Welcome to our 80th & final Episode of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes. #AnytimeCT3CGM #MiWell

If you’re touched by diabetes in any way, whether personally or professionally, you're in the right place! Join us on this social learning journey as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues & stories, & together discover real answers to many vexing practical issues in diabetes & its care.

Stan & Michael open by discussing urinary tract infections in people with diabetes, what causes them & thinking laterally to manage them.

Wisdom well beyond his years…

This week, our studio guest is Tawana-Musa Munatsi aka Musa. Musa is a proud 32-year-old global citizen and ‘Mama’s boy’, navigating through life in the small business space as a director of an industrial procurement business, & digital ‘sterring'*, & balancing his type 1 diabetes with daily difficulties. Musa's passion for life, family and culture and his growth in self-awareness and wisdom shine through and make this an unmissable episode.

* 'Sterring' (n) adaption of English 'starring'. The main actor or character, action hero, starring role, protagonist, good guy, “someone who is really tough and undefeatable” (Mzansitaal).

Musa reflects eloquently on

• His diagnosis of diabetes 20 years ago while overseas
• His teen years growing up with diabetes & balancing the want to be ‘part of the majority’ with his own health interests & fears
• The ‘watershed’ moment of being confronted with the need to buy-in to his self-care
• The passing of his proud ‘role-model’ father 3 years ago
• The support he enjoys from his caring family
• The importance of honesty & being ‘easy to deal with' as a chronic health client
• Being diagnosed (eventually, after being mistaken as a drug abuser!) with epilepsy at a time where he was in the best physical shape of his life
• His love & appreciation for his mother
• Tips for enhancing accountability & responsibility for the self-care of his chronic conditions
• The benefits of continuous glucose monitoring in his life
• Being open to talk about diabetes to others

Advocacy message

Elré Clarence shares her thoughts on the ‘not ARTIFICIALLY Sweetened Podcast’ & sets our listener community a challenge to help us rise again…

Time to say goodbye…

Thank you to our loyal listeners for joining us along the way! Please take up our challenge to SHARE, SHARE, SHARE this podcast, or give us any other ideas, to help us to make our education and advocacy bear fruit. We’re praying for an advocacy & listenership miracle!

Remember that you can still find us on Spotify, Pocket Casts, Apple Podcasts & the LiSTN Audio App! Download your choice of app, search for 'not ARTIFICIALLY Sweetened' & give us a listen.

You're welcome to send your questions, suggestions, comments or contributions to ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

We’re back with Episode 79 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes. #AnytimeCT3CGM #MiWell

If you’re touched by diabetes in any way, whether personally or professionally, you're in the right place! Join us on this social learning journey as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues & stories, & together discover real answers to many vexing practical issues in diabetes & its care.

Stan & Michael discuss World Diabetes Day activities, celebrating the growing work done by diabetes advocates, but lamenting the relative media silence that persists around diabetes.

An iconic South African Physician

This week we are joined in studio by Dr Adri Kok, an extraordinary Specialist Physician in private practice in Alberton, South Africa. Her diabetes clinic was established in 1996 with a team comprising of diabetes educators, ophthalmology group, podiatrists and dietetics practices. Dr Kok is also a busy intensivist physician, external examiner and honorary lecturer for Internal Medicine at the University of the Witwatersrand, and a researcher, author and speaker in multiple fields.

Dr Kok serves in leadership roles on the boards of numerous national and international Professional Societies including having served as the president of the International Society of Internal Medicine after serving on the executive committee from 2014 as the first women and first representative of Africa to achieve this distinction.

Adri shares with us

• Why she works as both an intensivist and a chronic care physician and integrating the two approaches
• How her degree in Theology and spiritual approach to medical and self-care puts “fuel in her tank”
• Her interventions to enhance diabetes care and patient agency in the hospital setting
• Her long-standing community, policy and health professional advocacy work for diabetes
• Her international perspectives applied to local diabetes care
• Her passion for a variety of sports and the importance physical fitness both for self-care and positive role modelling
• Planning for her retirement and the multiple handover processes she is engaged in

Advocacy message

Elré Clarence shares her inspirational insights on ‘Diabetes and Wellness’.

Remember that you can find us on multiple streaming platforms including Spotify, Pocket Casts, Apple Podcasts & the LiSTN Audio App! Download your choice of app, search for 'not ARTIFICIALLY Sweetened' & give us a listen.

Nearly time to say goodbye…

Barring an advocacy & listenership miracle to make the continued production of this show viable, ‘not ARTIFICIALLY Sweetened’ will cease production with our 80th Episode to be recorded at the end of November.

Until then, we want to hear from you!

Email your questions, suggestions, comments or contributions to ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

We apologize for the delayed release of this Episode!

But, better late than never, welcome back for Episode 77 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes. #AnytimeCT3CGM #MiWell

If you’re touched by diabetes in any way, whether personally or professionally, you're in the right place! Join us on this social learning journey as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues & stories, & together discover real answers to many vexing practical issues in diabetes & its care.

Stan & Michael open by discussing the use of very low-calorie diets in the management of type 2 diabetes. These can ‘reset’ beta cell function & delay more intensive therapies like insulin or even achieve diabetes remission.

Advanced diabetes technologies – meeting expectations or disappointing them?

