Welcome to Episode 24 of 'not ARTIFICIALLY Sweetened'! With listeners in 23 countries, this Episode is brought to you in support of diabetes and awareness by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes. If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. This week, Stan and Michael reflect on the growing public health challenge of meeting the needs of older people with diabetes globally. Possible deintensification of treatment and the risks of hypoglycaemia may be two important things to remember. We also touch on the relationship between impaired awareness of hypoglycaemia and ‘diabetes distress’. “The light shines in the darkness, and the darkness has not overcome it” John 1:5 NIV Bible We were blessed to be joined in studio this week by another significant South African, ‘superhero’ Karyn Maughan, specialist legal journalist and analyst at News24, well-known for her analysis of high-profile and far-reaching legal matters. Karyn is also a documentary producer, broadcaster, author of three books including, "Nuclear: Inside South Africa's Secret Deal", and she lives with type 1 diabetes. Karyn shares Details of her diagnosis of diabetes 40 years ago Her supportive home, school and work environments A personal ‘wilderness’ period at university where she tried to ‘cure’ her diabetes through excessive exercise How losing ‘control’ of diabetes made her feel like she was a ‘failure’ and not in control of her life, and reluctant to ask for help Her eventual realization that diabetes is a difficult, complex chronic condition that does not define her as an individual, and that people are available to help her with empathy and without judgement Aspects of her career investigating and exposing the dark underworld of society and the war for the soul of South Africa How her faith in God helps her to use her talents to pursue truth without fear despite intimidation and harassment The toll of her work on her diabetes and her family Her thoughts on inequality and social justice in diabetes care and the tremendous burden of self-management in people who live in poverty and less able to articulate and access their needs in life and death situations Her anxieties around the implementation of the moral and ethical imperative of NHI Overcoming physical and developmental challenges following a birth-related brain injury with the immense support of her parents Her light… In our next Community Advocacy Message, Kirsten de Klerk from SA Diabetes Advocacy reminds listeners of one of their projects addressing some of the biggest issues faced by people living with diabetes - food insecurity Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ 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 for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

Welcome to Episode 23 of 'not ARTIFICIALLY Sweetened'! With listeners in 22 countries, this Episode is brought to you in support of diabetes and parkrun awareness by parkrun, a free, weekly community event at more than 2,000 locations in 22 countries across six continents. At parkrun, held every Saturday morning, you can walk, jog, or run the 5 km timed route or volunteer or spectate. For more information and the location of a parkrun near you, check out www.parkrun.co.za or www.parkrun.com, and we hope to see you next Saturday! If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. In this bumper Episode we have two guests: First up is world record-breaking ultramarathoner and Comrades Marathon legend, archaeologist, political activist, volunteer, author, sports columnist motivational speaker, and the chief executive officer of the South African Sports Trust, Bruce Fordyce – although very proud of his Comrades achievements, parkrun is Bruce’s ‘driving force’ and favorite topic. We discuss the potential of parkrun to change the lives of people through the physical activities of running and walking and of volunteering, all well supported in the medical and diabetes literature. Bruce makes a powerful case for the frailer, older person with diabetes feeling most welcome at parkrun, encouraging them to be physically active in an inclusive, safe and motivating environment. Our second guest is recently appointed CDE Academy Administrator, Elré Clarence. Elré shares deep insights into her life with diabetes since the age of 10 months. In an ‘experiment’ to role model a developmental approach to the management of diabetes, Elré graciously relates aspects of her life with diabetes with reference to Erik Erikson’s Stages of Psychosocial Development Stage 1: Trust vs. Mistrust (Infancy, birth - 18 months) Stage 2: Autonomy vs. Shame and Doubt (Toddlers, 18 months - three years) Stage 3: Initiative vs. Guilt (Preschool years, three - five) Stage 4: Industry vs. Inferiority (Middle school years, six - 11) Stage 5: Identity vs. Confusion (Teen years, 12 - 18) Stage 6: Intimacy vs. Isolation (Young adult years, 18 - 40) Stage 7: Generativity vs. Stagnation (Middle age, 40 - 65) Stage 8: Integrity vs. Despair (Older adulthood, 65 - death) Orenstein GA, Lewis L. Erikson's Stages of Psychosocial Development. StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556096/ In our next Community Advocacy Message, Kirsten de Klerk from SA Diabetes Advocacy reminds listeners of one of their projects that address some of the biggest issues faced by people living with diabetes - psychological support for young people Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ 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 for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

