After the long decision to change the doctors, looks like it was the right decision. 🙂
1st appointment of the day, with the doctor for this persistent cough went through what was going on, and him checking me out. I have been taken off the Ramipril and switched to an alternative blood pressure tablet. BP was still high at 85 / 162 even asked about any swelling and pain in the ankles, so much for the previous practice saying it was gout (test for that was clear).
Whole blood levels were well down on what they should be, was told to stop taking the iron tablets as they want to see what's going on with out them and starting diagnosis from scratch. Got to go back in a couple of weeks, to see what's the next steps are.
Later in the day diabetic review, after introductions first question was where's your meter, never ever been asked to produce it before. She looked through the readings spotted the high ones. 🙂
She said some of the high readings could of been false reading due to leaving the meals a bit late and the liver doing a glucose dump. I mentioned the wild swings and had looked at the possibility of going on to victozia, I do not qualify on one point in that I fought to get my levels down and currently running new money 46.
Gliclazide has been adjusted to 40 mg 3 times a day to see what happens and hopefully drop the peaks and to see it it stops the swinging all over the place.
Next was do you want to do the Expert course, never ever been offered that before since being diagnosed in 2000.
The feet check was next, and confirmed that the nerve damage was present, and the cream to protect the feet from cracking was changed to a more suitable one to sort out the whole of the foot and not just specific parts.
Food and life style was gone over and I said carb intake was higher than I would like and needed more refinement, which she agreed its worth looking at. She did say I need to do some more exercise.
Then went over the sex and alcohol bit which was done with tact and care, even came out with a phrase I not heard in years, "do you wake up with a morning glory?"
She asked why I used 2 different meters (thought to myself here we go again). I explained I use the accu chek mobile for driving and the next usb for the main meter as the reporting software is excellent. She was happy with the explanations was no problem.
Next came the DVLA thing, is one aware when getting a hypo, thankfully its a yes with me, other wise bye bye licence. Next was testing and is one following DVLA guide lines (shock horror) first time I have been asked that. She said I need to test according to guide lines and asked when I test, she was well happy with the answer. 🙂
She also said most doctors are not aware of DVLA guidelines and if people don't test when driving can be bye bye to licence again, depending on the meds one is one. Being on gliclazide means having to test. 🙂
Don't think I will have any problems getting test strips from her, after having to justify why I wanted test strips.
In all a very good first new annual diabetic review. I have to go back in 3 weeks with print outs from the meters, and to see how the new pattern of meds is working.
1st appointment of the day, with the doctor for this persistent cough went through what was going on, and him checking me out. I have been taken off the Ramipril and switched to an alternative blood pressure tablet. BP was still high at 85 / 162 even asked about any swelling and pain in the ankles, so much for the previous practice saying it was gout (test for that was clear).
Whole blood levels were well down on what they should be, was told to stop taking the iron tablets as they want to see what's going on with out them and starting diagnosis from scratch. Got to go back in a couple of weeks, to see what's the next steps are.
Later in the day diabetic review, after introductions first question was where's your meter, never ever been asked to produce it before. She looked through the readings spotted the high ones. 🙂
She said some of the high readings could of been false reading due to leaving the meals a bit late and the liver doing a glucose dump. I mentioned the wild swings and had looked at the possibility of going on to victozia, I do not qualify on one point in that I fought to get my levels down and currently running new money 46.
Gliclazide has been adjusted to 40 mg 3 times a day to see what happens and hopefully drop the peaks and to see it it stops the swinging all over the place.
Next was do you want to do the Expert course, never ever been offered that before since being diagnosed in 2000.
The feet check was next, and confirmed that the nerve damage was present, and the cream to protect the feet from cracking was changed to a more suitable one to sort out the whole of the foot and not just specific parts.
Food and life style was gone over and I said carb intake was higher than I would like and needed more refinement, which she agreed its worth looking at. She did say I need to do some more exercise.
Then went over the sex and alcohol bit which was done with tact and care, even came out with a phrase I not heard in years, "do you wake up with a morning glory?"
She asked why I used 2 different meters (thought to myself here we go again). I explained I use the accu chek mobile for driving and the next usb for the main meter as the reporting software is excellent. She was happy with the explanations was no problem.
Next came the DVLA thing, is one aware when getting a hypo, thankfully its a yes with me, other wise bye bye licence. Next was testing and is one following DVLA guide lines (shock horror) first time I have been asked that. She said I need to test according to guide lines and asked when I test, she was well happy with the answer. 🙂
She also said most doctors are not aware of DVLA guidelines and if people don't test when driving can be bye bye to licence again, depending on the meds one is one. Being on gliclazide means having to test. 🙂
Don't think I will have any problems getting test strips from her, after having to justify why I wanted test strips.
In all a very good first new annual diabetic review. I have to go back in 3 weeks with print outs from the meters, and to see how the new pattern of meds is working.
