I Can't Get My Head Round This!

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Jean

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Relationship to Diabetes
Type 2
Forgive me, readers with Type 1, but I can only write from my own standpoint: one who suffers from Type2.

For the second time in a few days a friend has asked me, 'Aren't you seeing a dietician?' - and both have been astounded at my negative reply: 'No dietician - I've been left to fend for myself!'

True, I saw the surgery practice nurse who has 'training' in advising diabetics on all relevant matters, including on diet.

So, I went home having been told to eat 5 portions of fruit & veg a day - eat little and often - and go in for wholegrain breads, rice and pasta.

This I duly do - and on the next visit to the GP six months later I have a higher BG reading than before!

Then - one of the best things that has ever happened to me: I'm put in touch with this webpage. Thanks to all you good folk and this marvellous website I learn then about low-carbing, relevant books - in short, more in a week of reading the entries than i ever did from any medical practitioner.

I then order and avidly read the books - Jenny Ruhl, Gretchen Becker - and all they say makes perfectly good sense.

But - hang on a minute - these writers, they're American. Yes, thank God they've put pen to paper - but where are the British medical writers on Type 2 diabetes? Where do you find our medical profession following up the low carb theories and offering them to the general public?

I was aghast when my nephew, three years out of medical school - and his wife - ditto, and now a GP - said that the university education they received on treating diabetes lumped Types 1 and 2 together - and, yes, they were given the mantra, 'five portions fruit & veg, little and often, rice and pasta - the healthy diet for diabetics'.

So if this is what Type 2 are to be told - what's the point in seeing a dietician?

What on earth is going on? Why is so little of the low carb answer getting through to our doctors and on to the sufferers? Don't the powers that be care enough - or what?

It beats me.
 
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I know this post is mainly aimed at type 2's but all diabetics are told to eat 5 a day and lots of Carbs at every meal !! and they wonder why we put on weight and our bgs go through the roof !! We are told the same thing that all diabetics are told , the medical proffession seems unable to move with the times and even suggest a lower carb option 😡
 
I know this post is mainly aimed at type 2's but all diabetics are told to eat 5 a day and lots of Carbs at every meal !! and they wonder why we put on weight and our bgs go through the roof !! We are told the same thing that all diabetics are told , the medical proffession seems unable to move with the times and even suggest a lower carb option 😡

Yeah this is something ive been wondering about. Ive been to see the dietician and all they do is help you carb count (as a type 1). This is of course very helpful, but why on earth dont they tell you to reduce the amount of carbs you eat if your levels are always high?! Ive always been told I can eat what I like as long as I carb count and take enough insulin. Umm... I obviously can't!

Also the fact they tell type 2's to eat plenty of carbs with each meal is crazy 😱
 
Yes... I agree. It does seem silly that so little progress is made with treating diabetes. But I do think it depends a lot on where you are treated as to what advice is given - not that this is right in itself as some people get better support/ advice than others but I guess it's better thatn everyone being told nothing... On balance everyone should be told everything and their treatment tailored to their own needs...
 
Hi

I am T2 now on insulin - but while I was on tablets my local surgery ran an XPERT course over 6 weeks (1 night a week) which was a huge help

Perhaps there is something similar

Ask you GP (when you get an appt) to refer you as you feel as though you are struggling and need some support

Good luck

Hazel
 
I get more information help and advice from the practice nurse than I do from my doctor. We now get to see a DSN every three months at the surgery, and I had mor e information from her in half an hour than I did in three years from my doctor.

I am left mostly to fend for myself, both the doctor and the nurse have me down as capapble and informed, great they think I'm clever, but the support is nice too.

Next time you see your doctor ask for more support. Might also pay you to see if there is a support group in your area. It helps to be able to talk to others in the same situation, good luck.
 
i could practically have just copied what caroline wrote but im the exact same i have seen my DSN twice now since Feb and she sat down with me and was more informative then my GP has ever been , he seems to just leave me to it and leave me to my own devices, i would deffo see into looking for a support group i have and none are near me nearest is hour away and i dont drive

anyway good luck we all deserve the best support possible x
 
I then order and avidly read the books - Jenny Ruhl, Gretchen Becker - and all they say makes perfectly good sense.

But - hang on a minute - these writers, they're American. Yes, thank God they've put pen to paper - but where are the British medical writers on Type 2 diabetes? Where do you find our medical profession following up the low carb theories and offering them to the general public?

Neither Jenny nor Gretchen are medical professionals, they are diabetics who have written books. I think that Charles Clarke, a British doctor advocates a reduced carb diet in his books.
I don't think there is a mainstream diabetes association, charity or professional in the world that at present advocates an extremely low carb diet for either type 1 or type 2. so few doctors would advise it to you. You are right that GPs have little training, thats the problem with having to deal with everything
That being said a dietitian should give you advice aimed at your own individual needs, activity levels, weight etc.
I'm lucky (not in the UK) I 've had lots of advice, it works for me, other type 1s and seemingly the type 2s I have met, (I've helped the dietitian out as an ad hoc interpreter at times and met others in hospital for 'therapeutic education' ,so I've met quite a few).
The glycemic index is always emphasised ,amounts of each food type are individually prescribed (far more rigidly than I think in the UK) but it is basically similar to British advice (veg, fruit wholegrains, low sat fat, healthy oils etc) It seems to work, maybe because it is followed up with frequent hospital visits. Maybe its easier because it fits more readily into a French eating pattern than a modern British one. The hospital gets excellent results in league tables and has few patients with severe complications Would they advise low carb?, definitely no, my doctor (a specialist) was quite horrified when I told her about Dr Bernsteins diet.
 
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