I had a conversation, a couple of months ago with a doctor at my practise, about statins. My argument was that for me, as a woman of a certain age, no history of CVD, HbA1cs in non-diabetic levels, but an area of her lipids sub-optimal, stains could not scientifically be justified. After we talked it all through; during which time she agreed there was no empirical evidence to support her recommendation, but retorted that NICE now required a positive recommendation for statins to all diabetics. Eventually we agreed that because of my HbA1c results she would agree not to make the recommendation. I didn't particularly want a "refused treatment" on my records, if I could avoid it.
It's bonkers.
I find it disappointing that NICE appears now to be providing simplistic decision trees for such a wide group of patients, but I can also understand our litigious world, the medics are looking for safe ways forward.
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