the-diabetes-lady

Why Private Blood Tests

Wed, 26 Jun 2024 16:05:40 GMT

Follow on from my LinkedIn Article

For those of you who have found your way here, via LinkedIn, please scroll down.

Not sure if other business owners do this, but I am terrible for asking myself why do I offer the services I do.

BACK STORY

I started nursing back in 1976, so many peoples lifetimes, in the day it was only Junior Doctors that actually took blood. In 2018, I applied for the post of Practice Nurse within a Surgery in East Lancashire.

At my interview the GP, was informing me of my various roles and how I would be sent for the training needed. The he said you of course will be doing phlebotomy - blood taking, at which I said (thinking to self, that's it you are scuppered) 'I don't do bloods - never trained to take bloods. He said no problem we will send you for the training - my heart sank.

That was in 2018 and I learnt how to take bloods using a cannula and if I say so I am quite good but it is so disheartening when those veins either collapse or you are just not able to collect blood from them. Had seen people using the butterfly method but hadn't been trained to do so.

Last year in 2023, on my birthday, I enrolled with Total Therapy Training (an amazing Acupuncture and Therapies Centre) for their 2 day course in Macclesfield. I was taught to use 'butterfly cannula's'. Joy of joys, so much better.

Whilst there we were advised how we can register with Forth for Life. I am a Partner and all my blood tests are through this company. I do not have a 'Clinic Space' but I am able to travel around Preston and the Fylde Coast taking bloods for those requiring them.

The Why?

So this leads me back to the beginning my reasoning.

After working in GP Practices over the last few years you can't help noticing the grumbles regarding the inability to access the GP Practice for a blood test appointments, or the great waiting time to actually have bloods taken.

So I am not taking work away from the GP Practice, I know I am enhancing it because it means you can pick the test you think you need, if not on the list it can be put together for you and at a time convenient for you and in your own home. It's for everyone but there are those who can't wait for and appointment and want to know now.

I am catering for those who can afford and want their blood test now.

So some points for why Private Blood Tests:

Convenience and Speed

Faster Results : Private services can often provide quicker times for test results, in comparison to the NHS. This will be made clearer later.

Flexible Scheduling : Many private phlebotomist (blood takers) can offer more flexible appointment times, including evenings,

Privacy and Confidentiality

Discreet Testing : Private blood tests can offer a higher level of discretion, especially if done in the home. In some cases it is particularly important for those tests involving sensitive health issues.

Personalised Service : There is at lot of focus regarding customer service within private healthcare, to ensure a more comfortable and private experience. Hence why The Diabetes Lady provides a mobile service to your home.

Accessibility

Direct access: You are more able to access testing services without needing a referral from a doctor, making it easier to get tested for specific conditions or for your regular health checks.

Wide Range of Tests: I know that within Forth on are more able to access a broader array of tests, including those specialized or advanced diagnostic tests that may not be readily available through NHS.

Quality and Technology

State-of-the-Art-Equipment: Private labs often invest in the latest technology and equipment, which can enhance the accuracy and reliability of test results. They are all still in line with the NHS guidance and protocols.

Highly Trained Staff: The staff in private labs are often specialized and highly trained, providing expert analysis and interpretation of results.

Control over Health Management

Self-Empowerment: Private blood testing allows, you, the individual to take a more proactive approach to your health, enabling regular monitoring and early detection of potential health issues.

Detailed Reports: As a healthcare professional, this was my greatest surprised and joy. The reports went into so much detail and explanation, with references, but in a way making blood tests so mysterious

Reduced Wait Times

Immediate Testing: We all know that at this time the NHS is struggling with GP appointments, which is having a knock on effect when it comes 1) tests required and 2) getting to see someone regarding your results quickly. Luckily, within the Mobile Service we are providing you should have your test and results within a week, as the results come straight to you. https://tr.ee/clITOWuCpW this link takes you to the appropriate page to explain the process.

Specialised Services

Bespoke Testing Packages: Forth offers the opportunity for bespoke testing packages tailored to specifically to your needs and your health concerns, such as heart health, hormonal balance, or nutritional deficiencies.

Lifestyle Monitoring: For those amongst us who focused on their fitness, wellness, or chronic disease management, private blood testing can provide the relevant information to help you make the very best out of your lifestyle and treatment plans.

Follow-Up and Support

Dedicated Support: The Diabetes Lady offers discussion regarding your results and next steps. I of for those with Diabetes offer both Virtual and Mobile Service to aid with your Diabetes. I have access to clinicians and therapists providing all manner of care, including a local Fertility Practitioner.

On the whole, private blood testing services have their place. They are more able to provide an accessible, efficient and personalised approach to health monitoring and diagnostics, making them an valuable option for individuals. Especially, for those individuals seeking more control and convenience, managing their health. For my LinkedIn Account https://tr.ee/APbIA6EX_O

Latest news…

Tue, 05 Nov 2019 23:46:58 GMT

I am going to be carrying out, zoom 1 to 1 education sessions

Over the past few months, I have been retraining and learning new skills as a Practice Nurse but my embedded skills as a Diabetes Specialist Nurse have always been at the forefront.

The skills of empathy and understanding the issues that come with life in general.

The main thing that I feel has been of most importance is being able to balance experience, theory, and practice.

I love and am loving the interaction of self and the person coping with their diabetes, I am a real people lover and see diabetes as something that needs to integrate into the person’s life, thus creating self-care practices.

Self-care and empowerment are the most difficult things to comprehend, taking control of your life and diabetes can feel like mumbo jumbo but I have learnt over the years that time, laughter and helping a person understand that actions always have repercussions, positively not negatively.

Learning new skills…

Fri, 28 Dec 2018 23:46:54 GMT

No, I haven't learnt to surf! Practice Nursing is not that simple.

For a long time, I have felt like I have been wandering alone in the dark, have you ever felt like that?

I have noticed since changing to part-time work and roles, how relaxed I am.

I have always had an admiration for the Practice Nurse, involved with General Nursing and in fact a specialist of many conditions.

In my new role I am in total awe of my colleague and Senior Practice Nurse of some 18 years and have no embarrassment in asking her for advice.

On my new journey, I have had to learn new skills, up to now…

You may laugh but the taking of blood (phlebotomy) absolutely frightened the life out of me.

The thought of hurting someone and taking something from them, has caused great merriment within the Practice

Now I do it without thinking, and I have to say very proud of myself.

Next has been ‘Sexual Health and Contraception’, what can I say it is not as easy as it first looks and girls if I knew then what I know now, I would never have gone near a man.

Soon I will have ‘Immunisation and Vaccination’, just the paperwork is enough the scare me death.

Followed by the learning and understanding of Asthma, Chronic Obstructive Pulmonary Disease and Spirometry.

How exciting, I have always been petrified by the mysteries of the chest and lungs.

I hear you say but you understand Diabetes, can I say not only understand but get totally overjoyed at revealing a positive HbA1c….

Yes, fairly evident I am a wimp, who has safely hid behind her love of diabetes.

I have had a brief introduction into what must come from an amazing trainer and speaker Jon Bell, from Canday Medical Ltd.

Who educated me, and colleagues, in the art form of the ‘Inhaler Technique’ and the different types?

To quote him ‘If you’re not doing it properly, it’s not working properly’

Jon’s enthusiasm for his inhalers and techniques in use, matched my passion for diabetes – Sad, I know…

Yet what Jon informed us, is completely correct, as you would expect.

I have met an asthmatic sufferer who runs 20-30 miles a week, as well as holds an extremely physical job.

In their words very rarely uses the emergency inhaler and feels the running has expanded their lung capacity. Their technique is correct, and they are receiving the correct dosage.

These feel good stories need documenting and sharing.

Diabetes, in my view, it’s not just about the pancreas.

It’s about the knock-on effects to the rest of the body, it’s about the person as an individual and how it affects the person sat in front of you.

How looking at the total picture can stop a misdiagnosis?

How indulging, not even over-indulging in Christmas celebrations can alter a HbA1c, hypo’s, infections, stress, bereavement anything that knocks you off balance and influences results.

