Had My T2 Diabetes Education Session

Mark72

Active Member
Relationship to Diabetes
Type 2
So on Tuesday I had the first of 2 3 hour education sessions from our local health authority for newly diagnosed t2 diabetics. First thing was the attendance. There were 12 people booked on the afternoon session with only 6 showing up and one of them showing up late then making an excuse to use the loo after about 5 minutes and not coming back. Apparently the morning session was similar.

We're Eastbourne based and as seems usual with anything unless my daughter comes along I was the youngest. There were clearly some who weren't as comfortable using online resources such as this which is a shame.

What was interesting was that the nurse and the nutritionist running it gave quite different advice than we tend to give for t2 here. 0-130g of carbs per day was deemed very low carb and I think 130g to somewhere over 200g as moderate with the suggestion that <130g might be good short term if you need to lose weight but not necessary longer term without focusing on any suggested intake. They also repeated the view I was given by different people at my local GP's surgery of volume of carb per meal to be no more than the size of a clenched fist and had a much bigger focus on GI and eating things that would cause slower BG rises. It really feels hard for anyone who's getting diagnosed because whilst I think quite a lot makes sense in avoiding spikes the whole bit about the amount of carbs just seems out of kilter with everything I hear here. And I'd add that the suggestions here have worked pretty well for me as well as apparently many others so it's not something I plan giving up.

The other disappointing thing that seemed common was that when we introduced ourselves, in common with the welcome section on these forums there were so many people who's support with the diagnosis was really awful. There were a couple of guys who'd had diagnosis as prediabetic whose docs had just told them nothing other than not to worry about it and another who found out by text but not with a come and see us message. The whole state of diabetes care and especially prevention outlined both by the other attendees and the nurse running it seemed really poor. Hopefully if the new government's serious about prevention being better than cure it's something that'll improve.
 
So on Tuesday I had the first of 2 3 hour education sessions from our local health authority for newly diagnosed t2 diabetics. First thing was the attendance. There were 12 people booked on the afternoon session with only 6 showing up and one of them showing up late then making an excuse to use the loo after about 5 minutes and not coming back. Apparently the morning session was similar.

We're Eastbourne based and as seems usual with anything unless my daughter comes along I was the youngest. There were clearly some who weren't as comfortable using online resources such as this which is a shame.

What was interesting was that the nurse and the nutritionist running it gave quite different advice than we tend to give for t2 here. 0-130g of carbs per day was deemed very low carb and I think 130g to somewhere over 200g as moderate with the suggestion that <130g might be good short term if you need to lose weight but not necessary longer term without focusing on any suggested intake. They also repeated the view I was given by different people at my local GP's surgery of volume of carb per meal to be no more than the size of a clenched fist and had a much bigger focus on GI and eating things that would cause slower BG rises. It really feels hard for anyone who's getting diagnosed because whilst I think quite a lot makes sense in avoiding spikes the whole bit about the amount of carbs just seems out of kilter with everything I hear here. And I'd add that the suggestions here have worked pretty well for me as well as apparently many others so it's not something I plan giving up.

The other disappointing thing that seemed common was that when we introduced ourselves, in common with the welcome section on these forums there were so many people who's support with the diagnosis was really awful. There were a couple of guys who'd had diagnosis as prediabetic whose docs had just told them nothing other than not to worry about it and another who found out by text but not with a come and see us message. The whole state of diabetes care and especially prevention outlined both by the other attendees and the nurse running it seemed really poor. Hopefully if the new government's serious about prevention being better than cure it's something that'll improve.
Sounds much like the DESMOND sessions I went to several years ago, you could see a lot of what was said went completely over some people's heads and some didn't come back.
I think that whole approach is why the GP surgery developed the Freshwell program because the standard NHS advice was just not working for their patients.
 
Hi Mark, hope your experience with the course training improves.

I understand the care seems to be failing diabetes patients in some surgeries since covid started as it has in my own experience. But not just diabetic care.

I do think the education courses are very valuable. I have attended two courses historically and I still have the very comprehensive Handbook (Version 13) ;

"X-PERT Diabetes Prevention & Management regarding Blood Glucose Control."

You may well get a more recent version of the Handbook at the completion of your course.

I did the NHS Desmond course and also www.xperthealth.org.uk did a separate course for those interested. They were both set up locally so didn't need to do a course on-line pre covid days, however I have taken advantage of the
Learning Zone at DUK https://learningzone.diabetes.org.uk/ and always good to know that resource is available.

Keep going with any training you can get Mark it really will help you understand and manage things as best you can.
 
Yes, from what the nurse said I think they stopped funding for the DESMOND courses so ESTER, the East Sussex whatever it was is something they did to replace it. It was generally quite interesting. What was more concerning was that the funding to allow them to do it dries up in March if nothing new comes along.

They also touched on there being a national diabetes prevention service of some sort which apparently GPs get paid for referring people to but nobody had been recommended to it and the nurse knew of only one person who had but they'd moved from pre-diabetic to diabetic and said it wasn't very good or engaging - all online apparently.

It's just sad that so much seems to be preventable but the strategies for doing so aren't joined up.
 
Oh dear. @Mark72 I don't think they are going to get many people moving towards remission or even safe levels of blood glucose with that advice.
I think I am fairly extreme in my requirements for normal blood glucose, but I eat under 40 gm of carbs a day and avoid all grain, high starch and sugar fruits and vegetables and I tested my glucose levels after eating to check that I was not seeing levels over 8mmol/l and have stuck to the foods I found to be safe back then.
 
Interesting to hear your experiences @Mark72 - sorry the take-up of the course was a bit mixed, and there was something of a lingering unease about the prospect of ‘low carb’ (not so many decades ago, many HCPs and diabetes nurses were very dismissive of it as a possible strategy).

I find this interesting though:

They also repeated the view I was given by different people at my local GP's surgery of volume of carb per meal to be no more than the size of a clenched fist

because while they have said 130g was ‘very low’, not necessary, and that people needn’t focus on measuring carbs by gram, the fist-sized portions of complex carbs they are recommending (eg brown basmati, new potatoes, seeded roll, wholewheat pasta) would by my estimation be around 25-30g carbs each, and fit perfectly happily into a 130g/day menu!

So perhaps they are advising low carb more than they think they are?
 
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