Sr Vanessa Brown, a highly experienced diabetes specialist nurse joins us in studio. With decades of experience, she shares:

• How she entered the field of diabetes after unfulfilling work in acute hospital environments
• Walking with her chronic clients in striving for wellness across their life phases
• Her growth as a clinician & educator & enjoying the clinical relationships needed in diabetes care
• Using a variety of diabetes technologies over the years
• The dramatic point at which insulin infusion pumps & continuous glucose monitoring technologies converged to enable ‘hybrid closed loop’ insulin delivery
• The limiting factor of the costs of technologies in diabetes
• Her thoughts on ‘who is right’ to use diabetes technologies & the importance of expectations
• What a diabetes specialist nurse /educator can add to the self-management of people with diabetes
• The importance of ‘looking below the surface’ for what is really going on before changing the medical ‘prescription’
• Her collaborative work with diabetes nurse educators globally
• ‘Red flags’ for referral to other diabetes care team specialists
• How diabetes technologies lead to improvements in quality of life
• The importance of human guidance to assist people with diabetes to extract the most value from using diabetes technologies – learn from the data!

Advocacy message

Gabriella Richter reminds us of World Diabetes Day, themed this year on ‘Diabetes and Wellbeing’.

Remember that you can find us on multiple streaming platforms including Spotify, Pocket Casts, Apple Podcasts & the LiSTN Audio App! Download your choice of app, search for 'not ARTIFICIALLY Sweetened' & give us a listen.

Nearly time to say goodbye…

Barring an advocacy & listenership miracle to make the production of this show viable, ‘not ARTIFICIALLY Sweetened’ will cease production with our 80th Episode to be recorded at the end of November.

Until then, we want to hear from you!

Email your questions, suggestions, comments or contributions for future episodes to @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

Here are the show notes for Episode 76 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes. #AnytimeCT3CGM #MiWell

If you’re touched by diabetes in any way, whether personally or professionally, you're in the right place! Join us on this social learning journey as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, & together discover real answers to many vexing practical issues in diabetes & its care.

Preventive maintenance – “fill your bag of experience before you run put of good luck…”

This week we are joined in studio by a vastly experienced Pilot who has served in Air Force, Commercial, Transport, Aerobatic and Flight Instructor roles, Captain Dennis Spence. Dennis talks to Stan and Michael about:

• His early air force days as an award-winning apprentice technician which opened doors to an Officers course
• Studying Aeronautical Engineering at Wits University and air force flying during university vacations
• Joining South African Airways as a second officer on a Boeing 707
• Flying domestic routes as a first officer on Boeing 727, 737-200 and the wide-body Airbus
• Flying long range routes in in Boeing 747 as Senior co-pilot and air freighters
• Seeing the world as a pilot
• Being selected for Command and progressing in seniority as a Selection and Training Captain
• His experience across a wide variety of aircraft platforms and giving his experience back to the airline industry
• His journey with diabetes which started soon after losing his wife in an aircraft accident
• The rigorous pilot flight medical programme which picked up his diabetes very early
• Medical requirements to ensure his safety as a pilot with diabetes and his lifestyle management
• The effects of flying across time zones on circadian rhythms, sleep and eating
• Parallels between airline safety and diabetes management and self-care

Advocacy message

Quintus Wouda updates our listeners on the progress of their million steps challenge and Diabetes Awareness Month in November – to contribute to their drive to raise funds for essential diabetes education visit their BackaBuddy link @ https://www.backabuddy.co.za/campaign/the-dia-buddy-1-million-steps-challenge

Remember that you can find us on multiple streaming platforms including Spotify, Pocket Casts, Apple Podcasts and the LiSTN Audio App! Download your choice of app, search for 'not ARTIFICIALLY Sweetened' and give us a listen.

Nearly time to say goodbye…

We end the show with a sad announcement that barring an advocacy and listenership miracle to make the production of this show viable, ‘not ARTIFICIALLY Sweetened’ will cease production with our 80th Episode to be recorded at the end of November.

Until then, we want to hear from you!

Email your questions, suggestions, comments or contributions for future episodes to @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

Welcome back to the show with Episode 75 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes. #AnytimeCT3CGM #MiWell

If you’re touched by diabetes in any way, whether personally or professionally, you're in the right place! Join us on this social learning journey as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, & together discover real answers to many vexing practical issues in diabetes & its care.

This week we talk about leadership and technology in diabetes care. We welcome into the studio a fine role model in this field, Professor Partha Kar. Professor Kar has been a Consultant in Diabetes and Endocrinology at Portsmouth Hospitals NHS Trust since 2008 and is National Specialty Advisor for Diabetes with NHS England. Prof Kar has a wide variety of interests in diabetes including the use of continuous glucose monitoring and hybrid closed loop insulin delivery systems technologies in diabetes, frailty, diabulimia, ‘Language Matters’, transitional care models, tackling inequalities in technology access based on deprivation, diabetes care in Primary Care Networks and social media in diabetes care.

“The best science is that which gets into lives”

Together with Partha, Stan and Michael discuss:

• Partha’s life path that took him into medicine and then to specialise in diabetes
• The differences between the approach used in specialist diabetes care and that in other specialities
• Leveraging the voice of people with diabetes to effect policy change
• How we overemphasise the ‘bad’ in people, and how Partha constructively engages in change management
• Changing leadership style as you learn and grow
• Managing the journey of funding of new diabetes technologies – the ‘tip of the spear’
• “Think like a patient and act like a taxpayer” - outcomes data is key!
• A strategy for closing care gaps
• The horizon for improving diabetes care
• The spirit behind #LanguageMatters
• Stakeholder responsibilities to enhance access to diabetes care
• How to stay on the ‘good side’ in policy making and health leadership – stay true to your values – collaborate, don’t collude

Advocacy message

Bridget McNulty encourages us to join the South Africans With Diabetes and Sweet Life ‘Wear blue for Diabetes’ campaign this World Diabetes Day on the 14th of November.

