Author Archives: drleethegp

Basmati rice is NOT a carb ???? ….


A few times a week I harp on about carbs and carb portions to patients. And as many I get them saying to me I don’t eat carbs doctor I only eat basmati rice πŸ™‚

WEll now hey! So the level of understanding of what a carb actually is : carbohydrate.

noun :Β any of a large group of organic compounds occurring in foods and living tissues and including sugars, starch, and cellulose. They contain hydrogen and oxygen in the same ratio as water (2:1) and typically can be broken down.
At the end of the day anything that once broken down by stomache acid and enzymes becomes a glucose molecule. It’s quite a vast food group. And it includes more than bread πŸ™‚
Vegetables too have carbs in them. The only thing that does not essentially is a protein : fish, red meat, chicken, ostrich meat, crocodile meat etc.
And some veg has almost no carb value to it. For example green beans and kale :). Something like a carrot or peas have carbs too πŸ™‚
If you are diabetic anything from : ice-cream to basmati rice that breaks down to a glucose, sucrose, fructose molecule of sorts is a carb.
That’s why we count carbs. To match the “perfect” amount of insulin and timing to the amount of “carb” ingested.
πŸ™‚

My favourite tool is : myfatsecret which is south african based and essentially a key tool in carb counting.

It’s not that you CAN not eat CARBS it is that you need to match the insulin to the carb. Ie you should be injecting an amount of insulin to “mop up” the carbohydrate value.

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“Soul”it ude …https://www.solitude.org.za


This last weekend I had the joy and priveledge of going to a creative retreat at solitude in the dargle near Howick. What a soul re-juvenation πŸ™‚

One’s own journey is a precious thing, one’s own creative journey in my opinion even more precious, like precious on steroids πŸ™‚

What I discovered on my very excited to share return was that one’s personal journey is not as relevatory to others as it was to one’s self.

Lesson learnt πŸ™‚

For me it was cathartic, connecting to myself, releasing in a high release way as well as calming, coo-ing almost in the best way possible, rocking in a hammock kind of gentleness, presence and preciousness.

We did all sorts of “arty” things not for creation sake but more for the journey sake and connecting to one’s inner child. The wisdom that was downloaded to each of us was profound, gentle and powerful. Sometimes the simple in life is the key. And happiness is an elusive gift just within our reach.

solitude

 

“Low class” -what does that mean?In 2019???


To my great shock I was accused of being “low class” yesterday. What does that mean buddy?

As far as I am aware it must hark back to the good old colonial british empire days? Like lady “downton abbey” and co looking down their royal blue blood noses at the “help”?

Yes I sound bitter. I am bitter. And I am reeling from a label that jerked the body inside the clothes.

Is this referring to a financial status? a way of behaving – like some bubblegum blowing teenager with a cockney accent? Even that in my opinion is a horrific “classification” of another PERSON.

Is is referring to a “bad” blood line with not enough “royalty” in it ? Or is it simply a person born badly by lineage who also has mannerisms (like farting) that do not FIT into “high” class society?

I am sorry, are we not in 2019? Did I miss a beat? Have women not got the vote largely in the world and even almost allowed to drive in saudia arabia?

Comments like that are what is wrong with society at large. Rather than celebrating “diversity” and “hybrid vigour” one chooses to spit and from such high ground and cause divisiveness.

Low-class : adjective : of low inferior standard, quality or a social class, cambridge dictionary adds -and the least money.

Pity you can’t take ” money” to the grave one day and that true love and joy do remain. The “richness” of being free to treat even a poor person with love and dignity is in my opinion high class. The attitude that one human is better than another is low class and sad really.

Funny how the world is upside for some. Luckily not for all.

Diversity is great and humans have greatness within them. Don’t let the bastards get you down.

simpsons

Even the Simpsons seem confused πŸ™‚

Diabetes and what we CAN do…


1.) Eat healthily and cut portions in half, we all eat to much, yes that includes YOU

2.) exercise at least 3 x a week – you will benefit mentally and physically and here is a money back guarantee – if you do this and you do not benefit email me and i will pay you – drleethegp@gmail.com (must include concrete proof of exercise 30min 3x a week)3.) Cut out simple carbs – gone done and dusted (like most of the game of thrones characters -assassinate them)

4.) have your sugar checked every now and then

5.) Don’t assume that overweight people have diabetes and vice verse and don’t criticise you never know people’s situation.

