1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2020 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Free Forum App Feedback Reminder COVID-19: stay safe
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

What am I dealing with here...

Discussion in 'Type 1 Diabetes' started by Mark14400, Jun 1, 2017.

  1. Mark14400

    Mark14400 Type 1 · Well-Known Member

    Messages:
    88
    Likes Received:
    83
    Trophy Points:
    58
    OK,
    Brief trip to my GP today for high blood pressure tablets review...All good, no need to change medication.....Turned out the GP was interested in my diabetes diagnosis . Wish I hadn't engaged, but I did. I said I wasn't confident with the type 1 diagnosis, he said I'd be more likely be Type 2 because of my age and weight "but does it really matter what type I am". I was grinding my teeth. I explained my clinical presentation and he went on to say Type 1's take 400 units rather than the 22 units I currently take....."Please stop talking" was the only thought in my head....Problem is this idiot is insisting I attend an annual review because the GP practice has to review my medication or risk losing my prescription (like it will change !), so if I don't atttend, I die was the bottom line.... despite having 6 monthly reviews at the diabetic clinic....So that makes 3 reviews annually. Is there anyone else that would like to review me ? Don't care anymore....beyond angry ATM
     
    • Like Like x 1
    #1 Mark14400, Jun 1, 2017 at 9:30 PM
    Last edited: Jun 1, 2017
  2. noblehead

    noblehead Type 1 · Guru
    Retired Moderator

    Messages:
    23,621
    Likes Received:
    19,620
    Trophy Points:
    278
    Really, my average TDD is around 32 units.

    Maybe have a word with your diabetes Consultant/DSN.
     
    • Agree Agree x 2
    • Like Like x 1
    #2 noblehead, Jun 1, 2017 at 9:33 PM
  3. Diakat

    Diakat Type 1 · Moderator
    Staff Member

    Messages:
    5,564
    Likes Received:
    4,155
    Trophy Points:
    198
    Clearly you are dealing with an idiot. Nod and smile at the GP, be honest with your clinic and consultant about the experience and with luck they can send a letter saying 'no messing with medication'.
     
    • Agree Agree x 2
    • Like Like x 1
    #3 Diakat, Jun 1, 2017 at 9:52 PM
  4. Mark_1

    Mark_1 · Well-Known Member

    Messages:
    270
    Likes Received:
    122
    Trophy Points:
    63
    Change doctor
     
    • Like Like x 1
    #4 Mark_1, Jun 1, 2017 at 9:59 PM
  5. CJOtter

    CJOtter Type 1 · Active Member

    Messages:
    31
    Likes Received:
    10
    Trophy Points:
    28
    You have to have a medication review by your GP because in the end they are the ones signing the prescription. I good one will do something along the lines of "you're still diabetic,(and always will be) are we prescribing you enough of what you need each month? Let me adjust it so we are. cheerio".

    They way our government have the system set up they have to record things like your blood pressure cholesterol etc to get Qaf points that ensure they are paid properly for what they do. These are all things that someone should be doing for you. Mine are done at the hospital clinic and I tell the GP to get it from the letters that the hospital send.

    Use the resources that are offered to you. Use the hospital reviews to get the management tools, use the GP to get the drugs. Don't let things grind you down. Diabetes won't go away but it doesn't have to rule you.
     
    • Like Like x 2
    #5 CJOtter, Jun 1, 2017 at 10:23 PM
  6. GrantGam

    GrantGam Type 1 · Well-Known Member

    Messages:
    2,607
    Likes Received:
    1,582
    Trophy Points:
    178
    Although I've always found my GP's to be excellent, it's not always the same case across the board I'm afraid.

    Unfortunately your GP is entirely misinformed, 400u is a chronically high amount of insulin and ironically enough, would actually be better suited to a T2 of all things... So he's actually contradicted himself.

    My TDD is currently 33u: eating 150g per day with a basal dose of 18u. I'm entirely confident I'm a T1 and would only question otherwise if a qualified diabetologist/endocrinologist were to present a decent case. Not just a wild statement.
     
    • Agree Agree x 2
    • Like Like x 1
    #6 GrantGam, Jun 1, 2017 at 10:36 PM
  7. CJOtter

    CJOtter Type 1 · Active Member

    Messages:
    31
    Likes Received:
    10
    Trophy Points:
    28
    Very similar doses here. Ignore your GP
     
    • Agree Agree x 1
    #7 CJOtter, Jun 1, 2017 at 10:39 PM
  8. JMK1954

    JMK1954 Type 1 · Well-Known Member

    Messages:
    309
    Likes Received:
    175
    Trophy Points:
    83
    That GP sounds so ignorant about diabetes that I would be thinking about moving to another practice. I moved about 3 years ago and have never regretted it. We have enough to deal with without having to cope with HCPs who are a nuisance rather than being a help.
     
    • Like Like x 4
    #8 JMK1954, Jun 1, 2017 at 10:47 PM
  9. Mark14400

    Mark14400 Type 1 · Well-Known Member

    Messages:
    88
    Likes Received:
    83
    Trophy Points:
    58
    Thank you...
     
    • Friendly Friendly x 1
    #9 Mark14400, Jun 1, 2017 at 11:00 PM
  10. alhubb

    alhubb Type 1 · Well-Known Member

    Messages:
    101
    Likes Received:
    45
    Trophy Points:
    48
    I was told by my endocrinologist that it is 0.5 units per kg of each person. I am currently on around 38 units a day give or take, so it sounds like the GP is an idiot. Also, age and weight does not decided diagnosis, if so everyone over a certain age/weight would e type 2 diabetic, which just isn't true. And being type 1 and dealing with hypos will inevitably lead to struggling to maintain your weight, so that is a pretty good excuse as being type 1!! Stop worrying
     
    • Like Like x 1
    • Agree Agree x 1
    #10 alhubb, Jun 2, 2017 at 8:29 AM
  11. auroralapetite

    auroralapetite Type 1 · Active Member

    Messages:
    28
    Likes Received:
    27
    Trophy Points:
    43
    Your GP is an idiot. I'm honeymooning, tbf, but I am on a TDD of 6.5 units, averaging 220g carbs a day.
     
    • Like Like x 1
    #11 auroralapetite, Jun 2, 2017 at 4:25 PM
  12. Lynz84

    Lynz84 Type 1 · Well-Known Member

    Messages:
    333
    Likes Received:
    278
    Trophy Points:
    83
    Wow. Your GP needs educating! Im sure you feel very frustrated. Talk to your Consultant and see if he/she could write to your GP about your diagnosis and treatment. Shocking.
     
    • Like Like x 1
    #12 Lynz84, Jun 2, 2017 at 4:30 PM
  13. tigger

    tigger Type 1 · Well-Known Member

    Messages:
    549
    Likes Received:
    385
    Trophy Points:
    103
    When you get the review appointment send a polite email saying you're seen by the consultant x no of times pa and the prescription is adequate and does not require changing. You are happy to confirm this over the phone too in order to save your gp time.
     
    #13 tigger, Jun 3, 2017 at 11:50 PM
(You must log in or sign up to post here.)
Style
Red
Language
English (UK)

  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!

  • Tweet with us

  • Like us on Facebook