- World Diabetes Day 2024 emphasizes “Breaking Barriers, Bridging Gaps” as South Africa faces a rising diabetes burden.
- With over 4.2 million people affected, increased screening and access to quality care remain critical.
- Experts highlight holistic management strategies, including healthy eating, medication adherence, and mental health support.
On World Diabetes Day, observed annually on 14 November, the global focus turns to combating the diabetes crisis.
This year’s theme, “Breaking Barriers, Bridging Gaps”, resonates deeply in South Africa, where over 4,2 million people live with the condition.
According to Statistics South Africa’s report on mortality and causes of death, Diabetes remains the country’s second leading cause of death, underscoring the urgency of equitable, comprehensive, and quality care.
Diabetes management has evolved significantly, moving beyond traditional insulin injections.
According to Diabetes UK, “insulin remains essential for Type 1 diabetes and some cases of Type 2. Injectable forms are common, but devices like insulin pens offer convenience for those managing multiple daily doses”.
For Type 2 diabetes, oral medications such as metformin are widely used.
The National Institute of Diabetes and Digestive and Kidney Diseases highlights that metformin reduces glucose production and aids weight loss. Combining medications often yields better results than using a single drug, enabling more tailored treatment strategies.
Increase in cases
In the 2024/25 financial year, Cape Town clinics recorded 1 047 new diabetes patients, an 8% increase from the previous financial year.
However, the number of screened individuals aged 18 – 39 and 40+ dropped by 15%. This trend underscores the need for greater awareness and proactive health management. “Preventing and managing diabetes is an individual choice, but it is not top of mind for many people,” said the City’s Mayco member for community services and health, Patricia van der Ross. “Screening is the first step to taking control of your health, particularly for those with a family history of the disease.”
“Managing diabetes requires a holistic approach to physical and mental health. Strategies include healthy eating by incorporating vegetables, whole grains, lean proteins, and healthy fats. Limit refined carbohydrates and control portion sizes. It’s tough but doable,” says type-two diabetes patient Ntomboxolo Magengelele.
Regular blood sugar monitoring and adherence to prescribed medications are crucial.
Support groups and professional counselling can also ease the mental burden of managing a chronic illness.
“City Health encourages everyone to know their health status, including blood pressure, blood glucose, and Body-Mass-Index,” said Van der Ross. “Screenings can be done at any of our clinics, and clients can use the online booking system to avoid queues.”
The fight against diabetes demands collective action. From innovative treatments to accessible healthcare, the goal is to empower individuals to lead healthier lives. Whether through screening, lifestyle changes, or community support, every effort brings us closer to bridging gaps and breaking barriers in diabetes care.
