Hi there! PINKY here again
well just finished my letter to the doctor I have put in as much as I can so it is up to him now....? but just to let you know I sent off a question to N.I.C.E. people and I was very surprised when I got this e mail back it's very long but see what you think !! I'm still not sure ?
Dear Mr X,
Thank you for contacting the National Institute for Health and Clinical Excellence (NICE).
I appreciate that this is a very important issue for you and while NICE cannot comment on individual clinical circumstances or give clinical advice, I hope the following information is helpful for you.
In May 2009 we published a clinical guideline on Type 2 diabetes (CG87) which includes the following recommendations regarding self-monitoring of blood glucose:
“Self-monitoring of your blood glucose, with appropriate equipment and information to help you use it effectively, should be recommended if you:
? use insulin therapy
? take certain tablets that may put you at risk of hypoglycaemia (low blood glucose)
? need to check changes in glucose control caused by changes in medication or lifestyle
? need to monitor changes during an illness
? need to make sure you are safe to carry out your normal activities, including driving.
At least once a year, your doctor or nurse should check the way you are self-monitoring and using the results, and your equipment, so you can carry on getting accurate and helpful results.
Monitoring your urine is a possible alternative if you find checking your blood unacceptable, but it is not as accurate. Your doctor or nurse should discuss it with you if necessary”.
So our guidance says that self-monitoring of blood glucose with appropriate equipment is recommended but we do not make any specific recommendations about whether to use (or not use) test strips.
The above text can be found on page 7 of the patient booklet for CG87 which you can download via the following page: http://guidance.nice.org.uk/CG87/PublicInfo/pdf/English To order a free hard copy of this booklet, please contact our Publications Orderline on 0845 003 7783, quoting booklet reference code N1864 for ease of ordering.
While doctors, nurses and other healthcare professionals in the NHS are expected to follow our clinical guidelines, there will be times when the recommendations will not be suitable for someone because of his or her specific medical condition, general health, wishes or a combination of these. You should discuss what implications the guidance has for you with your GP or another health professional responsible for your care.
We recommend patients and carers who are unhappy about the treatment or care they are receiving from the NHS (for example, if they are not able to access treatment recommended by NICE) to try and resolve the problem at a local level first, by talking to a member of their healthcare team. The next step is to make a complaint to the healthcare provider. The Patient Advice and Liaison Service (PALS) at your local primary care trust will be able to offer advice on how to go about doing this. Contact details for local PALS offices can be found on the PALS website at: http://www.pals.nhs.uk.
In addition, you might like to contact the Diabetes UK Careline for further advice, tel: 0845 120 2960, website: http://www.diabetes.org.uk
I hope this information is helpful.
Kind regards
Web: http://nice.org.uk
well !!? PINKY....will let you know if my doctor see sense
well just finished my letter to the doctor I have put in as much as I can so it is up to him now....? but just to let you know I sent off a question to N.I.C.E. people and I was very surprised when I got this e mail back it's very long but see what you think !! I'm still not sure ?
Dear Mr X,
Thank you for contacting the National Institute for Health and Clinical Excellence (NICE).
I appreciate that this is a very important issue for you and while NICE cannot comment on individual clinical circumstances or give clinical advice, I hope the following information is helpful for you.
In May 2009 we published a clinical guideline on Type 2 diabetes (CG87) which includes the following recommendations regarding self-monitoring of blood glucose:
“Self-monitoring of your blood glucose, with appropriate equipment and information to help you use it effectively, should be recommended if you:
? use insulin therapy
? take certain tablets that may put you at risk of hypoglycaemia (low blood glucose)
? need to check changes in glucose control caused by changes in medication or lifestyle
? need to monitor changes during an illness
? need to make sure you are safe to carry out your normal activities, including driving.
At least once a year, your doctor or nurse should check the way you are self-monitoring and using the results, and your equipment, so you can carry on getting accurate and helpful results.
Monitoring your urine is a possible alternative if you find checking your blood unacceptable, but it is not as accurate. Your doctor or nurse should discuss it with you if necessary”.
So our guidance says that self-monitoring of blood glucose with appropriate equipment is recommended but we do not make any specific recommendations about whether to use (or not use) test strips.
The above text can be found on page 7 of the patient booklet for CG87 which you can download via the following page: http://guidance.nice.org.uk/CG87/PublicInfo/pdf/English To order a free hard copy of this booklet, please contact our Publications Orderline on 0845 003 7783, quoting booklet reference code N1864 for ease of ordering.
While doctors, nurses and other healthcare professionals in the NHS are expected to follow our clinical guidelines, there will be times when the recommendations will not be suitable for someone because of his or her specific medical condition, general health, wishes or a combination of these. You should discuss what implications the guidance has for you with your GP or another health professional responsible for your care.
We recommend patients and carers who are unhappy about the treatment or care they are receiving from the NHS (for example, if they are not able to access treatment recommended by NICE) to try and resolve the problem at a local level first, by talking to a member of their healthcare team. The next step is to make a complaint to the healthcare provider. The Patient Advice and Liaison Service (PALS) at your local primary care trust will be able to offer advice on how to go about doing this. Contact details for local PALS offices can be found on the PALS website at: http://www.pals.nhs.uk.
In addition, you might like to contact the Diabetes UK Careline for further advice, tel: 0845 120 2960, website: http://www.diabetes.org.uk
I hope this information is helpful.
Kind regards
Web: http://nice.org.uk
well !!? PINKY....will let you know if my doctor see sense
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