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AIBU?

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To wish my GP practice had told me about this upward trend earlier?

285 replies

polarband · 01/08/2025 14:45

I have used a blood pressure medication to treat migraines for several years now. As a result I need to go for blood tests and a BP check every 6 months as my BP tends to be low on this medication. The blood tests are mainly to check my kidneys but they do other checks as well, after each test I just call and they tell me everything's fine and I go again in another 6 months.

This time after my check I got called back in to speak to the doctor and was told I have high cholesterol and prediabetes. I asked him what could have caused the problem so suddenly and he said it hadn't been sudden and that if he looked at my blood test results over the past 6 years he could see that my cholesterol and blood glucose levels had been creeping up but its only now just crossed over into clinical diagnosis. I am fit, a healthy weight, a non smoking, non drinking, active woman with ideal blood pressure who eats a healthy whole food diet so when I was told my results were normal I thought that meant I was healthy not that things were getting worse.

I'm not mad that it's happened because these things do happen of course, I'm 50 now and there is type 2 diabetes in my family but I just wish they had told me earlier when this upward trend was noticed and I could have made some changes to prevent getting to this level. My GP just said they don't treat at anything below clinical diagnosis level and anything below that is in the healthy range and therefore normal.

Is it so unreasonable to think that they should flag up something like this to patients?

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LBFseBrom · 01/08/2025 15:29

Levels creeping up is quite normal and no immediate cause for concern; sometimes they gradually go down. It's now that you need to address 1. your cholesterol level, which may not be very high, and remembering everyone's goes up a bit as they age. I've had mine go up slightly and then down. 2. prediabetes. Prediabetes is not, as you know, diabetes but it's a warning.

I'm sure you do eat healthily but it's time to be a little more stringent with diet; add some things, take away others, little or no alcohol and drink plenty of water. There are plenty of suggestions online. I'm sure you'll be fine.

Ask for copies of your blood results, take your blood pressure at home, re-evaluate the need for your migraine medication. I used to have migraines and they disappeared after the menopause.

Good luck.

Hobbitfeet32 · 01/08/2025 15:28

If you already eat healthily and exercise what would you have done differently if you had known?

Colette · 01/08/2025 15:28

@polarband
our website is exactly the same, in Scotland too. The standard tests carried out at 50 in England aren’t offered routinely.

Fibrous · 01/08/2025 15:27

JulesJules · 01/08/2025 15:21

Really? I never had that.

Yeah you’re supposed to have a health check every five years from the age of 40. I have been invited for (both) of mine but I know other friends of a similar age who’ve never heard of it. They do a few blood tests and measure height, weight, and then ask a lot of questions about your booze intake and physical exertion. Then give you a cardiovascular risk score.

call and ask for one if you want it, and you get booked in with a nurse.

polarband · 01/08/2025 15:26

@Growlybear83 I'm not in England and the app is not available here, we do not yet have an app at all. Also as other have said even on the NHS app for those that have it not all test results are listed in detail but where I am in Scotland it doesn't exist and so I'm in the dark unless a doctor flags it up to me or they start giving out detailed test results on request.

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polarband · 01/08/2025 15:24

@YorkshireGoddess They have a website where their should be functionality to do various things like reorder prescriptions, make appointments and so on but in reality the only part that works is the repeat prescription request. I think many doctors still have concerns about making medical records available online and so while they have the option to not have them available they don't. Same goes for appointments they prefer to have allocations decided by a person which may be for the best of course.

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Growlybear83 · 01/08/2025 15:21

I don’t know where you live, OP, but my understanding is that the NHS app is available to everyone who is registered with a GP in England and the Isle of Man, so perhaps you’re in another part of the country? As a previous poster said, you can access all your test results on the NHS app, with very detailed information on normal ranges etc., so I don’t think it’s reasonable to expect the GP to flag up if some of your results are rising before they get to the point where they are causing concern. I can see my cholesterol results going back to 2005 on the app. But in the days before the app was available, I don’t think I ever had a blood or urine test when I didn’t ring the surgery for the results. I know you’ve said thst you get fobbed off, and that was often the case when I called for results, but I was always insistent and no-one ever refused to tell me my readings.

Muffsies · 01/08/2025 15:21

From what I've been told, they recently changed and broght down the thresholds of what is considered 'normal'. This is so that more people will get told earlier on the they have fallen into the 'risk' category. So if this has only just happened to you, you will only just be borderline in the new lower risk category.

You should obviously still take it seriously, as it's been brought down so that people will get an earlier warning that their health may be at risk. If your health is otherwise good then you will have plenty you can do to keep it that way, which is great news 👍

I can totally understand your annyance tho, I agree that we should all be told our results so that we know where we are, which reminds me that my GP didn't tell me my blood pressure last time I saw him!

JulesJules · 01/08/2025 15:21

Hellohelga · 01/08/2025 15:03

Tricky not having the app. In England at 50 you get a full health review with bloods, blood pressure, bmi, questionnaire re eating/drinking/smoking habits and a follow up to discuss any concerns or potential risks. But I’m not sure about Scotland. At least you know now OP and can take measures before it gets worse.

Really? I never had that.

YorkshireGoddess · 01/08/2025 15:20

Does your GP have an app you can use to request appointments/order prescriptions etc? My GP doesn't use the NHS app and I can access blood results via their app easily.

polarband · 01/08/2025 15:18

Fibrous · 01/08/2025 15:02

That’s frustrating!