Welcome to Episode 22 of 'not ARTIFICIALLY Sweetened'! Now with listeners in 19 countries, this Episode is brought to you by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes. If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. Stan and Michael reflect on an analogy between rare ‘snow’ days in Johannesburg and preparing for a ‘season’ of diabetes self-care, rather than ‘outlier’ events, which in the CDE care context, are best handled with a 24-hour ‘Hotline’ service provided by their diabetes care team. Also, on loneliness as a risk factor for worse health outcomes, and how this can possibly be ameliorated by one of the 25 Cs of diabetes care, ‘Continuity’ – where health professionals make a ‘connection’ with their clients. Biokineticist Megan Grobler joins us as our studio guest this week. We chat about: Megan’s diagnosis with type 1 diabetes Her profession of biokinetics, a uniquely South African approach to final phase rehabilitation using physical activity and exercise as a prescribed therapy, and the role of this profession within the wider diabetes team Megan’s personal and professional journey and experience with pregnancy – the roles of early preparation, continuous glucose monitoring, team care and mental health in pregnancy with diabetes Feeling ‘uplifted’ after specialist diabetes team care consultations, and ‘shifting’ to another practitioner if not Motivational techniques in encouraging physical activity in people with diabetes Guidance for ‘nourishing’ physical activity before and during pregnancy Megan’s experience of diabetes since her diagnosis and lessons learned – “don’t be so hard on yourself”, “I can handle this”, “lean into others for support” The inspiring resilience that people with diabetes manage to find in addition to managing the cycles of life. In our next Community Advocacy Message, Kirsten de Klerk from SA Diabetes Advocacy reminds listeners of their free 4-week online Advocacy Training Course. We recommend it! Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ 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 for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

Welcome to 'not ARTIFICIALLY Sweetened', Episode 21 This Episode is brought to you in support of diabetes awareness and advocacy by Wyndford Holiday Farm, an idyllic family owned and run destination near Fouriesburg in the beautiful Eastern Free State. Wyndford scores 9.2/10 on Booking.com and 5/5 on TripAdvisor, so book your full board or room only stay now! From 10 - 24 July 2023, kids under 12 stay free, so don’t miss out! Check out their accommodation, activities and rates and specials at www.wyndford.co.za Tel: +27 58 223 0274 | WhatsApp: +27 76 045 1551 | [email protected] | www.wyndford.co.za | Caledonspoort, Fouriesburg District, Eastern Free State Highlands, South Africa. If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. This week Stan shares some insights from a medical education conference he attended in Cardiff, UK - ‘Learning together for Clinical Excellence’. These insights will inform the programme for the 25th CDE Postgraduate Forum in Diabetes Management to be held from 27 - 29 October 2023 at the Maslow Hotel in Sandton. Stan also shares an emerging concept of ‘One Health’, which helps us to understand the profound health interactions between man, the environment and animals. Our studio guest is Sr Buyelwa Majikela-Dlangamandla, a highly experienced diabetes specialist nurse currently working as a Diabetes Clinical Coordinator in the Division of Diabetes Medicine and Endocrinology at the University of Cape Town. We discuss: Buyelwa’s journey to and passion for becoming a diabetes educator The lack of recognition and formal career pathing for nurses specialising in diabetes despite a great need for their services The role of the nurse educator in multi-disciplinary team care in diabetes How specialisation takes time, self-awareness, continuous learning and much learning from people with diabetes Clinical lessons from the ‘One Health’ concept and social determinants of health and the importance of nurse-led assessment and care Buyelwa’s diabetes advocacy efforts across much of South Africa, including ‘Agents for Change’ Change in diabetes care ‘begins with me’ The importance of communication skills in facilitating change - ‘RULE’ and the ‘guiding sky’ The immense legacy of Linoia Pullen in diabetes advocacy The roles of community health workers and traditional healers in the wider diabetes care team The ‘treasures’ of diabetes specialist nurses How much still needs to be done… Our next Community Advocacy Message is an introduction to SA Diabetes Advocacy by Kirsten de Klerk. Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ 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 for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

