Ask the doctor - diabetes

Why won’t my GP give me weight-loss tablets?

I have type 2 diabetes and am obese. I’ve tried to lose weight with little success – will tablets help? My GP says my weight is self-inflicted and won’t even discuss them.

I assume you’re talking about the various tablets now licensed for weight loss. I’m afraid they’re no substitute for diet and exercise, and there isn’t a quick solution. However, I think your GP is being harsh and perhaps a little short-sighted by dismissing your problems as self-inflicted. Patients need help and support, not blame. What’s more, the consequences of being overweight (diabetes and heart disease to name just two) may prove more expensive to your GP’s budget in the long term than support to lose the weight now. Since you have type 2 diabetes, you should be able to make an appointment with the dietician – do take along a food diary when you see her. Then talk to your practice nurse about self-help groups for weight loss, or ask about seeing her for regular checks. Tablets can help, and you might be eligible for them, but they should really only be a last resort.
Dr Sarah Jarvis, Good Housekeeping
 

Diabetes and blood sugar meter

I developed type 2 diabetes several years ago, but wasn’t aware of it until recently. I’ve been told the condition is at an advanced stage and have been advised to test my blood sugar levels regularly – but I can’t get on with the fiddly meter I was recommended. I don’t want to buy another one, only to have the same problem. What can I do?

Sadly, the symptoms of type 2 diabetes can be mild and non-specific to begin with, so it's often many years before you discover you have it - and, as you've found, complications can be developing even before you're diagnosed. The most important point is your close relatives must be tested, since having type 2 diabetes in the family will hugely increase their risk of developing the disease. As for your meter, the array of different brands is very confusing and the best thing would be to discuss the options face to face: your local diabetes specialist nurse should be just the person. Most hospitals have one of these nurses available - they should be able to give you demonstrations of the various models and talk through what will work for you.
Dr Sarah Jarvis, Good Housekeeping
 

Checking blood sugar

I have type 2 diabetes and have recently started taking insulin. I’m determined to check my blood sugar levels, but don’t want a bulky meter. Any suggestions?

Good for you for taking control. As you've already discovered, some blood testing kits can be complicated and awkward to carry around. Several of my patients are now using the Aviva blood monitoring system, which is simple to use, small enough to fit in your pocket, includes a lancing device that you don't need to touch and has an easy-to-read screen.
Dr Sarah Jarvis, Good Housekeeping

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