I attended an Xpert course back in July, there was a large group of newly diagnosed patients from 10 different surgeries. The course leader was from the local PCT specialist diabetes care team and very knowledgable.
While we were comparing the differing bits of advice we had each received from our practice DN's and Doctors it became very clear that the advice given varied widely and basically some of it was totally wrong. The leader said this is not uncommon and was clearly quite frustrated by it. Sadly the specialist team only deals with referred patients and does not handle routine care, they only get involved when things go wrong and even then only until the situation is normalised at which point it goes back to the local practice again.
It became quite apparent to me that the general knowledge relating to diabetes (type 2 in particular) in general practice surgeries is pretty appalling. i consider myself to be very lucky in that at least my surgery does not argue with my approach to managing my condition (unless I see the wrong doctor that is).
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