Remember that you can find us on multiple streaming platforms including Spotify, Pocket Casts, Apple Podcasts and the LiSTN Audio App! Download your choice of app, search for 'not ARTIFICIALLY Sweetened' and give us a listen.

We want to hear from you!

Email your questions, suggestions, comments or contributions for future episodes to @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

This week, Episode 74 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes, looks at diabetes and the eye!

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes. #AnytimeCT3CGM #MiWell

If you’re touched by diabetes in any way, whether personally or professionally, you're in the right place! Join us on this social learning journey as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, & together discover real answers to many vexing practical issues in diabetes & its care.

Stan starts the session by lamenting the ‘flogging’ of GLP-1 treatments for type 2 diabetes with inappropriate expectations that they can do everything needed – don’t forget insulin as an option!

The right person in front of the right practitioner at the right time

This week we focus on diabetes and the eye, and specifically on diabetes related retinopathy. Consultant Ophthalmologist, Dr Thekiso Selele joins us to unpack this. He shares

• His desire to help others which led to his training journey as a doctor
• His specialisation as an ophthalmologist to address reversible causes of potential vision loss
• Insights into his community work
• Insights into the development of diabetes related changes in the retina
• The importance of regular eye screening for mostly asymptomatic potential complications and the range of possible findings
• That unless advised otherwise, fundoscopy screening should, at a minimum, be done once a year
• Stages and grading of diabetic retinopathy and its generally poor correlation with symptoms
• The role of the fovea and macular oedema in the development of symptoms
• Potential treatments for sight-threatening eye disease
• The role of AI-guided fundoscopy interpretation beyond ophthalmology into the detection of signs of systemic disease and expanded access to non-invasive health screening.

Advocacy message

Nothando Maseko shares her perspective on the Advocacy Course presented by SA Diabetes Advocacy #AdvocacyMatters

Our streaming platforms

These include Spotify, Pocket Casts, Apple Podcasts (also on the web @ https://podcasts.apple.com/us/browse⁠), and the LiSTN Audio App! Download your choice of app, search for 'not ARTIFICIALLY Sweetened' and give us a listen.

We want to hear from you!

Email your questions, suggestions, comments or contributions for future episodes to @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

Welcome to Episode 73 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

Our platforms include Spotify, Pocket Casts, Apple Podcasts (also on the web @ https://podcasts.apple.com/us/browse⁠), or the LiSTN Audio App! Download your choice of app, search for 'not ARTIFICIALLY Sweetened' and give us a listen.

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes. #MiWell #AnytimeCT3CGM

If you’re touched by diabetes in any way, whether personally or professionally, you're in the right place! Join us on this social learning journey as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, & together discover real answers to many vexing practical issues in diabetes & its care.

'To transplant, or not...' with Irene Habermann

This week we talk about going beyond just treating type 1 diabetes with insulin replacement therapy. What about a cure? How could this be achieved? And what are the potential roadblocks and dangers we should consider along the way?

Stan and Michael start by reflecting on the past century of our ability to treat type 1 diabetes with insulin, the pathophysiology of the condition and why the prospect of a cure seems to be like a receding mirage of what looks like refreshing water in a scorching desert.

In keeping with our theme for this Episode, and on the back of recent research news of a new method of stem-cell derived β-cell replacement to possibly ‘cure’ type 1 diabetes, our studio guest is Irene Habermann. Irene recently retired as a docent at Hogeschool van Amsterdam, University of Applied Sciences, and she is also a Transformational & Success Life Coach.

In an incredible reflective journey, Irene recounts:

• Her life and her early experiences of feeling different both externally as a Dutch person living in the USA, and internally from age 5 as a person living with diabetes
• Being warned of her early demise from diabetes and that she should never have children – she proved all that was wrong!
• Her experiences living with diabetes in the USA, Holland & South Africa and how the care approaches differed
• Struggling with heart disease and the range of surgeries and treatments needed to survive this
• Receiving a whole pancreas transplant at the age of 47, the long recovery, the resultant need for immunosuppressant therapy, and how things changed for the better, and for the worse…
• Losing her pancreas transplant in a cycling accident & how she feels about this now…
• The differences between her diabetes self-care and attitudes now and as a young person
• The transformative power of continuous glucose monitoring in her life
• The importance of developing self-care responsibility in children with diabetes.

Advocacy message

Neo Moffat shares her growth as a diabetes advocate #BreakingStigma

We want to hear from you!

Email your questions, suggestions, comments or contributions for future episodes to @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

Join us for Episode 72 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

Our platforms include Spotify, Pocket Casts, Apple Podcasts (also on the web @ https://podcasts.apple.com/us/browse⁠), or the LiSTN Audio App! Download your choice of app & search for 'not ARTIFICIALLY Sweetened'.

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes. #MiWell #AnytimeCT3CGM

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, & together discover real answers to many vexing practical issues in diabetes & its care.

Stan starts the show reminding health professionals that type 2 diabetes presents as a range of phenotypes that may not be the ‘average’ expectation of what we think it ‘looks like’ - understanding this facilitates better and more insightful care.

