David Hughes, 62, is a retired teacher from Truro in Cornwall. He was diagnosed with Type II diabetes in 2004.

‘It was shock to be diagnosed with Type II diabetes. I was reasonably fit and active, six foot one inches tall and weighed around twelve stone.

‘I didn’t have a sweet tooth, I had no family history of the condition and no real symptoms apart from tiredness.

‘In fact, if I hadn’t been in hospital for another completely separate health issue, I might not have been diagnosed for several years.

‘Once I was diagnosed I was determined to do as much as possible to self-manage my condition through diet and exercise.

‘I currently take Metformin and Gliclazide, but I also monitor my blood glucose levels daily, sometimes several times a day, always before I drive, and, if my glucose levels are too high, I will try to reduce it by taking more exercise and cutting out carbohydrates.

‘I have recently started exploring the Low Carb High Fat (LCHF) dietary regime with some success.

‘I have my HbA1c levels monitored at my diabetes clinic every six months or so and I understand that the test provides a reading of my long term blood glucose levels over the previous two to three months.

‘Clinicians use it because it is more accurate than a daily reading which I believe can fluctuate wildly.

‘I think self-management is extremely important for people with diabetes, not least because it gives us some control over our condition.

‘Being able to monitor my HbA1c levels every three months at home with the ‘A1cNow’ monitor means that I can keep an even closer eye on my long term diabetes condition allowing me to make informed decisions about diet, exercise and my medication.

‘The HbA1c provides me with clinical standard information and confidence that my diabetes is under control, or if not, will ensure that I get the help I need as early as possible.’