DR Johann Wessels

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DR Johann Wessels Dr Wessels holds the degrees MBCHB. DA and M. FamMed. He has been in Private Practice since 1997

So true ...
07/06/2025

So true ...

This quote captures something I see so often in mediation (and in life too)...

When we feel hurt or attacked, itโ€™s so tempting to meet fire with fire. But fire only escalates the conflict.

Real resolution comes when someone has the courage to bring "water" instead.

Water lowers the emotional temperature.
While anger is hot, fierce, and flame-like, water is calm, soothing, and reflective.

Choosing to bring water to a high conflict situation is not weak, it is wise and it is strategic !

Sure, it takes a great of mental control and a lot of emotional intelligence to respond softly when emotions are burning hot. But there is also the reward of knowing that you did not participate in burning down the bridge but rather doused the flames before they could get to the bridge.

Water shows up in many small but powerful ways:

* a soft, gentle response

* a silent pause before speaking

* empathic listening that seeks to understand

* a reflective question that opens up the heart of the issue

* a non-confrontational and non-revengeful presence

"Water" is self-control in the face of potential destruction.

As a mediator, I so often get to witness how fast things can escalate when people start mirroring each otherโ€™s anger:

* A glare is met with a glare.
* A sharp tone receives a sharper tone.
* And, a disagreement suddenly spirals into threats and counter-threats.

What Iโ€™m most grateful for in those moments, before the fire consumes the relationship, is the tools at my disposal to cool those flames (fortunately, you do not need to be a mediator to be able to use these tools which include):

* curiosity as to what is actually happening in the mind and heart of the aggrieved person
* quiet, attentive listening
* gentle questioning
* reframing
* reflective enquiry
*giving the agrrieved person the space to be heard
* and many more....

Critically, at the end of the day, water doesnโ€™t just put out a fire it brings healing. And in a conflict situation, that might be the most powerful tool we have to stop the flames from spreading and to reduce the damage before everything is burned beyond repair.

I would love to hear from you on this subject.

10/09/2024

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๐—ฃ๐—ฅ๐—”๐—–๐—ง๐—œ๐—–๐—˜ ๐—ฃ๐—˜๐—”๐—ฅ๐—Ÿ๐—ฆ - ๐—ง๐—›๐—˜ ๐—–๐—ข๐—ฅ๐—ฅ๐—˜๐—–๐—ง ๐—ช๐—”๐—ฌ ๐—ง๐—ข ๐—จ๐—ฆ๐—˜ ๐—” ๐—ก๐—ข๐—ฆ๐—˜ ๐—ฆ๐—ฃ๐—ฅ๐—”๐—ฌ

After thirty years in Private Practice as a GP, I am still amazed at how often some treatments fail due to patients using the wrong technique.

I have entitled this post: Practice Pearls, due to the fact that this tip is so simple and so easy that once I have shown you, you will never get it wrong again.

Initially, I was looking for a YouTube video that I could direct my patients to on how to use a nose spray, but having seen about ten with none of them quite "fitting the bill" for what I wanted for my patients, I decided to do this video myself.

I hope that this helps.

Kind regards
๐™…๐™ค๐™๐™–๐™ฃ๐™ฃ

๐—ง๐—ต๐—ฎ๐—ป๐—ธ ๐—ฌ๐—ผ๐˜‚ ๐˜๐—ผ ๐—ข๐˜‚๐—ฟ ๐— ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—–๐—ต๐—ฎ๐—บ๐—ฝ๐—ถ๐—ผ๐—ป๐˜€!July is Mental Illness Awareness Month, and we want to take this moment to ackn...
18/07/2024

๐—ง๐—ต๐—ฎ๐—ป๐—ธ ๐—ฌ๐—ผ๐˜‚ ๐˜๐—ผ ๐—ข๐˜‚๐—ฟ ๐— ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—–๐—ต๐—ฎ๐—บ๐—ฝ๐—ถ๐—ผ๐—ป๐˜€!

July is Mental Illness Awareness Month, and we want to take this moment to acknowledge and thank mental health professionals and their support staff for their dedication to supporting and healing others. Your commitment and compassion make a profound difference in the lives of so many !!

๐—ง๐—›๐—”๐—ก๐—ž ๐—ฌ๐—ข๐—จ

๐—ฌ๐—ผ๐˜‚๐—ฟ ๐— ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐— ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ๐˜€As July is Mental Illness Awareness Month, this is a good time to talk openly about this subje...
14/07/2024

๐—ฌ๐—ผ๐˜‚๐—ฟ ๐— ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐— ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ๐˜€

As July is Mental Illness Awareness Month, this is a good time to talk openly about this subject.

