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Ramp up Meds for Type 2's.

  • Thread starter Thread starter catherinecherub
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catherinecherub

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:roll: :roll: This is quite worrying for newly diagnosed Type 2's IMHO. They could be on insulin within 9 months. :!: :!:

Until the lifestyle changes include good dietary advice throughout the U.K. then people will find themselves taking medication that could have been avoided. I consider myself very lucky after reading some of the horror stories on here as I was advised to test and cut my carbs using the G.I. method to an amount that my meter was happy with. Clinicians need to wake up to the fact that moderate/ lower carb intake works for most Type 2's.

http://www.pulsetoday.co.uk/newsarticle ... s-gps-told

It is a bit late to make the commitment to attend this Lobby at the Houses of Parliament but if anyone has the time to spare then it might be worthwhile putting some points across for consideration. Even if you cannot attend, a letter to your M.P. will highlight some of the issues we face. When are policy makers going to listen to the patients who manage good control?

http://www.diabetes.org.uk/Get_involved ... Big-lobby/
 
Re: More Meds for Type 2's.

What annoys me is even GP's who realise the NHS dietary advice to T2's is very, very wrong, have their hands tied. When a patient is diagnosed they have to toe the party line, hand over the usual newly diagnosed T2 pack and send you on your way. Change needs to come, and people here who have gained control, need to be listened to. It's heartwarming to read posts where after showing your GP or DSN excellent results, they are prepared to listen, xyzzy today for example. Should diabetes care be patient led? Not in my opinion, we can educate and keep driving home our message to our own PCT but we shouldn't have to.
 
Unbeliever said:
Shoud diabetes care be patient-led? Ideally no, but it often is and can be better than Practice Nurse-led!
Click to expand...

Exactly! We should not have to be educating or fighting with our PCT, they should be giving newly diagnosed patients the correct nutritional information. Sadly they quite often don't, and the result is medication increases year on year, and increased complications and mortality. This is a huge bug bear with me, the evidence is out there and in this forum, yet people are still dying due to improper advice, management and care.
 
Catherine, I agree it is very worrying. The doc the link refers to is one of the ones I gave my DSN today. It has some good parts on self management and setting patient goals but as Phoenix pointed out a couple of weeks ago it ramps up going on meds then insulin very quickly. All the more reason for patients to be told the "good diet" methods that we have all found work at diagnosis as part of those self management options. To do that here in the UK they must at least stop this one diet fits everyone approach and recognise the need for a specific diet(s) for diabetics, especially T2's.
 
What gets me about all this is that the organisation we should be looking to as a voice for all diabetics to try and get good dietary advice on an individual basis gives out the same rubbish advice as the NHS. That organisation? Diabetes UK.

Yet here we have them asking us to join their campaign called Voices. DUK don't even listen to any of us who have taken them to task for their poor advice and recipes that they have come up with over the years! Anybody hear about the 'Eatwell Plate?' What a joke that is! Another great idea from and backed by DUK. With them as our voice what chance do we have of changing anything?

The mind boggles at the thought they are our advocates for change in diabetes care!
 
PCTs do seem to have a blanket cover for all aspects of Endocrine problems. They lump diabetics together and, also, people who suffer from thyroid problems.

Endos, of all people, should know how personal these problems are, how individual. I expect it all comes down to cost in the end.

And (call me a cynic) but I am convinced there are HUGE financial incentives for GPs to diagnose (either correctly or incorrectly) patients as diabetic.

Ju
 
xyzzy said:
To do that here in the UK they must at least stop this one diet fits everyone approach and recognise the need for a specific diet(s) for diabetics, especially T2's.
Click to expand...

There simply can't be a one size fits all approach. We all have different levels of pancreatic function, so the amount of carbs we eat will be dependent on that as well as other factors. Diabetes needs a root and branch revamp, and also a health service that will not look at it's budget on a year by year basis, but investment now to reap dividends later, not only in cash, but in healthier diabetics.
 
