Visit to My GP

Listlad · Mar 6, 2019

Pipp said:
Neither Dr Unwin’s paper, nor the Low Carb Program has emphasis on high fat, although the reduced carb content does mean the proportion of fat is increased. Most HCPs are wary of any eating regime that includes increased fats, due to the established NHS advice on low fat diets. Therefore I would be cautious about mentioning fat.

In your circumstances @Listlad , to make good use of time with nurse and GP, I would :-

Have my blood results printed out prior to appointment, and make sure I understood them, (ask for advice in forum if you need to). Presumably you will be seeing improvement.

Tell nurse and GP how you have improved. Give print out of Dr Unwin’s paper, mentioning that he saved money by reduction in prescriptions for diabetes for his patients.

Mention that HCPs can provide the Low Carb Program to give patients free access, and give the print out for that.

You will be potentially educating them for the better outcome for other patients. Go for it. Good luck.

Hi @Pipp I am gearing myself up for this. Since you posted, the 20 minutes with the nurse was a waste in the sense that you mention in your post. So it will all rest with my meeting with my GP who is undoubtedly concerned about my diabetes ( his words) and the two factors that bother me are time limitations and his own bias in terms of treating those with high blood sugar levels. There is a thin shred of hope as I distinctly remember him encouraging me to take an avocado and bacon breakfast in our last meeting back in January where both he and I were under time pressure and I was unaware of the benefits of lchf . I am hoping he is a lchf convert already, just to make life simpler all round. We shall see.

Daphne917 · Mar 6, 2019

Bluetit1802 said:
As @DCUKMod says, it is worth asking for a side note. The memory test was trialed at my surgery for anyone over a certain age that agreed to it. On one of my diabetes reviews I was asked and I agreed. There were 28 points allocated. These were allocated for each bit you got wrong. I scored 0 out of 28, so I got them all right. When my GP was entering these results she just saw 0/28 and believed I got them all wrong, so she entered a significant memory problem on my on-line records. Of course I was upset and contacted the surgery by email about it. I had a letter sometime later from the GP apologising. She removed the significant problem completely from my records. It is always worth pushing.

I haven’t got a clue what’s on my notes because I can’t view them on line

Resurgam · Mar 6, 2019

DCUKMod said:
Resurgam, have you asked that that issue be corrected? If it cannot be removed, I'd ask for a side note to be entered relating to your assertion.

I tell them - what more can I say? Getting angry is what the doctors do - in my experience.

DCUKMod · Mar 7, 2019

As far back as the

Resurgam said:
I tell them - what more can I say? Getting angry is what the doctors do - in my experience.

Resurgam, you handle it as you wish, but under the now superceeded DPA, one of the tenets was that we have the right that our records be correct, and where errors exist, they should be corrected. Whilst that act is superseded, by GDPR, the tenet remains in place, and indeed has been strengthened somewhat

Where you may have issue is your ability to prove whatever it is didn't happen.

In your shoes, I would made my point, in writing. It is easy to misunderstand or to deny something verbal took place. In writing, it in itself becomes part of your record.

The following article explains in some detail what should the occur.

https://www.gponline.com/amending-medical-records-patients-rights/article/1462317

I have had my medical record amended, because it showed I had been diagnosed with carcinoma of the breast, when in fact, the histology showed a rare form of aggressive, destructive, but benign fibrosis. It's likely the person coding hadn't heard of the condition and coded what they felt was "best fit", unless you were me! I could not tolerate such an entry in my record, so had it changed. I did have to make my points strongly, but my record has now been corrected.

Pipp · Mar 7, 2019

Listlad said:
Hi @Pipp I am gearing myself up for this. Since you posted, the 20 minutes with the nurse was a waste in the sense that you mention in your post. So it will all rest with my meeting with my GP who is undoubtedly concerned about my diabetes ( his words) and the two factors that bother me are time limitations and his own bias in terms of treating those with high blood sugar levels. There is a thin shred of hope as I distinctly remember him encouraging me to take an avocado and bacon breakfast in our last meeting back in January where both he and I were under time pressure and I was unaware of the benefits of lchf . I am hoping he is a lchf convert already, just to make life simpler all round. We shall see.

I didn’t see it as a difficult task to inform GP and nurses of Dr Unwin’s results. Just take a copy of his paper to consultations and mention it as part of discussions into how I am managing. Takes about 30 seconds as I just say something like ‘this GP has helped so many patients to reduce their need for diabetes meds, and to reverse their T2 diabetes, thus saving money an£ improving lives’. Up to them what they do with info, but they usually are interested and have recommended method to other patients.

Rachox · Mar 7, 2019

Pipp said:
I didn’t see it as a difficult task to inform GP and nurses of Dr Unwin’s results. Just take a copy of his paper to consultations and mention it as part of discussions into how I am managing. Takes about 30 seconds as I just say something like ‘this GP has helped so many patients to reduce their need for diabetes meds, and to reverse their T2 diabetes, thus saving money an£ improving lives’. Up to them what they do with info, but they usually are interested and have recommended method to other patients.

I did the same, just printed a copy of this out and asked my GP if he’d like to read it, he knew I’d used low carbing to control my type 2 already so I thought I’d emphasise that a professional was advocating it too:
https://www.practicaldiabetes.com/w...etes-experience-from-one-general-practice.pdf

Pipp · Mar 7, 2019

I would add this to the info for GP and HCPs

http://www.pulsetoday.co.uk/clinica...b-diet-for-diabetes-patients/20037092.article

Listlad · Mar 7, 2019

Pipp said:
I would add this to the info for GP and HCPs

http://www.pulsetoday.co.uk/clinica...b-diet-for-diabetes-patients/20037092.article

Right, so I will have a barrow load of documentation to bring along with me.

I actually spend a portion of my time these days sourcing and making available certain peer reviewed scientific and technical papers to various people who need them. So I am kind of used to this very notion.

Listlad · Mar 8, 2019

Tophat1900 said:
10 mins isn't worth arguing with your gp over diet, so discuss what you want to know and what is important to you.

Your point was not lost on me. Thanks, that has to be my first priority.

Tophat1900 · Mar 8, 2019

Listlad said:
Your point was not lost on me. Thanks, that has to be my first priority.

Have you been to your appt? Or did I miss that?

Listlad · Mar 8, 2019

Tophat1900 said:
Have you been to your appt? Or did I miss that?

Later to day. I hope it proves helpful,

Tophat1900 · Mar 8, 2019

Listlad said:
Later to day. I hope it proves helpful,

Gotcha, good luck.

Listlad · Mar 8, 2019

Tophat1900 said:
Gotcha, good luck.

Thanks, I want to check he is on the same wavelength as the forum so that I can connect with him in the future on diabetes related matters and solutions.

Mr_Pot · Mar 8, 2019

Listlad said:
Thanks, I want to check he is on the same wavelength as the forum so that I can connect with him in the future on diabetes related matters and solutions.

If you are lucky he will be like my GP and let me get on with it as my diet is working. Actively recommending a low carb diet is not NHS policy so less likely.

Listlad · Mar 8, 2019

Mr_Pot said:
If you are lucky he will be like my GP and let me get on with it as my diet is working. Actively recommending a low carb diet is not NHS policy so less likely.

Indeed. I was luckier than that.

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