Hba1c and review mess up

[mikeydt1]

was supposed to have a diabetic review and it has turned in to a mess up. fair enough my levels have gone down from 73 to 60 some but instead of the results going back to the diabetic nurse it went to some doctor who i don't know and be blown they only marked it as satisfactory!

these doctors in the end get good money and any doctor should know what a Hba1c blood test is, normal is 20-42 and as mine was 65 23 above normal then why to god mark it as satisfactory. the whole idea is to see how well the diabetes is and if need be make any adjustments to the regime or if normal then look at possible stopping of meds.

as it stands i am now having to go back through the whole thing again.

also no feet checks done along with no eye screen and that is now a year on.

 

[DaveB]

Hi. Do you have online access to your test results? Do you make your own review appointments with the nurse as I do? The appointment you make should be independent of the actual results.

 

[everydayupsanddowns]

Do ask to make sure you are on the eye screening list @mikeydt1 - this is now undertaken by a national service that goes around various local surgeries, but the appointments come centrally I think?

There is more information and the opportunity to book here: https://www.nhs.uk/conditions/diabetic-eye-screening/

I think your ‘satisfactory’ is because people with diabetes are not all expected to reach non-diabetic levels. There will be a level which is seen to be ‘ideal’, another which represents ‘satisfactory’ management, and higher levels which would prompt treatment changes I think?

 

[Becka]

Normal range is the average range for the normal average person. But you are not normal, you are diabetic. You may have other medical or lifestyle factors which make it difficult to fit in this range. You many never have fitted in that range.

Nor is it a competition where you either succeed or fail. The aim is to strive for perfection, to get your level as low as you can, but you are not expected to be perfect. Doctors are happy when they see you doing all the rights things and the signs look promising.

Your levels are going down, that is a good thing. That they did not go down in one go does not mean you failed. It might mean you get a C instead of an A grade. And a C is a satisfactory grade. Not an excellent one, but not a bad one, not a failing one. It means you are doing all the right things and there is room for improvement. And you are improving.

None of us know you or your history to be able to judge whether a 60 is good or bad for you personally, but even an unknown doctor will at least have access to the latter to make a more informed assessment. However nothing you have said gives any reason to suggest the doctor was wrong to consider your efforts satisfactory.

If you have concerns you should definitely make an appointment to discuss them. Maybe there is more you can be doing, maybe there is a reason why 60 is good for you, maybe you are expecting too much of yourself, maybe you need to be pleased with how well you have done.

 

[KARNAK]

Don`t knock yourself out over it @mikeydt1 your heading in the right direction.

It matters to us, you, good result as far as I`m concerned well done mate.

 

[trophywench]

My surgery has 10 GPs. I recognise 5 names and would also be able to identify them if I saw them. The other 5 could all be green and have two heads for all I know, except they will all have GMC registration to practice else they wouldn't have been employed there. The practice has well over 12,000 registered patients. They take it in strict rotation to 'sign off' that day's test results and also to digitally sign repeat prescription requests. If there are not sufficient notes on each patient's made by the Dr who requested the test, to explain why what etc, then it is up to the one in the ' hot seat' to query it with the first one. Last repeat scrip I ordered, I saw one of the repeats needed renewing for certain drug I take very other day, hence they don't set them to be renewed 12 monthly, they say 6 monthly instead - so I requested they renew it since my BP hasn't been cured but I haven't had any medical appts and had it checked by either hospital or GP surgery since last September - ish so they'll only know what I choose to tell them about my random ones at home - and I could be telling fibs. In the past when one of the docs has asked me to 'Just drop us in a few of your own readings occasionally' and I've done so, the receptionists have looked at me like I have two heads wanting to pass them a sheet of my own paper that they have no specific instructions what to do with - but anyway as i said, it's been over 6 months since either of us has been near there, except up to early March to collect our scrips from the pharmacy there. (separate business, separate entrance, just happens to be housed in the same building),

Test results are absolutely not offloaded onto the busy practice nurses, they have quite enough to do already and it is not part of their job.