Pamela Molefe: My journey of diabetes, being a nurse and part of DSA

Pamela Molefe shares her journey of living with Type 2 diabetes, being a nurse and how she joined Diabetes South Africa.


Pamela Molefe (77) lives in Port Elizabeth. She has two sons and one daughter. She worked at Livingstone Hospital for 20 years and was transferred to Provincial Hospital Port Elizabeth where she worked for 11 years in a Head Injury Unit.

Getting diagnosed

In 2004, I was on night duty when I had to go to hospital at 23:00 to be examined as I wasn’t feeling well. As a routine before being examined, a specimen of urine was obtained and tested. Four parts of glucose was detected. A finger prick was done to test my blood glucose, and 14mm/l were the results. My diagnosis was Type 2 diabetes.

I found the news weird as I never had any symptoms. Then, I was asked about the family history regarding health, and I had no clue of any relative who had diabetes at that time. I was in real denial, telling the doctor all sorts of stories, like I have eaten sweets, and I have just taken a coffee with three spoons of sugar. The doctor looked at me, knowing that I was in denial, and said ‘Diabetes will kill you’. My prescribed treatment was Glucophage 500mg BD (twice daily). I was shocked and thought it’s the end of the world for me.

Family history

After two or three days, vividly it dawned on me that my two aunts died from diabetes at the ages of 80 plus. My mother died, at the age of 58, due to cancer of the pancreas. I assume diabetes would have affected her if she didn’t pass away from cancer.

After being diagnosed, my weight dropped drastically and my superior in the ward noticed. She called me and spoke strongly about the need to eat. Honestly, I had lost my appetite. Gradually, I picked up weight after two months. I’m on treatment that I comply with and thus I am a controlled diabetes patient.

My eldest son (50) has also been diagnosed with Type 2 diabetes.

Simple treatment

Even though there is medication for Type 2 diabetes, there are simple interventions that you can implement to manage your health and not have to take medication.

  1. Sunlight for 20 minutes daily which gives you vitamin D.
  2. Rest regularly during the day.
  3. Exercise but be careful not to over-strain.
  4. Healthy diet (there’s no such thing as a diabetic diet).
  5. Self-confidence and independence (don’t expect other people to run after you).
  6. Real friends who will journey with you during this condition.
  7. Join a wellness group (sharing with each other about the condition).

Finding out about DSA Port Elizabeth

Because I wanted to be active, I got a job in a frail care centre and retirement village. This is where I got to know about DSA Port Elizabeth from my nursing manager, Barbara Coetzee. Her husband had diabetes and Barbara was attending the Diabetes SA wellness group on his behalf. So, she recruited me to attend and I was eager to gain knowledge.

We had our meeting once a month at St Georges Hospital from 19:00 to 20:00, with different speakers. I enjoyed the educational talks and looked forward to the next ones.

After two years, I was approached to join the Management Board of DSA Port Elizabeth. They wanted an IsiXhosa speaking member. I immediately said yes.

DSA nursing advisor

Since being on management, I was made nursing advisor. This means at every monthly meeting as I enter the hall there are early birds who are waiting for their blood pressure and blood glucose to be checked. Many questions are asked and if I am unable to answer, I refer the question to the relevant speaker.

Annually, we (Martin, Elizabeth and myself), visit Jeffreys Bay for a workshop at the Pellsrus Clinic. Even there, I have my table with pamphlets and I check patients blood pressure and blood glucose. It’s much appreciated by the residents concerned. Surely, they missed us in 2020 due to lockdown.

I also attended a workshop in Walmer Township where different health conditions were highlighted and I was assigned to represent our diabetes wellness group. I also visited New Brighton location where most of the attendees were pensioners.

Every year, we get invited by big companies to their wellness day for different health conditions. I enjoy these functions as I have the longest queue at my desk as it’s more of IsiXhosa speaking people attending. We supply them with informative pamphlets and educate them on diabetes. They are usually eager to have their blood pressure and blood glucose checked as most don’t get a chance to go to their local clinics to do check-up unless they are sick.

