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Message: <blockquote data-quote="Synonym" data-source="post: 136552" data-attributes="member: 22966">I think the main reason is the entire culture so prevalent nowadays which makes people ‘do just what the script says so that you don’t put yourself in danger of being sued or disciplined or even lose your job’. Nobody rocks the boat even to say that the ‘script’ needs to change for the same reasons. There does not even seem to be an understanding that the very fact that the advice is so faulty is actually a reason for patients to seek restitution.The other constricting factor is the budgets that are imposed, which understandably make the number crunchers divvy up the available cash to stretch as far as possible. This begs the question as to when they are going to stop being penny wise and pound foolish since stopping the complications must be cheaper than allowing them to happen. Whilst there is a clear necessity to look after T1s since the condition is life threatening I would argue that T2s should not be forced into taking a back seat until the inevitable complications make their condition also life threatening.The culture in the NHS needs to change now. There is free access to information via such assets as the internet and patients can now clearly see that one size does not fit all and that there are other options which are not being utilised to the benefit of both the users and the taxpayers. Patients who have gained knowledge and understanding through the modern mediums now know enough to distrust those who still maintain the old notions and old advice. It is difficult, however, to see how the NHS advice will change given the power of the pharmaceutical companies. They are the ones who fund the research to ensure a profitable market for their medication products so it is not really in their interests to promote the ‘exercise and diet’ way of controlling T2 condition and/or assisting control in T1 & T2 condition. The advice not to test is absolutely cost driven. The prices charged by the manufacturing companies might well be described as ‘criminal’ if all the facts and figures were in the public domain. It seems that we consumers are being used beyond what is reasonable, given that it is our health and lives at stake, merely to increase their profits. It is doubtful whether any of the new ways of testing will be allowed to come on stream and into the market place unless expensive consumables are put into the system to ensure large continuing profits.I was going to say that it might be helpful to all if patients were allowed to buy their testing strips through the NHS at cost price but this is what is actually happening through the prescription system to a certain degree at present - so why can that not be tweaked to make it possible for more people to test without it costing anyone the earth. It is a wonder that the NHS has not put its own testing systems and consumables in place so that it is not held to ransom.One can only hope that new brooms with pioneering ideas, attitudes and new ways of looking at things will be put in place to get a grip on the way in which our taxes are spent to the LONG TERM benefit of us all, patients and taxpayers alike.</blockquote>

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