Perhaps more regular healthchecks for everyone would help
.This thread has made me wonder about the value of good care for people with type 2. As some people with type 2 are able to put it into remission which greatly reduces the chance of complications ... and reduce cost to the tax payer ... doesn't it make sense to get them on the right track as soon as possible?
Perhaps more regular health checks for everyone would help.
Given the nature of type 2 diabetes, people with type 2 have often had the condition for years before they know and, over this time, the diabetes may have been harming their bodies.
So I would expect finding out as early as possible and treating it correctly could save money and lives.
The "advantage" of type 1 is that it usually comes on pretty quickly and is diagnosed before it has the chance to do long term damage.
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Just as an aside, I would be more inclined to have doctors review the effects of statin treatment on those with Diabetes as well as Metformin. Seems madness imo to prescribe Metformin to help with bg levels and at the same appointment prescribe a statin that will have negative effects on bg as well as the more insidious side effects they have. Just a penn'orth.A great answer @helensaramay
Effective..(most likely judging by so many on here) AND Cost effective in short and long term, you would think.
It does seem very hit and miss at the moment, with some outstanding Gp's and some not so good.
Does seem to me we need a better code of practice that while not dictating the course we must take
does give us adequate information with which to make our decisions.
For me that WOULD include a:
1# a B12 check at first instance perhaps, (most certainly within 3 months on Metformin) just to have a baseline to watch for any deterioration, and certainly at minimum each year, as a given when having the HBA1c blood test.
Any one else have want to add one point to the wishlist ?..
( i could add more, but hopefully others will fill in the ones i'd like and the ones i haven't even considered yet )
Pretty Sure @Debandez , @Listlad and others tirelessly working on our behalf on the front line, might find it useful to have as they try to reform the medical advice given from within the practices they operate in.
Tbh i hadn't consider that an 'advantage' but does make some macabre sense,, given the gravity of the immediate impact if not tackled early.
We all need a little support and guidance early on until we find our feet and begin to understand what is wrong and the best way for US to help OURSELVES to get as close to 'better' or a 'normal' life as possible, whatever condition we suffer from.
You are right. Potential T2,s need suitable early screening and support if the screening is absent and T2 sets in. 10 minutes with a GP isnt enough, even if they are LCHF friendly.Absolutely not.
I am not disagreeing with you that, judging by what I read on this forum, people with type 2* need better support. We all do.
This thread has made me wonder about the value of good care for people with type 2. As some people with type 2 are able to put it into remission which greatly reduces the chance of complications ... and reduce cost to the tax payer ... doesn't it make sense to get them on the right track as soon as possible?
Perhaps more regular healthchecks for everyone would help. Given the nature of type 2 diabetes, people with type 2 have often had the condition for years before they know and, over this time, the diabetes may have been harming their bodies. So I would expect finding out as early as possible and treating it correctly could save money and lives.
The "advantage" of type 1 is that it usually comes on pretty quickly and is diagnosed before it has the chance to do long term damage.
*I don't like referring to someone as "a diabetic" but prefer "someone with diabetes" because we are all far far more than this condition. But that's my preference.
Try looking st the NHS England Diabetes Interest Group offerings. When I spoke to them last week they did seem to have a listening ear and in tune with LCHF. They did take down the web address of this site and were not so preoccupied with the Eatwell approach as the DESMOND people at the other end of the community hall room.Earlier screening is useless unless the powers that be admit that their pathway is flawed.
Agreed. Whilst the forum provides its membership with very useful help, at the end of the day it ought to be coming from our NHS. I don’t know what percentage of those with T2 diabetes join this forum but I suspect there are many that do not.A great answer @helensaramay
Effective..(most likely judging by so many on here) AND Cost effective in short and long term, you would think.
It does seem very hit and miss at the moment, with some outstanding Gp's and some not so good.
Does seem to me we need a better code of practice that while not dictating the course we must take
does give us adequate information with which to make our decisions.