Always important to Hear as well as Listen .

I am loving my new journey, and I am loving utilising my skills, the feel-good factor, when driving home from work.

Chronic disease management is about the individual not just the condition.

Hope you have had a GREAT Christmas and 2019 brings all you wish yourself and others.

So long since I blogged

Fri, 21 Dec 2018 23:46:40 GMT

It has been a very long time since I have had anything to say, or to be honest inspired.

The last few weeks I have suddenly wanted to share, I have had a change in direction, nothing to worry about my love and passion for diabetes hasn’t waned.

I recently joined a GP Practice, September, 20 hours a week, no regrets (a little fib, I hate the M65 – very scary)

A lot of colleagues who know me well, will think I have finally lost it. I haven’t I am learning new skills and loving every minute of it, because I am able to adapt those skills to the broader spectrum of diabetes and other comorbidities. Making me the all round practitioner I have always been.

The Practice and patients have welcomed me and I feel as if i have joined a family, the most amazing thing is after spending time working elsewhere and my confdence eroded, I am me again.

Practice Manager often complains of too much laughter from me, colleagues and patients always leave smiling.

I am again that confident practitioner, most importantly doing what I love most, meeting people, sharing my knowledge and experience. Helping to those livng with diabetes understand that diabetes has to fit in with their life not the other way round. True patient-centred care, that I so believe in and advocate.

The ability to adapt diabetes to fit in with a person’s life and aiding them in understanding, the appointment is about them and not about pleasing the healthcare professional. I always see myself as a guest in their care.

The art of helping someone understand their condition, supporting with the opportunity to ask that long awaited question that they have never felt they could ask. Watching people’s light up, after walking through the door with slumped shoulders and anxiety disappear.

I feel like I am writing a blowing my trumpet blog, why not??

As Healthcare Professionals we do an amazing job and at 60, I find mysef back in the classroom learning new skills and thankful that I became a nurse when I did back in 1978, traditional training giving me the means and ability to become a chameleon and wherever this life takes me, I will adapt.

Someone called me ‘A Maverick’ this year, saying I will always survive.

I have the NHS to thank for this and the opportunity to initially train as a State Enrolled Nurse – that gave a frightened 18 year old the confidence to care and speak with strangers, in not always pleasant situations.

I have been at the very top of the ladder (with title’s) but wherever I am, titles meant nothing because ‘I am’ – Maureen the Nurse, who loves diabetes and most importantly the people I see and help to make life a little easier.

Education Collaboration with Connect Health Solutions UK

Sun, 17 Dec 2017 23:46:37 GMT

Diabetes Complete Care Ltd is delighted to have been invited to work in collaboration with Connect Health Solutions UK .

Maureen Chadwick, Founder and Commercial Director, is passionate about providing patient centred training to healthcare professionals and the extended care team living with diabetes.

She believes that the collaboration with Connect Health Solutions UK (CHS) and their new innovative blood glucose monitor will have a major impact on the ease of monitoring for those living with diabetes, supporting the improvement for those self-managing their diabetes, including the extended care team.

Maureen believes that, working together, this collaboration could see a major step forward in diabetes care.

If you would like to know more either contact us here at Diabetes Complete Care or go straight to http://www.connecthealthsolutionsuk.com to find out more by connecting Maureen on getintouch@thediabeteslady.com or call +447884553688

All about working together…

Sat, 07 Oct 2017 22:46:31 GMT

Diabetes Complete Care Ltd is delighted to have been invited to work in collaboration with Connect Health Solutions UK .

Maureen Chadwick, Founder and Commercial Director, is passionate about providing patient-centred training to healthcare professionals and the extended care team living with diabetes.

Maureen believes that working together, this collaboration could see a major step forward in diabetes care.

If you would like to know more either contact us here at Diabetes Complete Care or go straight to http://www.connecthealthsolutionsuk.com to find out more.

Press Release

Mon, 02 Oct 2017 20:36:40 GMT

Diabetes Complete Care Ltd is delighted to have been invited to collaborate with Connect Health Solutions

in its on-going operation to establish the glucose monitor throughout the UK’s medical community.

Connect Health Solutions UK has successfully introduced to the NHS, a new, innovative GSM based blood glucose monitoring device, which automatically transmits, via the global system for mobile, real-time blood glucose readings to the patient’s care provider.

The use of the monitor will significantly improve the collection of an individual’s blood glucose data and their self-management of the condition.

The monitor will have a beneficial effect on the speed of response for diabetic children and for older patients, where a specialist is not immediately available to visit. It will be of help in cases of gestational diabetes, reducing to a minimum the frequent visits usually required of mother to the surgery or hospital, with the comfort a specialist diabetic nurse is viewing the result in real-time.

Diabetes Complete Care Ltd currently provides patient-centred training to people living with diabetes, and renders practical educational diabetes programs, to nurses, doctors, and carers. Some of these courses offer RCN and RCGP accreditation.

Diabetes Complete Care’s Commercial Director, Maureen Chadwick, believes that this collaboration will result in the two companies being able to offer a more efficient and healthier lifestyle for patients and their professionals and carers’.

Maureen is passionate about the care and welfare of the elderly living in remote areas, who suffer from diabetes and who don’t have easy access to their surgery. She believes that this monitor will provide peace of mind to them and to others suffering from the condition, knowing that their glucose readings are being immediately fed to their carers’, for advice when necessary. The process can reduce diabetes-related appointments, taking pressure off the surgery, nurses and doctors alike.

Maureen believes that this collaboration could see a significant step forward in NHS diabetes care.

If you are interested and want to know more, why not look at our websites

www.diabetescompletecareuk.com or www.connecthealthsolutionsuk.com

Breakfast Show Feedback

Tue, 16 Feb 2016 21:36:56 GMT

For those who listened in a BIG Thank you!

On 1st and 8th February, I hosted two separate Breakfast Shows for Brian Ashman, the genius behind Leyland Festival Radio.

I am extremely grateful to the 4/5 guests who took the time out to come and talk to me live on air.

One of whom only popped in to give apologies for another. Last night I received an email, with feedback, from Brian, that I would like to share:

Hello Brian,

……. I would comment that I found the experience of being interviewed flowed very well. I was made to feel very welcome and put at ease by yourself and Maureen. Although I was a little nervous, the interview itself felt very natural as Maureen talked to me as if she had known me a lot longer than she had. Overall, it was a very pleasant experience.

Thank you again.

Paul

Paul Blundell is hosting an ‘Action for Happiness – Exploring what Matters’ an 8-week course in Leyland Lancashire starting on Monday 29th February 2016.

Look forward to seeing you there.

Published LinkedIn 16/02/2016

Bad Press

Tue, 09 Feb 2016 21:37:59 GMT

Whilst perusing the papers this week there seems to have been an unprecedented amount bad press around Diabetes.

Firstly, Diabetes on its own is going to bring down and bankrupt the NHS!

Diabetes is not the only long-term condition that people manage with polypharmacy (lots of medication).

At a Diabetes UK meeting, I spoke at on Wednesday evening there were people there extremely upset by these newspaper headlines.

Some rightly expressed, how having to be an activist within Diabetes UK knew these facts some ten years ago.

Another lady expressed her concerns over feeling guilty as if it was her fault.

That is not good!

Great news today you would think, drug companies merge for new drugs to the market.

Pharma companies promoting the fact that their new drug MAY reduces the onset of cardiovascular diseases (heart attacks and strokes).

These new medications will cost a fortune and there is still no real back- up evidence regarding the effect, these medications have on your kidneys when excreting sugar into your urine.

Then today an article about Halle Berry – The big news was she is 49 years old and flaunting herself in a see-through blouse.

Fair play to her if I looked like her I would most probably do the same.

Nah I do not think so!

As a sideliner they add the fact she has diabetes, they get her diagnosis wrong, she has Type 1 diabetes, not Type 2.

There is a difference but with regards to complications, there is not, they mention her ‘weak eyesight’.

Query do they mean Retinopathy?

Retinopathy is a serious complication, talk about it, understand it’s meaning, be empathetic.