Let us start by looking at the differences between anxiety and depression, two of the most common mental health conditions that many people struggle with. Please note that what follows hereafter is not meant to be read as a medical textbook but to make these two conditions understandable for the lay-person.

Anxiety often manifests as worry, fear, unease, and restlessness.

Its physical symptoms include
# Aโ€œracingโ€ heart,
# sweating,
# difficulty concentrating, and
# abdominal pain.

Anxiety can make daily tasks feel overwhelming and lead to avoidance behaviours. Anxiety often occurs as a reaction to stress, but it can also occur without any stress triggers.

The World Health Organization sets out the various different types of anxiety disorders and these range from generalised anxiety disorders (which is defined as a persistent and excessive worry about daily activities or events), to panic disorders (which involve sudden onset panic attacks) and social anxiety disorders (which includes the fear of being watched or judged by others). The above list of anxiety disorders is not exhaustive.

Depression on the other hand is characterized by
# persistent feelings of sadness,
# hopelessness,
# helplessness,
# low energy levels and
# loss of interest in activities once enjoyed.

Both anxiety and depression can affect one's sleep and appetite, cause restlessness, and impact on oneโ€™s energy levels, making it hard to find joy in life.

Practically speaking I sometimes explain anxiety as feeling like one is in a long dark tunnel, but still being able to see a faint glimmer of light in the distance. Depression on the other hand is like being in a dark, cold tunnel where one cannot see anything but what is immediately in front of one. Anxiety might become depression when that faint glimmer of light disappears, and it feels as if things will never change.

It can be said that both conditions, which although different, have some common features and are part of a continuum that can move from thriving, to surviving, to struggling, to going into crisis and needing urgent intervention.

What I have found is that most people are quite willing to admit that they are anxious (which they might also communicate as being โ€œstressedโ€). Most people do not however like to say that they are depressed, nor do they like to be diagnosed as being depressed.

The stigma associated with depression is as sad as it is concerning, primarily because it stops people from seeking the necessary help.

The are a number of different options available for the treatment of anxiety and depression (depending on the severity of the anxiety and depression) - two main treatment options are psychotherapy and medication. In addition to this, getting adequate sleep, good nutrition, regular exercise (daily is best); avoiding alcohol, limiting caffeine intake, joining an anxiety or depression support group also assist with the treatment of anxiety and/or depression. Critically though, the aforesaid are of an add-on nature, and are not the main treatment options for cases of severe depression and/or anxiety.

From my experience, the optimal medical treatment for anxiety, is actually an anti-depressant. The reason for this is because many of the medications that work mainly on treating anxiety, are OFTEN addictive and as a result will over time lose their efficacy. (Like the Benzodiazepine group). MOST anti-depressants on the other hand are NOT addictive and do not lose their efficacy over time.

๐—ฃ๐—Ÿ๐—˜๐—”๐—ฆ๐—˜ ๐—–๐—›๐—”๐—ง ๐—ง๐—ข ๐—ฌ๐—ข๐—จ๐—ฅ ๐—›๐—˜๐—”๐—Ÿ๐—ง๐—›๐—–๐—”๐—ฅ๐—˜ ๐—ฃ๐—ฅ๐—ข๐—ฉ๐—œ๐——๐—˜๐—ฅ if you are uncertain about your current medication regime; or if you are not feeling well on your current medication.

๐—ฃ๐—Ÿ๐—˜๐—”๐—ฆ๐—˜ ๐——๐—ข ๐—ก๐—ข๐—ง go off any medication that your healthcare provider may have prescribed for you, without FIRST discussing this with your healthcare provider - a sudden stop from taking medication could have disastrous effects on your physical and mental well-being.

In a nutshell, if you have any of the symptoms of anxiety or depression and are finding it increasingly difficult to get up in the morning, or you wake up with a high level of fear and trepidation, it is definitely best for you to see your health care provider and to discuss with him or her, your best treatments options going forward.

๐—ฌ๐—ผ๐˜‚๐—ฟ ๐— ๐—ฒ๐—ป๐˜๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐— ๐—ฎ๐˜๐˜๐—ฒ๐—ฟ๐˜€.