Welcome to 'not ARTIFICIALLY Sweetened', Episode 20 With listeners in 18 countries! This Episode is brought to you by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes. If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. This week Stan and Michael discuss the potential uses of GLP-1 receptor agonists like semaglutide in fields beyond diabetes, like psychiatry, and wider roles for the long-used molecule, metformin. They also offer a high-level review of, and insights into the biggest medical barrier to the successful management of diabetes, and potential acute complications of treated diabetes, hypoglycaemia and possible hypoglycaemia unawareness. We meet our fascinating studio guest, Robby Richardson, serial adventurer and now CEO at Houghton Golf Club, Executive Committee Member of the Club Management Association of Southern Africa (CMASA) and living with type 1 diabetes for 46 years. Robby relates His diagnosis of type 1 diabetes His early experiences with porcine (pig) insulin, and urine testing for glucose which offered very little insight into his glycaemia or understanding of his diabetes Living with diabetes for extended periods in many countries - United Kingdom, Norway, Belgium, Morocco, Portugal and eventually South Africa Working long hours as a disc jockey in nightclubs and later managing bars Experiences of severe hypoglycaemia and some serious accidents and injuries because of hypoglycaemia unawareness – the effect of this on work life, especially in a leadership position How his dog helped rescue him during a severe episode of hypoglycaemia How an insulin pump, a team approach to diabetes, and diabetes education has changed his self-management and understanding of diabetes How, unlike many others, alcohol has never played a part in his episodes of hypoglycaemia That a full and ‘normal’ life can be lived by finding the right people and resources to help you live with diabetes We also discuss how presumed hypoglycaemic coma should be managed: Given the potential cardiovascular disease risk, especially in people with type 2 diabetes, the first question to ask is, “is the person still breathing?” If not, commence cardiopulmonary resuscitation and call an ambulance If they are, turn the person on the side to maintain an open airway, check for low blood glucose and treat accordingly. Importantly, for people in the community, insulin should never be given – always glucose or glucagon injection We also introduce the next Sweet Life Diabetes Community Advocacy Message, the final in a 20-part series by Bridget McNulty - “Is there anything you wish I knew right now...” Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ 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 for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

--- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

Welcome to 'not ARTIFICIALLY Sweetened', Episode 19 Now with listeners in 18 countries! This Episode is brought to you by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes. If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. This week Stan and Michael remind our listeners on the bidirectional relationship between oral health and diabetes and periodontal and cardiovascular diseases. Also about vaccination for human papilloma virus (HPV) to change the future for young people by preventing a common sexually transmitted infection, which may also raise long-term risk for certain cancers. Stan then interviews Michael on some of the ‘Core Concepts’ he has identified in diabetes care over the last nearly 30 years: “Diabetes is a Common, Costly and Challenging Chronic health Condition. Most cases of diabetes are Classified into 4 major aetiological types: Type 1, Type 2, Gestational Diabetes (GDM) and ‘Other’. Although people with undiagnosed diabetes or whose diabetes is not well-managed may complain of Classic symptoms, most do not - they do not know they have the condition, and they continue to feel relatively well despite underlying health risks. Undiagnosed or uncontrolled diabetes can result in an increased risk of acute metabolic and chronic Cardiovascular and Cancer Complications. Further bad news is that we don’t have any satisfactory Cure at present. But the good news is that once diagnosed, diabetes is Controllable - thus potential complications may be prevented or delayed. Control can and should be achieved and maintained in the Community, using 3 Cornerstones of treatment together with regular Checking of outcomes. But that’s not all. Choice Care should be a ‘Team’ facilitated process that has Continuity, is Congruent and which strives for Concordance between the Team and the person with diabetes. Good Communication is vital, and this will give that person the best chance of achieving Confident Self-Care. However, many strange and mythical Conceptions are associated with the condition. Before successful diabetes management can be achieved, Change in our and our client’s ways of thinking is required, through a Continuous process of Conscious and Contemplative self-review. All the terms in this set of Core Concepts in diabetes, begin with the letter ‘C’, which may help you to remember them. We will unpack these concepts in this and future Episodes … We also introduce the next Sweet Life Diabetes Community Advocacy Message, “Peer Support makes such a difference...” Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ 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 for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

