Category Archives: knowledge

Celebrate and live each minute


Our time on earth is limited by a number none of us know. The quality that we experience depends almost entirely on us – each one, in our own capacity.

Life is very short for some and interminably long for others. The enigma is that there is no way of knowing.

Where does that leave us each, individually?

Life is a strange bag of tricks and boils down to little more that about 40-60 years on average of a daily slog : waking, working, paying for things, sleeping. And yet it can be so much more. It can be.

It depends entirely on your own self. The quality of each minute. The minutes add up and create memories. But essentially if you are not present in the present and enjoying that very minute wholeheartedly it may be a wasted minute, hour, life.

I wish we knew in a way. The hours we each had and the moments that we should make count.

But we don’t.

Perhaps only when you lose a loved one do you re-evalute life on a minute to minute basis.

Today actually counts for more than you think and if you understand that in the realm of time and space we are each such a small inconsequent speck that may or may not live another day, surely it’s worth making this very minute worth it.

Sorrow and sadness fill my being for the loss of a life so huge at some moments and so full of the very essence of life. He lived indeed and took the time to make it special. I so hope that one day I will understand the reason we have a this life and a “death” or after life. I certainly don’t today.

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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 ;).

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

Coxsackie,yuppie flu, post viral fatigue


Anybody who has not witnessed firsthand or experienced this evil is willy-nilly able to say that this vile vulgar viral disease is “all in your head”. I can tell you that there is no-one on this green earth who voluntarily goes through the ordeal that comes with this virus. It literally flattens you in more ways than one.

I have seen countless patients afflicted with it and whilst “science” on many levels questions this disease (instead of getting on with more accurate diagnosis) it is a disease that no-one wants and is more than happy to get rid of the day it leaves their bodies.

I have to ask though why the medical profession at large is sceptical and ridiculously pathetic when it comes to diagnosis as well as treatment (of which there is little). And once again in my mind it goes back to something similar to semelweiss. The washing of hands idea disdained by so many pompous egotistical physicians turned out to be one of the most important discoveries of science and prevention of transmission of disease. Why are we so arrogant? Who gave us this “god” complex?

When we don’t fully understand something or don’t know we simply say it must not/can not exist and therefore the patient themselves must be “mad” ????????????

Surely surely we have gone past this aged way of thinking ?

No, alas it seems we have not. We will not admit we don’t know. Rather make it the patients added problem.

I think it is sad and poor.

I only hope that none of these arrogant physicians ever actually come down with it as they may lose their egos in the process.viruss

Google the semelweiss history – it’s interesting and very very sad. Sad because why can we not drop ego and rather try to understand what the very truth of the matter indeed may be.

Pump for me or not for me?


Report back : We had a marvellous discussion about pumps on wednesday evening. Highly enjoyable and informative, even our pump patient learnt something.

JOIn us today : On wednesday night 530 pm in Hilton Pietermaritzburg we will be holding an informal hour discussion about pumps -insulin pump therapy. What is pump therapy ? Who “qualifies”? What is the benefit. Is it for everyone who injects insulin?

Feel free to join us for free for an hour to explore the “pump market” in south africa and get first hand feedback from “pump” patients 😉

Diabetes cure?


There are various teams around the world – dedicated scientists and enthusiastic people working on all aspects of diabetes – trying to find prevention, cure, treatments – better, onwards and upwards. The diabetic scientific community at large strive for better quality of life.

There are also many snake juice paddlers as there are fake news folk. Do not be duped or sucked into some scam.

It’s a pity that in the light of such a huge and devastating epidemic there would be folk peddling snake juice and basically lying to a vulnerable subset of people. But that is life and ours the task to engage the brain and always question.

New treatments, closed loop technology and cures are on the horizon and I salute the many people working around the clock to accomplish that. Please the internet if FULL of rubbish – surf wisely.

Women uniting


One thing’s for sure it seems that women have found a voice and their inside beast has been shaken and woken. Riled. No longer will we put up with atrocities of the past and trying to be silenced by patriarchy.

It is not ok to carry on the way Donald Trump has on videos etc and think that this can be swept under some great big male carpet.

It is not ok to break down years of progress made by women at large in terms of struggles fought on many levels.

I am delighted to see woman globally uniting and voicing their own truth.

It’s almost guttural and certainly from a very strong deep place inside. It’s certainly pro unity and taking a stand.

From madonna to Ashely Judd to Michael Moore. From the USA to australia. Unity.

Yes we are diverse. Yes we are a rainbow. Yes we are not the same. But yes we are united.

So where these odd men think they can sit around a table and legislate things that they will never understand.

A man will never understand the process of bearing a child. From conception to death of that same child.

And interestingly there is not a man on the planet who was not birthed through the channel of a women- and they dare to speak of respect – oh my word!

I would love for this to change biologically and maybe someday it will. When hormone patches were put onto men in a trial (perimenopause trial) 100% of them became unstable and unhappy to say the least, so it will truly be an interesting day if that does happen.

I am glad women at large have been riled and are speaking out. I do hope that there will  be ears that will listen and at the very least engage in debate and try to understand what it is that has riled womanhood.

I was riled yesterday to the point of boiling over into this article. Luckily in my case reason did prevail and I am very grateful. I will take this a a great positive step forward.