Category Archives: countenance

The power of the double x ;)


Do not under-estimate the power of a woman. Once activated she can be radio-active. A ball of fire. A genuine force of nature. WE are not half x and half y – we are double x or double X!

Made from Adam’s rib, created to be a help-meet. Created to bare both boys and girls. Created to create.

Women across the world have a kindred spirit – gentle, kind, strong ,powerful. We tend to “attack” problems or hiccups in a very different way to our XY counterparts. Empathy is like breathing for us. Life and it’s ebb and flow very much part of each day’s struggle to nurture our children and loved ones. A privilege we cherish yet sometimes hard to keep on keeping on.

Take Ingrid Jonker – a women whose heart literally bled for south africa. She struggled so intricately  with herself and her father’s rejection that it forced her to walk into the sea, yet the poetry she wrote was pure gold that flowed out of that tortured and tormented soul -deep so deep, squeezed and percolated through her fragile life. She leaves us with a legacy of touching tales that shake your core and leave you in awe.

Thuli Madonsela – a tribute to justice and dogged yet gentle pursuit of the truth without being rude, disdaining or plain. A strong tall tree yet softly spoken authority. A real rare gem leader. Astounding ability to hold her own self back and gently speak to a situation. She radiates, emanates peace and truth, it seeps through her pores and is heard.

There are so many examples of women through the ages. Steel women, whose hearts are so fragile and gentle they are broken by the weight of a feather, yet stand despite the brokenness. Beat despite the lack of a song to accompany the beat. Sometimes beat to the sole beat of a single drum. But pick up that pace they do.

XX a gift to us. We got double the staying power, double the gentle breeze.

 

 

 

Guardian connect – a step in the right direction


Ok so south africa’s latest CGM is here and available. We have a few on the market and this is the newest addition.

It currently “talks” to iPhone and from next year will also “speak” to android phones.

The great great benefit of this device is that the sensors are relatively “cheap” and the device is simply a sensor contraption that attaches to the body and then “speaks” to the iPhone. From that iPhone to the cloud where a healthcare provider, mom or dad or care-giver can access the “data” – a blood test every 5minutes that is 288 tests per 24 hours !!

The data is reliable with an MARD of 9 and thus insulin can be titrated using the readings.

The cost of the kit is 13k (R13828.20) and the sensors are R1695 for 5 – they last a week each, that’s 399 per sensor.

The benefit of “knowing” your sugar is fairly obvious but is in actual fact revolutionary and life changing for an individual diabetic.

You simply can not compare 6 tests a day to 288. The maths of that in itself is a mindblow.

NOW is a great! time to order one at the end of the year before a brand new year on med aid benefits.

email me if you have questions : drleethegp@gmail.com

Knowing your number is honestly the single most effective way of getting control.

Diabetes and drama


What will it take to get people to sit up and listen and apply very simple steps to their lives to prevent type 2. What will it take to get governments to realise that uncontrolled diabetes is financially crippling as well as a complete disaster.

These things are preventable and treatable BEFORE we get to economic crumble – which is seemingly inevitable at the current pace. Not too sure if the politicians realise the implications, however far and wide it seems the people who choose politics don’t always have the general public’s best interest at heart.

Type 2 diabetes is essentially a lifestyle induced disease and yet uncontrolled the repercussions are : amputations, blindness, heart disease and kidney failure (dialysis). The  cost implications of these aforementioned are HUGE as well as the loss of able body and minded people in the system of generating income.

Type 1 diabetes has exactly the same repercussions if not controlled and right from the get go is more expensive to manage properly. And yet with better management you ensure a healthy body that if targets are met will generally outlive the general public.

In south africa especially in the state sector both type 1 and 2 are poorly managed to say the very least and this knocks on to a growing population of patients requiring expensive treatments – that they inevitably get. It would make so much more sense to be preventative in terms of spending the money more wisely.

You don’t have to be a mathematician to understand what a log curve is. This is the current trajectory that we are on. With no sign of a slight dip of any relenting any time soon.

And yet – with simple interventions – like sugar tax and awareness we could really make a HUGE impact. Why ? Why are we not doing it? Is it because we do not WANT to??

It just boggles my mind.obesity4money

Trump cards! How diabetes relates to bad politics


Do we really know what is the truth and what is a lie? It seems to me that the political arena no matter where on earth is filled with half truths and a very interesting dynamic by which the truth is evaded in very clever ways.

Unfortunately this knocks -onto things like budgets and specifically budgets for health care. At the end of the day the vast majority of patients rely on some form of state care and vastly across the whole world the “care” afforded to the masses is in a severely sorry state. Never mind the state of the nation, the state of the health care of citizens across the world is dire and is not going to improve in the near future.

For me this is a travesty.

Donald Trump thinks he is a hero because he can avoid tax and that makes him “clever”. Well it also knocks on to other consequences like budgets and indirectly health care. I don’t even begin to understand american politics. In my own naivety I thought Obama was trying to do a good thing with Obama care. But being a humanitarian also imparts delusional greater good thoughts.

