JIMIAN said:All that I ask is that HCP's, GP's etc would be honest and say why they don't want to issue monitors or sticks, don't continue rubbishing us it is cost and nothing else
pipstick said:Hi Ian,
I'm a DESMOND educator, and we constantly get asked about monitoring blood sugar levels. There was (fairly) recently a study done on SMBG (self monitoring of blood glucose) where three groups of newly diagnosed patients were randomised into 1, blood glucose testing 2, urine testing and 3, nothing at all. it showed that all three had good benefits, including doing nothing at all. .....
your HbA1c that they do every 3 months is a much better indicator of your progress (think of it as if you checked your blood sugars every second of every hour of every day for 3 months!). does this help? pm me if you need to.
My concern is the diversity in care.
pipstick said:Hi Ian,
I'm a DESMOND educator, and we constantly get asked about monitoring blood sugar levels. There was (fairly) recently a study done on SMBG (self monitoring of blood glucose) where three groups of newly diagnosed patients were randomised into 1, blood glucose testing 2, urine testing and 3, nothing at all. it showed that all three had good benefits, including doing nothing at all. there is a problem with quality of life being affected as well with testing you blood/urine sugars in that it's a bit like dieting and getting on the weighing scales every day - you can get a wee bit obsessed with it. the blood sugar testing only shows what your blood glucose levels are for that moment in time, if you did it again 5 or 10 mins later, you could get a completely different result. there are lots of things that would affect your glucose levels, inlcuding stress, illness, activity levels, mood, so it's not just food/drink that affects your levels. where i agree that a target blood glucose level is 4-7mmol, i wouldn't necessarily say that you have to monitor them yourself to get a good result. your HbA1c that they do every 3 months is a much better indicator of your progress (think of it as if you checked your blood sugars every second of every hour of every day for 3 months!). does this help? pm me if you need to.
IanD said:My concern is the diversity in care.
However, I can't fault the attitude of the Hounslow NHS professionals - they ran weekly diabetes education sessions, various courses & have a support group. Trouble is, they accept DUK's false diet information. I know other areas have much less support.
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