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Your primary care team T2D

Debandez said:
Tried and tested can be very flawed.
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Did that not come across in my post.

It was late at night and the point I was eluding to is the decision makers are usually not experts, i.e. government, they then fall back on the idea that new ideas are not tried and tested and the old ideas can not be wrong because they are tried and tested.

Which is the root causes for reluctance/resistance to making changes to more up to date treatment because it is not tried and tested.

We all know eating carbs and 5 fruits a day is good for us because it has been taught for the last 20 years so to tell a novice to diabetic health treatment that this is wrong, is pure nonsense to them. Because the low fat 5 a day eat well carb system is lodged the zeitgeist as well established & tried and tested.

Every school kid knows that fat is bad, low fat is healthy and they have to eat plenty of fresh fruit. It would be lunacy to even think of doing anything else. Every one who is still continuing to be sick or getting worse must be doing it wrong and only have themselves to blame.

After all it's tried and tested.

(That's how I thought my post read.)

 
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You make me laugh out loud. Not good when you are at the front if the queue in a Tesco superstore! Fortunately I'm not this time, I'm at home, supposed to be painting!

Ultimate goal is to be sitting next to Holly and Phil. Lots of us. 'Move up'. All with our baggy trousers in hand. Waving my list of hba1c and weight stats and the low carb booklet we put together. Also the inspirational stories booklet. Not long now.
 
I was agreeing with you
 
Me too. Early 5s I'm more than happy with. Gives me the balance in life that makes me very happy. And my hba1c is doing well on it.
 
Totally agree.
 

I hope my two surgeries use your story. At some point soon I will present it to them, if I may? Mrs W already has it.

Is the talk 18th September? Would be pleased to come and listen, if that is possible.
 
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So here is the leaflet (will send you updated one @Listlad once finalised, this one is slightly more up to date than the last one I sent). It will be used by my 2 surgeries and many more hopefully. An alternative to current advice!

I have wanted to do one for a while but life got in the way.

Wanted it to be from my own perspective, diabetic to diabetic. Photo personalised it and shows the results physically. Leaflet explains more about the diabetes and the low carb way of management. All what I have picked up from this fab forum.

4 pages so not too long that people wont read. And colourful. Dr David Unwin who I bumped into at real food rocks cake stall (he was eating a tub of cream, dipping the occasional strawberry in when I threw myself in his path!!!) said I could use his infographs (can sadly only fit 1 on so went for common foods). They are in NICE guidelines so out there for all to see but to get his go ahead made my day. To actually meet him and his lovely wife made my year.

I wanted to keep it simple and as clear as possible. And to tell people it wasn't their fault (something I myself struggled with for months).

I wanted to say 'you must get a monitor and strips' but not everyone is in the financial position to do this. So I just said it is extremely beneficial.

I didn't want to put too much emphasis on exercise which may put people off. I dont really do much at all. Never have. Apart from trying to do 10k steps a day. My surgery added the 150 mins where possible. I would have liked space to say things like get off bus a stop early. Park car further away. Get up and down at night to get metabolism going. That sort of thing.

I would have liked to say 'dont worry about fat, fat is your friend' but I feel I might overstep the mark.

I would have liked to put so many more links in. Not enough space.

They included diabetes.org.uk. I ommited it purposely!!!

It's not perfect but if it helps one person I will be happy. It's not just for diabetics but pre diabetic and anyone wanting to lose weight the low carb way.

I intend when I get back from my jolies on 1st Sept to try and establish contact with lots of surgeries and arrange meeting with their diabetic teams to discuss. Will take my box of goodies!!!

Any feedback appreciated. Still time to change it although it's a pdf and changes to the food list (americanised) prove time consuming and I've already pushed my luck. I have a couple of notes from members on my favourite thread (FBS full on chat! Who would have guessed ).
 

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Listlad said:
I hope my two surgeries use your story. At some point soon I will present it to them, if I may? Mrs W already has it.

Is the talk 18th September? Would be pleased to come and listen, if that is possible.
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It is. CCG are sorting and sending invites so I'm not sure who it is aimed at just yet. I will get more info. It's only a 20 min talk. Shared with Paul, the other pt helping pts. We are getting our heads together to put something together shortly.
 
Debandez said:
I would have liked to say 'dont worry about fat, fat is your friend' but I feel I might overstep the mark.

.
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Agree.Say fat,lipid theory fail,etc and they will just write us off.Have to stick with just the low carb message and go light on the fat part for now IMO.
Micheal J Fox says it well in back to the future...
Guess you guys arent ready for that yet...but your kids are gonna love it

 
Brilliant!!!
 
Fantastic. That info graph is very useful.

I would prefer my lot to use your leaflet. Firstly as it is well thought out and contains the essentials and secondly it reduces the opportunity for them to get it wrong. I suggested to Mrs W that it would be best to go with your leaflet, Deb.
 
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Guzzler said:
If only I could drag him kicking and screaming from the subject of statins. He is utterly disinterested in diabetes.

He has boxes to tick dontcha know.
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Can you book with another GP or do you have only one to choose from?
 
Listlad said:
Can you book with another GP or do you have only one to choose from?
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There are seven GPs at my Practice. There seems to be a high turnover of junior partners and a high incidence of locum cover. When I joined the Practice two and half years ago I was listed with a junior partner and requested a change to an older, female doctor, the request was denied. The surgery is oversubribed and the Practice Manager is said to have had a previous career in the Hitler Youth.
 
I just pick the GP I want at the point of booking, subject to availability of course. For diabetes I can pick any one from 6 or 7.
 
HSSS said:
You are lucky. This is no longer typical.
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It seems to have gone belly up when the Gov brought in 'Named Gps's.
 
I can see any one of the GPs in our practice when I book. It matters not whether it is my named GP or some other. One of the GPs specialises in arthritis and I see him if I need to - he works part time at the local musculoskeletal unit. If we have an urgent need to see a GP we ring up and are given to whoever is available. I can also book on-line and see any of the GPs that have suitable appointments. I haven't seen my named GP for years. All she does is look at my test results and contacts me if she wants to discuss something. I thought this was pretty general throughout the country.
 
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