In significance of World Diabetes Day on Thursday 14 November, a review of data by the City of Cape Town’s Health Department, shows a decline in the number of clients screened and a slight increase in new cases. Considering the statistics the public is reminded that City Health offers a number of programmes aimed at prevention, education and management of diabetes.
Diabetes is a chronic condition that affects more than 4,2 million South Africans. It is the second leading cause of death in South Africa, behind tuberculosis.
In the 2023-’24 financial year, City clinics screened 110 187 clients aged between 18 and 39, and 68 709 clients aged 40 and up. These numbers represented a 15% decrease for both groups, compared to the year before.
In the same period clinics recorded an 8% increase in the number of new diabetes clients, from 966 the previous year, to 1 047.
“Preventing and managing the risk of diabetes is an individual choice,” said Mayco member for Community Services and Health Patricia van der Ross, but it is not top-of-mind for many people, either because they believe they are too young or they don’t have enough information on preventative measures or struggle to make lifestyle changes. Screening is the first step to taking control of your health, particularly for those with a family history of the disease.
The two main types of diabetes are:
- Type 1 – where the body doesn’t produce insulin
- Type 2 – where the body struggles to use insulin effectively
Both types lead to elevated blood glucose levels, which can cause health issues over time, affecting the heart, kidneys, eyes and nerves if not managed properly.
Wellness strategies
Achieving wellness with diabetes involves managing blood-sugar levels, staying physically active, eating mindfully and nurturing mental well-being.
- Eat foods like vegetables, whole grains, lean proteins and healthy fats. Avoid refined carbohydrates such as sugary drinks and manage portion sizes.
- Aim for at least 150 minutes of moderate aerobic activity each week such as walking, swimming or cycling. Strength-training exercises, even a few days a week, can further boost insulin sensitivity.
- Stress too can raise blood-sugar levels, so be mindful of situations that can elevate stress levels.
- Maintain a regular sleep routine of seven to eight hours of quality sleep a night.
Monitoring, medication and support
Consistent blood-sugar monitoring is important to stay in control. Follow the medication plan designed by a health-care provider and adjust the diet and exercise as needed based on diabetes readings.
It is normal for people to at times feel overwhelmed by managing a chronic illness. Lean on family and friends for support, or seek out professional counselling. In this regard mental well-being plays a significant role in physical health.
Living a quality life with diabetes is easier when participating in support groups. Clients can also visit City clinics for screening and support.
“City Health encourages everyone to know their health status, including blood pressure, blood glucose levels, HIV status and body-mass index,” added Van der Ross. “These screenings can be done at any of our clinics, and staff will assist with treatment or referral to appropriate care facilities. And, clients can use the online booking system to make an appointment and avoid the queues.”
For more information on diabetes, visit: https://resource.capetown.gov.za/documentcentre/Documents/Graphics%20and%20educational%20material/Diabetes%20information%20booklet.pdf
For a list of City clinics, visit https://www.capetown.gov.za/Explore%20and%20enjoy/See-all-city-facilities/our-service-facilities/Clinics%20and%20healthcare%20facilities.
