1st diabetes review,several questions.

[The robin]

Had my 1st diabetic review with the nurse at my surgery yesterday. I’ve only been tyre1 for a year so it’s still very much a learning curve.
My Hba1 was 58, is this ok?
My cardiovascular result was 26%,she said this was too high. Doctor has rang me today and put me on a statin,is this quite common?
My feet are absolutely fine but advised me to see a chiropodist,do I really need to?
I have regular phone calls with my DSN but just thought I’d ask others opinion.
Judy

 

[everydayupsanddowns]

Had my 1st diabetic review with the nurse at my surgery yesterday. I’ve only been tyre1 for a year so it’s still very much a learning curve.
My Hba1 was 58, is this ok?

58mmol/mol equates to 7.5%, which was the old suggested target, so yes it’s a very good start. More recently NICE have suggested people ‘aim for’ 48mmol/mol (6.5%), and those who manage to get below 58 without problematic hypos shpildn’t be told their A1c is “too low”.

My cardiovascular result was 26%,she said this was too high. Doctor has rang me today and put me on a statin,is this quite common?

I’m not altogether familar with that - unless it‘s a 10-year risk valye from something like QRISK3, in which case it does sound as if some risk reduction strategies, eg a statin, could be well worth trying.

My feet are absolutely fine but advised me to see a chiropodist,do I really need to?

Are you aware of any foot problems? Or perhaps is this to get assessed? I’ve not seen a chiropodist (usually now called podiatrist) in 30 years, so it’s not part of standard care for me.

I have regular phone calls with my DSN but just thought I’d ask others opinion.
Judy

Great to know you are in regular contact with your DSN - a good relationship with your DSN is a huge help!

 

[The robin]

58mmol/mol equates to 7.5%, which was the old suggested target, so yes it’s a very good start. More recently NICE have suggested people ‘aim for’ 48mmol/mol (6.5%), and those who manage to get below 58 without problematic hypos shpildn’t be told their A1c is “too low”.



I’m not altogether familar with that - unless it‘s a 10-year risk valye from something like QRISK3, in which case it does sound as if some risk reduction strategies, eg a statin, could be well worth trying.



Are you aware of any foot problems? Or perhaps is this to get assessed? I’ve not seen a chiropodist (usually now called podiatrist) in 30 years, so it’s not part of standard care for me.



Great to know you are in regular contact with your DSN - a good relationship with your DSN is a huge help!

Thankyou for that Mike,it all sounds pretty reassuring.
No,I don’t have any issues with my feet ,so I won’t be I won’t be seeking any chiropodist.
Got to say I do feel very lucky having a very professional/ supportive/reliable DSN.
Judy

 

[Proud to be erratic]

Had my 1st diabetic review with the nurse at my surgery yesterday. I’ve only been tyre1 for a year so it’s still very much a learning curve.
My Hba1 was 58, is this ok?
My cardiovascular result was 26%,she said this was too high. Doctor has rang me today and put me on a statin,is this quite common?
My feet are absolutely fine but advised me to see a chiropodist,do I really need to?
I have regular phone calls with my DSN but just thought I’d ask others opinion.
Judy

Good that you got an annual review at your GP's Surgery. Initially, I got a message from a member of the Surgery Reception that my GP had said that, since I was under a Hospital team for diabetes, I didn't need to be seen by the Surgery nurse; a decision taken in the Surgery and not previously passed on to me. This was when I was asking about an appointment to have my feet checked; I'd had neuropathy since my chemotherapy and was aware this had never been looked at, never mind quantified. Fortunately I had a blood test due at the Surgery and in discussion with the nurse, who I knew well, I got that decision reversed.
Pleased your HbA1c is OK.

 

[The robin]

Good that you got an annual review at your GP's Surgery. Initially, I got a message from a member of the Surgery Reception that my GP had said that, since I was under a Hospital team for diabetes, I didn't need to be seen by the Surgery nurse; a decision taken in the Surgery and not previously passed on to me. This was when I was asking about an appointment to have my feet checked; I'd had neuropathy since my chemotherapy and was aware this had never been looked at, never mind quantified. Fortunately I had a blood test due at the Surgery and in discussion with the nurse, who I knew well, I got that decision reversed.
Pleased your HbA1c is OK.

It’s really crazy how patients get treated differently based on where they live.
I do feel very fortunate how I get treated/looked after by my health professionals but it really should be a given for everyone.
My DSN always tells me she is my first port of call.
Pleased you got sorted……eventually.
Judy