Category Archives: graphics

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.

 

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.

A1ca1c2a1c3

 

Inspiration for a monday


I watched the movie “Jobs” last night and what a lovely surprise. First of all that Ashton Kutcher is actually able to act and secondly that I did not know the story of this remarkable man who did indeed change the world for the better on a very large scale.

The persecution he endured??

Wow.

The arrogance of the corporate world at large is flabbergasting and to a degree greatly deeply disturbing in terms of our progress as humanity in all fields.

Despite multiple set backs and criticism though Steve Jobs did manage to change the world. I am possibly one of the world’s biggest mac fans so I think I am biased, BUT, look at how once again the other companies have copied a lot of what he was trying to say – and he was saying it in 1984!!! A long time ago.

The other thing that struck me was the long time frame that it did take to go from idea to a concrete product as we know it.

As for the shares – they speak for themselves. Fickle a concept as that is though. Yet so targeted and narrow-mindedly from a corporate point.

It was a great movie to watch and comprehend.

Life simply is not simple. Our greatest minds it seems are only truly appreciated once no longer with us.

The lesson for me is this : believe in your own ideas and do not let other people crush them. The will criticise them and so be it – do NOT let this stop you. It seems that the vast majority of people are not visionaries and like to stick to the narrow confines of parameters that they hold on to despite a visionary  idea. Your break will come, albeit many years that may pass in-between. Don’t ever give up on yourself of your ideas.

A journey full of criticism and hard knocks,yet he changed the world

A journey full of criticism and hard knocks,yet he changed the world

stevejobs1