This lady is an amazing advocate of how to lead as normal a life as possible, to not only break barriers in becoming a Hollywood A-lister but to do it whilst managing Type 1 diabetes.

So, when writing articles about people and including what is perceived as a ‘diabetes headliner’.

Remember there are people out there living their real lives, coping with real life issues, and trying to control a totally unpredictable condition 24 hours 7 days a week 365/6 days a year.

We all realise there is no real way is to stop this ‘time-bomb’ but ‘we’ can help and take responsibility.

Not just supermarkets, advertisers, marketing, the NHS, or the obese…… we are all responsible for aiding someone we know struggling with their Long-Term Condition.

First published LinkedIn, 21 August 2015

Sensationalizing Diabetes

Tue, 09 Feb 2016 21:37:13 GMT

As I do most mornings before getting up, I trawl through newspaper headlines to see what is out there regarding health and diabetes.

My first love, my passion, educating sharing information about new health issues that can either help or make someone’s life, just slightly more bearable.

This morning like any other I did the same, to my dismay most of the postings I found portrayed diabetes in a negative light, sensational headlines mostly about the complications of diabetes.

The things that go wrong, amputations, blindness, kidney failure I know the public need to know and I know sometimes as health professionals it becomes frustrating when educating someone ‘living with diabetes’, who just can’t seem to hear what you are saying.

I know when in the past I held education sessions with newly diagnosed Type 1’s (mostly parents) and Type 2’s. I have asked what they know about diabetes – it is always the negative information.

People do live a long healthy life with diabetes! Shock horror – write about them.

Moving forward and enabling someone, motivating them into taking charge of their ‘long-term condition’.

Listening, learning from them a positive attitude, compassion, and empathy help.

Firstly, find common ground. What inspires them? What would they like to be able to do with their diabetes?

Even if it is completely unrealistic because the ownership and the person living with diabetes are them, not you.

Even though we have research that says ‘if you do x’ ‘then y will happen’ it is not always the case.

Empowering someone to self-manage and self-care will not happen by sensationalizing diabetes, by writing stories in newspapers about someone living with diabetes and fighting the condition, who has gone blind, had amputations etc…..

The real story is behind the story what was their journey? how did they get there? what didn’t they do? did they monitor their blood sugars? eat a healthy diet? was their overall control within healthy parameters most of the time?

That is where the lessons are to be learned because they will know, even though they have not verbalized it if they had taken control of their diabetes it may not have ended in this way.

That is a lot of pressure and expectation from someone – they are human.

I feel as if I have ended negatively but I know and the diabetes population knows their successes, those that live full and healthy lives…..and there are perfectly healthy babies born every day to mothers living with diabetes.

First published LinkedIn 4 August 2015

My LinkedIn engagement

Tue, 09 Feb 2016 21:37:11 GMT

I must admit on leaving the NHS, learning to promote myself via social media has been the biggest learning curve.

Facebook reasonably easy, I had used it as a way of catching up with friends, family, and basic interests.

I had set up a business page on Facebook before, so I have done so again – company page Diabetes Complete Care UK.

Twitter, (@DiabetesCCUK) I had an account but because I had a deficit in understanding how it worked or how it could help promote myself and my company, I attended a specific workshop. Led by Naomi Timperley and Andy Jackson – I have never looked back.

My biggest fear has always been LinkedIn, and to be honest, on attending social media events, everyone says the same.

At one such event in Manchester, I met Andy Preston and heard him speak, standing in front of us and so full of confidence and eloquently bestowing LinkedIn’s merits.

He made it all sound so simple.

As always, it has taken until today and a conversation with Ashley Hurst, PA to The Purple Angel website.

For me to realise that LinkedIn has been a gift to me. I have virtually met and had conversations with some amazing people, courageously connected and contacted persons who are some of this country’s renowned leaders.

Found opportunities for my company, most importantly been able to promote and share others amazing works.

Today I have finally written a post, which I have been encouraged to do for the last 2 years.

So, you see if I can be brave enough so can you. It does not matter if no one reads or comments it.

It is the fact that you faced your fear and came out the other side.

First published 14 May 2015 LinkedIn

Missed Opportunity!

Tue, 09 Feb 2016 21:36:59 GMT

Last night, Saturday 30th January 2016, whilst at a friend’s house, I received a message from another friend asking me to watch ‘The Jonathon Ross Show’, where Johnny Vegas was talking about diabetes in a comical fashion.

So today I looked for myself, via The ITV Hub, yes entertaining and funny but what an amazing diabetes health education opportunity missed.

Johnny Vegas had been approached by a ‘diabetes association’ to present at an event assuming wrongly that he lived with diabetes – he made it noticeably clear he does not.

He went on to express the trauma of every time he has a health check Health Professionals appeared disappointed by his lack of diagnosis – talk about stigma!

He laughs it off by saying ‘…… I am just a fat git!’

Then without coaxing, James Norton (actor from War and Peace BBC) shared that he does have diabetes and expresses that there are two types of diabetes – end of the conversation.

I know it was and is a light entertainment show, but I have to say I was so disappointed that more information was not revealed.

James Norton clearly a successful young actor and very obviously, diabetes aware.

If he had just been asked the right questions by Jonathon Ross, such clarity in a positive way about diabetes could have ensued.

Maybe next time!

First published LinkedIn, 31 January 2016

Health is Wealth

Mon, 26 Jan 2015 21:37:21 GMT

http://www.bbc.co.uk/news/health-30934590

I found this on today’s BBC News feed and found it somewhat ironic.

Last week I attended ‘Health is wealth’ Conference in Liverpool.

At first, like many, I thought it was going to be about making revenue from health.

A very touchy subject now, as our NHS struggles on to survive.

It was not it was about appreciating the most precious gift we have “Good Health” for those of us lucky enough.

It was about preserving “Good health”, preventing or finding ways to alleviate and cope with ‘Bad health’.

Looking at and encouraging innovation in maintaining someone’s health.

Sounds an easy enough task but when you read the above link, you then realise it is not at all because we all take for granted our good health.

Ask anyone who suffers with any form of ill health, being knocked off your feet for a week with “flu” to those suffering with some form of long-term condition (LTC), it is no fun at all.

We all know what we need to do and as we struggle with our good intentions of New Year Resolutions.

Resolve to ensure not to take for granted your good health and remember in the words of Ian Buchanan’s grandmother “Health is Wealth”.

Eating Elephants

Mon, 05 Jan 2015 21:37:25 GMT

That time of year again.

When we resolve that we will do better!

• To lose weight.

• Give up smoking?

• Eat healthier?

• Eat our five a day fruit and veg?

• Go for long walks?

• Be at one with nature?

New Year’s Resolutions!

Do any of us realistically stick to them, do we?

The one thing that affects all these self-promises is MOTIVATION!

Keeping motivated is not easy for anyone…

There are so many distractions and temptations out there to trip us up.

Put diabetes into the equation means that you ensure you keep yourself motivated, regardless of, where you are in the calendar!

So how do you keep motivated?

1. Keep your goals simple, achievable

2. Once you have reached said goal; you move on to the next simple achievable goal

Sounds easy, but it so is, okay let us look at an HbA1c result:

You go to your diabetes clinic today, they give you a result of 93mmol/mol (10.7%), both you and your healthcare professional know it is too high.

Now it could be that last time you came for your result it was 97mmol/mol (11%) or it has stayed the same – my reaction would be well done you!

Why? It has not increased. So, a change has happened? You were motivated!

Your HbA1c is a retrospective result (a past status) it shows how well you controlled your blood sugar, in those 120 days prior to your blood going to the laboratory.

So, when you are given the result good, bad, or indifferent you have another 3 months or 120 days, till your next blood result, to make a difference. It is in fact your New Year!

HbA1c results are not for making you feel guilty!

They are there for your guidance to ensure good control, as in a marker, as are all your other blood results.

Every time you make that diabetes clinic attendance you are there to be inspired and re-motivated to achieve better control.

Both you and your health professional are there to work together to aid you in maintaining as good a control as possible.

