Just in case someone somewhere with responsibility for training diabetic specialists ever reads this...!
I really REALLY wish this forum was compulsory reading for at least part of every diabetic specialist's qualification! I also wish (whilst I'm badgering fairy godmother lol!) that said 'specialists' had to 'care', for at least a week (24/7!) of some kind of tamegotchi thing (is that what they were called?!) where they had to control the 'sugar levels' only being able to give the inputs that we can, say on MDI - ie whole units of insulin, food (in crude carb portions, which the programme would sometimes ensure they had carb estimated wrong!) and exercise... the computer programme would then perform the part of our bodies by playing merry hell with the results, with computer inputs that would approximate the effects of exercise, time of the month, alcohol, weather, pregnancy, illness, stress, etc etc etc - the doc/trainee should be able to see that an input by the computer had been made for that reason/category, but not the magnitude...!
At the end of the week, an HbA1c 'result' could be debriefed together with plots of the results they had achieved (sounds horrible, but hopefully suitable ego-quashing!! 😉) Maybe this would help some of them snap out of 'text book' mode?... 🙂
(At this point I should say my own current doc is ace bless him, but I've come across some right lemons in the past & get really cross esp when I hear of other diabetic pregnant ladies having bad experiences!! 😱 )
Right, prayer to the heavens over, off me soapbox...! 😱
I really REALLY wish this forum was compulsory reading for at least part of every diabetic specialist's qualification! I also wish (whilst I'm badgering fairy godmother lol!) that said 'specialists' had to 'care', for at least a week (24/7!) of some kind of tamegotchi thing (is that what they were called?!) where they had to control the 'sugar levels' only being able to give the inputs that we can, say on MDI - ie whole units of insulin, food (in crude carb portions, which the programme would sometimes ensure they had carb estimated wrong!) and exercise... the computer programme would then perform the part of our bodies by playing merry hell with the results, with computer inputs that would approximate the effects of exercise, time of the month, alcohol, weather, pregnancy, illness, stress, etc etc etc - the doc/trainee should be able to see that an input by the computer had been made for that reason/category, but not the magnitude...!
At the end of the week, an HbA1c 'result' could be debriefed together with plots of the results they had achieved (sounds horrible, but hopefully suitable ego-quashing!! 😉) Maybe this would help some of them snap out of 'text book' mode?... 🙂
(At this point I should say my own current doc is ace bless him, but I've come across some right lemons in the past & get really cross esp when I hear of other diabetic pregnant ladies having bad experiences!! 😱 )
Right, prayer to the heavens over, off me soapbox...! 😱