In my case after several problems with my hospital resulting in repeated hospitalisation , I wrote to the hospital to tell them their appointments were no longer needed & I would instead see my doctor to take care of me.
Again in my case my hba1c fell by 10 points & I stopped having weekly hypos which needed to be treated by ambulance, as I’m older & wiser now I would these days put a complaint in to the bma but back then I for a while put up with ‘treating’ the rising hba1c & horrendous htpos with ‘lets increase your insulin even further, the monthly meetings were pointless to me because the doc wasn’t listening & after being rushed to hospital my gp would look at what he’d done & go ‘why’
I’m now back under hospital care but under a different PCT as there’s no way I’d go back where I was!
More generally, my intention was to say a DNA is failure to attend an appointment without notifying the healthcare provider, frankly if someone chooses not to see a doctor for their diabetes I’d advise against it but its their choice as an adult.
@alison is right a doctor should explain why a meeting is useful to them, but not all do or are capable of that. I’m sure most of us see both a hospital & our GP or a nurse at our GP – at least 50% of those meetings must be pointless & dealt with better by effective sharing of health records.
My new hospital always writes to my GP with a summary of meetings & test results, cc’ing myself , yet my GP under their new management don’t do the same with the hospital. Infact i’ve had proper arguments with them & needed to use threats of the data protection act to get them to release MY test results to me to share with the hospital!
This I suspect is a problem of protecting payments of diabetes care & weirdly may make me go full circle & write to my GP telling them I will no longer attend.