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Questions re first diabetic nurse appointment tomorrow.

I'm glad your DN will see you, mine rang me once to say your HBA1C was 93 and needed to go to glicazide as doctor prescribed metformin but it affected my stomach.
At the end of that call she said I'll leave you to it and ring you in 3 months. Nothing else just that and was gone. I've only been full diabetic for 6 weeks or so. It's like I don't exist. Still getting readings upto 19.7 regularly. Pic below was 3 hours after I ate homemade chicken soup. I give up.
 

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My appointments are yearly now. It seems that some are not as lucky as others with their DN.

Has no-one talked to you about the high readings you're getting? I'm assuming you're testing before meals and two hours later, so you can judge what the impact is of whatever food you're eating.
 
No-one has spoken to me about anything regarding my diabetes. What I am doing is to just taking the tablets shes demanding i take and doing the tests. I tried doing low carb but it's so hard. It's getting to the point I'm hardly eating and drinking. I'm rough every day. The pic below is now but just realised time is wrong lol I've not eaten or drank since 6pm last night.
 

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What are you finding particularly hard to do?
 
What are you finding particularly hard to do?
The low carbs, I am a mum of 4 children who love to eat pasta and potatoes, I can't afford to do a whole different menu for myself I'm on extremely limited funds. I haven't been able to work due to medical problems. And have to admit I've not really looked into it a whole lot but to cook from scratch is hard due to physical abilities. I need more input from DN other than call you in 3 months.
 
I just want to let you know you're not alone. I was diagnosed in July with T2. I had BG readings in the 17s. Had my blood tests, got thrown on some tablets (I declined them, although I wouldn't recommend doing this unless you're confident about diet/lifestyle changes), got called about my test results a couple of days later, and was told I'd been referred to diabetes training and the nurse wouldn't speak to me until after that. My first diabetes training session is next week, so had I not made a pain out of myself, the nurse would have gone from July through to October (when the diabetes training completes for me) without saying another word to me.

I went low carb the day my first blood test was done. Like you, I'm the main cook in our house, and I have 2 kids. I started simple. Very simple. I had a Greek yogurt for breakfast and an omelette for lunch - every day for a week, while I researched and learnt about low carb (mostly on this forum). For dinner, I cooked the kids theirs, then I'd sort mine and my wife's dinner (she's joined me on the dinners to support me). My process for dinner design:

1) Pick your protein of choice. Any protein will do at the start pretty much, as long as it's not breaded or battered.

2) Forget that carbs exist. They're just filler on your plate, taking up valuable room.

3) Pick some vegetables that go nice with step 1 - not potato, parsnip, carrot or other high carb ones, think more brocolli, cauliflower, spinach, most above ground grown ones. Fill the rest of your plate with them, including where the carbs used to go.

It doesn't have to be massively expensive unless you want it to be. It's stressful getting to grips with it, step 2 above took me weeks to fully get into the swing of doing, but you can do it. As you lower your carbs, you'll see the blood glucose readings improve, slowly at first, but it speeds up once you get into low carbing.

You can do this if you put your mind to it. Don't let the clinical and impersonal approach of the NHS defeat you, you're worth more than that! Just give it a try maybe, what have you got to lose? Worst case is you go on meds and that's that, but if you don't give it a go, you'll always wonder.

6.5 weeks later and my blood glucose has been under control for 5 weeks. I've lost 2 stone. My blood pressure has come down and I've been taken off 1 of my 3 tablets for it. It's possible to do - terrifying and hard work, admittedly - but possible. Give it a go if you can, you might even like it!
 
Oh my goodness. I must have the very best Diabetic Nurse going. I actually look forward to seeing her every 6 months and after reviewing my results we have more of a therapy session about what is going on in my life.
 
Oh my goodness. I must have the very best Diabetic Nurse going. I actually look forward to seeing her every 6 months and after reviewing my results we have more of a therapy session about what is going on in my life.
Don't bother buying any lottery tickets, you've already won!
 
I am sorry to read about your physical disabilities. Are your hands affected?

Eating healthily can be done with a limited budget. If you buy packets of frozen fish, without coating, that is good protein and only needs frying or grilling. Frozen vegetables and berries are cheaper than fresh ones. Tinned fish is also very good value, and does not need preparation. I would suggest that you eat whatever protein you give the children with their pasta and potatoes, but have broccoli or cauliflower yourself, fresh or frozen.

What age are your children?

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They are 18,16,13,11.... I find frozen anything is bland and tasteless, its not so much my hands but both shoulders and neck have limited movement. My elder two are very good at cooking but they are now back working and at college.

