said I had a food diary and she just replied they will explain and talk about on the course as we don't have enough time to do things like that.

The details she recorded was
weight 83kg. BMI 31.24 BP 130/70 HbA1c 50 Cholesterol 6.1

She didn't say anything about trying to loss weight, she asked if my BP was alway a bit high and said about speaking to the Dr about putting me on meds for the cholesterol I told her I was not going to take Satins as they put me on them a tear and half ago and I ended up in hospital with pain and pins and needles going down my left arm. She asked weather it was the Dr or hospital that told me to stop them I said neither I had stopped them myself and had not had any problems since, she said I will speak to your Dr about it, I have not heard anymore about it.

I have managed to loss a stone in weight so far and about a couple of weeks age joined this forum, and brought myself a blood glucose monitor, and started on the low carb diet, which I still find out what I can and can't eat.

I should have another HbA1c test sometime in November.
So I have not received much I for at all form my Dr surgery. So I'm glad I came across and decided to join the forum.

Well, after that series of mess ups, I'm glad you found us too. :)

And congratulations for making so many of the right decisions, despite the mixed messages coming from your surgery!
 
I know exactly how you feel about the NHS, I'm still waiting to start my group sessions. I was told on the 9th September & had now info from them except for what I was given at the start. I've learned most from this forum & the net, this site is great for newbies as a good starting place, if you've not seen it already. www.dietdoctor.com/lchf
 
I know exactly how you feel about the NHS, I'm still waiting to start my group sessions. I was told on the 9th September & had now info from them except for what I was given at the start. I've learned most from this forum & the net, this site is great for newbies as a good starting place, if you've not seen it already. www.dietdoctor.com/lchf

Thanks Paul I have already downloaded that and printed it off. When I do finally go on the course I will just feed them the answers they want to hear and carry on the way I am.
 
Hello Rosie and welcome to the forum :)

Here is the information we give to new members and I hope you will find it useful. Ask all the questions you like and someone will be able to help.

BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 100,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
Welcome to the forum, and it sounds like you are doing well in spite of the medical profession, not because of them.

I will say that I do take statins as very high cholesterol is in the family and fortunately I don't have problems with them. My cholesterol was constantly in the high 5s to low 6s since I went on them, however when they were last checked 3 months after going reduced carb and moderate fat they have actually come down to the low 5s. I had also lost a stone in weight in those 3 month. So it is possible that as you change your diet to accommodate the diabetes you might find your cholesterol comes down, even if you are eating more fat.
 
@Rosie1953 Its crazy how the NHS and our doctors treat us. I have never been offered or sent on a course. I was given a pamphlet to read which I had to return to the DN and a badly photocopied diet based on the Eat Well Plate, and put on medicine straight away. They sent me to see a dietician - who was fatter than I was!! who told me a 3rd of every meal should be carbs. I thought I was doing the right thing but HbA1c tests kept getting worse.

Personally I wouldn't worry about taking another HbA1c test. Keep doing what you are doing and I am sure you will see a huge improvement when you go for your next test.
 
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