AT the end of the day money talks. Slush. Finish and “kla” as we south africans say.

The majority of citizens I am afraid are not humanitarian (in my humble opinion don’t even have brains to think that Donald Trump is even up for election) or else we would have far more “white helmet” brigades mopping up messes all around the world. The majority of citizens actually are quite selfish. Nevertheless I feel the majority should be able to access good health care.

Diabetes is a crazy disease -well type 2 at least in that it is ENTIRELY preventable as well as treatable! and yet we have scores of folk dropping dead of heart attacks related in part to diabetes combined with stress. And guess what? It’s a log curve. No sign of it abating, not even a sign of a slow down?

We have some very clever folk on this green earth and if funding could be funnelled to the right places we could actually win with diseases like diabetes and cancer. But somehow “funding” is controlled by the likes of the politicians (not even mentioning ours and our state of corruption). Politicians who think they are heroes standing up in public asking for a reward for dodging tax legally.

I say MORE!

I say móre: the just man justices;
Keeps grace: thát keeps all his goings graces;
Acts in God’s eye what in God’s eye he is —
Chríst — for Christ plays in ten thousand places,
Lovely in limbs, and lovely in eyes not his
To the Father through the features of men’s faces. ” (Gerald Manley Hopkins)
Truly speaking each one of us is accountable in the end. Truly speaking the more influence you have over masses of people the harder your job on the day of accountability which you can dodge for as long as you like but I somehow think dodging death is the ultimate superhero trick that has not been mastered by anyone yet.
There is no trump card that wins in the end. In the end humanity IS responsible. We have grown “fat” on our own sense of self importance and supremacy. Whilst countless lives (lives less important) suffer sometimes in silence (like in Syria) sometimes with a voice but most of the time at the hand of another. Even in the case of diabetes and the lack of answers for the “guiltless/blameless” type 1 children.

We are not stupid, we have brains, big brains developed over the tract of time. And yet we are actually very stupid and I think we shall remain that way seemingly by our very own choice.

 

What is Innate? after all


What on earth is Innate?

Well what we are trying to do is get patients to holistically approach their health challenges. We believe that not only pills, not only injections, not only diet etc but the whole picture, the holistic approach is what allows you to “live” life to the full and get the “numbers” right as well as the QUALITY of life.

At Innate you can easily slot into the holistic management via a few different routes and most are ENTIRELY covered by your medical aid. Not only that your medical aid rewards you for participating.

We have the whole team on site. IN other words you can see all the practitioners you need to see on one day as well as get an exercise fix as well as have a divine meal and get taught how to make it.

We even have a TRE (brigittefitness.wixsite.com) practitioner.

Call us : 033 343 1826 or contact Fran : fsteart@mweb.co.zainnate-new

 

The cost of health


What is health worth? Can you actually quantify it? Is there a price to quality and longevity of life?

Good health is a sum of a few parts : luck, good living, what you put in your mouth, exercise, balance, mental health and probably a few other factors like genetics and environment too. It unfortunately can not be bought. I do feel it is worth pursuing in terms of doing the things that can be done.

Sometimes though this does seem to cost a lot of money and that is sad in a way. Largely as this puts people off doing what could save them their lives.

There are a few conditions that can actually be prevented and that should not cause premature death and I do think that these are worth preventing. Science proves this.

There are many things we know as well as many things that we do not. When it comes to heart disease, stroke, complications of uncontrolled diabetes there is a lot we can do to prevent that is cost effective in terms of quality and quantity of life. Most governments even realise this.

How much can we measure and what is unquantifiable?

How much does a life cost? Does it differ on different continents?

Each of us comes into this life by ourselves and departs by ourselves despite being part of a family and a community. I do think healthy living is worth pursuing and cost-effective in the end.

costofhealthcosts

 

 

A1c – what does it mean?


What does the A1 c mean?

Definition : 3 month average of sugar, i.e. it totals up all the blood sugars over a 3 month period and gives and average value. Little more complex than that it is a blood test that piggy back off the “metabolism” so to speak of the red blood cell.

The more well controlled the A1c the more the post prandial is contributing. The higher the A1c in other words more out of control the more the fasting is contributing.

There is a big difference between fasting sugars and post-prandial (after a meal) sugars and how they affect things. Also think about this if you consistently go very low and very high you may well have a beautiful A1c and think you are great when actually you are not!

Glycemic variability is a BIG problem.

I would far rather my patients ran an a1c slightly higher with less variability.

So is it worth doing? I honestly feel that the A1c gives us some information, however for myself I feel the download is far more useful in type 1 diabetics and that I am able to tweak therapy far more accurately with a download or a CGMS.

For type 2’s it is a good test to follow, i.e. a trend. Is it going up or is it coming down or is it stable so to speak.

What is A1c – it’s an average and it has its uses but context is everything and for type 1’s glycemic variability is the difference between health and illness.

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