Facilitated by Lurina Fourie, we answer YOUR questions

Regular nAs Team Member, ‘The Glucose Glitch’, Lurina Fourie, joins us again to seek answers to your questions. Lurina works like a Trojan as a T1D Advocate, poet, Content Creator and professional photographer, while living with type 1 diabetes. Before the Q&A session, we checked what’s happening in the advocacy space from Lurina’s perspective. Then we discuss queries from:

• Anonymous on the risks of improving blood glucose management too quickly - early worsening of diabetic retinopathy, treatment-induced neuropathy of diabetes, relative hypoglycaemia, & insulin oedema – “make haste slowly!”
• André as to why he experiences a mid-morning rise in blood glucose. André, apart from the general guidance offered in the podcast, please check that you're not developing hypoglycaemia just before your glucose starts to rise, & possibly overtreating this. We'd also like to explore what you eat or drink from the time you return from your run and when your blood glucose starts to rise, & if you need to take any medications that can raise blood glucose.
• Tato on when to take a 12-year-old for an eye test & what this checks. Also, at what age do young people understand their condition?
• Bianca on the effects of weather & regions on blood glucose levels – we chat about some biological, environmental & emotional influences
• Anonymous on how to help someone with diabetes become aware of ‘burnout’ #SupportIsVital
• Lurina – if you had only one make-or-break piece of advice for people with diabetes to approach their condition, what would that be?

Advocacy message

Sane Mazubuko thanks HCPs & also reminds them to remember the human aspects of living with diabetes #thrivewithdiabetes

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

Don’t miss Episode 71 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

Our platforms include Spotify, Pocket Casts, Apple Podcasts (also on the web @ https://podcasts.apple.com/us/browse⁠), or the LiSTN Audio App! Download your choice of app & search for 'not ARTIFICIALLY Sweetened'.

This Episode is brought to you in support of diabetes awareness & care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, & self-awareness to change lives for the better. Our deliberations are always honest, challenging & thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, & together discover real answers to many vexing practical issues in diabetes & its care.

“I was blind, but now I can see - the Rise of CGM Technology”

Basic diabetes education - this week, Stan and Michael review the recent rise of more accessible continuous glucose monitoring (CGM) technologies and share some vital insights:

• Only since the late 1990’s did we know that managing blood glucose levels lowers the risk of potential future diabetes related complications
• Why we need to monitor blood glucose levels in diabetes
• Crude historical proxy measures of blood glucose – e.g., urine tasting, chemical urine tests
• Indirect vs direct measures of blood glucose
• Finding glucose in the urine while taking SGLT-2 medications is expected!
• The role of the HbA1c test
• Capillary blood glucose monitoring - why repeat readings may vary & potential sources of errors
• Understanding the differences between finger-prick blood glucose testing & CGM
• Limitations of the HbA1c test & finger prick testing
• Exploring the need to understand & manage blood glucose excursions
• New management targets with CGM
• The benefits of shareable cloud-based rich CGM data & implications for enhancing diabetes care
• ‘Diabetes overwhelmus’ - data overload with CGM & how to handle this
• The components of typical CGM ‘systems’
• The indirect/proxy measure provided by CGM & the implications of this in daily glucose management
• Added insights into glycaemic trends & medications provided by CGM - using these to improve future outcomes
• CGM as a driver of advocacy
• The future of glucose monitoring
• The problem of the cost of CGM
• Hope for rapidly falling prices in the near future, possibly competing with the cost of finger prick monitoring
• CGM – an essential tool for management of T1DM, useful in certain people with T2DM & a huge future role as a wearable technology used as a proxy for measuring wellness
• “The data (from CGM) on its own is one thing, but what is done with the data is perhaps far more important than the data itself”

Advocacy message

Boitumelo Molema shares why advocacy is important to her – #safespaces

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity & type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses & costs & possibly achieve remission of their diabetes. More information & registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge & enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

We're proud to present Episode 70 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes !

Our streaming platforms include Spotify, Pocket Casts, Apple Podcasts (also on the web @ ⁠https://podcasts.apple.com/us/browse⁠), or the LiSTN Audio App! Download your choice of app & search for 'not ARTIFICIALLY Sweetened'.

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

“Diabetes care is about the whole person!”

Not everything is type 2 diabetes! Stan and Michael highlight the plight of a young man with ‘pancreatic diabetes’, who was misdiagnosed with type 2 diabetes. As a result, he presented at our clinic with 30 kg of weight loss due to the osmotic effects of hyperglycaemia and severe nutrient malabsorption because of the exocrine effects of his pancreatic disease. We also remind listeners of common warning signs of cancer – the earlier you act, the higher your chance of managing this potential health risk.

This week, we are joined by Daniel Sher, an experienced Clinical Psychologist with a professional focus directed toward working with people who have type 1 or type 2 diabetes.

Daniel helps us to understand:

• The role of a clinical psychologist
• Why it is so difficult to qualify as a clinical psychologist
• Psychological barriers in the self-care of diabetes and other chronic health conditions
• The derailing problem of ‘diabetes distress/burnout’
• The lack of funding for psychological care in South Africa and the resulting unmet needs
• The differences between physical and online psychology consultations
• His own lived experience of diabetes from the age of 18 months
• The important role that the late Prof François Bonnici played in his personal life and influence on his professional development
• Clinical supervision for clinical psychologists
• The roles of psychologist beyond one-on-one consultation encounters
• How hope can strengthen people touched by or involved in diabetes care in a proactive manner
• The importance of accurate thinking in diabetes care
• The routes to safety that lead us away from the things that we fear

Advocacy message

Shelly Schutte offers us an important #LanguageMatters-themed message that hope is so much more powerful than fear and shame

Diabetes advocates, Lindie Motsoane and Lyn Sewell share their feedback on the 26th CDE Postgraduate forum in Diabetes Management.

