Author Archives: drleethegp

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.

 

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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 ๐Ÿ™‚

Accuracy data from ADA 2019 hot off the press praising CGMs’s at large ๐Ÿ™‚

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

dexcom

Cold hard pressed


Cold hard pressed grief

pure?

cold hard pain

is it possible to reign in the heinous pain

distilled as it were

but so so unsure so so in a furore

of the core of my being

under seeing

by all in a tumble fall

my gut so full of gall

and why oh why have I hauled my bag so far

from a long way ago

its come with me

the glimmer the glimpse of letting at least the bag go

oh what joy

can so much heaviness and lightness be here now?

oh this hole if fills my soul

i long right now to fly right out of here

out of the hole

out of my soul

written 28 oct 2017 18:16

A deep hole


I feel like :

a battered thing

a broken wing

a pretty useless woman

to you

Your words have hit me so hard

again and again and again

deep pain

a set of waves staccato

breaking and dumping

and unrelenting

occasionally I get to shore

and lie in the shore break

and wonder if I made a really big mistake

and then I find myself back in the ocean

at sea

no anchor

and the sets begin again

seven years in the rain

outside lonely tending to needs

to food

to cries

exhaustion a constant companion

a bleed in the brain

required to not think, rest

I just can’t seem to shake it

feels like a stake right through my soul

a hole

a deep hole

thoughts to fly out of my soul

yet reigned in by the need

the bleed of 2

precious ones

who have no other mother

An African feast …an amarula sunset


The sun sets golden

The harvested grass bales fill

the amber air with hues

of hazy hazelnut

dust

it’s amber coloured temperature

too

you can drink the amarula in

you can spiral tranquil lose yourself

within

The ivory carved moon rises east

An african feast …

Basmati rice is NOT a carb ???? …. what is 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 ๐Ÿ™‚

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

noun :ย 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 ๐Ÿ™‚
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 ๐Ÿ™‚
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.
๐Ÿ™‚

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.

Carbs, carbs, carbs

“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 ๐Ÿ™‚

One’s own journey is a precious thing, one’s own creative journey in my opinion even more precious, like precious on steroids ๐Ÿ™‚

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 ๐Ÿ™‚

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

 

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