Welcome to 'not ARTIFICIALLY Sweetened', Episode 18 Now with listeners in 18 countries! We welcome listeners in the Netherlands to our community. This Episode is brought to you by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes. If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. This week Stan and Michael reflect on how, over time, roles of care can reverse in families with diabetes. As a background to our next studio guest, they also reflect on the last 101 years since the discovery of insulin therapy, and focus on one of the early ‘Resurrections in Toronto’, Elizabeth Hughes. יְהִי בֵיתְךָ בֵית וַעַד לַחֲכָמִים, וֶהֱוֵי מִתְאַבֵּק בַּעֲפַר רַגְלֵיהֶם, וֶהֱוֵי שׁוֹתֶה בְצָמָא אֶת דִּבְרֵיהֶם Let thy house be a house of meeting for the Sages and sit in the very dust of their feet, and drink in their words with thirst. Ethics of the Fathers, chapter 1, verse 4 In a landmark Episode, we meet a grand older lady of immense fortitude and wisdom, Elizabeth Lane. Now 86 years old and having lived with type 1 diabetes for 66 years, Elizabeth speaks with authority on past years living with this chronic condition, both without and with the benefits of modern treatments and technologies, and the wonderful evolutions and revolutions in insulin therapy and sensing technologies over the decades. Elizabeth relates How her father also had type 1 diabetes How she and her father lived for many years without the benefit of being able to measure blood glucose Her experience of the first blood glucose meter… vast, heavy, blue and cumbersome, but a ‘game-changer’ Her active lifestyle Her indignation at not having her routine blood results shared with her by her doctor, and how her diabetes management is better in her hands than in just the hands of a doctor The ‘magic’ of her new hybrid closed loop insulin pump which has made her life ‘so much easier’, and which drastically decreased her experience of hypoglycaemia Her ability to bear children, live a long and healthy life and work in a professional role Her frustration with the well meaning but misguided ‘guidance’ from others The importance of people ‘unlearning’ their misconceptions The importance of consistency and routine in diabetes self-care That diabetes is "not the end of the world... learn to live with it... cope with it... and stay positive. Just get on with it!" We also introduce the next Sweet Life Diabetes Community Advocacy Message, “Routine really does make life a lot easier...” Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ 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 for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

Welcome to 'not ARTIFICIALLY Sweetened', Episode 17 Now with listeners in 17 countries! This Episode is brought to you by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes. If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. This week Stan and Michael remind us about gout as a possible cause of joint pain, and of the complexity of diabetes. This week’s studio guest is a representative of one of the most powerful members of the diabetes team in terms of ability to influence glycaemic management apart from medications – the registered dietitian. With Dietitian’s Week having just ended, we welcome back Omy Naidoo, Consultant Dietician and Director Omy Naidoo Inc, Director Newtricion Wellness Institute, Serial Entrepreneur, and Podcaster specialising in critical care nutrition. We discuss The ever-evolving role of the registered dietitian in community and hospital nutrition Health professional, client and cost barriers to people with diabetes accessing the services of a registered dietitian and competent medical nutrition therapy, and strategies to improve this, including the power of an informed referral by a primary care doctor The role of the person with diabetes in changing the trajectory of diabetes risk in their own families The diverse roles and functions of the registered dietitian beyond usual public perceptions The power of visiting a dietitian and the risk of not doing so The risks and causes of poor nutrition resulting in sarcopenia and poor healing and recovery, particularly in a hospital setting The holistic approach of a registered dietitian in facilitating a sustainable healthier pattern of eating, and the process of change The importance of moderation in nutrition and maintaining the joy of eating Important information on food labels Eating as naturally as possible to have more control over your nutrient intake Components of a more ‘anti-inflammatory’ way of eating How nutrition is not a static entity and has to change over the lifespan The importance of a bidirectional professional relationship between a referring doctor and the registered dietitian The cost-effectiveness of the interactions with a registered dietitian The vast difference in approaches to acute and chronic health care We also introduce the next Sweet Life Diabetes Community Advocacy Message, “Giving advice is really easy. Living by that advice every time is harder...” Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ 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 for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message

