DIABETES | The hidden cost behind effectively managing diabetes

The hidden cost of effectively managing diabetes often lies in the financial burden and logistical challenges faced by patients. For 53-year-old Patricia Nhlapo, a resident of Meriting informal settlement in Lenasia South, the cost has been her inability to afford the R400 journey to Helen Joseph Hospital in Johannesburg. She relies on her daughter as the sole breadwinner in a household of seven and struggles to choose between buying food and obtaining necessary treatment.

Lindiwe Miya, a 69-year-old resident of Orange Farm, faces a different challenge. As the sole recipient of a pension, she must stretch her R2,400 monthly allowance to cover essentials such as electricity, transport, and burial society contributions. With little left for food, Miya often opts for cheaper alternatives, compromising on the healthy diet recommended for her Type 2 diabetes.

Mosele Mokanyane, a 43-year-old single mother from Palm Springs, also grapples with the emotional burden of diabetes. As a Type 2 diabetic, she cannot afford the recommended healthy foods and must eat what is available, which sometimes means consuming foods she should avoid. Diabetes has taken a toll on her confidence and mental health, causing her to overthink and lose her once vibrant confidence.

Healthcare professionals emphasize the importance of addressing these financial and emotional challenges. For patients like Nhlapo, exploring alternative collection points, such as the Central Chronic Medicine Dispensing and Distribution programme ("Dablapmeds"), could alleviate some of the financial strain. Meanwhile, Miya and Mokanyane advocate for more affordable nutritional guidance, focusing on accessible and affordable options like beans, lentils, eggs, and seasonal vegetables.

Healthcare providers must create supportive environments to help patients cope with the emotional and psychological impacts of diabetes.