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Worst GP Appointment I have had…ever
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<blockquote data-quote="graj0" data-source="post: 985119"><p>This is straight from the NICE guidelines, they might recommend but I don't see a mention of "over 40", it's possible I missed it, or . . . . . . . .</p><p><em><strong></strong></em></p><p><em><strong>Offer</strong> atorvastatin 20 mg for the primary prevention of CVD to people with type 2 diabetes who have a 10% or greater 10‑year risk of developing CVD. Estimate the level of risk using the QRISK2 assessment tool.</em></p><p></p><p>So, NICE actually say that you should be given a risk assessment, you can do one for yourself, <a href="http://qrisk.org/" target="_blank">http://qrisk.org/</a> is the one they mention. The next step before prescribing is that the patient should be consulted, having said all that, you've probably seen the statin thread.</p><p></p><p></p><p></p><p>I say that was bang on the money, that was thinking on your feet, RESPECT. I always think of a good answer . . . . . . on the way home.</p><p></p><p></p><p></p><p>Not such a bad thing, my GP now knows that white coat syndrome comes into play whenever she takes my BP and so long as I remember to take my own BP 3 or 4 times a week, she's more than happy to take that into account, especially as I bought the same machine as they use in the surgery.</p><p></p><p></p><p></p><p>If my 88 year old father who has poor BG control can get to his age with just a toe missing (his own fault for not seeing GP soon enough) I think the future is bright. I'm not suggesting that we shouldn't take things seriously but with good BG control and sensibly getting issues sorted when they arise the jobs a good'n.</p><p></p><p></p><p></p><p>No problems offloading, that's what it's all about. Try not to feel too bad, feel very fortunate that you have done well on your own, hopefully Metformin will help a bit more. Ask for a c-peptide test, see what they say. You are showing the results of your hard work and deserve a big pat on the back, well done you. As for Dr. Death, try and forget her. I'd like to think that going to a Dr shouldn't end up being a battle of wits, I've told my GP that I'm fully aware that a little knowledge is a dangerous thing, but it's easier than ever to get a little knowledge. I think she's just grateful that I don't walk in with The Daily Mail or The Express demanding this, that and the other, like some elderly patients do.</p><p></p><p>On the statin question I told my GP that I'd read my wife's copy of the BMJ (she's has a working interest in medical matters) and saw the straw done where 500 GPs were asked if they would prescribe statins for themselves or a family member, 60% had replied "NO". My GP just grinned cheekily and said "I can think of one of my family". She's on my side about not taking them . . . . I hope.</p><p></p><p>All the best, keep up the good work and don't let that particular GP get you down, see another one.</p><p></p><p>Found the graph <a href="http://biohackyourself.com/wp-content/uploads/2013/01/Mortality-v-Chol1.pdf" target="_blank">http://biohackyourself.com/wp-content/uploads/2013/01/Mortality-v-Chol1.pdf</a></p><p></p><p>Then here's something that shows that as cholesterol levels have fallen the incidence of CVD hasn't.</p><p><img src="http://i90.photobucket.com/albums/k265/graj0/CholesterolHeartDisease_zps76xr9llr.jpg" alt="" class="fr-fic fr-dii fr-draggable " style="" /> </p><p></p><p></p><p>.</p></blockquote><p></p>
[QUOTE="graj0, post: 985119"] This is straight from the NICE guidelines, they might recommend but I don't see a mention of "over 40", it's possible I missed it, or . . . . . . . . [I][B] Offer[/B] atorvastatin 20 mg for the primary prevention of CVD to people with type 2 diabetes who have a 10% or greater 10‑year risk of developing CVD. Estimate the level of risk using the QRISK2 assessment tool.[/I] So, NICE actually say that you should be given a risk assessment, you can do one for yourself, [URL]http://qrisk.org/[/URL] is the one they mention. The next step before prescribing is that the patient should be consulted, having said all that, you've probably seen the statin thread. I say that was bang on the money, that was thinking on your feet, RESPECT. I always think of a good answer . . . . . . on the way home. Not such a bad thing, my GP now knows that white coat syndrome comes into play whenever she takes my BP and so long as I remember to take my own BP 3 or 4 times a week, she's more than happy to take that into account, especially as I bought the same machine as they use in the surgery. If my 88 year old father who has poor BG control can get to his age with just a toe missing (his own fault for not seeing GP soon enough) I think the future is bright. I'm not suggesting that we shouldn't take things seriously but with good BG control and sensibly getting issues sorted when they arise the jobs a good'n. No problems offloading, that's what it's all about. Try not to feel too bad, feel very fortunate that you have done well on your own, hopefully Metformin will help a bit more. Ask for a c-peptide test, see what they say. You are showing the results of your hard work and deserve a big pat on the back, well done you. As for Dr. Death, try and forget her. I'd like to think that going to a Dr shouldn't end up being a battle of wits, I've told my GP that I'm fully aware that a little knowledge is a dangerous thing, but it's easier than ever to get a little knowledge. I think she's just grateful that I don't walk in with The Daily Mail or The Express demanding this, that and the other, like some elderly patients do. On the statin question I told my GP that I'd read my wife's copy of the BMJ (she's has a working interest in medical matters) and saw the straw done where 500 GPs were asked if they would prescribe statins for themselves or a family member, 60% had replied "NO". My GP just grinned cheekily and said "I can think of one of my family". She's on my side about not taking them . . . . I hope. All the best, keep up the good work and don't let that particular GP get you down, see another one. Found the graph [URL]http://biohackyourself.com/wp-content/uploads/2013/01/Mortality-v-Chol1.pdf[/URL] Then here's something that shows that as cholesterol levels have fallen the incidence of CVD hasn't. [IMG]http://i90.photobucket.com/albums/k265/graj0/CholesterolHeartDisease_zps76xr9llr.jpg[/IMG] . [/QUOTE]
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