Welcome to 'not ARTIFICIALLY Sweetened', Episode 16 Now with listeners in 16 countries! This Episode is brought to you by the CDE Online Pharmacy (https://cdeonline.co.za/), the online store of choice for people living with diabetes. If you're living with diabetes or a health professional that facilitates diabetes care, you're in the right place! Join us on our journey, as we grow together in understanding, insight, and self-awareness to change lives for the better. Our deliberations will always be honest, challenging and thought provoking. Nothing is off the table as we discuss real people, their real issues and stories, and together discover real answers to many vexing practical issues in diabetes and its care. This week Stan and Michael chat about the rise in winter maladies and advise on over-the-counter remedies and prescribed corticosteroids. They also discuss a recent news article highlighting the lack of foundational functional literary in young South African schoolkids, compounded by parents and caregivers abdicating their education role by not reading and storytelling. Such ‘socio-economic determinants of health’ may have serious implications for the future of these children in society and in the workplace, and in the self-management of their health. Practically, we see evidence of this problem among health professionals – as a result, not all health professionals within the same profession are equal in their functional literacy, and in their resultant clinical insights and abilities. Our studio guest this week is Grant Bush, Owner Physiotherapist at Grant Bush Physiotherapy, Co-Host of Wits Sport and Health Podcast and living with type 1 diabetes. We learn about Grant’s Early life and challenges living with type 1 diabetes since the age of 6 years The importance of his mom’s support of his his early self-management, and the importance of this in cementing better long-term outcomes Interest in sport and how it improved overall diabetes management, despite increasing the risk for hypoglycaemia Current professional role as an outpatient physiotherapist, focussing on sports injuries, musculoskeletal pain, orthopaedic and acute injury rehabilitation and chronic pain management Thoughts on the role of physiotherapy as a pharmacotherapy-sparing approach to the support of diabetes self-management, some common physio-remediable injuries seen in people with diabetes, and the roles of glycaemic management and regular physical activity in reducing these risks Take on when physiotherapy wouldn't be the right first-line approach to a presumed musculoskeletal injury Current sporting interests Co-host role in the WiSH Podcast, and the role of podcasting in enlarging access to lifelong learning Improved diabetes management with a new insulin pump and continuous glucose monitoring, which have relieved symptoms of his psoriasis and assisted with the challenges of attention-deficit/hyperactivity disorder (ADHD) New practice Current training in and passion for managing pain We also introduce the next Sweet Life Diabetes Community Advocacy Message, “Sometimes it’s really helpful to pull things back to the very basics…” Please participate in our listener polls and questions below! 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, please email us @ [email protected] For health professionals working in diabetes The CDE Academy Foundation Course in Diabetes Care for Health Professionals is a real-world-applicable online learning experience at one’s own pace. Access it 24/7/365 & earn 30 CPD points: https://academy.cdeonline.co.za/ Learna/University of South Wales offer a one-year, online, part-time, distance learning Postgraduate Diploma in Diabetes Care. Gain a competitive edge and enhance your client care! Register for the annual September intake: ⁠https://www.diploma-msc.com/p/diploma-in-diabetes⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/notartificiallysweetened/message