"Not very patient care centred"

After attending the Walsall Emergency Department via ambulance after abdominal pain with direct relation to raised glucose at time of assessment by clinicians from West Midlands Ambulance Service which was demonstrated to be 24.9 mmol with negative ketones. I was in significant pain from the upper abdominal area which was not revolving and have had recent serious viral illness of Measles which caused severely abnormal liver function tests which I am still under Gastroenterology with regular reviews and imaging undertaken. I have extensive clinical history of uncontrolled diabetes mellitus with HBA1C of up to 105 with recent admissions to hospital for IV Fluids and observations.

I have been under hospital consultant in diabetes and Endocrinology since diagnosed with treatment failure very soon on oral antidiabetic medication with raising glucose with ketones detected upon admissions following Measles diagnosis presenting very complex. I have had viral hepatitis with Measles diagnosis and felt very unwell and as no oral medication was helping with pain levels and had IV Paracetamol.

I was presented to ambulance triage sister who conducted rapid assessment utilising VBG showing glucose this time at 19.2 mmol with negative ketones though significant pain and felt lightheaded and slightly fatigued. I was sent to Urgent treatment centre deemed safe for waiting room. I was called in by GP at Urgent Treatment Centre who displayed absolute disregard and very little knowledge of the complex medical history and didn't understand how sensitive and how spikey the diabetes was very brittle. I advised them that the glucose monitoring had reached 30 mmol on Libre 2 system and they advised to write down manual glucose prick finger testing for four to five days. The GP at Urgent Treatment Centre also asked what medication I take for type two diabetes and I explained it presented more differently in younger patients especially ones who have higher random glucose though standard HBA1C such as myself and was started on GLP 1 Analogue and long acting Toujeo there was some improvement though things deteriorated and was switched to Basal bolus regime which has suited myself for years with increasing improvement though due to severe illness this has made things very unstable.

I was advised that more oral antidiabetic medication should be attempted though they do know me as a patient and should really be assessing the acute clinical presentations. I was advised that they weren't concerned about the severe disturbance in sleep caused by moderately severe abdominal pain and was told that pain is very personal and should ignore it by experienced GP and advised I am not demonstrating signs of significant pain or illness, they weren't sure about the way to manage the symptoms.

I spoke to senior clinician at Walsall Extended Access hub who advised they were very concerned and advised full assessment and imaging was required to include electrolytes and minerals and liver function test additionally possibly more extensive imaging.

The service staff were not very patient care centred and I felt very vulnerable in waiting room after IV Paracetamol because no clinical observation were taken whilst the medication was in my system as there was additional risks and felt the administration staff were very disrespectful and not receptive to deterioration of symptoms or increasing pain.