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

Episode 69 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes is out!

Find us on many platforms including Spotify, Pocket Casts, Apple Podcasts (also on the web @ ⁠https://podcasts.apple.com/us/browse⁠), or the LiSTN Audio App! Download your choice of app & search for 'not ARTIFICIALLY Sweetened'.

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

"Being a mom is always your first role & priority"

This week, we cover a topic of perennial interest with our studio guest, Cape Town mother of 2 boys, Annelien Els. Annelien trained as a registered dietician, but currently works full time in a sales position, trying to balance work and family life.

Stan and Michael explore with Annelien her pragmatic approach and her experiences as the mom of a young son recently diagnosed with type 1 diabetes:

• His unexpected diagnosis and initial ICU stay
• The change in her perception of diabetes as a health professional vs involved mother
• The seasonal timing of new diagnoses of type 1 diabetes in children
• Critical insights to avoid a misdiagnosis of type 1 diabetes in children
• Poor training of health professionals in diabetes care
• Feedback to health professionals on improving their care
• Impacts on family dynamics after diabetes enters the family – don’t neglect your other children!
• Dads and husbands please be involved!
• Handling sleep overs, birthday parties and school lunches
• The peace of mind and ability to act sooner with continuous glucose monitoring
• Managing common teen challenges
• Making insulin pumps more accessible, but are they essential?

Advocacy message

Janice Barnes talks about improving affordable access to insulin for all. Find out more @ T1International (www.t1international.com/) and South Africa #insulin4all (www.facebook.com/groups/insulin4allSouthAfrica)

In Memory

We close this episode celebrating the great lives of two health professionals who immersed themselves in South African diabetes care and advocacy over many decades:

Dr Vicki Pinkney-Atkinson (tributes from Sr Razana Allie, Anne Croasdale, Dr Patrick Ngassa Piotie & Margot Mc Cumisky).

UCT Emeritus Professor François Bonnici (tributes from Sr Jen Whittall, Sr Buyelwa Majikela-Dlangamandla, & Prof Joel Dave).

Public Domain Music: Edward Elgar - Enigma Variations, Op. 36: IX 'Nimrod', Conducted by John Barbirolli, Halle Orchestra, 1947

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

We’re back with Episode 68 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

Find us on many platforms including Spotify, Pocket Casts, Apple Podcasts (now available on the web @ ⁠https://podcasts.apple.com/us/browse⁠), or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (⁠https://cdeonline.co.za/⁠), the online store of choice for people living with diabetes.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

"Make sure that your story is heard!"

This week Stan and Michael reflect on just some of the many learnings from two Iconic CDE Meetings recently concluded:

Ethical Narratives in Chronic Care (23 August 2024) and

The 26th CDE Academy Postgraduate Forum in Diabetes Management (23-25 August 2024)

We talk about:

• The importance of stories and narratives in the provision of health care
• Person-centred connection skills in health professionals
• Non-healthcare insights that can enhance healthcare
• The rise of excess adiposity and diabetes in people with successfully treated chronic HIV infection
• Creative ethical solutions in solid organ transplants
• ‘Patient’ to ‘person’ - Inclusivity and narrative agency insights from personal storytelling
• Social determinants of health
• New technologies released at and presented on at the Forum
• Complementary medicine risks and the intersection of Western medicine with traditional medicine
• Coping with human development challenges in the ‘golden years’ like menopause, frailty and fall risk
• Coaching in total diabetes management #Brave! Sr Madelein Young
• The role of emotions in modifying our thoughts and our behavioural responses

We sign out with the sad news of the passing of a passionate chronic healthcare activist and advocate, Dr Vicki Pinkney-Atkinson

Advocacy message

Elré Clarence gives an update on their million steps challenge for Diabetes Advocacy

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ ⁠Podcast@CDEDiabetes.co.za⁠

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ ⁠https://academy.cdeonline.co.za/vlcd-course/⁠

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ ⁠https://my.learna.ac.uk/l/diabetes-ambassador-cde

Welcome back for Episode 67 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

Find us on many platforms including Spotify, Pocket Casts, Apple Podcasts (now available on the web @ https://podcasts.apple.com/us/browse), or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes, and CDE MiWell™ (https://cdeonline.co.za/miwell/) Reduced Calorie products.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

"Diabetes can be prevented, treated and managed. No one should be left behind"

Dr Patrick Ngassa Piotie, 2024

We are privileged to welcome back in studio, Dr Patrick Ngassa Piotie, a medical doctor with a PhD in public health. Patrick is a passionate clinician, researcher, leader and advocate in the field of diabetes and non-communicable diseases, and he bravely ‘speaks truth to power’'.

In an unmissable Episode, we discuss with Patrick:

• The ‘whole of government, whole of society’ problem of diabetes in South Africa
• Social and commercial determinants of health
• The history of the SA Diabetes Alliance Diabetes Summit
• The 2023 Summit which focused on the National Strategic Plan for Non-communicable Diseases & translating diabetes policy and targets into reality
• Themes and Key Recommendations to improve diabetes prevention and care in South Africa.
• The importance of these recommendations for people accessing both public and private sector health care
• The handover of the 2023 Diabetes Summit Report and Recommendations to the National Department of Health, a key inflexion point in the journey to improved diabetes care and advocacy
• Holding policy-makers to account and ensuring the recommendations are translated to action
• What is needed to effect change in diabetes management – YOUR participation is critical!
• His wisdom gained along the way

View the Report and a 2023 Summit recording here: https://www.diabetesalliance.org.za/diabetes-summit-2023/

Advocacy message

Registered dietitian and person living with type 1 diabetes, Misha Kruger, shares why she thinks Diabetes Advocacy is important

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ Podcast@CDEDiabetes.co.za

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ https://academy.cdeonline.co.za/vlcd-course/

Iconic CDE Meetings this August!