Did you know that an improvement to control can aid your reduction of Diabetes Retinopathy – as small as reducing your HbA1c by 0.5% or 6mmol/mol in 3 months will create a change.

In retinal screening clinics we do not want massive reductions because we know it can also cause problems.

As Health Professionals we can be a nightmare, we have research and evidence saying that HbA1c needs to be at a certain level for good control. quite rightly in an intense research managed environment.

But take a step back imagine it is you!

24 hours – 7 days a week 365 days a year, continually aware that you are encouraged to keep your fasting blood sugar level no higher than 6-7mmol/l. (Those older 7-8mm0l/l.)

Be real it is not that cut and dried. Just follow #ourD tweet chat (twitter) on a Tuesday night 8-9pm and listen to what those living and coping with diabetes have to say.

Now think of your New Year’s resolutions, are they realistic achievable?

Of course, they are and why because you will have something motivating you on.

For more help and advice google Diabetes UK

A much-loved Nurse Manager, Chris Sharples, used to say to me all the time when I was trying to conquer the world of Diabetes, in a day.

You can only eat an elephant, one mouthful at a time!

Happy New Year and good wishes to you all!

What if you were diagnosed with diabetes?

Tue, 30 Dec 2014 21:37:28 GMT

So, you have just been diagnosed with diabetes!

What would be your biggest Fear?

What do you most wish you had been told at diagnosis?

Does diagnosis matter?

Is it important to know what type of diabetes you have?

Do you want to know how it may have occurred?

Do you really need to know what you can, or query can’t eat?

Is one type of diabetes worse than the other?

Are there consequences to your diabetes?

Does life continue as always?

Do I have to change anything?

What do you think about on diagnosis?

I NEED YOUR HELP!

I am trying to collect the 20 most fearful things; you would want to be told on at your diagnosis of diabetes – be it Type 1 or Type 2.

Those with the diagnosis will remember or know what they wish they had been told….

Those who think they have no idea about diabetes, I want you to sit for 5 or 10 minutes and imagine you have been diagnosed, jot down straight away…

What is your biggest FEAR ?

What Type of diabetes do you have Type 1 or Type 2?

Do you know the difference and why did you choose this Type?

I genuinely need your comments and views I really do not care how simple or large the FEAR is I truly just want to know.

I thank you in advance and wish you well…

Harvest Festival

Tue, 25 Nov 2014 20:09:35 GMT

A few weeks have passed since we celebrated the traditional ‘Harvest Festival’ mostly within schools and Churches. Not forgetting the hard-working farmers who harvest the crops required for our shops all over the World.

This year my daughter invited me to attend my grandchildren’s local Methodist Church who were holding an event with a World War 2 theme, showing just how people managed through the war years.

My grandchildren found it awe inspiring getting involved with the various quizzes and looking at all the objects that were totally foreign to their young eyes.

Especially delighted to hear that their grandma knew how to knit, crochet, and sew this brought about a raft of giggles.

For me I spied a ‘rag rug’, joyous memories of my childhood and my grandparents came flooding back, the event had been laid out in a way that both young and old could try their hand at learning new skills.

So armed with the appropriate backing and rags I sat at a table with an older lady, not dissimilar in looks to my dear old Nan.

We sat talking she is showing and teaching me this new skill just generally chit chatting with her about my memories of rag rugs and how I had always wondered how they were made.

In the conversation she told me that her eyesight was poor and how she had had operations and laser, all I could think was she has diabetes but said nothing.

She then began telling me about as a young woman on meeting marrying and having her family she was diagnosed with diabetes.

In the early 1950’s at the start of the NHS. She had 2 small children and she felt it was her pregnancy that had brought on the diabetes.

She then went on to tell me the tale of how she was diagnosed, she told me how she had started being very thirsty and going toilet more often than normal.

Much to her delight she lost a large amount of weight quickly, but she was so tired and felt terrible.

So, she went to the doctors who took a urine sample and tested it finding she had diabetes. He sent her home to pack a bag for her to go to hospital.

She went looking for her mum, as she was upset and worried, but she was not in.

She bumped into a neighbour who took her in and gave her a cup of sweet tea, cake, and chocolate, we sat and laughed.

She then went on to tell me how she had to be in hospital for a week and wasn’t able to see her children who were fretting for their mum not able to go home until she has ‘an event’ (a hypo or low blood sugar).

When she went home, she was given a glass syringe, needle, and equipment to test her urine for sugar.

On her first night home, she put her injecting equipment in the pan to boil up and sterilise it. She forgot to separate the syringe and plunger which cracked but she still managed to administer her insulin. She got a new one from the Doctors the next day.

I told her the tale of the patient who arrived at the Preston Diabetes Centre in the late 1990’s with a pristine glass syringe and needle that she had been self-sterilising at home because no one had informed her that we now prescribed plastic syringes free to those with diabetes.

I enjoyed that Sunday afternoon with this Lady reminiscing about her life and her diabetes, we parted with a hug.

We have come so far since those early days.

Sometimes we forget that Drs Banting and Best discovered insulin not quite a hundred years ago, 1922 the first insulin injection was given to a 14-year-old boy.

We now have so many variations, started out with animal insulins now genetically engineered.

Administrations and regimes for insulins have changed to suit a person lifestyle.

With advanced developments in insulin pumps and continuous glucose monitoring. The latest research looking into stem cell replacement and not 100 years has yet passed.

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Preston FM Monthly Radio Broadcast

Mon, 06 Oct 2014 08:11:32 GMT

For those who follow my blog or website you will know that I now have a monthly Friday afternoon slot on Chat City with Hughie Parr, Preston FM. The Preston and South Ribble local Community Radio Station.

I am posting links to my YouTube recordings of both the August and September Broadcasts.

August 2014

Chat City – Maureen Chadwick Your diabetes questions

September 2014

Chat City – Maureen Chadwick Independent Diabetes Nurse

Next broadcast is Friday 31st October at 1.30pm on Chat City with Hughie Parr Preston FM 103.2

Any queries or topics up for discussion please let me know.

Amazed!

Wed, 27 Aug 2014 18:03:25 GMT

Last night, I was advised by someone who tweets regularly to follow #ourD at 8pm. I had been asking for questions for my new monthly @ChatCityPFM radio broadcast, all day yesterday via Social Media.

The subject last night on #ourD, was ‘Eating Disorders and Diabetes’ I

gained such amazing insight and a kick up the BTM!

It was astounding at how many who were involved in the conversations didn’t feel confident to ask questions or advice from their Health Care Professionals, especially relevant questions applicable to them.

There were concerns about time, not being taking seriously, some even felt that when their diabetes care could not be controlled felt they had let everyone down including their self.

Over emotional I have been called but this truly saddened me, can you imagine the total frustration felt by those with diabetes sat in front of Health Care Professionals without insight or empathy.

When I came into nursing all those years ago, it was drummed into me that I was the advocate of those in my care. On re-qualifying I was again taught to look at a person holistically and to deliver holistic care.

I wasn’t alone in those classrooms and I know from colleagues of my generation and since we were taught the same.

So where have these ideals gone?

I am not perfect, and I am well aware of this but one thing I do know is that diabetes control is not only affected by the intake or not of foods but also the stresses and strains of everyday living.

As Health Care Professionals we need to regain the trust of the person in front of us, every time we meet because we do not truly know what is going on in their lives.

Set appointment times and government agendas are not making the situation easier.

The clue is in the name, Health Service a service for Health, as Health Care Professionals we can only enable optimal health but to do this we need to engage and listen to the person living with diabetes or any Long Term Condition for that matter.

Sometimes as a Health Care Professional the job can feel really hard and exhausting, but the person living with the condition, does so 24 hours 7 days week, we as a Health Care professional will at the most have 30 minutes of insight if you are lucky.

I don’t have the answers but making that person leave your Consultation with a smile makes it easier for them to come again and gives them the confidence to cope.

What can I eat?

Wed, 30 Jul 2014 17:49:03 GMT

Over the years the greatest question is, be it someone with diabetes who is newly diagnosed or long term – ‘What can I eat?’

