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<blockquote data-quote="phil1966" data-source="post: 1011710" data-attributes="member: 144138"><p>Had my first annual review today and it was generally very good</p><p></p><p>My HbA1C is slightly up from August (from 39 to 43) which is probably explained by my increased carb consumption (I've finished dieting now and am eating 2,000 calories a day instead of 1,500) and the DN said it's nothing to be concerned about as it's still massively down from the 107 it was a year ago!</p><p></p><p>On a far more positive note, all my blood count readings are perfect, my BMI (at 22.4) is the lowest it's been since I was a teenager and my BP at 111/65 is also excellent</p><p></p><p>The DN was brilliant - she seemed genuinely interested in how I'd managed to get things under control and basically turn my life around (this time last year I was massively overweight, had out of control blood sugar, high cholesterol and borderline high BP). We had a good chat about testing and she seemed relieved that I understood that lack of NHS funding meant I would have to continue funding my test strips myself (however, she never tried to dissuade me from self-testing). </p><p></p><p>The end result of the review was that I'm staying on the same medication (500mg metformin 2x a day) - she did say she considered suggesting trying diet alone but as I have no adverse reactions at all to metformin and my HbA1c had crept up a bit it was worth staying on them for the time being) and I'll have another review in a year (again, she said I could have a review more frequently if I wanted but that I didn't really need one and we agreed the money would be better spent on people who aren't as lucky as me with their control)</p><p></p><p>Overall, I'm very happy with the way it went and I'd give 10/10 to the DN - she was engaged, interested, caring and not in the slightest bit condescending <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="phil1966, post: 1011710, member: 144138"] Had my first annual review today and it was generally very good My HbA1C is slightly up from August (from 39 to 43) which is probably explained by my increased carb consumption (I've finished dieting now and am eating 2,000 calories a day instead of 1,500) and the DN said it's nothing to be concerned about as it's still massively down from the 107 it was a year ago! On a far more positive note, all my blood count readings are perfect, my BMI (at 22.4) is the lowest it's been since I was a teenager and my BP at 111/65 is also excellent The DN was brilliant - she seemed genuinely interested in how I'd managed to get things under control and basically turn my life around (this time last year I was massively overweight, had out of control blood sugar, high cholesterol and borderline high BP). We had a good chat about testing and she seemed relieved that I understood that lack of NHS funding meant I would have to continue funding my test strips myself (however, she never tried to dissuade me from self-testing). The end result of the review was that I'm staying on the same medication (500mg metformin 2x a day) - she did say she considered suggesting trying diet alone but as I have no adverse reactions at all to metformin and my HbA1c had crept up a bit it was worth staying on them for the time being) and I'll have another review in a year (again, she said I could have a review more frequently if I wanted but that I didn't really need one and we agreed the money would be better spent on people who aren't as lucky as me with their control) Overall, I'm very happy with the way it went and I'd give 10/10 to the DN - she was engaged, interested, caring and not in the slightest bit condescending :) [/QUOTE]
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