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<blockquote data-quote="tubolard" data-source="post: 30937" data-attributes="member: 9741"><p>Kelvin,</p><p></p><p>The management of your diabetes is entirely within your control.</p><p></p><p>Although research shows that testing does nothing to help improve a patients control of their blood glucose levels, NICE do recommend that testing is discussed with new diagnosed T2s (see <a href="http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=2&t=4008#p24329" target="_blank">this post</a> for a summary of the guidelines and the full guidelines can be found <a href="http://www.nice.org.uk/nicemedia/pdf/CG66diabetesfullguideline.pdf" target="_blank">here</a>). It is obvious that you are not going to know how what you're eating is affecting your blood glucose levels. A response from an under-secretary of state for Health regarding the different levels of access T2s are given to self testing can be found <a href="http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=2&t=4340#p28272" target="_blank">here</a>.</p><p></p><p>In summary </p><p></p><p>Your PCT may argue that by letting you test once a week that they are providing you access to testing, however it is madness to send a newly diagnosed person from the clinic with a "here's your medication, follow this diet, look after yourself, ta-ta". It is also a valid point that you need to know how to interpret the readings and act upon that interpretation. It sounds like your PCT are making short-term savings at the risk of the longer-term savings that would be made by allowing you to better manage your condition i.e £15/month vs. the £000s to treat you for the various complications.</p><p></p><p>The decision to allow you to test should be made on clinical need - if your DN isn't willing to discuss it with you then approach your GP. If no joy there see if your local PALS will help and if they are unable/unwilling to step in then your <a href="http://www.gywpct.nhs.uk/_store/documents/complaintshandlingpolicyrevised2008.pdf" target="_blank">PCT's policy</a> is for you to contact the complaints manager. I suspect you will need to counter the arguments that too much testing causes stress and anxiety, you will need to demonstrate that you can interpret the results and act upon that interpretation. I don't have access to the advice handed out to PCTs and chief nurses and GPs by Sue Roberts so can't tell you what that is (an FOI request is underway thought) but it would be worth discussing it with your DN, your GP and your PCT.</p><p></p><p>The wealth of experience on this forum clearly demonstrates that there is no such thing as a "diet for diabetics" and what works for one person may not work for the next, the only way we are able to find that out is by testing.</p><p></p><p>Regards, Tubs.</p></blockquote><p></p>
[QUOTE="tubolard, post: 30937, member: 9741"] Kelvin, The management of your diabetes is entirely within your control. Although research shows that testing does nothing to help improve a patients control of their blood glucose levels, NICE do recommend that testing is discussed with new diagnosed T2s (see [url=http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=2&t=4008#p24329]this post[/url] for a summary of the guidelines and the full guidelines can be found [url=http://www.nice.org.uk/nicemedia/pdf/CG66diabetesfullguideline.pdf]here[/url]). It is obvious that you are not going to know how what you're eating is affecting your blood glucose levels. A response from an under-secretary of state for Health regarding the different levels of access T2s are given to self testing can be found [url=http://www.diabetes.co.uk/diabetes-forum/viewtopic.php?f=2&t=4340#p28272]here[/url]. In summary Your PCT may argue that by letting you test once a week that they are providing you access to testing, however it is madness to send a newly diagnosed person from the clinic with a "here's your medication, follow this diet, look after yourself, ta-ta". It is also a valid point that you need to know how to interpret the readings and act upon that interpretation. It sounds like your PCT are making short-term savings at the risk of the longer-term savings that would be made by allowing you to better manage your condition i.e £15/month vs. the £000s to treat you for the various complications. The decision to allow you to test should be made on clinical need - if your DN isn't willing to discuss it with you then approach your GP. If no joy there see if your local PALS will help and if they are unable/unwilling to step in then your [url=http://www.gywpct.nhs.uk/_store/documents/complaintshandlingpolicyrevised2008.pdf]PCT's policy[/url] is for you to contact the complaints manager. I suspect you will need to counter the arguments that too much testing causes stress and anxiety, you will need to demonstrate that you can interpret the results and act upon that interpretation. I don't have access to the advice handed out to PCTs and chief nurses and GPs by Sue Roberts so can't tell you what that is (an FOI request is underway thought) but it would be worth discussing it with your DN, your GP and your PCT. The wealth of experience on this forum clearly demonstrates that there is no such thing as a "diet for diabetics" and what works for one person may not work for the next, the only way we are able to find that out is by testing. Regards, Tubs. [/QUOTE]
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