No sign of the log curve relenting, so think on this : if you continue as you currently are you are at risk, eat better, exercise and test your sugars randomly throughout your life and YOU have a chance of defying the log curve, else don’t say I didn’t warn you πŸ™‚

 

The battles we face daily …diabetes and the funders :) yeeha!


So we all know we are currently experiencing an epidemic that is about to “tidal wave” africa in terms of diabetes. And we know that world wide despite logarythmic increases over at least the last 10 years there is no stopping the tide. We love food and no exercise too much.

So we also know that the more this happens the less health wealth and happiness for society and the more sick folk get the more it costs the medical aids – so then with tears in my eyes and a brain between my ears why is it that we have a daily fight with funders to do what is right for patients and saves them hugely downstream costs ?????

To me it’s a no-brainer. I dont know.

I have been accused of being a dilly woman and yes I am a woman doctor – that does not bode well to start in the patriachy. And yes my dress sense is a bit quirky. And yes my mouth she speaks way too easily for the patriachy once again. BUT, really all I want is the best for my patients short term, long term, longevity with quality wise which adds up to a societal knock on downstream. So whilst quirky all I am actually fighting for is the greater good ????

The funders and generally brushed with a giant sweep of a brush at large seem to slowly be waking up to the multiple facts staring them down like a gun barrel as this is a very large challenge to them to. How does one solve these dilemmas as still stay top 5 profitable in south africa ??;) πŸ˜‰ πŸ˜‰ ah em …

Just saying, there are better ways to tackle this tsunami…

I met an amazing academic yet pracitical medical advisor the other day, and my suggestion is that other medical aids follow suite – yes have your acturial scientists who make you the top JSE company when a med aid is supposed to be a med aid not a top achiever, but combine it with some sense so that you can stay there cos right now your tactic aint going to work for you on the long game.

 

Philosophy on a wednesday …


It’s wednesday, the middle of the week. This week it feels like it could be friday already in terms of the meters of steps taken and strides and tides and rolling blackout brain (personally).

I think you know what I mean, we all have those weeks where the challenges mount and seem insurmountable.

Life, what is it? Β we are born, we live and poof we die.

I sure do hope that it might make sense in the ether up there one day because down here in the hum drum mill it is a fascinating concept to contemplate meaning.

Emotion is a given to human “ness” and yet to some it is almost a negligible blip on the radar. The spectrum as such of emotion is large. Some humans have it in chunks (like me) and some have just the babiest dose of it. And yet it seems to inch it’s way into the puzzle that is life and sometimes do more harm than good.

For someone (like me) who wears their veritable heart on their sleeve this life can be intensely hard. Overwhelming. Can lead to a sense of drowning.

It also is one of those things that you can’t really control the button on (like volume which you can control). It just bears it’s own innate pulse onto one. The highs and lows rumble tumble and exhaust. Each day churning up some new emotions and some old. Each day like crashing sets of waves pummel.

For some the line is still, static, blip “less”.

Figuring each other out in this life is a conundrum.

Blip

chip on shoulder with a grip

emotion, sea ocean, full

ongoing tides that one can’t always ride

or hide

from

spirals and pulses

round and linear

grip and go, wing and toe

longing for a still breeze, a flat dam, a peace, a knowing and less churning/burning

but without emotion where would we be?

ballet emotion.jpg

The highs the lows the heels the toes.:)

 

Diabetes and you and me …


When you overload a cart the horses take strain. Much the same with the human body. Each cell requires a few things : amino acids, glucose molecules, and a whole host of other complicated yet simple molecules.

Each cell in the body essentially respirates, breathes in so to speak glucose and oxygen and breathes out ATP and CO2 in order to function, much like the lungs and the opposite of what trees do.

Simple yet complex.

If you overload the system with glucose molecules they will simply be stored as fat for a rainy day and also overwhelm and flood the system with stickiness.

That is what diabetes is in the type 2 sense of the word, flooding the system and causing a sticky mess.

Type 1 however is an initial lack of the key that takes the glucose into the cell and forcing the cell to respirate anaerobically which leads to death without the rescue molecule insulin.

Starving in a sea of plenty is type 1.

Drowning in a sticky mess is type 2.

The ebb and flow of the cell works in harmony if the correct diet is maintained and goes horribly out of whack with an overload or under-dose of glucose molecule flow to the cell.

 

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