As a Healthcare Professional we sometimes do not help, there are those who tell you to cut out named foods and those that say there is nothing a person with diabetes cannot eat – WHAT!!

How does this help you?

The biggest and most expensive mistake you will make is to buy food that is marked DIABETIC!

The reason for this is they are generally higher in fat and the substitute sugar used, if you eat large qualities will have you running to the loo with the trots!

This includes chocolate – have dark chocolate high in Cocoa and small amounts after a large meal. Ice-cream go for the low fat, reduced sugar option.

My biggest annoyance is when walking round a Farmers Market or Craft Fair, the local cake maker or baker with good intentions, who has slaved over the oven to sell their goods as ‘Diabetic Cupcakes/Victoria Sandwich or tea loaf’!

How can a cake for a start have diabetes?

What these cakes will be most probably be is reduced sugar cakes? The flour used is a carbohydrate that is converted into glucose via the body raising your blood sugar.

Back to Basics

Going back to basics, our bodies converts carbohydrates or sugars into glucose via insulin which we either produce naturally or administer via injection. If we ingest too much carbohydrate or sugar, then our body will convert the excess glucose to muscle but most probably fat.

If your blood sugar drops the body will convert the stored fat or muscle back to simple glucose for energy. Now this is can be a fine line.

Diabetes Healthcare Professionals talk about complex carbohydrates and by this we mean unrefined carbohydrates or starchy food that take longer to digest, sometimes referred to as having a low GI, all this means is that it stays in the digestive system for longer.

When the body takes longer to digest complex carbohydrates, we remain fuller for longer and blood sugars rise slower, giving you overall better blood sugar results. This does not mean you can binge on them.

I am one of those Healthcare Professionals, who believes there is nothing a person living with diabetes cannot eat, with care and attention.

The advice given to someone with diabetes regarding food and lifestyle is no different than a person without diabetes.

Regular eating habits

Three meals a day, going no longer than 4 to 5 hours between each meal.

Breakfast being the most important meal of the day.

Try to avoid fast food, fried food, convenience foods, look at labels follow the 5 in 100, ruling when looking at fats and sugars (no more than 5g per 100g).

Eat foods low in salt, cook vegetables without salt and add it afterwards, if needed.

If you are trying to lose weight eat from a smaller plate, such as a side plate rather than a dinner plate because dinner plates are oversized and take a lot of food to fill.

Experiment with herbs and spices for taste and flavours, you will surprise yourselves.

Dietitians use the 3-way rule, divide a plate into 3, fill each third with meat or protein/ carbohydrate or starch/ veg or fruit.

I hope this helps. Any questions just ask (getintouch@thediabeteslady.com or book an appointment) otherwise until next time.

Radio Star News

Thu, 17 Jul 2014 08:01:09 GMT

Today I went into Community Radio Preston FM studio, armed with my queries from followers of Diabetes Complete Care UK.

This being my third arranged interview and my second question and answer spot.

Today I had some challenging questions, as they should be, and they were truly relevant identifying the diversity and challenges of the condition.

After my session in conversation with the Station Manager, I was informed that the Chat City with Hughie Parr is moving to the afternoon from 4th August and would I be happy to move from a bi-monthly to a monthly spot.

I have agreed, all I can say is thank you to those who have supported my (tongue in cheek) Radio Stardom and hope you will continue to aid its success with your continued questions however simple they may seem to you.

You can now hear me on the last Friday of every month on Preston FM 103.2 at 1.30pm from the 29th August 2014, its success can only continue if you keep those questions coming in!

Preston FM Friday

Thu, 17 Jul 2014 07:54:39 GMT

My last live Radio spot Podcast arrived today, and it’s won’t be long till my next broadcast live on air, Friday 18th July at 10.35am.

S o, if you would like a mention or have a question please do not hesitate in getting in touch.

Preston FM

Ramadan 2014 is here

Sun, 29 Jun 2014 20:37:50 GMT

The Islamic Holy month of Ramadan is now here until the 28 July 2014 approximately.

Options and access to support your Diabetes and Ramadan maybe required.

Therefore, you will find links for those living with diabetes firstly Diabetes UK and information on NHS Choices, please find the direct links below.

http://www.diabetes.org.uk/Guide-to-diabetes/Managing-your-diabetes/Ramadan/

http://www.nhs.uk/Video/Pages/healthy-ramadan.aspx

Please open another tab then copy and paste into your URL box to view

If you do decide to fast and get into difficulties, please cease fasting and get in contact with your Diabetes Healthcare Professional or GP.

Thank you for reading and please keep safe.

It’s all about our feet…..

Thu, 26 Jun 2014 15:56:34 GMT

As you can see diabetes affects all shapes and sizes of feet.

With or without diabetes we all take our feet for granted but someone living with diabetes does not really have such a luxury, especially those diagnosed with type 2.

In type 2 because diagnosis is at a later time in life and we may also be presenting with a compromised cardiovascular system – bad diets lack of exercise. I am not being critical but honest as I know I also am guilty and waiting with baited breathe for my day of reckoning.

Foot complications occur in type 1 but usually those with type 1 have an already regimented daily foot care regime.

Since September 2013 Diabetes UK have been promoting ‘Putting feet first: Diabetes Foot Care’ all in a bid to reduce amputations and improve foot care for people with diabetes.

Whilst working in the East of England, I came up with an idea regarding foot care for older people, it was dismissed. I had quite forgotten all about it until I attended the ‘Living with Diabetes Event.’

I was truly upset at the rendition of a tale from someone in the audience. It truly sadden me.

Their anger and frustration was totally recognisable, yes they were sad and grieved the loss of their toe but the main anger was that Health Care Professionals (HCP), in their opinion, hadn’t listened – they had stubbed their toe and all they saw were health professionals concerned about diabetes.

The stubbing of a toe causes a stress within the body, as in pain, which increases blood sugars, as the body tries to repair itself. If the persons blood sugars are already high the healing process takes longer and slows down recovery.

Dependent on when the HP became involved maybe why it can feel like everyone’s concern is about diabetes and not the primary cause- the stubbed toe.

Diabetes most probably exasperated the toes final demise but if a person is given information however harsh it may seem they then have coping mechanisms.

Someone just saying “Yes, we know you have stubbed your toe but we now have to ensure that your diabetes is well controlled to ensure you don’t get any complications”, can be remarkably reassuring and instantly the person understands and engages with you.

I know I have probably made it sound simple and when faced with a HP be it Consultant, Doctor or Nurse it can be intimating but HCP’s understand the theory and have experience of complications of diabetes.

So it can look like HCP’s are totally obsessed with your diabetes control but it’s because they understand the down side of diabetes, if not controlled properly.

Don’t ever be afraid to ask, you are the person with diabetes, sometimes you need your hand held and like a child you need things explaining in simple terms – please don’t be afraid ask!

Never forget that Diabetes UK have all manner of helpful guides and information at a touch of a button.

Until next time, take care of you and yours

The three wise monkeys…

Wed, 25 Jun 2014 16:58:37 GMT

I recently had a conversation with a lady regarding her diabetes and we went over her control, diet, and general lifestyle or if you prefer ‘behaviour’, she felt she had been receiving misinformation.

It occurred to me how every one of us take on the role of one of ‘the three wise monkeys’, with or without a long-term condition, in all we do.

• See

As a Healthcare Professional it could be that when reviewing a patient they can see or anticipate the outcome of poor control.

As the person with diabetes you may not always see or know what the problem is or how to anticipate the problem?

• Hear

The person with diabetes because for many reasons may find sitting in front of a Healthcare Professional stressful so does not hear the relevant information given with support and assistance in mind.

The Healthcare Professional may feel frustration as it appears the person is wilfully ignoring advice but always take a step back and sit in their shoes.

• Speak

Sometimes the person with diabetes, receives conflicting advice, as happened with the lady. This left her asking the question – who do I believe?

I then think and ask myself, how a many number of people feel the same and get lost in the system?

There are those who take up the title of Diabetes Nurse, and I know as someone who has worked and practiced in Diabetes for over 20 years you cannot know or have experienced everything.