Ethical Narratives in Chronic Care (23 August 2024)

The 26th CDE Postgraduate Forum in Diabetes Management (23 - 25 August 2024)

To register for these deep learning experiences, visit:

www.cdediabetes.co.za/ethical-narratives-in-chronic-care

www.cdediabetes.co.za/annualforum

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ https://my.learna.ac.uk/l/diabetes-ambassador-cde

Join us for Episode 66 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

Find us on Spotify, Pocket Casts, Apple Podcasts, or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes, and CDE MiWell™ (https://cdeonline.co.za/miwell/) Reduced Calorie products.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

We start the show with another vital CDE Hotline lesson – don't miss this one!

“Change adversity into advantage with the right mindset!”

Joining us in studio this week is Sensei Graham Chamberlain, a 4th Dan karate practitioner with 32 years’ experience. Graham has also lived with type 1 diabetes since 2001 – he has used a hybrid closed-loop insulin pump/CGM system since 2018, and our discussion with him reveals his deep understanding of diabetes and its self-management.

In an amazing testimony to how diabetes can be managed, Graham has competed in 5 World Karate Championships post diagnosis, and he is the Dojo head of the Western Cape Shotokan Karate Academy in Helderberg, Somerset West. Apart from karate, Graham is extremely active physically, being a passionate skateboarder, surfer, hiker, and runner.

Graham also works as a medical sales representative for the Altys Group, specializing in diabetes, hypertension and health and wellness products.

All this makes Graham a great advocate for diabetes, and for what is possible living with the condition. Graham is married to Yolandi, and they have two teenage daughters, Stella and Amy – he values their support and care for him throughout the daily challenges he must negotiate.

With Graham, we chat about

• His diagnosis with type 1 diabetes at his 1st Dan grading
• Being told by an endocrinologist he had to give up his world champion karate dream – “I rebelled!”
• Coping with the demands of karate and diabetes
• His role in diabetes advocacy
• Using visualisation to achieve his life and diabetes goals - “What if?”
• Karate lessons that anyone can apply to diabetes self-management - wow!

Advocacy message

Clinical dietitian Mbali Tlhapi joins us with her take on the Importance of Advocacy

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ Podcast@CDEDiabetes.co.za

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ https://academy.cdeonline.co.za/vlcd-course/

Iconic CDE Meetings this August!

Ethical Narratives in Chronic Care (23 August 2024)

The 26th CDE Postgraduate Forum in Diabetes Management (23 - 25 August 2024)

To register for these deep learning experiences, visit:

www.cdediabetes.co.za/ethical-narratives-in-chronic-care

www.cdediabetes.co.za/annualforum

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ https://my.learna.ac.uk/l/diabetes-ambassador-cde

Check out Episode 65 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

Find us on Spotify, Pocket Casts, Apple Podcasts, or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes, and CDE MiWell™ (https://cdeonline.co.za/miwell/) Reduced Calorie products.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

Time is Tissue!

Our studio guests this week represent Diabetes Africa, a non-profit NGO headquartered in the UK, and active in Africa and in countries with African and Caribbean populations.

We meet Dr Joan St John, a UK doctor with a special interest in diabetes and Luxmi Dhoonmoon, a Tissue Viability Nurse Consultant working for the London North West University Healthcare Trust.

Joan and Luxmi discuss their work, their involvement with Diabetes Africa, and an important new resource they have co-authored with others, a Handbook on Diabetes Footcare in Dark Skin Tones (Download free @ https://diabetesafrica.org/footcare-handbook/).

N.B. this beautifully curated Handbook contains many graphic and potentially disturbing images of the potential impact of diabetes related complications – with best-practice team-based diabetes care, most of these harms can be minimised or avoided.

Together we chat about:

• Addressing health inequalities and inequities in underserved UK populations
• Carbs & Cals World Foods, the first book to provide a comprehensive and visual way to illustrate the carbohydrate content of traditional foods of Black, Asian, Arabic and Caribbean communities.
• Diabetes Africa and their mission and work
• How Joan and Luxmi became involved in diabetes care
• Diabetes-related foot care challenges in the UK
• Their new inclusive book and the new care enhancing insights and approaches it reveals
• The seriousness and urgency of diabetes related foot ulcers
• Changes in skin tone vs erythaema - skin tone and ethnicity aren't the same!
• Working with the ‘whole’ person and not just the ‘hole’ in the foot

Advocacy message

Quintus Wouda on why diabetes advocacy is vital!

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ Podcast@CDEDiabetes.co.za

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ https://academy.cdeonline.co.za/vlcd-course/

Iconic CDE Meetings this August!

Ethical Narratives in Chronic Care (23 August 2024)

The 26th CDE Postgraduate Forum in Diabetes Management (23 - 25 August 2024)

For more info on these deep learning experiences, and to register, please visit:

www.cdediabetes.co.za/ethical-narratives-in-chronic-care

www.cdediabetes.co.za/annualforum

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ https://my.learna.ac.uk/l/diabetes-ambassador-cde

We’re back with Episode 64 of THE podcast packed with unfiltered reflections on all thing’s diabetes, 'not ARTIFICIALLY Sweetened'!

