Category Archives: pump therapy

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 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

Dreams become reality


Yesterday something that I have dreamed about came true. Integrative, holistic, healthy, delicious, diabetology in motion.

We had our very first collaborative cooking class with Tanya Nicolson (The cookhouse) and Fran Steart (dietician). Food is a part of daily life. For many diabetics it becomes a bone of contention for so many reasons. Controlling the glucose is key to a long healthy happy life and yet so much of what we eat does the opposite to the blood sugar. Does that mean diabetics have to eat awful, tasteless “diabetic” food? NO!! No no no.

Enter our team with a meal created and crafted especially for this first occasion (and more to follow), “tested” in situ by real diabetics who tested both sugars and the actual experience of the class.

We are so excited to offer this concept to not only diabetics (though this is our starting point) but also for weight loss, general fatigue as well as other applications going forward. Eating is also about socialising, experiencing different things, tastes and emotions.

Thanks so so much to Tanya for all your research and perfecting (and I mean perfecting) this divine meal that has allowed minds and taste buds to open. Thanks to Fran for succinctly detailing information about carbohydrates and improving the process of understanding on a daily basis that is able to transform glucose levels and lives.cookingclass

It’s in the detail


Type 1 diabetes is a diagnosis that rocks most families and patients and affects the entire family dynamic for the rest of the patient’s life. It’s affect is minute to minute and second to second and quality of life is a very key thing that gets given a good shaking up – of all affected.

Have you ever had a drop in sugar? How did it make you feel? Can you imagine going from high to low like a rollercoaster most days? That is what some patient’s face. Hard for the patient, harder still for the parent/care-taker.

For some people the term “brittle” diabetes is a swear word and does not exist, for some people it is an excuse to run their sugars all over the show. For me the truth is somewhere inbetween.

Certainly in my experience there are definitley patients who are more sensitive to insulin and in tiny alliqots than other patients, especially children, women at different times of cycle/states of hormones etc. It becomes incredibly tricky to get the “dosing” right on 4 injections a day. The more sensitive one is to insulin the easier I find it to manage patients on an insulin pump. This will enable smaller doses, a 1/3 less of a total daily dose and easier titrations in these sensitive candidates.

Life after diagnosis is tricky and quality is key. Every minute and every second counts towards that. A roller coaster is no way to live. Rather a smoothie – nice even sugars, minimal variation and mostly at target makes for a happy patient.insulin pump