Monthly Archives: March 2016

New land line number !! Yay!!


Our new telephone number is : 033 343 1826

remember we are at 26 hilton avenue, most hilton numbers are 343 so all you have to remember is 18 🙂telephone

Dr Gilbert’s practice has moved to the new Life hospital and retains the 343 2243 number

The 2243 number is just ringing and ringing!! most unfortunate 😦

My passion for pumps !

I just can not put into real words how passionate I am about insulin pump therapy. I mean why not? Don’t you (as a physician) always want what is closest to human physiology (when that is what is gone)? Don’t you always want the absolute best available treatment on the market for someone whose organ has stopped functioning? Don’t we do heart and kidney transplants for those whose hearts and kidneys have failed??

Do we really think that 4 injections a day can even vaguely “mimic” a very  very complex physiology? Really???

Shoo ! If we do then I think we have put our brains to sleep.

My little often says to me – “how did God make the flowers mommy? “, ” how did God make the cars?” ” How did God make humans?” How did God make trees? ” I think you can see where this is going, it sure is complex.

And then we have the audacity to say that 4 injections can match eating, exercising, being, sleeping, illness, need I go on??

I am sorry but as a thinking human I beg to differ.

It is complex.

For this simple reason I shall continue to be almost militaristic in pursuit of the best case scenario for my patients and in type 1 diabetes pumps are it for the moment, (Until we get the artificial pancreas or the implantable one).

Simple really. Life is really too short to be on old-fashioned treatment when you have a disease like diabetes. Quality of life is king 🙂 Add to this a genteel tester – painless pricking and you are on a very good wicket.


The Challenges of life

Most moms will recognise the scenario of one screaming child, one literally hanging off your arm that is about to break, as you get to the till point an almighty tantrum by both when your answer to yet another sugary treat is no. Add to this a few staff issues at the office (new staff), some interesting financial challenges and some unexpected curve-balls.

Breaking your back in the pretext of the above to get all organised for yourself and two children to go away for the weekend (and I always always forget at least one crucial item like underwear). So I see all the patients booked, deal with my 4 year old who is very unwell at this point. Get everything in order (after burning the food for the weekend the previous night) and head off to face traffic standstills and hours of travelling with both children either crying or whining or both. Have a great weekend but on the last day get back to my phone with 20 missed calls!

I have never had 20 missed calls.

No-one expects disasters to happen, but sometimes they do.

Anyway, I am extremely grateful that there was not a fatality and that  the worst damage was a fire in the office. We will be able to clean all of that up. Cuddoes to all involved actually, power is restored, telkom will arrive to redo all tomorrow, and life will continue as mostly normal in time to

Joseph Pilates

Not everyone is familiar with the extra-ordinary tale of Joseph Pilates who was the founder of the Pilates exercise that has so much benefit. He was born in Germany in 1883 and was a very ill child. He came up with his own solution to the problem which was a set of exercises that he refined and are now known as pilates. Early on in his life he was working in England and “training” police force, even Scotland yard when the war broke out and due to his citizenship was imprisoned.

His unit were encouraged to do the pilates exercises and not only survived but did far better physically and psychologically than the other prisoners. He decided to move to USA and met his wife on the boat across to “the new world”. He became a renowned teacher of pilates in America, training ballet dancers and revolutionising exercise.

Pilates is a unique exercise form that strengthens core muscles and creates strength from the inside out. It helps relaxation, deep breathing, strengthens lungs and lung capacity.

Give it a try, it will change your life too.joseph pilates2joseph pilates

Innate packages

Examples of our packages

Day 1

arrive and unpack, lunch and settle in around 10 am


doctors consult/life coach/ pilates (each an hour)

sundowners and dinner

Day 2

breakfast and carb count with Fran

kinesiology/biokinetics/ one on one with dietician

lunch and carb count

Pm : podiatrist, massage, chill (massage optional extra)

dinner with Tanya (cooking demo)

day 3

breakfast and carb cont

group session

doc consult/group talk

lunch (optional)

2 nights and 3 days

*** excludes beauty/pamper treatments

multi-disciplinary sessions can be chosen by patient : dietician, podiatrist, biokineticist, educator, life coach, kinesiologyhealthy foodhealthspa

on this specific package R5900.00 of which R2700 claimable from the medical aid and R3200 paid out of your own pocket (does depend on different med aids)

Katie Melua – smooth and sauve

Nine Million Bicycles”

There are nine million bicycles in Beijing
That’s a fact,
It’s a thing we can’t deny
Like the fact that I will love you till I die.

We are twelve billion light years from the edge,
That’s a guess,
No-one can ever say it’s true
But I know that I will always be with you.

I’m warmed by the fire of your love everyday
So don’t call me a liar,
Just believe everything that I say

There are six BILLION people in the world
More or less
and it makes me feel quite small
But you’re the one I love the most of all

We’re high on the wire
With the world in our sight
And I’ll never tire,
Of the love that you give me every night

There are nine million bicycles in Beijing
That’s a Fact,
it’s a thing we can’t deny
Like the fact that I will love you till I die

And there are nine million bicycles in Beijing
And you know that I will love you till I die!


Turns out my girls also quite like Katie, though not as much as Amy, but it struck me this morning whilst listening that the lyrics are just so beautifully constructed. Not only the divine eastern tones intertwined with lyrics that I like, but the difference between facts and guesses. And that fact that love is a fact and not a guess.

Call me old-fashioned and a romantic but I am just so happy my girls like quality, and quality that inspires romance.  I also feel quite small, but hugely blessed.bicycle2bicycle2

Genteel now available in south africa


Painless pricking – awesome!!!

Cost R2000.00

Let me know if you would like one, we can order for you and delivery taken from 26 hilton avenue

Diabetes and control

The ever moving yet elusive target of 7 mmol/l in diabetes control seems like the holy grail for both patients and practitioners. Why is it so hard? Well, it’s like this, everything from the weather to your acute health as well as chronic health as well as meals, exercise, humidity and just about every other factor that can change affects your sugars. Not only the number but the rapidity with which is it going up or down.

Don’t feel disillusioned, be kind to yourself, especially as the patient or the care-giver : spouse or mom/dad. Always try and work out why something happened and learn from it. Sometimes though there does not seem to be a valid reason. Make peace with that episode and continue on this holy grail road. I wish I had a magic wand to “sort” this sugar spaghetti. It is down to hard work and perseverance. Sometimes the sugars do control and then all of a sudden they just seem to go “haywire”.

Stress more than anything affects them very badly so stressing about the spaghetti is not the answer.

What I can say is that we are getting closer and closer to major breakthroughs in diabetes and already in 2016 we are in a far better place than ever before. We have multiple tools in our armentarium.

The elusive 7 is the target. This target seems unattainable for many. Still aim for it. With a good team around you each day you will be closer.targeta1c

%d bloggers like this: