Author Archives: drleethegp

Tidal wave required


Ok so life is interesting in south africa. I would like the kind of money that Manyi  has, 450 million? was it. I would use it to “fund” my patients needs.

Diabetics, type 1’s in particular have many needs. Most of these are not taken care of by their medical aids and despite the fact that patients pay a LOT of money for the privilege of being on one.

Type 1’s require tight control of glucose above a certain range and below a certain range and everything including the weather impacts on blood sugar. Thus continuous monitoring is a tool that can make a very very big difference in a patient’s life – it can also make such a difference that the medical aid is spared costs of admissions for highs and lows, for amputation, renal dialysis, heart attacks as well as costs attached to being blind.

However medical aids at large do not seem the slightest bit interested in saving themselves money.

Far rather milk the patient for all they are worth and at the same time provide the minimum service and complain about any request made by the health care provider who has studied long and hard and has a passion to save the medical aid costs.

Yes I am angry, perhaps at this time of day I am even h”angry”.

I am tired of begging, pleading for minimum standards of care.

I am tired that overseas things get “accepted” years before they do in south africa. Are we really 3 rd world? Despite having the “Manyi’s” ???

We require a tidal wave of protest in the form of intelligent debate with the stakeholders that matter in the realm of diabetes. I am just so tired of fighting.

Please from far and wide across  this beautiful country we call home join me, join the debate, write to your medical aid. Email me : drleethegp@gmail.com.

Please.

Continous monitoring is available in 4 forms in south africa : dexcom G5 and G4, libre flash abbott, medtronic standalone CGM and most new to the scene : ever sense.

Coming in at the lower end is the abbott flash R990 once off and R990 every 2 weeks. Dexcom is a cost upfront more than about 25k and then monthly around 4 k, medtronic around 15 and 2k per month and ever sense brand new so not too sure but in the ball park for the last 2 mentioned.

What is boils down to is MARD and quite frankly this is the bottom line with CGM is accuracy. The lower the MARD the more accurate. There are really only 2 in the market that a great on MARD : dexcom G5 and ever sense, however for the cost the libre is actually a very good value for money.

The other thing that helps me as a practitioner is a trend and all of the devices are good for this.

What we need is for the medical aids to realise that CGM is a tool they their patients can NOT afford to be without! FOR THEIR own sakes – the medical aid’s sakes.

Please tsunami arrive and let’s flood the medical aids with the truth.

Alternatively could the guptas or the Manyi’s or maybe Grace Mugage give me 450 million to spend on my very deserving patients.

Thanks ;).

The injustice of medical aids


demonstrate

 

So I have applied for continuous monitoring for a type 1 patient who has multiple hypos affecting daily living. He is on a top plan of momentum (I have other patients on this plan who fund continuous monitoring). I then appealed and put in a second appeal to their DECLINE.

We have been told in writing that they have declined it a third time but with no reason and that they are withholding their criteria from us.

This is common garden crime!

I say this is bullshit! to put it mildly.

In south africa where we have human rights we have a very progressive legislation and law. We have so much and yet we have nothing.

Medical aids keep moving the goal posts and now we don’t even know what they are in this case.

NO transparency. NO patient care. NO clear communication.

I believe that there needs to be a tide by both patients and doctors against this kind of bullshit decision and policy.

Let me know if you are in and we can go to the ombudsman.

My Innate Health …


Check it out!

http://www.myinnatehealth.co.za

A HUGE thank you to Candice Christie for this amazing amaze balls website !!!

Diabetes does not have to be


To be or not to be – TYPE 2 I mean. Lifestyle induced diabetes. This is a disease that we hardly saw 100years ago. It’s a new thing really.

A question of quality of life I believe. Both to prevent it and to “cure” it. Type 2 diabetes is essentially “toxicity of life” disease. Too much sugar, too much bad stuff, mainly sugar that causes inflammation generally but is specifically bad for the pancreas and the reason being it is like flogging a horse. Every time YOU demand insulin of the pancreas (every time you eat sugar or carbs) it has to produce it. Only it only has so many b cells to do this and the harder you flog it the harder those cells work and you literally flog your pancreas. At some point – once you have lost 50 % of those cells you become diabetic.

Now here ‘s the interesting thing. At 49.9% you are not diabetic but at 50% you are – go figure. Like with a lot of things there is a spectrum. So, surely you understand that one can “pick up ” this continuum BEFORE you qualify for type 2. SO why not find out??

Once you have type2 for real it is a matter of time before you flog those last 50% and then need insulin to save eyes, heart, limbs etc. However IF you take it seriously and “recruit” dying cells that are about to become apoptotic you can actually turn it around a bit, not back to 100% but you can slow the progress and retard the disease. So why not do that?

To be or not to be ? The choice is yours and the decision in your hands for the grab or not?

 

How Bell Pottinger can get away with this??


I know that we have a lot of interesting things happening in the banana republic of south africa. You gotta love our pres and one of his wives looking so sauve at the G20 as if all is just peachy (not to mention dressed to kill).

But hells bells Bell Pottinger please could you go on a quick course on how not to screw over a “cowntry” in a few short months unethically purporting shit.

What I am battling to get my head around is how this happens? And they are just going to get away with it????

I guess in a world where Donald Trump is the US president and making “deals” with Russia (his new/old best friend) and Brexit goes forth with all those shenanigans I should not be surprised by a PR company that is able to purport shit that affects everyday normal multi-coloured (rainbow-nationed) people.

The average person is worse off Bell Pottinger because you sided with a bunch of criminals and chose to spit out trash.

You are the devil along with Donald Trump and all the other role players quickly killing this world. And I guess in this world where the one with the most money gets to be a bully and get away with it this kind of thing will continue to happen. How you sleep at night I do not know.

Wouldn’t it be nice if one could get paid large sums of money for a more mandela like society in Mandela month. How I think he would cry at the likes of you and what you have done.

bellpottinger

Why holistic management?


Why is it important to see a team when you have diabetes?

Well because complications are preventable. Dialysis, amputations, blindness, heart attacks and strokes are sequelae to sugars above 10.

Why? This is like pouring coke on the floor, the vessels stick to each other and everything else – creating a sticky stuck mess. Hence blindness, renal failure, amputations etc.

The answer is to be vigilant. See your team every year at least once a year and some of them twice a year, some even 4 x like your doctor if you are a type 1.

The team : dietician (1-2), the podiatrist (1), the educator (1-2) -essentially also the co-ordinator, GP (2-4), or endocrinologist, ophthalmologist (1). Additional benefits : psychologists, biokineticists, nutritionists, life coach.

Libre flash monitoring


The patient driven and marketed libre has arrived in south africa.

R990 for a reader once off which is a meter for both glucose and ketones.

R990 for a sensor that lasts 2 weeks and so i.e. cost per month if worn every day is R990 x2

You scan your button and get a reading every 5 minutes. The device has functions like worked out a1c (3 month average) as well as about 100 more. See the website.

https://www.freestylelibre.co.uk/libre

You need to fill in a form, pay the amount and it gets couriered to you.

Contact me for forms

26 hilton avenue 033 343 1826

😉libre.jpg

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