If I doubt myself, I always talk it through with the person involved and let them know I will check with a colleague and get back – I always follow up.

Healthcare Professionals and patients always get a better outcome with honesty, time taken, simplicity of facts and an acceptance that sometimes we may not know everything.

We may find ourselves repeating advice more than once – If it is the same advice then delve deeper.

Those living with diabetes who feel you still do not understand ask yourselves what you do not understand?

Write it down – ask again at your next one to one appointment.

Stressing what you are not understanding – no one will think you are foolish – it sometimes takes being told in a different way for you to accept and comprehend.

Look for other means of information – Diabetes UK is filled with researched advice and patient-centred, they even have a Careline.

Always remember you live with diabetes your Healthcare Professional more often or not, will not!

So, take ownership be in control of you. You will find by doing so you will oversee your diabetes not diabetes in charge of you.

Your Healthcare Professional is there as a guest in your care, but they will wholeheartedly support you with this, nothing gives me greater satisfaction than when someone comes to see

Busy two weeks…

Mon, 09 Jun 2014 15:48:26 GMT

I attended and spoke at Swrajit Sarkars first ‘Living with Diabetes’ event.

A very successful event, Swrajit with an alliance with UCLan are planning to make this an annual event on behalf of the ‘Diabetes Research and Wellness Foundation’. There was a lot of interest via my website as in email inquiries.

I will be promote the Event via my site, next year nearer the time.

The previous day I appeared in the Lancashire Evening Post, Practice Management Magazine had asked for an article and it was suggested I sent it to all the Press contacts I have, and so gaining my 15 minutes of fame.

LEP

From this Press Release, I was invited to speak on BBC Radio Lancashire, and I did that yesterday, on The Morning Show. I sound like a runaway train only accessible via BBC iplayer for the next 6 days.

The link lasts for about 6 minutes in all.

BBC Lancashire

As well as promoting myself and the business, I had the great privilege to attend a lecture given by Professor Bryan Frier, regarding ‘Hypoglycaemia’ (low blood sugars) at Ewood Park, Blackburn last Thursday, I have to admit to being in seventh heaven and as usual, came away with my head buzzing.

The loveliest of knock-on events from my “fame”, has been coming into contact with previous patients. One lady rang my office and the other wrote a small testimonial on my ABC blog. People are very kind and it is appreciated.

I have also realised a few areas of updates which I can write more about, the importance of foot care, understanding eye terminology, ‘hypo’s, driving and the DVLA’.

At the moment it is all swirling in my head but I promise to be more regular on my blog.

Take care until next time

Forthcoming Event…

Mon, 26 May 2014 15:41:30 GMT

Saturday 31st May, I have been invited to talk at the University of Central Lancashire’s ‘Living with Diabetes’, Event.

I have 20 minutes in which to talk about my chosen subject ‘hypoglycaemia’, all I can say is that at this time my head is overflowing with ideas and information.

From February 2012 to October 2013, I had the great honour of working within the Diabetes Nursing Team of the Royal Liverpool Hospital on a Hypoglycaemia Project.

I found great pleasure in my work and what we were trying to be achieved. I left just short of two months from collecting the last lot of Prospective data. In my period of notice, I was told I was the only titled ‘Hypoglycaemia Research Nurse’ in the UK and the data I was collecting and collating was mind-blowing.

Due to my loyalty and respect for my colleagues, I am loathed to share any information other than the abstracts I had published for both the Diabetes UK Professional Conference and two abstracts published in the American Diabetes Association ‘Journal of Diabetes’ supplement, one of which I wrote but had presented in another’s name. My silence is because the work is ongoing. All this information is swirling around in my head and I have the unenviable task of sorting it out and putting together for a power point presentation without boring everyone to death.

The main issues I need to share with you, that as Health Professionals in diabetes all know, is that ‘hypos’ are as damaging as high blood sugars. This is why we make such a fuss with regards to driving and night-time hypos, it is not as a way of punishment but it is information required for balance.

Those at risk are those treated with insulin or a sulphonylurea (gliclazide, diamicron, glipizide). Too much insulin will cause hypo and sulphonylureas can cause hypo’s because you are getting the pancreas to produce more insulin. Blood glucose monitoring is important when about to go behind the wheel of the car and prior to bedtime to prevent the most feared night-time hypos.

I realise that as someone living with diabetes you don’t want to own up to hypos, especially severe ones, in case you lose your driving licence but like drink drivers, it is not just you “at risk” but passengers and others on the road. So be sensible.

If an ambulance is called out because of a severe hypo, please do not refuse to go to a hospital for a check-up – hypos can cause damage.

Health Professionals remember if someone presents regularly with excellent blood sugars in their diary but a raised HbA1c, they could be ‘hypo unaware’ and its the correction of hypo’s that is falsely raising the HbA1c.

I had a man present at my GP consultation upset because a health professional had all but said his blood sugars were false and raised his insulin. On asking if he had ‘hypo’s’ he said ‘No!’ his wife said ‘Yes!’ and at the same time every day. His insulin reduced, his blood sugars remained within target and so did his HbA1c. His hypos stopped.

Another lady, I had known for a long time a real character, type 1 diabetes and on occasions had given us Diabetes Nurses the runaround but years later at a 1-2-1 session discussing hypo’s she had never been told that hypos were as harmful as high blood sugars.

I have a thing about older people who live alone, who get up in the middle of the night to the toilet. I know its within guidance now, but I always allow for the HbA1c to run a little higher and blood sugars, especially at night, to prevent hypos and keep them safe. All about balance.

Glucagon does not work on older people with type 2 diabetes on sulphonylureas and makes their recovery time from a severe hypo longer.

Sorry if this feels like doom and gloom, it isn’t all bad with diabetes, but I just needed to let this out.

Need any further information take a look at Diabetes UK website.

Be safe and have fun

Twitter alert reminded me

Tue, 13 May 2014 15:30:21 GMT

Whilst scanning through Twitter on Friday morning for last minute questions for my radio spot.

I came across a tweet posted by someone, with Type 1 diabetes (pancreas not producing natural insulin) and her insulin delivered via a pump. ‘Since getting the new insulin pump, I have an appreciation for pockets.’

I smiled because it took me back to last August Bank Holiday, my family including grandchildren, were out for the day at Ingleton Falls when a young couple jogged past.

The young lady, tall slim with her midriff showing and a noticeable subcutaneous needle and catheter taped to her back.

I instantly recognised it as part of her insulin pump, delivering insulin as and when it was required.

My daughter looked at me oddly as I smiled, and she looked somewhat embarrassed as she stared. I whispered ‘diabetes – insulin pump’.

My daughter caringly said, ‘she must be really bad’. I replied ‘No she will have more control; her diabetes possibly had not been so easy to regulate via pen devices’.

In my mind I wanted to say to this young woman ‘Well done you!’ Who had educated you, supported through your diagnosis and acceptance, given you the most positive of attitudes?

In my assumption, she obviously had totally accepted her diabetes, it was not a secret, if anything she was shouting out loud and clear I have Diabetes – so what!

I am not saying that all those living with diabetes do this because each person is different. We all have our own coping mechanisms.

What I am saying is be proud, it is hard work 24/7 when dealing with the diagnosis diabetes be it Type 1 or Type 2 and the path it takes you along.

Woohoo. I’ve got Type 2 Diabetes

Tue, 06 May 2014 15:25:34 GMT

Guest Blogger: Brad Bradshaw

Last week I went to MediaCity Manchester to improve my skills, regarding twitter with 4HubUK. In a discussion about diabetes, business and networking, Brad Burton the man behind 4networking came into the conversation.

I tweeted that Naomi Timperley sent her regards and that I understood he had diabetes, the answer came back “Yes, Diabetes Rocks! I was taken by surprise but totally delighted; I then asked if he could write a Guest Blog about his journey…..

Here it is, as written by Brad Burton himself – the title is his too. Enjoy!

