THE LOW CARB DIABETIC

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THE LOW CARB DIABETIC

Promoting a low carb high fat lifestyle for the safe control of diabetes. Eat whole fresh food, more drugs are not the answer.


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    New NICE guidelines for T2

    Two Collies
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    New NICE guidelines for T2 Empty New NICE guidelines for T2

    Post by Two Collies Wed Dec 02 2015, 15:54

    Eddie
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    New NICE guidelines for T2 Empty Re: New NICE guidelines for T2

    Post by Eddie Wed Dec 02 2015, 16:27


    ".3.3 Emphasise advice on healthy balanced eating that is applicable to the general population when providing advice to adults with type 2 diabetes. Encourage high‑fibre, low‑glycaemic‑index sources of carbohydrate in the diet, such as fruit, vegetables, wholegrains and pulses; include low‑fat dairy products and oily fish; and control the intake of foods containing saturated and trans fatty acids. [2009]

    Meet the new boss, same as the old boss. facepalm
    chris c
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    New NICE guidelines for T2 Empty Re: New NICE guidelines for T2

    Post by chris c Wed Dec 02 2015, 18:49

    I'll re-read this again later when I've calmed down, but in brief

    EAT MORE STARCH and lose weight

    take more drugs, but in a different order
    graham64
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    New NICE guidelines for T2 Empty Re: New NICE guidelines for T2

    Post by graham64 Wed Dec 02 2015, 21:20

    Diabetes guidelines expected to increase prescribing costs

    Guidelines on the management of type 2 diabetes, released by the National Institute for Health and Care Excellence (NICE), anticipates a “resource impact” and potential increased prescription costs.

    The report says that clinical commissioning groups (CCGs) should monitor type 2 diabetes prescribing practices after the guidance has been implemented, the guidance stated, as a shift in the drugs used could lead to an increase from an £841 annual spend on a type 2 diabetes patient to a spend of £4,312 each year.

    This is as the previous guideline, from 2009, recommended sulfonylurea as the second drug choice after metformin (either as the initial drug treatment when metformin is contraindicated or not tolerated, or in addition to metformin), however the new guideline recommends more expensive DPP-4 inhibitors.

    Treatment with sulfonylureas is estimated to have an average cost of £841 per patient per year compared with an estimated average cost of £4,312 for DPP-4 inhibitors.

    http://www.managementinpractice.com/editors-pick/diabetes-guidelines-expected-increase-prescribing-costs?

    Trust a BDA dietitian the eatwell plate and you could be on a triple therapy with: metformin, a DPP-4 inhibitor and a sulfonylurea; or metformin, pioglitazone and a sulfonylurea  affraid
    chris c
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    New NICE guidelines for T2 Empty Re: New NICE guidelines for T2

    Post by chris c Thu Dec 03 2015, 20:29

    I can't remember now if it was NICE or someone else's algorithm for doctors but it contained the line "Monitor for the expected decline in health" and in those days you had to let the patient's A1c reach 8 before you were permitted to increase or add medications. Now it's "only" 7.5%. I also notice the line about "do not use intensive treatment to reduce A1c below 6.5%" has been toned down, but they are still discouraging truly normal results.

    Anyone else thing a "personal health budget" would be a good plan so long as they gave us the £4000/year to spend on real food?

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    New NICE guidelines for T2 Empty Re: New NICE guidelines for T2

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