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Type 2 Diabetes
What would be your ideal care model for the NHS with your Type 2 Diabetes?
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<blockquote data-quote="Tim55" data-source="post: 988991" data-attributes="member: 186079"><p>Ok - I'll throw my own ticking bomb into this debate.</p><p></p><p>I have an operational management background in chemical manufacture, and I was quite good at it, if I do say so myself.</p><p></p><p>Not unlike the human body, things on a chemical plant sometimes go slightly adrift - and the key is to first spot when things are not going exactly as they should, and then to get to the root of the problem causing the symptoms, as a basic rule, you ask "why?" at least 3 times and you keep on asking it until you have a definitive answer.</p><p></p><p>It seems to me the NHS does not do this with type 2 diabetes.</p><p></p><p>I have formed the distinct impression that " you are type 2 diabetic" is the accepted root problem, and therefore they launch into the accepted treatments, and the damaging advice on diet and the healthy plate.</p><p></p><p>The question should then be " and why are showing symptoms of type 2 diabetes?"</p><p></p><p>Answer - probably - "because you are insulin resistant"</p><p></p><p>That's 2 questions so far, the next one is "and why am I insulin resistant?"</p><p></p><p>Once that is answered - and only when that has been answered - the next question would be " and how do we address that problem?"</p><p></p><p>I think they leap to addressing the symptom, by going to Metformin, far too early in the analysis.</p><p></p><p>I also think every type 2 should be prescribed test strips and encouraged to self monitor, and not give out advice that "you do not need to test and you must NOT eat to your meter".</p><p></p><p>JMTC so far...</p></blockquote><p></p>
[QUOTE="Tim55, post: 988991, member: 186079"] Ok - I'll throw my own ticking bomb into this debate. I have an operational management background in chemical manufacture, and I was quite good at it, if I do say so myself. Not unlike the human body, things on a chemical plant sometimes go slightly adrift - and the key is to first spot when things are not going exactly as they should, and then to get to the root of the problem causing the symptoms, as a basic rule, you ask "why?" at least 3 times and you keep on asking it until you have a definitive answer. It seems to me the NHS does not do this with type 2 diabetes. I have formed the distinct impression that " you are type 2 diabetic" is the accepted root problem, and therefore they launch into the accepted treatments, and the damaging advice on diet and the healthy plate. The question should then be " and why are showing symptoms of type 2 diabetes?" Answer - probably - "because you are insulin resistant" That's 2 questions so far, the next one is "and why am I insulin resistant?" Once that is answered - and only when that has been answered - the next question would be " and how do we address that problem?" I think they leap to addressing the symptom, by going to Metformin, far too early in the analysis. I also think every type 2 should be prescribed test strips and encouraged to self monitor, and not give out advice that "you do not need to test and you must NOT eat to your meter". JMTC so far... [/QUOTE]
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What would be your ideal care model for the NHS with your Type 2 Diabetes?
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