๐—ข๐—ฃ๐—˜๐—ก๐—œ๐—ก๐—š ๐—ง๐—›๐—œ๐—ฆ ๐—–๐—ข๐— ๐—œ๐—ก๐—š ๐—ง๐—จ๐—˜๐—ฆ๐——๐—”๐—ฌ, ๐Ÿฎ๐Ÿฏ ๐—”๐—ฃ๐—ฅ๐—œ๐—Ÿ ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฐ๐—ฃ๐—Ÿ๐—”๐—–๐—˜:Bluff Eco Park, Office Park ๐—ง๐—œ๐— ๐—˜๐—ฆ:Monday   8:00am to 1:00pmTuesday   8:0...
20/04/2024

๐—ข๐—ฃ๐—˜๐—ก๐—œ๐—ก๐—š ๐—ง๐—›๐—œ๐—ฆ ๐—–๐—ข๐— ๐—œ๐—ก๐—š ๐—ง๐—จ๐—˜๐—ฆ๐——๐—”๐—ฌ, ๐Ÿฎ๐Ÿฏ ๐—”๐—ฃ๐—ฅ๐—œ๐—Ÿ ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฐ

๐—ฃ๐—Ÿ๐—”๐—–๐—˜:
Bluff Eco Park, Office Park

๐—ง๐—œ๐— ๐—˜๐—ฆ:
Monday 8:00am to 1:00pm
Tuesday 8:00am to 1:00pm
Thursday 8:00am to 1:00pm
Friday 8:00am to 1:00pm

๐—–๐—ข๐—ก๐—ง๐—”๐—–๐—ง ๐——๐—˜๐—ง๐—”๐—œ๐—Ÿ๐—ฆ
Same as for the Entabeni Rooms - 031 007 0549

๐—œ ๐—”๐—  ๐—Ÿ๐—ข๐—ข๐—ž๐—œ๐—ก๐—š ๐—™๐—ข๐—ฅ๐—ช๐—”๐—ฅ๐—— ๐—ง๐—ข ๐—ฆ๐—˜๐—˜๐—œ๐—ก๐—š ๐—ฌ๐—ข๐—จ !!

๐—๐—ข๐—›๐—”๐—ก๐—ก

๐—”๐—ก ๐—œ๐— ๐—ฃ๐—ข๐—ฅ๐—ง๐—”๐—ก๐—ง ๐— ๐—˜๐—ฆ๐—ฆ๐—”๐—š๐—˜ ๐—™๐—ข๐—ฅ ๐—ฌ๐—ข๐—จ๐—ก๐—š ๐—ช๐—ข๐— ๐—˜๐—กThis morning I was reflecting on pregnancy awareness week that was held two weeks ba...
17/02/2024

๐—”๐—ก ๐—œ๐— ๐—ฃ๐—ข๐—ฅ๐—ง๐—”๐—ก๐—ง ๐— ๐—˜๐—ฆ๐—ฆ๐—”๐—š๐—˜ ๐—™๐—ข๐—ฅ ๐—ฌ๐—ข๐—จ๐—ก๐—š ๐—ช๐—ข๐— ๐—˜๐—ก

This morning I was reflecting on pregnancy awareness week that was held two weeks back, and I thought I would send out an important message to my patients, particularly the young women of child-bearing age:

If you are sexually active, please ensure that you take folic acid supplements.

Folic acid helps to prevent neural tube defects. This is a severe birth defects of the brain and spine, such as spina bifida and anencephaly which occur in the first few weeks of pregnancy, often before a woman even knows that she is pregnant !!

My advice is that all women of reproductive age should take folic acid daily, even if they're not planning on falling pregnant....and to add to that, it is important to be know that Folic Acid is not just essential for those who are pregnant or wanting to fall pregnant , it offers a wide range of benefits to all.

Johann

๐—ง๐—ต๐—ฒ ๐—ฉ๐—ถ๐˜๐—ฎ๐—น ๐—ฅ๐—ผ๐—น๐—ฒ ๐—ผ๐—ณ ๐—”๐—ป๐˜๐—ฒ๐—ป๐—ฎ๐˜๐—ฎ๐—น ๐—–๐—ฎ๐—ฟ๐—ฒ ๐—ณ๐—ผ๐—ฟ ๐—˜๐—ป๐˜€๐˜‚๐—ฟ๐—ถ๐—ป๐—ด ๐—ฎ ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต๐˜† ๐—ฃ๐—ฟ๐—ฒ๐—ด๐—ป๐—ฎ๐—ป๐—ฐ๐˜† & ๐——๐—ฒ๐—น๐—ถ๐˜ƒ๐—ฒ๐—ฟ๐˜†Antenatal care during pregnancy is crucial f...
08/02/2024

