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<blockquote data-quote="Nellie" data-source="post: 18436" data-attributes="member: 7196"><p>well as others on here have read This is not my experience but I have type 1. If anything its 'over the top' follow up. On diagnosis they wouldn't let me out of hospital until everything had been checked including non diabetes related things such as mamography and other gynae tests.I have spent 2 and half weeks in hospital over the last 3 years ( 10 days when diagnosed the rest for education!)</p><p> During this time and in the waiting room for my 3 monthly appointments I've met several type 2s who have beeen taught how to sucessfully adopt 'prehistoric' regimes though adapted for their particular circumstance. An elderly British friend also sees my diabetologue for type 2, and has been referred to the dietician and offered 'therapeutic education' though he always disregards the advice since he won't change his lifestyle at all!</p><p></p><p> You are entitled to quite comprehensive follow up <u>if you are treated by tablets and lifestyle intervention and your condition recognised as an ALD.</u>. It is not detailed what is available to diet and exercise controlled diabetes and I expect that is more down to a watching brief. Treatment may be co-ordinated through the medecin traitant but can be through a diabetolgue.</p><p> </p><p></p><p>You are entitled (as for any illness) to ask your doctor to refer you to the specialist (diabetologue)</p><p>You should have had a thorough initial examination ( incidently, you're also entitled to a very full health check every five years after the age of 50 diabete or or not, )</p><p>Yearly eye examination</p><p>You should be having HBA1cs regularly (at least 6 monthly)</p><p>tests for microalbuminirie, creatinine and cholesterol + triglycerides.</p><p>Blood pressure</p><p>weight</p><p>foot check</p><p>Yearly ecg</p><p>Échographie Doppler on legs every 5 years if over 40 or more regularly if necessary.</p><p>Specialist help to stop smoking if necessary</p><p>You should also be offered 'therapeutic education'</p><p></p><p></p><p>The quotes are from ALD n°8 - Prise en charge du diabète de type 2, the oficial document detailing treatments. which you can find here.</p><p><a href="http://www.has-sante.fr/portail/jcms/c_419389/ald-n8-prise-en-charge-du-diabete-de-type-2" target="_blank">http://www.has-sante.fr/portail/jcms/c_419389/ald-n8-prise-en-charge-du-diabete-de-type-2</a></p><p></p><p>Incidently, you are expected to make your own appointments, there is no call back system as you might encounter in the UK. This is because the patient has far more choice over doctors than in the UK. If you are not happy with the treatment from your medecin traitant, you can always appoint a new one. This also applies to hospitals, my local public hospital has an excellent reputation for diabetes with patients coming from quite long distances rather than using their local facilities. Much as in the UK there are league tables and I expect people may use them or personal recomendation to choose.</p><p></p><p>If there is a language problem then try to find someone to go with you for consultations. I have found very few doctors to admit to speaking any English , though interestingly the more I've got to know them the more they seem to drop a few words into the discussion.</p></blockquote><p></p>
[QUOTE="Nellie, post: 18436, member: 7196"] well as others on here have read This is not my experience but I have type 1. If anything its 'over the top' follow up. On diagnosis they wouldn't let me out of hospital until everything had been checked including non diabetes related things such as mamography and other gynae tests.I have spent 2 and half weeks in hospital over the last 3 years ( 10 days when diagnosed the rest for education!) During this time and in the waiting room for my 3 monthly appointments I've met several type 2s who have beeen taught how to sucessfully adopt 'prehistoric' regimes though adapted for their particular circumstance. An elderly British friend also sees my diabetologue for type 2, and has been referred to the dietician and offered 'therapeutic education' though he always disregards the advice since he won't change his lifestyle at all! You are entitled to quite comprehensive follow up [u]if you are treated by tablets and lifestyle intervention and your condition recognised as an ALD.[/u]. It is not detailed what is available to diet and exercise controlled diabetes and I expect that is more down to a watching brief. Treatment may be co-ordinated through the medecin traitant but can be through a diabetolgue. You are entitled (as for any illness) to ask your doctor to refer you to the specialist (diabetologue) You should have had a thorough initial examination ( incidently, you're also entitled to a very full health check every five years after the age of 50 diabete or or not, ) Yearly eye examination You should be having HBA1cs regularly (at least 6 monthly) tests for microalbuminirie, creatinine and cholesterol + triglycerides. Blood pressure weight foot check Yearly ecg Échographie Doppler on legs every 5 years if over 40 or more regularly if necessary. Specialist help to stop smoking if necessary You should also be offered 'therapeutic education' The quotes are from ALD n°8 - Prise en charge du diabète de type 2, the oficial document detailing treatments. which you can find here. [url]http://www.has-sante.fr/portail/jcms/c_419389/ald-n8-prise-en-charge-du-diabete-de-type-2[/url] Incidently, you are expected to make your own appointments, there is no call back system as you might encounter in the UK. This is because the patient has far more choice over doctors than in the UK. If you are not happy with the treatment from your medecin traitant, you can always appoint a new one. This also applies to hospitals, my local public hospital has an excellent reputation for diabetes with patients coming from quite long distances rather than using their local facilities. Much as in the UK there are league tables and I expect people may use them or personal recomendation to choose. If there is a language problem then try to find someone to go with you for consultations. I have found very few doctors to admit to speaking any English , though interestingly the more I've got to know them the more they seem to drop a few words into the discussion. [/QUOTE]
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