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Annual HbA1c?

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happydog

Well-Known Member
Relationship to Diabetes
Type 2
I had my last HbA1c test in December last year result (6.5) and was told that I would not need to be seen again except for an annual HbA1c test. I was diagnosed in September when I had my first HbA1c test. Do they mean a year from second test or from the first? Will I get a letter from the surgery or do I have to tell them that it is time for another test? I have recently met another type 2 who lives in the Thames Valley, as I do, and who was diagnosed around the same time and she goes every three months for a test and said that I should have a "care plan". Don't know what that is but did not like to say that. Sorry to ask "odd" questions, but never had much to do with the NHS before last year. :confused::D
 
The frequency of my recalls depended on my results, at least they did when I lived in Oxford. It seems that below a certain level I got them yearly, but after a dodgy one and they reduced the gap until it improved.

A couple of house moves between counties during the time when I let my control slipped and then got a lot better means that at the moment I have no idea when I'll get a reminder - but if I don't before the anniversary of my last test, I will chase.
 
Its down to the post code lottery again, at my GP's practice they don't send any reminders out and its up to the patient to make all the running. Could lead to the question of how many have not attended an annual screening for years. I do get appointments sent for the eye screening at the hospital annually.

My annual checks fall in around Nov. This year I have already had several HbA1c tests with the latest being this month, due to high BS occurring. As none of the tests have included the full range of tests that are normally done on the annual appointments, so I will be making them all again around Nov again this year.

The care plan is also a post code lottery, and in the 13 years of being T2, I have never been offered or had a care plan discussed with me.

Normally at my practice they only do a HbA1c test annually, and regard that as sufficient to maintain ones control :(. As a newly diagnosed diabetic you really need to be tested every 3 months, to see what's going on, and to see if any meds need adding or changing.

Which brings on the next sore point, many GP's say if you are type 2 there is no need to test, so they won't issue a prescription for test strips. With out testing you can't identify which food/s affects you and in what way they effect you. As a newly diagnosed person you should be offered the ability to test your sugar levels even if its only short term. If you get put on meds that can cause a hypo then you should be given a prescription for test strips.

Getting hold of a meter is normally simple enough as the suppliers tend to give you these for free as the make their money from the test strips.

If you feel your GP is letting you down, you could ask around if you know other diabetics to see which GP they use and the level of support you can get, and move GP, in my area there is not much point in moving as most don't have a good name for one reason or another. :(
 
Hi happydog

I'm in TV area too - I don't have a care plan 😉 I was only diagnosed at the very end of january (so had a a1c then) and since then have had 2 more, (one was higher than at diagnosis 😱) the last one however was a 6.5 so not required to go now till september for what will be my annual check apparently.

I did get a letter from the dr for the last a1c to tell me it was needed, but I think it's more a per GP surgery than a per Trust. If you don't get an appointment mailed through then just ring up for one I'd say. Your health is down to you basically 🙂 That's my experience 😉 I get better care now than I ever did before diabetes (because they get paid extra for me!) but also because they asked me to do something, and I've done it so have demonstrated my own willingness to do what I can to help the situation. I think that helps - being proactive about your own care and health

Oh and I'd ring in september and ask, not wait till december and then it maybe be overdue?

Hope that helps!
 
Thank you for taking the time to respond to me. I now have a plan of action and know what to do next. I get a prescription for strips because I kept asking, 50 per month. I bought my own meter etc because the surgery said T2s do not need to test the annual HbA1c is sufficient. (Not in good books at the surgery as I refused medication.)Shalln't worry about the care plan and will just carry on testing myself and ring up when the time comes. I think it is reasonably under control now, 5's and 6's before meals and under 8 after, but I keep an eye on it and wish it was better. Thank you so much for your help. 🙂 Don't know how I would get on without this forum!
 
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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