A year or so back, the Doctor in a routine health check said, “I’m borderline diabetes, I should do something about my diet & health.” LOL. Only fat people get diabetes. I’ve no idea what Diabetes is TBH, but I know only really fat people get it.

So I kept on as I was, eating those KFC meal deals twice a week whilst on the road, driving up and down the motorway running my national business, motivating business owners all over the UK.

The first real signs that I may have had a problem, one night after a particularly boozy binge on a stag do, I got up 10 times for a pee, to be honest it was more like a p, as nothing really came out. Pins and needles was also happening on my left hand.. Weird.

Google is my friend, as is often the case when you hit the internet for a self-diagnosis every ailment tells you, you’ve got cancer. Fortunately, the results on this occasion kept pointing towards me having diabetes.

Nah… Surely not, after all its only really fat people that get it. Isn’t it?

I made an appointment to see the nurse, who took my urine and blood samples. 2 weeks later, I received a call from the Doctor, “Mr Burton, how are you?” after the cursory 15 seconds of pleasantries, he says “the results are back. You have type 2 diabetes.”

The moment, the phone went down, was the moment everything changed.

No longer was I drinking the 5-6 cups of coffee with 2 sugars in. I dropped to 1 a day, 1 sugar. I’ve not had a red bull since that conversation; I’d been known to have 3 cans on a big day. Those KFC’s banquet box meals with the lovely chicken gravy not had one since.

Things changed. My life was never going to be the same… it was pretty much over, or so I thought. Eating was always my thing, pissed off – eat. Happy – eat. Feeling melancholy – eat.

At my 7th Birthday party, my Dad had an eating competition with all the kids, to get rid of the food. I came 2nd. I’d eat lots and fast, as this was all about winning! As a kid, one day I was scared to go to the toilet in the evening, I recall eating some sweets to give me power, a bit like Popeye.

Food, eating, consumption was always part of me. Almost hard coded in over the years.

34 years on from that Birthday party… I’d finally won 1st prize in my eating competition. A diabetic bracelet. So everything changed, water, I drink loads of it, butter, what’s that? Funnily enough you don’t need butter on bread like I once did. I probably did 6 months straight of eating 100% perfect, the first 18 days of detoxing from caffeine and sugar were absolutely horrendous, dark dark days… but it passes.

I had a handful of cheat meals in those 6 months. Went back to the Nurse for tests, and she said “My you have been good” your levels have returned back to normal. Truth is I still have no idea about blood sugars or in fact the really ill effects of what happens if I choose to ignore my diabetes. I don’t want to know, this would be a problem if I chose to put my head in the sand, but I don’t need to scare myself to death. Just be the best I can be.

At Christmas, hit it (food) hard for a few days and about 3 days in, I felt the symptoms returning, weeing, pins and needles and I tweeted from my @BradBurton account “Thanks for the warning signs Type 2. I really appreciate it x”. Would I prefer to not have type 2? Of course,… but would I prefer to have type 2 over a heart attack. Of course. And that is where I was heading.

It’s part of me now, and yeah I still have the odd curry, cheat meal, go crazy. But it’s just that, odd, cheat, odd treat. A life of food excess was none-sustainable. I’ve been hitting the gym hard and my weight is down from 16stone 3 to 15stone in last 8 months. I look better than since my late 20’s, I feel better and those treat/cheat meals really are a treat right now and something I look forward to, rather than take for granted each and every day.

The truth is my hard diet, has slipped since those first 6 months, and I’m looking forward to getting my results back at next test to see have I still managed to keep it under control with the odd Snickers bar. My gut instinct is yes, if not we go back to being hard-core again. But never forget this, you are human; don’t beat yourself up if you fall of the wagon… Just get back on it as soon as you can.

My advice to you, the reader, if your Doctor says you are borderline diabetic, do something about it TODAY. As someone who was diagnosed with bacon retention, Diabetes Type 2 is avoidable; just don’t confuse your bad decisions with bad luck.

Brad Burton

MD of 4Networking - Website: www.4Networking.biz

The Highest rated/reviewed business author on Amazon.

The UK’s #1 motivational business speaker - Website: www.bradburton.biz

A Genius.

Modest.

Most likely “Keeping it real”

Do not be alarmed

Wed, 30 Apr 2014 15:21:27 GMT

I have to say on reading these blogs it can appear to be an easy task – far from it.

I always I have your interest and I can get the message out regarding diabetes by enabling motivation.

Most importantly I look for inspiration within topics we discuss.

As with most health professionals in all fields of specialties, we have the theory and practice, but our greatest teachers are you, the person living with the various ‘long term conditions’.

Speaking for myself, I have the utmost respect and admiration for you all.

It has always amazed me when thinking about my vast career how many people, who have sat in front of me looking anxious and worried, with regards to their results and if they were in for the daunting telling off.

Early on in my diabetes career, I realised that the true expert was not me but the person I was talking too.

Be that a worried mother whose child has had a severe night time ‘hypo’ (low blood sugar) and needing support in the aftermath or the newly diagnosed adult with type 2 who believes that because they have the diagnosis their whole world has collapsed into the deep dark abyss and it’s the end.

You, the person living with diabetes and those supporting you, family, friends, and carers are the experts in your diabetes.

I have always maintained that I may have a grand title of Diabetes Specialist Nurse, but the reality is, I am but a guest at your table, there for support and advice.

Yes, the occasional kick up the old b.t.m. but I know that the people I have met would not want it any different.

You are not stupid, you know what to do to maintain good control, and I know this, as I have a tale:

I had a young lady in her early teens, clever bright with type 1 diabetes had been diagnosed as a toddler. Mum a single parent in an extremely stressful job as well as life.

I visited this family either once a week or fortnightly, being supportive looking at diets, activities, number of ‘hypo’s’ we went through everything all with the aim of trying to bring her HbA1c within set markers (three monthly blood test to check on the overall average blood glucose, over the last three months).

I left their home each time concerned and worried was I making any impact.

Then on one such visit she had to do a presentation in front of her class or year.

She decided that she would talk about her diabetes and asked me if I would listen to see if she had left anything out.

So I looked, I couldn’t believe what she had written, I had spent weeks months visiting to aid her control and there in black and white was the evidence that she knew diabetes inside out upside and sideways.

A lot of banter followed and the lesson I learnt was that as a health professional I can educate, support, hold hands to comfort but the expert in your care is not me.

I may have access to research and evidence on the way forward in prevention, the real expert is you.

Radio Star!

Wed, 23 Apr 2014 07:46:16 GMT

In working to launch Diabetes Complete Care UK you would not believe how much preparation and learning of new skills have had to take place.

When aiming to be the best you can be, it is important that those who rely on you for their well-being know you will do almost anything to ensure this. At Diabetes Complete Care UK, we want people to realise that diabetes is not all doom and gloom that pre and post diagnosis you are the same person.

Diabetes Complete Care UK has now entered a totally new playing field, as the NHS embraces change so must we, which includes stepping out of the safety of caregiver and provider to a promoter. As many of you out there are embracing technology and new IT languages, so we are too.

Education especially diabetes health education is available in all quarters from your local Dose Adjustment For Normal Eating (DAFNE) and Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND). To accessing education online via apps on phones to podcasts.

Someone suggested that Diabetes Complete Care UK needed to contact the local radio show and offer to host a question and answer diabetes session. So in our innocence, we rang our local Preston FM and secured an interview.

Our interpretation of an interview was somewhat different to what took place.

Please click on the link and listen, it took place on Monday 24th March 2014

Interview

From this Diabetes Complete Care UK will be on air at Preston FM’s Chat City with Hugh Parr every two months starting Friday 9th May 2014 @ 10.35 am. We are there to answer any queries or concerns that you have.

To ensure your question is aired we will need you to email them prior to the 9th May. So, this is a call out for your questions and concerns.

It does not matter how simple or silly you think it is if it is causing you a worry we can help.

Positive about diabetes!

Sun, 30 Mar 2014 18:10:06 GMT

What a title for a blog?!? Why Positive?

Someone with diabetes would say there is absolutely nothing positive about Diabetes. So why call it so? It’s because of my passion regarding diabetes, I cannot help the enthusiasm I have for the subject.

