Category Archives: Uncategorized

London, closed loop and life :)


The Kings’s College London type 1 diabetes clinic is a world class unit that delivers care to patients lucky enough to live in the area as well as beyond (on a referral basis). It is a humble prefab building in the great metropolis of King’s College and home to a team of health care professionals who embody team. I was priviledged to attend a course there last week in London.

Call me a nerd but a 2 day learning experience is a great great highlight in my life.

I have always embraced the team approach to diabetes and these guys rock at it. From resident pschologist as part of the team to mulit-disciplinary meetings across the team there is not actually a level of care that functions outside of a “team”. And the patients benefit from this approach.

The learning more specifically last week was focused on learning from the medtronic 670 g “closed loop” patients and how amazingly well the algorythm can perform and what a “miracle” way of delivering insulin this is for a lot a patients. How we can apply lessons to our other patients in terms of how best to use insulin and information.

Technology certainly is both exciting as well as exceptionally clever as regards type 1 diabetes and being a part of this revolution so to speak is something I am extremely grateful for.

Thank you again to Medtronic, to King’s College and to everyone who made this learning possible. london

 

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Perspective, plain site…


Life is a rollercoaster chocolate box that dishes one out a random mix of stuff and sometimes pulls back from you entirely and leaves one confused and bemused.

However at least with age one gains a little more perspective and the ability (as a woman) to control (albeit not entirely) one’s emotions. And this is like pure gold. The ability to step back (so to speak figuratively) and “cognitively” digest things and “prepare” a cold clever response that may well be unexpected and certainly perplexes the individual perpetuating the patriachy.

The rollercoaster is often a fixed item over which control is not had. However it seems that later on in life one is able to “hover” above the chaos for milliseconds that are little bursts of miracle moments.

Plain site also becomes a more plain. Which seems crazy but somehow the blinders of youth really do just that and as the time and clock tick the site improves – at least the sight of the soul ๐Ÿ™‚

And for this I am grateful ๐Ÿ™‚peace

NHI and what is to come…because it IS coming!


The NHI will certainly be coming whether or not it is yet another train smash as we have experienced with every state run institution or not. Will it be a better south africa ? That remains to be seen.

What is unequivocal is that it is coming and it WILL be implemented. Does that make me want to run away. Yes, yes and yes. Am I going to ? No, no and no. I have personal reasons for staying but I do believe that we also need better health care for the majority and NHI may well aid in a small way to some kind of “fairness” when in the past there has been gaping holes of “unfairness”.

I would like to start a new movement of positivity and seeing the opportunities in south africa.

Face it, there is no perfect place in the world. People are the problem. And they are everywhere. However there are also unique wonderful people who are everywhere.

Also in this place we call home with wide aching gaps there are opportunities for both financial prosperity as well as kindness prosperity – which is all we go to the grave with.

So will NHI be a challenge. Yes it will. Does it mean the end of health care for the wealthy or relatively wealthy (bear in mind there are folk who survive out here each month on R1000 a month). No, I hope not. Is there opportunity to assess this situation and find a new way regarding the epic challenges that face us like diabetes, hypertension and the complications thereof ? Yes. I believe necessity is the mother of invention and as health care practioners it is yet another to re-evaluate and use our God given brains to come up with a palatable solution.

Kindness is one of the few things we take with us. And death is a certain guarantee.

So let’s start there and move outward as the ripples on the sea when a stone skips over the surface. South african’s are adaptable at large and we are able to see and do the positive, come with me.

Basal Iq -it’s here and yay of yayness


plerTandem t slim have basal Iq on offer. It has arrived. The great wonderful benefit of the algorithym is that it has very simple rules and is robust in it’s ability to prevent lows suspend insulin and recommence as soon as the trend picks up.

One of the biggest conundrums with insulin is not enough results in high sugars and too much even just a little too much results in lows and no two days are ever the same for diabetics.

This new offering offers a solution.

And if you know what lows feel like and do to your functioning you will recognise the benefit. For longterm health this is a huge benefit. All the new trials confirm that TIR – time in range is what saves : eyes, limbs, kidneys, hearts and brains.

Thanks to ethitech for bringing this to market.

Yay yay yay for patients.

Basal IQ – I can’t wait :) it’s sooo exciting


T slim will be coming to market with a product called basal IQ which is to say “smart basal insulin” that is delivered in acute “communication” with a sensor of glucose readings to as to keep sugars “in range” tightly with no lows, hypos or highs/spikes.

Anyone who has actually felt the feeling of a sugar of 2 mmol/l or 15 mmol/l will know how “kak” it feels. Add to this how bad it is for your brain and organs at large and the era of this kind of wonderful advent becomes like Christmas in July !

It’s revolutionary, it’s brain saving. It’s limb saving. It’s heart saving.

I can almost not contain my excitement at the delight of this arriving.

Watch this space #tslim #dexcomG6 #happinessatsugarcontrol

Clever basal insulin is the way forward.

 

 

670G medtronic – a lesson for all diabetic practioners in a very good way :):)


The new 670G medtronic pump is truely a wonderful amazing device.

What suprised me more than anything else is what an absolute pearl of a lesson it is in terms of how insulins work and the daily awful grind and variability of being a type 1.

Honestly congratulations to this development team, you have come up with a genius product. Genius!

It expertly and simply solves for so many of the dilemmas type 1’s face daily. And in a safe and perfect way.

Truely a product that answers so many of the questions that we have up to now not solved.

Thank you thank you thank you.

THe MARD was my biggest happiness on the sensor – 8.7- wow-Yay!

So many reasons that in my opinion as many type1 patients should get onto this technology in terms of cost saving in the long run for med aid schemes and longevity with quality for patients both old and young.

I nominate it for product of the year.

Problems it solves for :

1.) daily variability (automatic adjustments according to blood glucose)

2.) hypoglycemia – on a downward trend of sugar readings it keeps decreasing insulin as to prevent a low and then eventually suspending insulin so as to prevent the low from happnening, as soon as the sugar trends up it resumes insulin and keeps adjusting

3.) high sugars – on an upward trend it increases insulin (up to a preset SAFE) level with alarms and alerts so as to prevent the high sugar

4.) variability immediately improves as does TIME IN RANGE

5.) multiple layered safety catches in case of problems

 

A tigress and her cubs …zoo wonderfulness


We were priveledged to go to the johannesburg zoo last week and walk around. Man we were treated to royalty.

The tigress and her “bred in captivity” cubs were on show and it was spectacular beyond belief. I have never seen a tigress before and the degree of royalty, beauty, bestiality and just sheer grandiosity blew my mind completely.

How anyone could ever harm such a creature is the reason we are so screwed up. It’s beyond me completely.

The cubs kept biting her on the bottom and she kept swotting them with her half a human size paw. And then on occasion wrestling them into submission. The lesson for me was the tranquility with which she “mothered”. Unperturbed, calm, serene, firm and yet gentle.

I was in awe and it made me think about life in a way that I had not prior to this experience.

Nature is like an unwinding perfect spiral ever increasing in grandiosity and simple splendour with an innate perfection built into it and then we come along -the human race and stuff it up like 150%.

Sometimes one needs to just take a walk on the “wild side” at the zoo ๐Ÿ™‚ and think beyond our own pathetic existence and circumstance.