Monthly Archives: June 2019

670G medtronic – a lesson for all diabetic practioners in a very good way :):)


The new 670G medtronic pump is truely a wonderful amazing device.

What suprised me more than anything else is what an absolute pearl of a lesson it is in terms of how insulins work and the daily awful grind and variability of being a type 1.

Honestly congratulations to this development team, you have come up with a genius product. Genius!

It expertly and simply solves for so many of the dilemmas type 1’s face daily. And in a safe and perfect way.

Truely a product that answers so many of the questions that we have up to now not solved.

Thank you thank you thank you.

THe MARD was my biggest happiness on the sensor – 8.7- wow-Yay!

So many reasons that in my opinion as many type1 patients should get onto this technology in terms of cost saving in the long run for med aid schemes and longevity with quality for patients both old and young.

I nominate it for product of the year.

Problems it solves for :

1.) daily variability (automatic adjustments according to blood glucose)

2.) hypoglycemia – on a downward trend of sugar readings it keeps decreasing insulin as to prevent a low and then eventually suspending insulin so as to prevent the low from happnening, as soon as the sugar trends up it resumes insulin and keeps adjusting

3.) high sugars – on an upward trend it increases insulin (up to a preset SAFE) level with alarms and alerts so as to prevent the high sugar

4.) variability immediately improves as does TIME IN RANGE

5.) multiple layered safety catches in case of problems

 

A tigress and her cubs …zoo wonderfulness


We were priveledged to go to the johannesburg zoo last week and walk around. Man we were treated to royalty.

The tigress and her “bred in captivity” cubs were on show and it was spectacular beyond belief. I have never seen a tigress before and the degree of royalty, beauty, bestiality and just sheer grandiosity blew my mind completely.

How anyone could ever harm such a creature is the reason we are so screwed up. It’s beyond me completely.

The cubs kept biting her on the bottom and she kept swotting them with her half a human size paw. And then on occasion wrestling them into submission. The lesson for me was the tranquility with which she “mothered”. Unperturbed, calm, serene, firm and yet gentle.

I was in awe and it made me think about life in a way that I had not prior to this experience.

Nature is like an unwinding perfect spiral ever increasing in grandiosity and simple splendour with an innate perfection built into it and then we come along -the human race and stuff it up like 150%.

Sometimes one needs to just take a walk on the “wild side” at the zoo 🙂 and think beyond our own pathetic existence and circumstance.

Monday from the heart of a mom :)


Yet another Monday. For moms it’s a little toughie a Monday. The similar same routine starts all over again. Please get dressed, please eat your cereal, please wash your face. Please brush your hair or allow me to do it without the mammoth effort of actually shooting a mammoth with a bow and arrow.

If you are lucky enough to actually make it to the car with all the “shit” kids need for one day all in one piece you breathe a very deep long sigh of relief. The first of the week of many.

Is it this hard ? Ask a mom today?

The week is bound to be filled with at least 3 activities a day on average – that’s just the curricular school ones. In between running a small business which happens to be a GP one (so there are a few extra challenges daily there too), making sure everyone eats everyday, attending all the ” one should really be there” activities at the various schools, complying with stuff like UIF, VAT and other 3 letter word stuff that actually also take up time, effort, brain power and most of all MONEY. One is expected to make money, enough to pay all the folk who work for you too as well as all those government funds.

Come around 4 pm I am physically mentally and spiritually tapped and tanked. It is at this precarious mentally fragile point in the day that my night job begins.

A round of homework, attempting to feed children healthy food. Navigating until the moment of literally falling into bed in a collapsed state of near coma. ONly to wake up on tuesday and repeat.

Don’t get me wrong I love my girls and would not swop them for the world. However I FEEL collectively we have lost the plot a little in this life thing. I honestly feel it could be another way. The rushing the pushing the striving the activities the money chasing.

LIfe could be should be slower, lingering and enjoying moments. Not feeling like you are literally living on the N1, at that pace that the GP number plates drive, constantly driving right up your bumper aggressively pushing.

We only get one and we only get one “childhood” period with our children.

We need to learn to desire with all our heart to linger. To chill. To enjoy. To communicate without words in a space that is spiritually serene.

Or have I lost it properly now ? I think not.

 

Continous monitoring and it’s influence on control – a huge wonderful impact


If I could pick only one thing for all my type1s and type 2 s on insulin to have in their armamentarium of goodies it would be access to continous monitoring for sooo many reasons.

1.) they learn from it and figure out which foods spike them

2.) they learn what drops them and how quickly and how to rectify this, ie how long the rescue takes to kick in so to speak

3.) they are able to see that if they inject insulin correctly at the correct time that it actually controls the sugar

4.) they can see what a “missed” dose does to the sugar

and I could honestly go on to 100 things …

REcently prices have literally plumetted on these devices making them more and more accessible.

THe next question to ask is : ? accuracy.

It is imperative that the device have the lowest MARD possible.

All this means is that the reading you see on the device is actually a TRUE reading.

Sluce. Kapish. Simple

Accurate is everyting .

So pick up something in your armementarium today for YOUR control 🙂

Accuracy data from ADA 2019 hot off the press praising CGMs’s at large 🙂

The data backs up the average clinician’s gut feel that seeing is the answer.

dexcom