Key facts about Diabetes:

• It’s about people.

• It’s about balance.

• It’s about a healthy lifestyle.

So what makes people living with diabetes different from everyone else? They have been labelled, classified Type 1 or Type 2? Identified by their Insulin, medication or diet?

What most do not realise is that they have the power like everyone in the world to turn their lives around.

YES!

• It’s hard work.

• Takes dedication.

• You need a passion for your life!

• You are lucky!

• Now you definitely think I am Nuts!

But you have your own army of caretakers – a multidisciplined team of Health Care Professionals:

• Practice Nurse

• GP

• Clerical workers

• Pharmacist

• Biochemist

• Podiatrist

• Dietician

• Ophthalmology

• Hospital Diabetes Team

• Diabetes Specialist Nurse

• Consultant Endocrinologist and Diabetologist

• The greater extended Specialist departments of secondary care, plus you will have your own caretakers as in family, friends, and carers.

Those living with diabetes who have also accepted the fact by taking up the gauntlet of taking control of their life with diabetes will have realised that their diabetes is as individual as they are.

No one will understand the effect your own diabetes has or the response your body has to food, exercise and medication better than you do!

This is probably why I am Positive about Diabetes because it allows me, as part of an extended team, an opportunity to share my knowledge and expertise to support and motivate others to care for themselves.

So, you now have a Blog

Sun, 30 Mar 2014 15:10:54 GMT

Sounds like a good idea but a writer I am not.

My blog is a place in which I can share my knowledge and expertise simply for all involved or living with diabetes, including the innocent who stumble across my website or blog and take time to look, read and learn.

As Diabetes Complete Care UK takes shape, there are expectations:

• A website to let people know about the business.

• Self-promotion people need to know about you, so social media is the way forward Facebook, twitter etc.

And finally…

A blog.

Okay sounds like a good idea. So, here I am a Diabetes Specialist Nurse with over 20 years’ experience and still surprised by the sheer lack of knowledge patients have about their diabetes.

NICE regulators for guidance, who put in place a technical appraisal meaning it must be done. Especially for newly diagnosed Patient Education for both type 1 and type 2 diabetes; you may have heard of DAFNE, BERTIE, XPERT, DESMOND all accredited, researched patient-centred, self-management education programs.

I needed help what do carers and those living with diabetes need to know?

So, I asked one of my Practice Nurse colleagues who has insight into what people with diabetes need or want. She works with a high Asian population GP Practice and, who are known to be at greater risk of diabetes.

• She told me to write about the risk factors, I was somewhat amazed, as anyone who takes a special interest in a subject instantly knows where to go for answers.

• She asked if I could possibly come up with simple information for easy translation.

Straight away I said Diabetes UK, they translate all their information into a variety of languages.

She surprised me by saying that the Asian community is unaware of Diabetes UK and have no idea how to access the information. This made me truly sad. The number of good works carried out by this charity and the monies ploughed into research to ensure that there is equity across their services and still there are major gaps.

So, here are risk factors taken from the Diabetes UK website:

• You are over 40 (or over 25 if you are South Asian).

• You have a close family member with diabetes (parent, brother or sister).

• You are overweight, with a large waist size (over 80cm (31.5 inches) for women, 94cm (37 inches) for men, or 89cm (35 inches) for South Asian men).

• Being of South Asian, Black African, African Caribbean descent – even if you were born in the UK.

• You have ever had high blood pressure, a heart attack or a stroke.

• You’re a woman with polycystic ovary syndrome and overweight.

• If you’re a woman and had diabetes whilst pregnant (called gestational) or given birth to a baby over 10 pounds.

• If you have a severe mental illness for which you take medication (such as schizophrenia, bipolar illness or depression).

• You’ve been told you have impaired glucose tolerance (IGT) or impaired fasting glycaemia (IFG).

Note: Some of these risk factors are genetic factors and there is little you can do to reduce them, so it’s best to concentrate on those you can change, such as your weight.

What does not cause diabetes (Diabetes UK):

• Viruses or germs – you cannot catch diabetes like a cold.

• Stress, though it may make the symptoms worse in people who already have the condition.

• An accident or an illness won’t cause diabetes but may reveal the condition if it is already there.

Okay, so you have diabetes....

Fri, 28 Mar 2014 05:53:08 GMT

This doesn’t mean the end of your life as you know it.

Whatever the diagnosis whether it is Type 1 – insulin no longer being produced by the pancreas or Type 2 due to the need to make lifestyle changes because your insulin receptors are not working as well or your pancreas is running out of insulin production cells. You are the one in control of your life, not your Doctor, not your Diabetes Specialist Nurse or GP and Practice Nurse…. It’s about you!

Key Facts:

It is important to keep your Doctor or Nurse Appointments – it may feel like you are always going to the GP Practice but remember you are going for you.
If you have a burning question ask it – no question is stupid if it helps your control.
If there are results ask for them and write them down, keep a record it’s about you, then you can see improvements.
If a blood pressure is taken ask for the numbers don’t be brushed off with “it’s fine” or “it’s normal” – you need to know and record the numbers.
If you are on medication ask – What it is for? How it works? When do you take it? Are there side effects? If you stop taking the tablets make sure the Doctor or Nurse knows.

Please remember to keep your eye screening appointments they may seem a waste of your time because you can see. I can assure you when things start going wrong it happens quickly. Any eyesight changes – Tell someone!

It is important to also get your feet checked if you notice any changes at all such as temperature, strange feelings on walking, unusual painfulness, numbness – Tell someone!

This probably seems all very daunting but you will find that once you pick up the gauntlet of self-managing your diabetes, you will take back your life. The most important thing to remember is that you had a life before diabetes. Once you take control of your diabetes life becomes normal again.

It may feel like, oh what does she know she hasn’t got it! But I have worked alongside and with a lot of people who have come into my Clinical Room with the whole World on their shoulders but have left laughing, relieved and back in control.

As simple as ABC…

Thu, 20 Mar 2014 16:33:32 GMT

On several occasions, I have been asked to demystify diabetes, such as the 5 – 10 top tips in diabetes care.

The more I have thought about it the more complicated it seemed.

What I may think are the top ten tips may not be yours.

So I have decided that as in all dealings in any condition, we, the health professional have our own language that we bandy about and expect, YOU, the patient or carer to understand.

We may have told you once or twice before but as with most people in any intimidating environment be it “Clinic” or “Doctors Surgery” people are mostly too polite to say “Say that again! Slower and simpler”.

Not because you are stupid or simple, simply because it can seem all gobblygook.

The Americans as always have a simple way – The ABC of Diabetes so here goes….

A – A1c (USA) HbA1c (UK) is the ‘glycated haemoglobin’ and as you may be aware it is used to look at your blood sugar status retrospectively over the last 3 months, usually. It always amazes me how many people have never had this explained to them.

HbA1c gives you and your Health Professional the average of what your blood glucose is and if it is within the target. Always useful when wanting to change medication and to aid in the prevention of complications.

Target numbers have changed 48-58mmol/mol (new translation) 6.5-7.5mmol/l% (old translation) but the same target level.

B – is for blood pressure, a great way of checking your heart and kidneys are working effectively, aids the Health Professional and yourself in preventing complications such as heart attack, stroke and kidney problems

C – is your cholesterol, important for you to know what your levels are and the various parts of cholesterol. Aids in the prevention of heart attacks or stroke. It is important that you know what good and bad control is.

LDL (low-density lipids) bad cholesterol less than 2 mmol/l and needs to be lower than

HDL(high-density lipids) good cholesterol above 1mmol/l in men and above 1.2mmol/l in women.

Total cholesterol which needs to be less than 4mmol/l and

Triglycerides (bad cholesterol) less than 1.7mmol/l.

(Taken from the British Heart Foundation HIS3 Reducing Cholesterol Booklet)

That’s it, for now, I will continue with the alphabet over the coming weeks keeping you updated in simple terms.

Just so you know if there is anything you want to say, please leave feedback or any worries or concerns just email back, always between the two of us.