Monthly Archives: January 2019

The Diabetic Educator …for a friday read :):)


What does an educator do? Diabetes is a multisystem disease affecting most organs in the body. Managing diabetes holistically in a team means each member focuses on their area of expertise.

For the educator this is explaining how insulins work, how the different oral meds work, what sugars should and could be at different times of the day, dangers of hypos and highs, how to inject, how to test etc in the newly diagnosed.

One very important aspect is setting goals around targets like A1c as well as variability, post meal values etc as well as any other goals regarding diabetes like exercise, staving off burn out and depression and a whole host of possible goals.

The educator in many respects is a co-ordinator or conductor of the processes and aids very much with direction and the trajectory of the diabetic path.

This critical role actually can make the difference in getting to target as well as staying at target which translates to less health expenditure downstream as well as healthier functioning patients with quality of life.

Educators are core to diabetes management top of the range.

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Diabetes and CDE and Discovery 2019


This year from around next week, the various options excluding keycare of discovery will join the CDE family. Why this is exciting is that CDE has always provided comprehensive holistic care to diabetic patients and by managing a disease like this in a team approach it is simply put better managed.

What that means “downstream” so to speak is less cost to med aid, better health to patient. Greater longevity with more quality.

We are super excited at this development and though teething problems will certainly occur the benefits will outweigh the initial stumbles.

THe swtich over for diabetics on discovery is automatic you don’t have to do anything. Ok so top 2 plans nil to do, other plans register on health ID it seems with your GP/doctor. ๐Ÿ™‚

Multi-disciplinary team approach to all diseases is a good way forward.

cde logo

 

Today is a new day…


Chronic illness like diabetes especially type 1 diabetes where your life depends on testing your sugars and injecting insulin can become fatiguing to say the least. The drain and strain of this burden gets you down no matter how positive the patient and the family.

But what can be done?

I have a few tips for diabetes and other chronic disease burnout :

1.) Every day is a new day, forget the past, forgive yourself for the mistakes, highs lows etc and begin afresh almost like today is the first day

2.) Give yourself a mental break, have a week off mentally of driving strict control

3.) “allow” yourself to cheat now and again making sure you do it safely-ie inject to cover the carbs accurately

4.) See a psychologist or a life coach or similar profession regularly through state or privately – you owe it to yourself.

5.) Take anti-depressants where indicated, don’t feel guilt about it, if it has been prescribed to you for burnout, depression take them.

6.) Get together with other type1’s or people with a similar diagnosis both for sharing the good tips and debriefing about the bad stuff, no-one can commiserate like someone going through the same thing.

 

FEel free to add your tips ๐Ÿ™‚ Today is a new day! Indeed

Discovery and CDE


So this year all Discovery patients(excluding keycare) with diabetes will be covered on the CDE programme. This is super exciting.

What is CDE ?

Cardiovascular Diabetes and education – the brain child of Dr LArry Distiller which has been running for many years across south africa out of Houghton Johannesburg. It is a programme by which diabetes is managed holistically and by a team of professionals each focusing on an area of speciality : feet, eyes, diet, exercise, medication etc.

What makes it great for control of diabetes and general wellness is that all members talk the same language in terms of diabetes management and work towards a goal of control individualised for each patient.

For any queries phone : Romae 0832898351 or email drleesecretary@gmail.com or drleethegp@gmail.comCDE logo.png

The CDE programme runs according to international and national guidelines to give the best outcomes longterm, that means looking to have less heart attacks, less amputations, less renal failure and dialysis, less hospital admissions for diabetes due to better control and the programme achieves it year after year.