I have to be honest and say there are parts of the advocacy pack from DUK relating to type 2 diabetes that conveys a rather half hearted support for the need for prescribed testing strips for type 2's not on insulin. The line taken from the section on what DUK think about this says;
'The exact role of testing for type 2's not on insulin is less clear'. 😱 (I'm pretty clear of the role).
I can't help but think that any medic reading that would feel it had a diluted message of support for the practice even though it goes on to say that some GP's feel it would help people to self-manage their diabetes and improve quality of life and give patient satisfaction benefits. They are curious terms more fitted to customer service environments I feel not medical needs. I'd have been much happier if the message more wholeheartedly recognised the impact of long term diabetic complications on people who are given no means to form a partnership in their own care and plough on in ignorance of dangerously high daily spikes in their BG's. Is there no supplementary research to support this that could have been used?
There is such a permissive culture of permittable excesses amongst some GP's for overly high Hba1c levels that could be tackled on a daily, weekly basic by type 2's who were given even a limited means to participate in their own self care. There's dozens of examples on here but sometimes hard work and personal success in itself can work against us because once we get the levels under control, the help stops.
I know I'll have an ongoing battle to keep having testing strips prescribed but am probably in a slightly stronger position having other serious co-morbidities that could be dangerously exacerbated by poor glycaemic control. That issue isn't included in the Advocacy pack as a reason under the 'make the case for testing' section.
It's so often a case by case fight but the attitude of the respective surgery and relationship with your GP can also be an important factor. At the end of the day it's about resources so it helps if individual arguments factor in savings affected from long term complications, need for additional medication and surgery/hospital time.
It's just a shame that we have to take up this fight simply to be pro-active patients who have no wish to be a drain or finish our days with diabetic complications which impact on our independence. I totally understand how you feel Jon and hope you can have this decision overturned.