๐—ง๐—ต๐—ฒ ๐—ฉ๐—ถ๐˜๐—ฎ๐—น ๐—ฅ๐—ผ๐—น๐—ฒ ๐—ผ๐—ณ ๐—”๐—ป๐˜๐—ฒ๐—ป๐—ฎ๐˜๐—ฎ๐—น ๐—–๐—ฎ๐—ฟ๐—ฒ ๐—ณ๐—ผ๐—ฟ ๐—˜๐—ป๐˜€๐˜‚๐—ฟ๐—ถ๐—ป๐—ด ๐—ฎ ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต๐˜† ๐—ฃ๐—ฟ๐—ฒ๐—ด๐—ป๐—ฎ๐—ป๐—ฐ๐˜† & ๐——๐—ฒ๐—น๐—ถ๐˜ƒ๐—ฒ๐—ฟ๐˜†

Antenatal care during pregnancy is crucial for a number of reasons:

๐™ˆ๐™ค๐™ฃ๐™ž๐™ฉ๐™ค๐™ง๐™ž๐™ฃ๐™œ ๐™ฉ๐™๐™š ๐™ˆ๐™ค๐™ฉ๐™๐™š๐™ง'๐™จ ๐™‹๐™๐™ฎ๐™จ๐™ž๐™˜๐™–๐™ก ๐™ƒ๐™š๐™–๐™ก๐™ฉ๐™

Regular antenatal visits allow healthcare providers to monitor the health of the pregnant woman. This includes tracking her blood pressure, weight, and any symptoms or complications that may arise during pregnancy such as gestational diabetes or preeclampsia

๐™ˆ๐™ค๐™ฃ๐™ž๐™ฉ๐™ค๐™ง๐™ž๐™ฃ๐™œ ๐™๐™ค๐™š๐™ฉ๐™–๐™ก ๐™ƒ๐™š๐™–๐™ก๐™ฉ๐™

Antenatal care involves various screenings and tests to monitor the growth and development of the fetus. These tests can identify any potential abnormalities or conditions early on, allowing for timely interventions or treatments.

๐™‹๐™ง๐™š๐™ซ๐™š๐™ฃ๐™ฉ๐™ž๐™ค๐™ฃ ๐™–๐™ฃ๐™™ ๐™ˆ๐™–๐™ฃ๐™–๐™œ๐™š๐™ข๐™š๐™ฃ๐™ฉ ๐™ค๐™› ๐˜พ๐™ค๐™ข๐™ฅ๐™ก๐™ž๐™˜๐™–๐™ฉ๐™ž๐™ค๐™ฃ๐™จ

Early detection of complications such as preterm labor, infections, or birth defects can significantly improve outcomes for both the mother and the baby. Antenatal care provides an opportunity to address these issues before they become serious.

๐™๐™ž๐™จ๐™  ๐˜ผ๐™จ๐™จ๐™š๐™จ๐™จ๐™ข๐™š๐™ฃ๐™ฉ & ๐™ˆ๐™–๐™ฃ๐™–๐™œ๐™š๐™ข๐™š๐™ฃ๐™ฉ

Antenatal screenings crucially helps identify women who may be at higher risk for certain pregnancy complications or adverse outcomes. This allows healthcare providers to implement appropriate interventions or where necessary, to refer the woman to specialized care.

๐™‹๐™จ๐™ฎ๐™˜๐™๐™ค๐™ก๐™ค๐™œ๐™ž๐™˜๐™–๐™ก ๐™’๐™š๐™ก๐™ก๐™—๐™š๐™ž๐™ฃ๐™œ ๐™ค๐™› ๐™ฉ๐™๐™š ๐™ˆ๐™ค๐™ฉ๐™๐™š๐™ง

Antenatal care provides a pregnant woman with a supportive environment where she can receive emotional support from her healthcare provider.

