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Monday 24 October 2016 Instagram
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Clinicians fail to give lifestyle advice to diabetics

Clinicians fail to give lifestyle advice to diabetics


Around half of overweight patients with diabetes do not receive diet and exercise advice from their doctors, a study suggests.

Yet the study found almost all clinicians (99.6%) surveyed said they routinely talk about physical activity with patients with diabetes and 88% said they give advice about dieting.

Researchers from Newcastle University were “very surprised” by the differences in patient and clinician feedback.
The study found 45% of overweight patients with diabetes said a doctor had talked to them about physical activity during the previous year, and 57% had received diet advice.
Director of Care, Policy and Intelligence at Diabetes UK Simon O’Neill said the research highlights the importance of doctors making sure their advice to people with diabetes is “crystal clear and jargon free”.

“Whether someone has Type 1 or Type 2 diabetes, it is important that if they are overweight then they know they are at an increased risk of devastating complications such as heart disease, stroke, blindness, kidney disease or amputation,” he said.
“This is why it is a concern that doctors think they are giving people with diabetes who are overweight significantly more lifestyle advice than the patients themselves say they are getting.
“It is clear from this research that doctors understand the important role they have in giving people with diabetes information about how to manage their condition, but if this is not getting through then that is a real missed opportunity.”

Questions: Are you concerned by the study findings?


its sad that half of overweight people doesn't get proper health care.

I also find this study hard to believe I discuss with my patients at every appointment lifestyle and dietry advice.
They are refereed to a dietician on diagnosis and followed up if there is an issue with weight
I think they choose to listen to advice they want to hear and not any "negative issues".

It always helps to really ask the patientwhat they got from a consultation doesn't it! The results are no surprise really as we are still using a consultation style to suit the clinician and not the patient. We could learn from exercise and sports counsellors or even Weight loss counsellors who seem to be able to get the message across in different ways. Perhaps if we had some additional training in motivational interviewing and person centredness then we might approach our consultations a little differently.

Oh for goodness sake! Apart from newly diagnosed or people with mild learning difficulties why oh why do we have to continue to spend valuable time telling fat people they are fat and that not eating properly will compound their diabetes? I routinely carry out diabetes checks, and always mention the importance of diet and exercise, and re-inforce how this will compound their condition if they dont comply. They have leaflets and handouts at every opportunity, not just from me but from any hospital appointment; also in magazines, on tv, on the internet, etc etc. And they still say they dont get enough advice?!?
The NHS is buckling under the strain of leading the increasingly dependent public by the nose and doing such basic things as weight/height/bmi when for 50p they can get this on a machine in Boots whilst they are shopping. Meanwhile other important things are being missed. GP's appointments are filled with people with minor worries that self help will treat and Emergency Departments are filling with things that are not accidents OR emergencies.
Stop nannying these people. Most people can read. Most people can access the internet for downloading the latest films/music etc. Equally most people are quite capable of understanding that their lifestyle is paramount to their well being.
Whatever we do and however much we molly coddle this increasingly demanding public, they will still maintain that they do not have enough from the NHS. It is about time people woke up and realised there is no magic pill!

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