Defren said:
xyzzy said:
To do that here in the UK they must at least stop this one diet fits everyone approach and recognise the need for a specific diet(s) for diabetics, especially T2's.
Click to expand...

There simply can't be a one size fits all approach. We all have different levels of pancreatic function, so the amount of carbs we eat will be dependent on that as well as other factors. Diabetes needs a root and branch revamp, and also a health service that will not look at it's budget on a year by year basis, but investment now to reap dividends later, not only in cash, but in healthier diabetics.
Click to expand...

So lets keep on at DUK to change their stance, nobody is going to listen to a few dissident voices here and elsewhere however much we stamp and shout! Campaign to get DUK to listen to alternative views and dietary advice to be given an equal billing and let diabetics have a 'real' choice for a change. As a group here we have been shouting about change to DUK dietary advice which is the same as NHS advice. Its like a closed shop, each propping up the other and repeating the same old mantra. Change needs to come from DUK first and this forum DCUK should be campaigning for that change! Maybe Admin here could start a petition to DUK in an attempt to get them to listen to other voices? After all this is supposed to be the biggest and best diabetes forum in the UK.
 
Highlanders said:
Change needs to come from DUK first and this forum DCUK should be campaigning for that change! Maybe Admin here could start a petition to DUK in an attempt to get them to listen to other voices? After all this is supposed to be the biggest and best diabetes forum in the UK.
Click to expand...

I can't speak for admin but it is worth remembering that DCUK is a business, not a charity. It's DUK that is supposed to be acting in our interests.

Biggest (dunno) and best diabetes forum in the UK? No "Supposed to be" about it..it just IS. :D
 
Diabetes care has been abysmal for some years. There was more mney around when i was first diagnosed but noone could think it was money well spent. Much hot air . test srips flung around like confetti but very little helpful advice unless you were very fortunate.
Then guess what? Things got worse. Diabetes was downgraded. T1s were discharged form hospital clinics they had attended for years and T2s were lucky if they could see a doctor.
All diabeics [in my area at least} were consigned to the care of the Practice Nurse who had done the diabetes course. Or maybe was on the waiting list. Medical students were taught that it was not necessary fot T2s to self monitor their bg and in some places even T1s were subject to restrictions on their strips.
The dietary advice routinely given out by the NHS, backed by that great organisation DUK .is about as bad as it can be,
So now surprise! We have an epidemic of complications,
The new guidelines as referred to in the article linked to by catherine, if adopted ,will probably mean the end of one lot of targets and the introduction of others. Patients will not be pushed to achieve the target for the practice but an individual target, Rather than benefiting the patient it may well be that the push may now be as catherinecherub surmised. to get patients onto the stronger meds or insulin for T2 and maybe something of the kind for T1s also. This will be introduced in a bid to reduce complications,
Surely dietary measures and guidance would be simpler, cheaper and in the best interests of the patient..
Or is that too easy?
 
ladybird64 said:
Highlanders said:
Change needs to come from DUK first and this forum DCUK should be campaigning for that change! Maybe Admin here could start a petition to DUK in an attempt to get them to listen to other voices? After all this is supposed to be the biggest and best diabetes forum in the UK.
Click to expand...

I can't speak for admin but it is worth remembering that DCUK is a business, not a charity. It's DUK that is supposed to be acting in our interests.

Biggest (dunno) and best diabetes forum in the UK? No "Supposed to be" about it..it just IS. :D
Click to expand...

Thats just my point, the charity (DUK) isn't doing very well as spokespeople for us IMHO so DCUK (the business) could use some of its profits from us and other diabetics and give DUK the 'kick up the backside' I think it deserves. They (DUK) are too complacent and if you try to get support for any change there on diabetes.org you are roundly criticised and hounded out! Its happened a few times so far. Seems to be a complacent club to me. I think it has to be the biggest membership, certainly way more than any others that are a useful place to be.
 
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