Level

[Robert Gynn]

My wife has been told that she is on her last lot of tablets for her diabetes, if she needs a different tablets she has to be referred to level 2 as her nurse is not qualified to prescribe them. Nobody we know has heard of this is it true.

 

[Copepod]

Welcome to the forum, Robert Glynn. What is the name and dose of the medication your wife is taking? What has she taken in the past? It's possible that the current tablets will control her type 2 diabetes, particularly if she manages her diet and exercise. There are some injectable medications, and in some areas these might not be on the list of medications that can be prescribed by a nurse.

 

[grovesy]

Welcome.
Unfortunately the care we Diabetic's get varies around the country even nieghbour Surgery's can deal with things differently. I suspect as Coped suggested your wife's nurse is only able to prescribe certain drugs before referring to someone else.

 

[Robert Gynn]

Thank you, it seems ridiculous that treatment can vary so much for the same illness. This just confused everyone.

 

[trophywench]

What's she doing herself to aid her treatment? It is a condition where third parties can only advise us and supply whatever drugs are needed, but two thirds of all our own treatment lies very firmly in our own hands - Diet, exercise and medication. There's only one component of that a doctor can provide us with however clever he is LOL

 

[Robert Gynn]

Our diet is good, I'm a ex head chef so know what we should be eating, as for exercise we don't own a car and walk everywhere but still sugar levels are hard to bring down.

 

[trophywench]

So is she testing her own BGs at home? - cos if she's already cut her consumption of carbs to as low as possible/as she's prepared to and is still seeing higher than wanted BGs when she tests, it's fairly obvious her body needs more help to deal with the D than it's getting already - hence different drugs. There are more caveats with different things - eg when T2s need to add insulin or one of the other injectables - all of which have different effects and side effects - so those people need different advice to simply being on 'first line, run of the mill' treatments like Metformin.

I don't think it's anything to worry about, really. Has she looked up all the possibilities of what they might offer her ? - could start with the NICE Guidelines for T2 and check out the Treatment Pathway to see what might be likely.

I love our eldest daughter - same job as yourself! - feeding me - I get an instant carb count with whatever it is without having to think about it. And she makes me S/F Crème Brulee at Christmas! - just the half tsp on top and the blowtorch LOL Well - we all get it S/F, but she's more liberal with the crunchy topping for everyone else. It was second nature to her - at one time she was in charge of a Latvian Old Folks Home kitchen, plus her grandma was T2 and needed low carb menus, then she got a T1 step-mother - so she's always had a lot of practice doing low carb cuisine.