๐—˜๐˜…๐—ฐ๐—ถ๐˜๐—ถ๐—ป๐—ด ๐—ก๐—ฒ๐˜„๐˜€! ๐—œ ๐—ฎ๐—บ ๐˜๐—ต๐—ฟ๐—ถ๐—น๐—น๐—ฒ๐—ฑ ๐˜๐—ผ ๐˜€๐—ต๐—ฎ๐—ฟ๐—ฒ ๐˜๐—ต๐—ฎ๐˜ ๐—ฑ๐˜‚๐—ฒ ๐˜๐—ผ ๐—ฟ๐—ฒ๐—พ๐˜‚๐—ฒ๐˜€๐˜ ๐—บ๐˜† ๐—ฃ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ ๐—ถ๐˜€ ๐—ฒ๐˜…๐˜๐—ฒ๐—ป๐—ฑ๐—ถ๐—ป๐—ด ๐—ถ๐˜๐˜€ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ ๐—ต๐—ผ๐˜‚๐—ฟ๐˜€ ๐˜๐—ผ ๐—ฏ๐—ฒ๐˜๐˜๐—ฒ๐—ฟ ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ ๐˜†๐—ผ...
31/01/2024

๐—˜๐˜…๐—ฐ๐—ถ๐˜๐—ถ๐—ป๐—ด ๐—ก๐—ฒ๐˜„๐˜€! ๐—œ ๐—ฎ๐—บ ๐˜๐—ต๐—ฟ๐—ถ๐—น๐—น๐—ฒ๐—ฑ ๐˜๐—ผ ๐˜€๐—ต๐—ฎ๐—ฟ๐—ฒ ๐˜๐—ต๐—ฎ๐˜ ๐—ฑ๐˜‚๐—ฒ ๐˜๐—ผ ๐—ฟ๐—ฒ๐—พ๐˜‚๐—ฒ๐˜€๐˜ ๐—บ๐˜† ๐—ฃ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ ๐—ถ๐˜€ ๐—ฒ๐˜…๐˜๐—ฒ๐—ป๐—ฑ๐—ถ๐—ป๐—ด ๐—ถ๐˜๐˜€ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ ๐—ต๐—ผ๐˜‚๐—ฟ๐˜€ ๐˜๐—ผ ๐—ฏ๐—ฒ๐˜๐˜๐—ฒ๐—ฟ ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ ๐˜†๐—ผ๐˜‚.
๐——๐—ฟ ๐—๐—ผ๐—ต๐—ฎ๐—ป๐—ป ๐—ช๐—ฒ๐˜€๐˜€๐—ฒ๐—น๐˜€

PS: Thank you for trusting me with your healthcare

๐—”๐—ก๐—— ๐—๐—จ๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜ ๐—ง๐—›๐—”๐—ง ๐—ง๐—›๐—˜๐—œ๐—ฅ ๐—›๐—ข๐—Ÿ๐—œ๐——๐—”๐—ฌ ๐—–๐—ข๐— ๐—˜๐—ฆ ๐—ง๐—ข ๐—”๐—ก ๐—˜๐—ก๐——..... Jayden enters his fourth year at UFS and Shae and Christian their ...
09/01/2024

๐—”๐—ก๐—— ๐—๐—จ๐—ฆ๐—ง ๐—Ÿ๐—œ๐—ž๐—˜ ๐—ง๐—›๐—”๐—ง ๐—ง๐—›๐—˜๐—œ๐—ฅ ๐—›๐—ข๐—Ÿ๐—œ๐——๐—”๐—ฌ ๐—–๐—ข๐— ๐—˜๐—ฆ ๐—ง๐—ข ๐—”๐—ก ๐—˜๐—ก๐——.....
Jayden enters his fourth year at UFS and Shae and Christian their third year at UFS. It is such a privilege for Tracey-Leigh and I to "parent" these lovely young adults, and an immense honour that they have chosen to walk the same career path as me.

To All My Patients May this New Year bring you good health, happiness, a renewed sense of purpose and great blessing. Th...
03/01/2024

To All My Patients

May this New Year bring you good health, happiness, a renewed sense of purpose and great blessing.

Thank you for being an integral part of my medical family. I look forward to continuing to help you in your journey towards optimal health and well-being.

Kind regards
๐™…๐’๐™๐’‚๐™ฃ๐’

18/11/2023

๐—ก๐—ฎ๐˜ƒ๐—ถ๐—ด๐—ฎ๐˜๐—ถ๐—ป๐—ด ๐˜๐—ต๐—ฒ ๐——๐—ถ๐—ฎ๐—ฏ๐—ฒ๐˜๐—ฒ๐˜€ ๐—Ÿ๐—ฎ๐—ป๐—ฑ๐˜€๐—ฐ๐—ฎ๐—ฝ๐—ฒ

Practically speaking there are three types of diabetes.