For me that WOULD include a:
1# a B12 check at first instance perhaps, (most certainly within 3 months on Metformin) just to have a baseline to watch for any deterioration, and certainly at minimum each year, as a given when having the HBA1c blood test.
Any one else have want to add one point to the wishlist ?..
( i could add more, but hopefully others will fill in the ones i'd like and the ones i haven't even considered yet )
Pretty Sure @Debandez , @Listlad and others tirelessly working on our behalf on the front line, might find it useful to have as they try to reform the medical advice given from within the practices they operate in.
Tbh i hadn't consider that an 'advantage' @helensaramay .but it does make some macabre sense,, given the gravity of the immediate impact if not tackled early.
We all need a little support and guidance early on until we find our feet and begin to understand what is wrong and the best way for US to help OURSELVES to get as close to 'better' or a 'normal' life as possible, whatever condition we suffer from.
Until there is a top level overhaul nothing will change. Individuals may pay lip service meanwhile we at the coal face (or most of us) have to do the work ourselves. Two and a half years from diagnosis and I would bet a small grandchild that the Practice nurse I saw is giving exactly the same duff (some would argue dangerous) advice whilst her patients queue up for various treatment wrt to complications.Try looking st the NHS England Diabetes Interest Group offerings. When I spoke to them last week they did seem to have a listening ear and in tune with LCHF. They did take down the web address of this site and were not so preoccupied with the Eatwell approach as the DESMOND people at the other end of the community hall room.
Okay. It has been bad for some of us in the past. Me included. But currently have things improved? I know our local NHS GP Admin lady has been picking out those patients listed as having a condition of Prediabetes and establishing contact with them.Hit and miss for me. Diagnosis as part of sweeping blood tests for tiredness (despite many glucose tests prior being out of range but never mentioned!). No second hb1ac and only a second fasting bgl because I asked for it (in denial). Only one gp even mention diabetes and he said eat in moderation, move and don’t test it’ll make your fingers sore. Impossible to see the same gp twice. Almost all locums and the way appointments are done (released daily for 2 weeks time) means it’s next to impossible to get any continuity for anything anyway.
Practice nurses did direct me to this website and a vague low carb instruction along with a meter and test strips (big win!) but very little follow up, no way to contact them, little guidance the first year about what checks and when I should be having and although I’m supposed to get a call after each hb1ac I’ve heard from them only once.
Top down and bottom up can and does work. Look at what Debandez is achieving.Until there is a top level overhaul nothing will change. Individuals may pay lip service meanwhile we at the coal face (or most of us) have to do the work ourselves. Two and a half years from diagnosis and I would bet a small grandchild that the Practice nurse I saw is giving exactly the same duff (some would argue dangerous) advice whilst her patients queue up for various treatment wrt to complications.
No. I’m still waiting on my last phone call from 2 months ago and waiting to see if finally the blood test forms are on the computer for the next one due. The nurse said there was some peer support planned but she’d been excluded from the meeting and when I’ve asked no one else seems to know anything about it. The ppg meetings keep getting cancelled. They can’t recruit or retain drs (worse than other practices locally), the phone system is awful, they’ve been in special measures etc etc.But currently have things improved?
Deb is to be commended for all the hours she puts in spreading the word. Where did the lady learn about alternative approaches?Top down and bottom up can and does work. Look at what Debandez is achieving.
On the plus side they’ve recently merged with other practices and maybe just maybe things will improve if they can get some staff.
Deb is to be commended for all the hours she puts in spreading the word. Where did the lady learn about alternative approaches?
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Sorry, my comment appears to be confusing you. I meant where did Deb learn about different approaches.I didn’t go overboard with my inquisition. But it was obvious she had a more open mind to LCHF and obvious that there is an aim to seek consultation with the patient community. I would only be guessing but maybe, just maybe the (right) message is filtering through. She was “Dr David Unwin” aware.
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