SouthernGeneral6512 said:
Could there be any connection between doctors recommending food like shreaded wheat that spike BS and a lot of them no longer writing a prescription for test strips?
The 'official' NHS diabetes diet still recommends carbs at every meal. It seems to take them a while to catch up with present thinking and suggest alternatives :roll: .Having said that, we are all different; Sid Bonkers eats a small portion of carbs with every meal; Grazer can cope with carbs in the morning and eats a shredded wheat for breakfast - I haven't tried, I doubt if either SW or porridge would suit me. I can manage a small portion of granola (usually the one called 'Lizi's'), but a
small portion (about 25g) and most certainly not every day. You can control your BGs with either portion control (like Sid) or by low-carbing, which I do. I still have to lose a lot of weight, and VLC works best for me for that.
Some people can tolerate more carbs than others; Grazer has had excellent results eating about 130g carb per day; I would be out of BG target range on that, and putting on weight.
As for test strips, I have heard various reasons for not giving us them -
a) testing will only make us depressed when we don't get the results we want (so recommend a diet that will give us the right results!)
b) you'll make your fingers sore (!)
c) there's no need - your 3-monthly HbA1c will give us enough info :roll:
and so on. The real reason is to save money, and some of them are honest enough to tell us so.
I am lucky; I get them. I ask for a tub of 50 every month. Now I know what I'm doing I don't test half as much as I used to, so occasionally I don't ask for a repeat, which keeps everybody sweet. I still like to do my morning fasting test - it sort of reminds me to eat properly for the day - and every now and again I'll do a full week's testing, just to keep an eye on how I'm doing. I also test if I eat a bit differently - eg after a granola breakfast, or if I have a sandwich for lunch (very occasionally!).
I think they are essential for the newly diagnosed, together with the information on how to use them properly and what to look for. Used correctly, they are an invaluable tool.
I should add that I am an exception in my practice. They give all their diabetics a meter and strips on prescription, but recommend that Type 2s should only test 2 or 3 times per week. They seem to accept that whatever I'm doing works, so they give me what I ask for.
VIv 8)