Diabetic Care

[mum2westiesGill]

Who does your diabetic care?

This is who does mine:

Diabetic Nurse = practice nurse at my gp surgery

Diabetic Eye Screening Test = Boots opticians or Specsavers

Foot care = local clinic

Gill 🙂

 

[Caroline]

Who does your diabetic care?

This is who does mine:

Diabetic Nurse = practice nurse at my gp surgery

Diabetic Eye Screening Test = Boots opticians or Specsavers

Foot care = local clinic

Gill 🙂

DSN practice nurse at surgery
Diabetic eye screening done at local opticians Ehere I get eye tests done too
Foot care I do it myself and go to doc or hospital if there are any problems

 

[novorapidboi26]

Care at Hospital Clinic, so DSN and Consultant, Dietician

Eye screen not in a clinic but a building a few miles away.........

Foot care at local foot doctor, only been once at my request, which is fine....

Blood test for whatever reason, kidneys etc, the GP

 

[Ellie Jones]

Mine is

Insulin Pump

Diabetic consultant, I also have access to pump nurse but never required input so far

Surgery,

My DSN does my bloods monitoring, and things like feet check etc, so see regularly..

Feet

Never had a problems with my feet not even dry/hard skin!

Eyes

Was under the eye consultant but kick off list So just have the diabetic eye-screening..

 

[mum2westiesGill]

DSN practice nurse at surgery

Hi Caroline,

Is your nurse a diabetic specialist nurse or just a practice nurse? The latter is what i noticed yesterday on the badge of my nurse caring for me

Gill 🙂

 

[everydayupsanddowns]

I don't want to disparage your nurse WM (who may be brilliant) but as far as I am aware a practice nurse with responsibility for diabetes has often had little in the way of training - from what other's have said as little as an afternoon or two - in the care and management of D.

I was strongarm 'encouraged' to go to my Surgery (who had acquired a specialist Nurse) several years ago. Annual reviews were always thorough enough and I drifted along for a few years smiling and nodding through appointments whereever suggestions were made that I didn't think would help. A few years ago I got myself into a fix with a nasty hypo and trip to A&E then discovered the DOC and went back with a whole bunch of questions. She referred me to the GP with interest in D who said he was not qualified to advise and referred me straight back to the hospital (to the same clinic I'd left several years earlier).

So my GP surgery was fine as long as I just wanted to keep on carrying on, but weren't confident to switch insulins etc. The GP with special interest in D actually said that they were more 'geared up' for T2.

I know this is not the case everywhere and there are some who get brilliant care at their GP surgeries - but if you have concerns it might be worth bearing in mind that some GPs feel a bit out of their depth with the nitty gritty of T1 management.

My surgery are brilliant and very supportive. They look after blood tests, vaccinations, general health etc. They also host the eye screening via a mobile unit, but I'm more confident now I'm back under consultants/registrars.

 

[imtrying]

for me personally, based on my past experiences, I would NEVER go to my practice nurse for advice on my diabetes. Not in a horrible way, but most just aren't trained or knowledgable enough to help.

My DSNs at my diabetes clinic are amazing and I have access to them via phone and email too so they are always my first port of call, and always happy to help.

Diabetes centre also has my consultant and dietician.

Eyes I get done whenever i get told to lol so normally a hospital trip to an eye clinic.

Feet - apart from the annual check ups at my diabetes centre I've never been seen by anyone else...offered or otherwise.

 

[trophywench]

Who does my diabetic care?

1. ME

2. DSN, consultant and team at Rugby hospital D clinic

3. GP with D designation issues prescriptions, the surgery houses mobile unit for retinal photos once a year, but they are Rugby hosp based so sometimes get it done whilst at D Clinic, surgery nurse with D label does toe tickling etc 1 x pa.

I don't get any other treatment for my D.

And I have to see different GPs at the same surgery for my other ailments too, can't ask a D question of the small ops bloke, can't ask re skin prob at the Ladies ailments one, because they always say they don't know and if I'm worried to make an appt to see Dr X or Dr Y. Same if I ask the D one about my ladies' prob or my warts - see Dr X. It's easier now I've retired as I have nothing better to do all day than drive 2 miles there and 2 miles back multiple times .......

 

[imtrying]

And I have to see different GPs at the same surgery for my other ailments too, can't ask a D question of the small ops bloke, can't ask re skin prob at the Ladies ailments one, because they always say they don't know and if I'm worried to make an appt to see Dr X or Dr Y. Same if I ask the D one about my ladies' prob or my warts - see Dr X. It's easier now I've retired as I have nothing better to do all day than drive 2 miles there and 2 miles back multiple times .......

how stupid!!!

Sounds like you need to just book out a morning once a month and book them all lol

 

[heasandford]

I don't want to disparage your nurse WM (who may be brilliant) but as far as I am aware a practice nurse with responsibility for diabetes has often had little in the way of training - from what other's have said as little as an afternoon or two - in the care and management of D.

I was strongarm 'encouraged' to go to my Surgery (who had acquired a specialist Nurse) several years ago. Annual reviews were always thorough enough and I drifted along for a few years smiling and nodding through appointments whereever suggestions were made that I didn't think would help. A few years ago I got myself into a fix with a nasty hypo and trip to A&E then discovered the DOC and went back with a whole bunch of questions. She referred me to the GP with interest in D who said he was not qualified to advise and referred me straight back to the hospital (to the same clinic I'd left several years earlier).

So my GP surgery was fine as long as I just wanted to keep on carrying on, but weren't confident to switch insulins etc. The GP with special interest in D actually said that they were more 'geared up' for T2.

I know this is not the case everywhere and there are some who get brilliant care at their GP surgeries - but if you have concerns it might be worth bearing in mind that some GPs feel a bit out of their depth with the nitty gritty of T1 management.

My surgery are brilliant and very supportive. They look after blood tests, vaccinations, general health etc. They also host the eye screening via a mobile unit, but I'm more confident now I'm back under consultants/registrars.

Almost identical situation - hadn't really thought how much more a specialised team could offer until I came on here. Now I am back with a team and working at improvements with them. I had to get really angry/upset with my GP before it happened though.

I like the fact my GP has a mobile eye screening unit!

 

[Garthion]

For me.

DSN one of three based in Tamworth.

Eyes. Clinic at Midlands NHS treatment center in Burton on Trent.

Feet, just me mostly with a yearly check up from practice nurse during my annual check up there.

Consultant/Doctor, usuallt Dr S J of Good Hope Hospital who is also contracted to work at Tamworth's Hospital, and who knows my history very well.

 

[grahams mum]

for graham he is ME not the consultant at the moment eyes private optician because the consultant said is a waste of money

 

[trophywench]

Sorry Daniella - what did he say was a waste of money?

 

[grahams mum]

doing an eye test for graham now because is only 4 years that he has been diagnosed is a waste of money , i dont think that way and he is having the retinal picture done as well

 

[trophywench]

Well they don't start the retinal photography until they are 12, do they? - I assumed it was because no-one younger than that had ever had retinopathy, and that was why is was 12 - but I don't actually know.

Still if he had to have his eyes tested (ie a sight test, not because of diabetes) then I spose they peer into the backs of kids' eyes as well as adults', but I don't know that for a fact either.

I do know they have animals on the eye charts though when they are too little to know their alphabet ! I remember that from when my niece had to have hers tested before she was 4. Her knowledge of eg elephants and ***** cats and sheep was far superior to her alphabet.