๐—ง๐˜†๐—ฝ๐—ฒ ๐Ÿญ
Typically affects children and adolescents and comprises less than 10% of Diabetics. With Type 1, the body cannot manufacture insulin and a patient will need insulin injections from the time of diagnosis.

๐—ง๐˜†๐—ฝ๐—ฒ ๐Ÿฎ
The majorityโ€”around 90%โ€”of diabetics fall under Type 2. With Type 2 the main problem is that the body is not able to adequately use the insulin that it makes .

๐—š๐—ฒ๐˜€๐˜๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐——๐—ถ๐—ฎ๐—ฏ๐—ฒ๐˜๐—ฒ๐˜€.
Developing during pregnancy, Gestational Diabetes is a lot like Type 2 Diabetes but it usually resolves after childbirth. The mother's chances of developing Type 2 Diabetes at a later stage in life is however increased.

(There is also a Type 4 Diabetes which is more rare and which I will not deal with in this discussion).

Type 1 Diabetes is common in children and adolescents and there is no known way to prevent it . With Type 1 Diabetes the diagnosis is generally made quite early as your child will suddenly become unwell, lose weight, drink a lot of water, got to the toilet often and feel very tired. Checking the blood sugar and finding it high, makes the diagnosis. So the diagnosis is normally straight forward and easy . Treating a child with Type 1 Diabetes is however challenging and is beyond the scope of this discussion.

Type 2 Diabetes is generally a lot more challenging to diagnose and it is estimated that patients typically suffer from Type 2 Diabetes for between 5 and 10 years before they are finally diagnosed. As aforesaid, these are the patients that make up to 90% of the diabetic population, and these are the patients where prevention is so much better than cure.

What makes it hard to diagnose Diabetes in this population, is the fact that sugar fluctuates. It goes up slowly over time, but it also goes up and down. Many times a patient will have a finger prick test with a sugar reading that is slightly raised, but make light of it as they say that they โ€˜โ€™know whyโ€™โ€™ it is high and they have just been โ€œ naughty โ€œ in eating the โ€œwrongโ€ food and they โ€œknow how to control their sugar with their diet", and therefore the actual diagnosis of Diabetes can easily be missed.

The take home message for today is that if you have ever had โ€œ a slightly high โ€œ sugar , know that you donโ€™t just have a โ€œtouch of sugarโ€ but that you should be formally tested for Diabetes by either doing a fasting blood sugar or a formal fasting oral glucose tolerance test (FOGTT).

Make sure that you are not walking around with undiagnosed diabetes and end up with a heart attack or stroke at the age of 45 like the patient in my last post.

Check regularly, and if there is any doubt, test formally

14/11/2023

๐——๐—œ๐—”๐—•๐—˜๐—ง๐—˜๐—ฆ ๐—ง๐—›๐—˜ ๐—›๐—œ๐——๐——๐—˜๐—ก ๐—ฅ๐—œ๐—ฆ๐—ž

Hi there to all my patients

As today is World Diabetic Day, I thought I would share with you over the next couple of posts, some of my thoughts on diabetes.

As you know, since moving my practice to Entabeni Hospital after 24 years on the Bluff , I have found that I see fewer acute emergencies due to the proximity of the hospitalโ€™s Casualty to my office. In order to prevent my emergency skills from deteriorating, I have started to do some after-hours work in Casualty, which brings me to this post.

A few days ago, a lady in her 40s came to the ER with a heart attack. Surprisingly, she had never been diagnosed with any chronic condition before, yet we found that she had a blood sugar of 23 and a blood pressure reading of 220/120 ! (For reference blood sugar levels should be below 8 and one's BP below 140/90).

The patient's readings indicate that she has probably been living with diabetes and hypertension for the past 5-10 years without knowing it. Her case is a stark reminder that patients often present with the complications of their disease rather than the disease itself.

Being aware of one's risks for developing diabetes and taking proactive steps towards prevention is crucial.

Risk factors for developing diabetes include:

โ€ข A family history of diabetes
โ€ข Being overweight
โ€ข Insufficient physical activity
โ€ข An unhealthy diet with lots of processed foods
โ€ข Age over 45
โ€ข A history of diabetes in pregnancy
โ€ข A child of a woman who had diabetes during pregnancy

The importance of regular health check-ups and lifestyle modifications with diet and exercise cannot be overstated. Small changes go a long way in stopping chronic issues in their tracks.

The value of taking steps to prevent trouble before it starts also can just not be overstated !!

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