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Summoned to my annual review!

Emmotha

Emmotha

Well-Known Member
Messages
1,123
Type of diabetes
Type 1
Treatment type
Insulin
Hi all.
7 months after my diagnoses I have been summoned to my annual review! (I guess they're no good at maths?)

I am required to do a fasting glucose test (does anyone know why?)

My second question is re dawn-phenomenon. My control is pretty good but I get a morning raise. To stop this raise I have to eat and bolus. I won't be able to eat to stop it for a fasting. My question is, can I do a correction bolus before the fasting test? Or just let my sugars rise?

I don't want them to think I'm not well controlled when I am
 
How high does your dawn phenomenon take you? To be fair it's a fasting test and not a no insulin test, so I don't see an issue with it. The Hba1C will be what they use to evaluate control, and if you take your libre data which shows your variance, etc. they also have a whole load of other data to look at for control. The guys seeing you don't generally take a point measurement as an indicator of control.

I suspect the fasting test is to try and get some from of indication of your remaining insulin levels from the honeymoon, although I have no real idea!
 
It's got to 10 before but I usually correct before that
 
The fasting will be required so they can measure your lipids (cholesterol check), which means you must not eat 10 hours before the test or take on board any alcohol. Don't worry about being slightly high when you attend, they are aware of DP and your morning bg level will make no difference to your Hba1c result. Good luck.
 
Given the levels they will be used to seeing, you will be a very satisfying patient.
 
My surgery asks that Diabetics on insulin should contact them before a blood test so maybe best to check first
CAROL
 
Most annual reviews are not based upon your birthday date! Ie if you were born in January you will get a letter within 4 weeks.

Its a new system being adopted by gp's and hospitals to reduce wasted appts and to stop sending out so many letters.

Many letters now will tell you what tests are outstanding like your retinopathy tests, feet check etc

Although glucose fasting isn't necessary for a type 1, it is handy to have as it enables you to do a blood test at the same time as the blood is drawn out of your arm to either compare it to a sensor or blood test. If arm is swiped or blood tested at the same time when the results come back then you can see how accurate your equipment is, as a comparison.
 
Surely fasting glucose is for T2.

Fasting blood test for lipids I can understand to get proper triglyceride level.

I have to take 2-3 units of Novo when I get up to counteract my 'waking' rise (depends on my waking level) even if I don't eat.
 
Yes you can do a correction before the blood test.
 
Have a look at your blood test form it may show cholesterol tests as well. You should also have FBC, hba1c, full lipid profile, renal and thyroid. I also have b12, folate and vit d as I have had problems with these.
 
It's odd, both my birthday and my diagnosesday are on the same day in June.

I have to have the test at the hospital where u can sometimes Q for hours. Might phone to see if I can have it at the GP
 
robert72 said:
Surely fasting glucose is for T2.

Fasting blood test for lipids I can understand to get proper triglyceride level.

I have to take 2-3 units of Novo when I get up to counteract my 'waking' rise (depends on my waking level) even if I don't eat.
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My own team do a lipid breakdown every-time for an annual diabetes check so fasting is always required for the blood test leading up to the appointment, for appointments in-between it isn't necessary.
 
Emmotha said:
It's odd, both my birthday and my diagnosesday are on the same day in June.

I have to have the test at the hospital where u can sometimes Q for hours. Might phone to see if I can have it at the GP
Click to expand...

You can get the bloods taken by your gp surgery the week leading up to your hospital appointment, ask if this is possible when you attend.
 
I'll give them a call. Don't like to take too much time away from work, although I use my flexi time, it's still better to get a fixed appointment for a blood test I think, if you can. Especially a fasting one
 
Emmotha said:
I'll give them a call. Don't like to take too much time away from work, although I use my flexi time, it's still better to get a fixed appointment for a blood test I think, if you can. Especially a fasting one
Click to expand...
Agree completely on the timed appointment. It's a right pain having to turn up and take a ticket at the hospital.
 
Emmotha said:
I'll give them a call. Don't like to take too much time away from work, although I use my flexi time, it's still better to get a fixed appointment for a blood test I think, if you can. Especially a fasting one
Click to expand...


It takes no more than 5 mins, the gp surgery sends the bloods to the hospital lab and are available around 5 days after, I go to my gp surgery around a week before my hospital diabetes check-up appointment.
 
Gp's are mow insisting that if you are due a hospital check up that the hospitals give you the blood tests forms.
My gp's won't do blood tests unless it is on their annual review.... Other than that I have to get my hospital to send me a form and then I can go to any hospital in my are to get my tests taken.
 
The only reason for the fasting test would be to provide a better view of the cholesterol results including lipids etc. I'm doing a fasting one next week for the same reason. Many surgeries now are not doing fasting tests as the HBa1C doesn't need ti and it avoids clogging up the phlebotomists in the morning
 
Oh so I can choose my hospital? That would be better. There is another one nearer to my work. It's a shame it's Wexham Park (can I say that out loud?) but their opening times are longer and it's on my bus route
 
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