You can find us on Spotify, Pocket Casts, Apple Podcasts, or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes, and the new range of CDE MiWell™ (https://cdeonline.co.za/miwell/) Reduced Calorie products.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

“If they can hear you, they can help you!”

Our studio guest this week, all the way from the United Kingdom, is Katharine Barnard. Kath is a busy mom, as well as a Professor of Health Psychology and internationally renowned expert and thought leader, who specializes in the psychosocial impact and management of illness and chronic health conditions. Katharine’s goal is to minimize the burden of diabetes for people living with it and to reduce the burden on healthcare professionals providing crucial support.

With engaging passion, humour and energy, Kath reflects on

• Her journey into the professional field of diabetes and her role in the psychosocial aspects of care
• Important qualitative / person-centred and reported outcomes in the context of lived experience
• The development of an easy-to-use digital, AI-powered clinical tool to assist in revealing unmet needs and improving the connection between people living with diabetes and their care team
• Some practical examples of how her work can help improve diabetes self-management
• The diagnosis of type 1 diabetes in her 4-year-old son and managing this as a single mom

Kath also gives a shout-out to our recent inspirational studio guest, Salih Hendricks

Kath is open to help with relevant requests @ KatharineBarnard@bhrltd.com

We close out the show with a great lesson from our 24-hour Hotline – CGM does NOT negate fingerprick testing!

Advocacy message

“The world needs our light” - Lurina Fourie shares some ideas on how to get involved in advocacy

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ Podcast@CDEDiabetes.co.za

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ https://academy.cdeonline.co.za/vlcd-course/

Iconic CDE Meetings this August!

Ethical Narratives in Chronic Care (23 August 2024)

The 26th CDE Postgraduate Forum in Diabetes Management (23 - 25 August 2024)

For more info on these deep learning experiences, and to register, please visit:

www.cdediabetes.co.za/ethical-narratives-in-chronic-care

www.cdediabetes.co.za/annualforum

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ https://my.learna.ac.uk/l/diabetes-ambassador-cde

Welcome listeners to Episode 63 of THE podcast packed with unfiltered reflections on all thing’s diabetes, 'not ARTIFICIALLY Sweetened'!

You can find us on Spotify, Pocket Casts, Apple Podcasts, or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes, and the new range of CDE MiWell™ (https://cdeonline.co.za/miwell/) Reduced Calorie products.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

52 years living with diabetes - "take care of every day!”

Our studio guest this week is Alexandra van Essche, Founder and Director of Alexandra van Essche Communications. Alexandra is an accomplished writer and communications specialist with a focus on both infectious and non-communicable health conditions, in addition to being a passionate diabetes advocate with 52 years of lived experience.

Alexandra share details of her life with diabetes including

• Her gratitude for the new technologies and the holistic care we are now blessed with
• Shifts in care over her life
• Stigma and discrimination in the workplace and the concept of ‘reasonable accommodation’
• The state of diabetes advocacy and care in South Africa at both policy and community levels
• How the food industry and obesity are driving the prevalence of diabetes
• A salute to Margot McCumisky from Diabetes SA for her tireless advocacy work in South Africa
• Her support of a friend facing a lower limb amputation in the public sector
• A message of motivation for all with diabetes

Advocacy message

Elré Clarence shares her 1 million steps challenge to raise funds for diabetes education! For more information, contact Elré Lurina, and Quintus through our show email address, Podcast@CDEDiabetes.co.za

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ Podcast@CDEDiabetes.co.za

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ https://academy.cdeonline.co.za/vlcd-course/

Iconic CDE Meetings this August!

Ethical Narratives in Chronic Care (23 August 2024)

The 26th CDE Postgraduate Forum in Diabetes Management (23 - 25 August 2024)

For more info on these deep learning experiences, and to register, please visit:

www.cdediabetes.co.za/ethical-narratives-in-chronic-care

www.cdediabetes.co.za/annualforum

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ https://my.learna.ac.uk/l/diabetes-ambassador-cde

Join us for Episode 62 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

You can find us on Spotify, Pocket Casts, Apple Podcasts, or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes, and the new range of CDE MiWell™ (https://cdeonline.co.za/miwell/) Reduced Calorie products.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

“Live your life with diabetes”

Stan and Michael are joined in studio this week by Salih Hendricks, a kind and generous person who has lived with type 1 diabetes for 42 years and who experienced a lower-limb amputation 4 years ago. Salih is a fervent advocate for diabetes, and he shares his lived experience with many around the world on a wide variety of platforms .

Salih shares a lifetime of experiences and insights:

• His association with the long-standing advocacy organisation, Diabetes South Africa
• How he was ‘born’ into diabetes and his family life surrounded by the condition
• His double diagnoses of diabetes insipidus at 12 and type 1 diabetes at 17 years
• His time of denial and rebellion - “I just wanted to live a normal life”
• ‘Paying it forward’ by warning others about the regret he feels from the years of his denial of diabetes
• The shock of the diagnosis of his son with type 2 diabetes at age 21
• His passion for global diabetes advocacy, peer support and preventative diabetes care
• The complications of diabetes within his family
• His misdiagnosis of peripheral arterial disease which resulted in his lower limb amputation
• Diabetes and its potential complications
• The importance of the clinical psychologist in diabetes care and in coping with the grief of his limb amputation
• The blessing of diabetes in his life

Advocacy message

Lindie Motsoane shares her passionate efforts in community diabetes advocacy

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ Podcast@CDEDiabetes.co.za

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ https://academy.cdeonline.co.za/vlcd-course/

Iconic CDE Meetings

Ethical Narratives in Chronic Care (23 August 2024)

