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Message: <blockquote data-quote="Dr Snoddy" data-source="post: 1884074" data-attributes="member: 112460">I took up the offers of a DESMOND course and a half hour consultation with an NHS dietician. The Desmond course peddled the eat-healthy-carbs mantra and, for me anyway, was largely a waste of time. Had I known then what I now know I probably would have been a loud voice of dissent. I got more sense from the dietician who stressed the need to reduce carbs of all types. When I forced the issue she suggested a maximum of 35g carb per meal.I suspect that simply telling people to eat more or less of any food group is largely meaningless e.g. 10 fewer chips, one more sausage? Courses should cover a low carb approach, how to read food labels and determine carbohydrate content, what and how to substitute for carbohydrates, simple and interesting recipe ideas as well as the emotional and psychological impact of a diabetes diagnosis. That said, the DESMOND course did cover the emotional aspects and how to go about recording and monitoring BMI, blood pressure, HbA1c etc and it was useful in that respect. I was also aware that the course has to be very generalised to cope with the wide range of knowledge in a group.This was over 4 years ago and courses may have changed. Also, attendance is voluntary so newly diagnosed diabetics who just want to take the tablets and continue eating the way they always have will not be in attendance!</blockquote>

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