My cholesterol recently dropped significantly when I started eating legumes every day. It went from 6,8 to 4.5 in a year. I didn’t think my diet was unhealthy before (vegetarian, tee total, non smoker) but I’ve really been working on getting the fibre in first and foremost and was surprised at the results.

I eat quite a lot of pulses and beans already but will look to add more in.

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TheBroonOneAndTheWhiteOne · 01/08/2025 15:17

Hellohelga · 01/08/2025 14:59

It’s all on your NHS app and very easy to find.

Not in Scotland.

polarband · 01/08/2025 15:16

@NigelPonsonbySmallpiece @Eyelashesoffire @PinkSparklyPussyCat

Thank you all for getting it! I know the NHS is under pressure but access to that information and help interpreting it is an important part of health care that should be standard not something we need to fight to get.

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polarband · 01/08/2025 15:14

MyUmberSeal · 01/08/2025 15:05

But they were normal until your last one. There has been no fobbing off.

Not sure why you are quoting that post. That was a reply to a poster who asked why I didn't get my results in detail.

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PinkSparklyPussyCat · 01/08/2025 15:12

RosesAndHellebores · 01/08/2025 14:49

They don't, which is why it's always wise to get copies of the results rather than a "fine". It's your health, we need to take personal responsibility for it.

Get the NHS app. The test results are uploaded to it and you can monitor personally.

Not much point in having a GP if we have to interpret results ourselves.

The NHS app isn't great either, half of my appointments seem to be missing from it. The private treatment I've had is also missing despite letters being sent to my GP.

Eyelashesoffire · 01/08/2025 15:12

On my NHS app all my results just say 'normal' or 'abnormal', there's no detail to spot any changes that might point to any problems.

There's also the issue of me, not a medical professional, analysing results. I can Google and have an idea, especially for familiar problems (for me that's low ferritin) but for unfamiliar issues I wouldn't know.

My thyroid results are coming back abnormal in some areas but they're not taking any action. I have no idea if this is ok or not. I wouldn't know what I'm looking at if I did get the detailed results.

You put trust in the GP but as someone said up thread, it seems like a box ticking exercise now. There's no holistic assessment, I haven't spoken to a GP in years.

polarband · 01/08/2025 15:10

RosesAndHellebores · 01/08/2025 15:02

When you speak to them request a print out. You will have to collect it, they won't read the results over the phone.

It's your body, you need to take ownership.

I do take ownership, I was told everything was fine and told I didn't need the results by a rather snippy member of staff who probably wasn't qualified to detail the results to me. In addition much of this was occurring during a time when GP's surgeries were still operating under covid restrictions and it was like getting blood from a stone to even get an appointment most of the time. I am healthy, I eat healthily and I exercise and have no damaging vices. When I was told my blood test results were fine and I didn't need the results it would make sense to believe there was no upward trajectory. In addition, while I am able to make sense of my test results what about people who are not even if they have access to them?

I understand how it works but what I am saying is that it makes good sense to inform people of this kind of slow rise in results before things get to clinical levels. I will likely be fine and able to reverse these changes.

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MyUmberSeal · 01/08/2025 15:05

polarband · 01/08/2025 14:52

@myplace I asked for my exact results before and was fobbed off and told it was all normal and so I didn't need any farther information.

But they were normal until your last one. There has been no fobbing off.

NigelPonsonbySmallpiece · 01/08/2025 15:03

Nobody looks at patients holistically anymore.

I have a problem with my kidney function and one of my tests is below normal levels. I only know because a year after my test my consultant for a totally unrelated matter noticed the historic result. The gp had signed it off as no further action even though it was abnormal. My consultant told me to have it done again. I did, it was still low. Gp signed it off as no further action needed. I rang and complained and they said it’s only an issue if I have proteinurea. I’ve had proteinurea for years. 🤷‍♀️🙈

it’s all just a tickbox exercise now.

Hellohelga · 01/08/2025 15:03

Tricky not having the app. In England at 50 you get a full health review with bloods, blood pressure, bmi, questionnaire re eating/drinking/smoking habits and a follow up to discuss any concerns or potential risks. But I’m not sure about Scotland. At least you know now OP and can take measures before it gets worse.

Fibrous · 01/08/2025 15:02

polarband · 01/08/2025 14:59

@myplace I'm in Scotland so our app is still in development according to reports online, I'm not sure why we can't just use the same one NHS England has.

That’s frustrating!

My cholesterol recently dropped significantly when I started eating legumes every day. It went from 6,8 to 4.5 in a year. I didn’t think my diet was unhealthy before (vegetarian, tee total, non smoker) but I’ve really been working on getting the fibre in first and foremost and was surprised at the results.

RosesAndHellebores · 01/08/2025 15:02

polarband · 01/08/2025 14:58

@RosesAndHellebores At my surgery you have to call at a certain time for results and they tell you over the phone, it isn't a doctor but a member of the admin staff. I did get a copy of my results from today and to be fair I'm not really badly off yet but surely an early warning flag would be useful, I know not everyone will or can change their outcomes but it would surely be useful and potentially save the NHS money long term?

When you speak to them request a print out. You will have to collect it, they won't read the results over the phone.

It's your body, you need to take ownership.

polarband · 01/08/2025 15:00

@Fibrous Again we don't have the NHS app here.

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ThegargenofEden · 01/08/2025 15:00

Scotland doesn't have the app for all those suggesting it.

polarband · 01/08/2025 15:00

@Hellohelga We don't have the NHS app here.

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