Unbeliever
Well-Known Member
- Messages
- 1,551
I can empathise with the last few posts as a T2. It is always best if you can educate yourself as much as possible and make hem understand hat ypu know what you are talking about.
What happens next is all down to luck. In my Practice the GPs want nothing to do with diabetes. All is left to the Diabetic Specialist Nurse. She is only interested in the T!s and those T2s she has managed to persuade o go onto insulin.
She knows nothing about T" medications {or very little} and doesn't want o know/ If you have a problem i means hat you ought o be on insulin whether your control is good or not and conversely if your control is good then there can be no problems!
Because I was fortunate enough to be referred to the Diabetic Consultant at the hospital by the Opthalmologist and to be given a letter seting out the way in which I should be treated in future I am in a far better position han other patients. This still means that I have noone to turn o for advice in general,
Not so long agao I had to research and suggest a change in medication and consulted one of the Gps directly.
Although she agreed wih my request and could see the rationale she obviously was uncomfortable with prescribing something withiout the DSNs concurrence. It was a very small dose of something which I had previously taken in lage doses.
This DSN has previously given me the wrong advice about medications even when I expressed reservations about sme of them based on my limited knowledge , she has assured me hey were safe.
She was wrong. I resisted insulin because I don't rust her . Now armed with my talisman letter I know she cannot put me on insulin but must refer me to the hospital so I can relax about that.
I previously had a very supportive GP in another Practice who was not he Diabeic Doctor but who had a great deal of experience gained elsewhere, in treaying diabetes.
It is very much the liuck of the draw I inform myself for self preservaion. Its all we can do. I wish I was able to have the opportunity to speak to a dibetes specialist even annually but I appreciate that I was ery lucky to be able to see someone twice amd only because of my complications.
The DSN would never have put me on "appropriate " medication as the consultant termed it - although she was able o do so she had told me he only alternative to insulin was something which is not to be given to people with my condition. So she was either lying to me deliberaely or knows little abou her job.
I just think of them as a toal nuisance . they can't and don't an to help and any contact with them, usually for their purposes is fraught because of their inefficiency. A simple attendance at a clinic urns into a saga. They have never helped me in any way. Just the opposite..
I understand that the hospital is referring all well controlled T1s back o the Practice although they may have been attending the hospital for years. Poor things. I pity them. It will be a toal culure shock.
I ofen wonder how oong it will be before we see the end of his DSN business as i is now. A great misake I think. I know hat some have a very good experience but I would rather see he money used elsewhere.
There may be a case for he well controlled beinng seen by a well informed Pracice Nurse liaising wih a designaed Gp but once difficulties arise I hink resources should be concentrated in one place- the hospital.
I often wonder what checks are carried ou on the local management of diabetes . I can't help feeling i is just a matter of hitting the targets.
My DSN recently appeared to be highly amused at her lack of knowledge regarding the newer drugs and treatments for T2s. I don't find it funny and pity those who aren' able o research these matters or o stand up to the bullying.
What happens next is all down to luck. In my Practice the GPs want nothing to do with diabetes. All is left to the Diabetic Specialist Nurse. She is only interested in the T!s and those T2s she has managed to persuade o go onto insulin.
She knows nothing about T" medications {or very little} and doesn't want o know/ If you have a problem i means hat you ought o be on insulin whether your control is good or not and conversely if your control is good then there can be no problems!
Because I was fortunate enough to be referred to the Diabetic Consultant at the hospital by the Opthalmologist and to be given a letter seting out the way in which I should be treated in future I am in a far better position han other patients. This still means that I have noone to turn o for advice in general,
Not so long agao I had to research and suggest a change in medication and consulted one of the Gps directly.
Although she agreed wih my request and could see the rationale she obviously was uncomfortable with prescribing something withiout the DSNs concurrence. It was a very small dose of something which I had previously taken in lage doses.
This DSN has previously given me the wrong advice about medications even when I expressed reservations about sme of them based on my limited knowledge , she has assured me hey were safe.
She was wrong. I resisted insulin because I don't rust her . Now armed with my talisman letter I know she cannot put me on insulin but must refer me to the hospital so I can relax about that.
I previously had a very supportive GP in another Practice who was not he Diabeic Doctor but who had a great deal of experience gained elsewhere, in treaying diabetes.
It is very much the liuck of the draw I inform myself for self preservaion. Its all we can do. I wish I was able to have the opportunity to speak to a dibetes specialist even annually but I appreciate that I was ery lucky to be able to see someone twice amd only because of my complications.
The DSN would never have put me on "appropriate " medication as the consultant termed it - although she was able o do so she had told me he only alternative to insulin was something which is not to be given to people with my condition. So she was either lying to me deliberaely or knows little abou her job.
I just think of them as a toal nuisance . they can't and don't an to help and any contact with them, usually for their purposes is fraught because of their inefficiency. A simple attendance at a clinic urns into a saga. They have never helped me in any way. Just the opposite..
I understand that the hospital is referring all well controlled T1s back o the Practice although they may have been attending the hospital for years. Poor things. I pity them. It will be a toal culure shock.
I ofen wonder how oong it will be before we see the end of his DSN business as i is now. A great misake I think. I know hat some have a very good experience but I would rather see he money used elsewhere.
There may be a case for he well controlled beinng seen by a well informed Pracice Nurse liaising wih a designaed Gp but once difficulties arise I hink resources should be concentrated in one place- the hospital.
I often wonder what checks are carried ou on the local management of diabetes . I can't help feeling i is just a matter of hitting the targets.
My DSN recently appeared to be highly amused at her lack of knowledge regarding the newer drugs and treatments for T2s. I don't find it funny and pity those who aren' able o research these matters or o stand up to the bullying.