The 26th CDE Postgraduate Forum in Diabetes Management (23 - 25 August 2024)

For more info on these deep learning experiences, and to register, please visit:

www.cdediabetes.co.za/ethical-narratives-in-chronic-care

www.cdediabetes.co.za/annualforum

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ https://my.learna.ac.uk/l/diabetes-ambassador-cde

We’re back with Episode 61 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

You can find us on Spotify, Pocket Casts, Apple Podcasts, or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes, and the new range of CDE MiWell™ (https://cdeonline.co.za/miwell/) Reduced Calorie products.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

Facilitated by Lurina Fourie, we answer YOUR questions

Again, we welcome a regular member of our team back to the show, ‘The Glucose Glitch’ Lurina Fourie, T1D Advocate, poet, Content Creator and professional photographer living with type 1 diabetes. Lurina joins us again to involve you our listeners by sourcing your pressing questions on anything related to diabetes.

We answer your questions on:

• the correct needle length for insulin pens and why we make the choice
• flu vaccinations in young children – yay or nay, and if the vaccine makes you ‘sick’
• why women in South Africa and beyond are more affected by deaths due to diabetes
• why people with diabetes may experience extreme nausea when blood glucose levels drop
• hypoglycaemia unawareness
• ‘dead in bed’ syndrome
• The ‘off-label’ use of SGLT-2 inhibitor medications in people with type 1 diabetes
• Insulin and exercise, even unplanned or unexpected exercise like housework, trying on clothes and sexual activity

We hope that this episode will help you to engage with more insight with your diabetes care team!

Advocacy message

Sarah Winkelmann shares her supportive commitment to diabetes advocacy. Please support her fund-raising campaign for SA Diabetes Advocacy!

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ Podcast@CDEDiabetes.co.za

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ https://academy.cdeonline.co.za/vlcd-course/

Iconic CDE Meetings

Ethical Narratives in Chronic Care (23 August 2024)

The 26th CDE Postgraduate Forum in Diabetes Management (23 - 25 August 2024)

For more info on these deep learning experiences, and to register, please visit:

www.cdediabetes.co.za/ethical-narratives-in-chronic-care

www.cdediabetes.co.za/annualforum

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ https://my.learna.ac.uk/l/diabetes-ambassador-cde

Join us for Episode 60 of 'not ARTIFICIALLY Sweetened', THE podcast packed with unfiltered reflections on all thing’s diabetes!

You can find us on Spotify, Pocket Casts, Apple Podcasts, or the LiSTN Audio App!

This Episode is brought to you in support of diabetes awareness and care by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes, and the new range of CDE MiWell™ (https://cdeonline.co.za/miwell/) Reduced Calorie products.

Whether you're living with diabetes, a health professional that facilitates diabetes care, or supporting someone with diabetes, you're in the right place! Join our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations are always honest, challenging and thought provoking. Nothing is off the table as we meet real people, discuss their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care.

The heart of a wonderful mom - designing our wished future

Our studio guest this week is Mieke Steenekamp, a young mother, registered dietitian and ‘not ARTIFICIALLY Sweetened’ listener who approached us with a request to dive deep into pregnancy and T1DM.

In a vital episode, Mieke shares insights into her

• diagnosis with type 1 diabetes as a teen
• client and mentee relationship with diabetes specialist nurse, Sr Maureen Barnard
• decision to get into diabetes professionally as a dietitian – “diabetes chooses you”
• pregnancy journey, easy in the beginning and difficult at delivery and in the weeks thereafter
• internal struggle to share the learnings of her story with others, but “not out of a place of bitterness”
• insulin needs during and after her pregnancy and her fears around her blood glucose levels
• delivering her large for gestational age baby
• missing the initial bonding experience and the trauma of her daughter needing NICU care
• thoughts on hurtful language choices used during her birth experience
• struggle to institute and maintain breastfeeding while fighting hypoglycaemia
• thoughts on a next pregnancy

In the conversation, Stan and Michael review some key insights around pregnancy and care of a newborn in the context of diabetes. We also answer some pressing questions from Mieke and her friends with diabetes - “will I struggle to fall pregnant”, “what are the risks for miscarriage?”, “does the treatment of pre-eclampsia mean I can't breastfeed?” and “are conception risks higher with older age for women with diabetes?”.

Advocacy message

This week, Alexandra van Essche encourages health professionals to ask an important question of their clients, “is there anything you are not telling me?”

We want to hear from you!

If you have any questions, suggestions, comments or contributions for future episodes, or if you'd like to advertise on this podcast, email us @ Podcast@CDEDiabetes.co.za

For health professionals working in diabetes

The 6-Module, 23 CPD point CDE Academy Very Low-Calorie Diet Course for Healthcare Professionals can help you assist your clients with excess adiposity and type 2 diabetes to improve their cardiometabolic risk profile, reduce their chronic medication burden, doses and costs and possibly achieve remission of their diabetes. More information and registration @ https://academy.cdeonline.co.za/vlcd-course/

Iconic CDE Meetings

• Ethical Narratives in Chronic Care (23 August 2024)
• The 26th CDE Postgraduate Forum in Diabetes Management (23 - 25 August 2024)

For more info on these deep learning experiences, and to register, please visit:

www.cdediabetes.co.za/ethical-narratives-in-chronic-care

www.cdediabetes.co.za/annualforum

Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Sign up for a second year to earn an MSc in Diabetes. Gain a competitive edge and enhance your client care! Register @ https://my.learna.ac.uk/l/diabetes-ambassador-cde