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Update on the diabetic nurse appointment. Spoiler it was great.
I went in all ready to fight the low carb fight and she was all for it. I'll tell you some of the things she said and it will read cheeky but she was actually quite dry and funny. I pulled out the bit of paper with my readings and she rolled her eyes and said "I'm not giving you strips" and I said "I didn't ask" She looked at the readings and commented on how the early 8s were going and just said "good for you keep it up, use a different finger every time." I mentioned that I had worried she would "healthy diet" me and she said "nope, these days I say mediterranean or low carb and I probably say mediterranean because I know more about it" I said "no Eatwell then" and she said "well it was a pretty poster"
Feet checked, weight and then bloods (because the GP had apparently neglected to check cholesterol) My BP was a bit high but she said lets wait and see if it comes down with your weight.
I asked if she had included Hba1c in the bloods and she said "no because it will only be down to 50ish and I don't want you to be disappointed. We both know you are chasing 38 and I think you are on the right track"
On the way out the door she said " They would strike me off for this but have a look at Michael Mosley's keto stuff"
All in all it was a really positive appointment. Back in 3 months
 
Make that 3 !! Mine is fab too. Discretely says Eatwell is outdated.
She took notes of several of my lo carb recipes and recommended I don’t attend the Diabetes Education course the practise offered me.
You’ll end up arguing with them she giggled.
Nice one @Margarettt
 
Superb.

That one's a keeper.
 
I wish you luck - I was at odds with the diabetic nurse and practically non existent interest from the one permanent doctor at our surgery.
I have provided the letter from week 1 of the low carbohydrate program which I thought had great background info for them but suspect it’s been filed without reading.
Seems apart from Dr Unwin who was m pressed me - that surgeries are not aware of the research or proof that disproves the low fat , calorie counting healthy eating approaches and even the courses they sent me on was full on calorie deficit low fat without really considering that it’s carbs and sugars that diabetes is all about - and it’s not about eating ‘healthily’ most of time - as the aim is to keep ‘sugar’ in blood down to say 1 teaspoon at all times.. within reason - and no real conviction about low GI low GL in fact I had hostile approach from other ‘non diabetic’ but overweight people and accused of overthinking it.. I am convinced bread, pasta, rice (sadly), root vegetables etc. that slimming world (sins) and weight watchers (points) allow is harmful if you are type-2 diabetic - and not ok in moderation.
Also I was told no need to do blood testing - which I believe measuring results is only way to gauge how you are doing.
I hope that your experience is better than mine (I’m now on 44 in the scale (48 is boundary) and decent glucose testing levels but only because I ignored their healthy eating fixations and not believing low weight is only solution..
I had religiously attended slimming world and lost loads of weight before but I was as still pre-diabetic (covid broke me) but later type-2 - I am firm believer in carbs in it’s many forms as my downfall but at surgery that was not big consideration.
Stick to guns - at least I have managed to avoid any drugs by going low carb or approaching Keto..
I now however have peripheral neuropathy (painful too) which I blame on having poor pre diabetic advice and I’m having to go private about.. I would also like to use constant glucose monitoring but In wales we have to pay for all blood glucose test kit - but I’m looking to somehow facilitate continuous monitoring if I can afford it..
Good luck stick to guns and hope that the low carbohydrate program helps convince the medics..
 
I have been low can for 8 years and love this lifestyle . Keep to it you will be recovering and your weight will adjust as you go along .portion size does count for weight loss and for me walking sways help good luck . It works !
 
Superb.

That one's a keeper.
Fantastic we need more like that - and unfortunately it was eatwell was the bible and I was expecting to ‘just lose weight’ and everything would be fine - including the beginnings of peripheral neuropathy which isn’t really cured by weight loss and without early intervention is permanent..
You need to treasure that practice and nurse..
 
recommended I don’t attend the Diabetes Education course the practise offered me.
You’ll end up arguing with them she giggled.
I haven't been given much choice with the training, basically a vague suggestion that they'd withhold further tests/appointments until I'd done it. Probably their punishment for me daring to go my own way on managing my own health and not chowing down on 3 loaves of bread a day.

The letter from the training team was less than inspiring, advising me - and I quote word for word here - that "if you want to make a start before the sessions, try reducing the number of boiled sweets you eat". Yeah, thanks, but it was probably the pizza, burger buns, bread with every meal, chocolate, cake and crisps that got me in the end! Still, if only they could ban those boiled sweets I've never eaten in my life, it'd all be tickety-boo then!

So, if they want to play hardball, so will I - I'm going to treat it like a work training course! I've picked the online sessions, so I'll turn my camera off, do something useful with my time, and tune back in occasionally to hear them talking about how awesome carbs are for diabetics. Most importantly though, I'll shut my mouth, not ask a single question, and hope that kills the session quicker!
 
On my T2 course the interesting feature was the very large plate of sweety biscuits that was wheeled in every time there was a tea break. There was sugar for your tea too.
 
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