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14 October 2024 | Story Reuben Maeko | Photo Reuben Maeko
Diabetes Open Day 2024
Dr Deepa Alexander (Senior Lecturer/Head: Clinical Unit Paediatrics and Child Health) and Dietetics student Anri Nel testing blood glucose and recording the blood glucose values of the children with type 1 diabetes.

The University of the Free State (UFS) Department of Nutrition and Dietetics, in collaboration with the Department of Paediatrics and Child Health, recently hosted a successful Diabetes Open Day designed for children and adolescents with type 1 diabetes mellitus.

The open day, which aimed to provide a supportive environment to learn, connect, and have fun, took place on Friday 27 September in the CR de Wet/Bophelong Building on the Bloemfontein Campus. The day welcomed 10 children and 10 caregivers, offering a comprehensive programme tailored to address the unique needs of young individuals living with diabetes. The participants, aged five to thirteen, engaged in a variety of activities that educated them about their condition, but also empowered them to take control of their health in a positive and proactive way.

Angelique Carson-Porter, Lecturer in the Department of Nutrition and Dietetics and one of the organisers, stated, “Healthy eating is a cornerstone of diabetes management. Rather than viewing dietary restrictions as limitations, diabetes-friendly cooking classes encourage individuals to explore a world of new flavours and ingredients.” The department offered cooking workshops that teaches parents how to prepare delicious, low-sugar, and nutrient-rich dishes.

Education combined with fun activities

The Diabetes Open Day aimed to bring together children who face the same daily challenges in managing type 1 diabetes. Education combined with fun activities were used to teach the children to improve and control their blood sugar levels. The final-year Dietetics students provided practical advice on managing blood sugar levels, the importance of a balanced diet, and the role of physical activity in diabetes care.

While education and support were central to the day’s agenda, the organisers ensured that fun was a key component of the experience. The day included various engaging activities, all designed to promote physical well-being and emotional expression. These activities aimed to help children see that managing diabetes does not mean missing out on the joys of childhood.

Additionally, the open day offered a safe space for children to express their emotions and share their experiences with peers who understand their journey. This sense of community is crucial for building resilience and fostering a supportive network that extends beyond the event.

This event provided the final-year Dietetics students at the UFS with teaching and learning opportunities, as they were caring for and educating these children, as well as preparing the correct food for them. The students were also responsible for planning the open day, developing educational material to take home, and creating games to teach them the importance of physical activity in the management of type 1 diabetes.

Managing diabetes

According to Katleho Stemmer, a student who participated in the open day, managing diabetes can be a challenging experience, but it does not mean it has to be boring or burdensome. Health experts and diabetes patients alike, she continues, are finding innovative ways to transform their routines and make diabetes management a more engaging and enjoyable process. From interactive cooking classes to fitness challenges and support groups, there are countless ways to turn diabetes management into a fun and motivating journey.

“The key to successfully managing diabetes lies in consistency and a positive mindset. By incorporating fun activities, engaging communities, and a creative approach, individuals can transform their diabetes management routines into an enjoyable and sustainable lifestyle.

“Diabetes doesn’t have to define one's life – it can be an opportunity to explore new hobbies, make new friends, and adopt a healthier, more balanced way of living. With the right support and a little bit of fun, managing diabetes can become less of a challenge and more of an empowering adventure. These gatherings help foster a sense of community and mutual support,” she says.

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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