During lockdown, we, as board members, meet through our WhatsApp group when the need arises. I hope this year there will be a difference from these pandemic restrictions. I’m still eager to serve in the coming year as a board member.

Always learning and sharing the knowledge

At work, Barbara assigned me to take care of the diabetic residents in that institution. I became the favourite, as when I was off residents would ask for me as they trusted me, especially those who were on insulin injection.

I acquainted myself with our well-equipped DSA library which has informative books and I learnt that diabetes is not the end of the world and the best care is what I listed as the simple treatment. Just maintain it in all stages of life. If one follows that trend which is far cheaper than medication, you can survive as diabetes is a lifestyle condition. But remember to always take your diabetes medicine as prescribed by your doctor and to see him regularly for check-ups.

Pamela Molefe testing at Pellsrus, Jeffreys Bay.
Counselling an employee at Autocast.

Cara ten Cate – Reflections of a TD1 teenage girl

Cara ten Cate, a Type 1 diabetes patient, shares a creative piece of writing she penned in regard with having diabetes.


Cara ten Cate (15) lives in Durban, Kwa-Zulu Natal with her parents.

I have an illness called diabetes, Type 1 to be exact. As it’s a part of my routine to inform my peers about this illness, it’s not the diabetes that sparks curiosity. The automatic facial reaction to my statement is towards the simple but deadly word ‘disease’. This word causes reactions so intriguingly cringy, it almost forces a feeling within you to jump behind a bush and hide.

Just one reminder though, don’t give me your sympathy. You may ask why I don’t want your sympathy but I’ll get to that in a moment.

This monologue will be far from grammatically correct, or might even sound like it’s been rushed. However, I have recently accepted my newly-found courage to openly share my story, because after all I am defined by this invisible force. The power it has held over me, the consumption of emotion it’s caused, the fearful depth, the capacity within has led me to finally say that this illness has unrepeatable beauty.

We are living in a society entirely hypnotised by the idea of outer beauty, normality, time and pity. We live in a world where positive outcomes are the expectation of all living species, but listen. I am a failure and I am proud.

I was diagnosed at the age of 5. I am 15 now and I still can’t count my amount of insulin dosages. I rely on people’s care, taking more than I care for myself. I barely inject myself anymore. I still don’t read labels on foods or drinks. So, ya I’ve been failing for 10 years and I’m proud. It is the failure that has gotten me here today.

I continue to refer to my failures in the present tense because it’s not my past. It will never be. It’s the continuation of my future and my now. If I can admit that my failure continues to define me and spark growth within my maturity, then you may call me a failure for the next few years because without that I wouldn’t have the emotional and physical awareness I hold onto to this day.

Diabetes defines me, and don’t tell me otherwise. I grew up listening to social platforms, family members, friends, etc. telling me that this disease shouldn’t hold severe control over me. Guess what, it did and still does because I’m living with it.

Growing up with diabetes I was saddened by a feeling of no control over myself, and yes that is still partially true but I now know it’s my body’s way of expressing a compromise between that five-year-old little girl and my 15-year-old self. Compromise is key. I’m not saying to continue a path of lacking self-growth within managing an illness, but use the failure as a way of identifying the problem, planning a solution and kicking its ass. Don’t expect structure.

The backwards law states that expecting positive will lead to negative outcomes. However, it’s the acceptance of negative that will prove to be a positive experience. Diabetes isn’t easy, it never was. I am living proof of a negative and positive outcome. It’s through this half and half lifestyle that I have learnt sympathy is the worst thing given.

As someone who has diabetes, sympathy has the power to make me feel as if I’m a walking disease. This may have a dramatic tone, though I bet you will find plenty of other people with diabetes who will strongly agree.

Why are you sorry? You as a human who may never endure a physical illness will never get to realise the hardships of having the jealousy we feel towards peoples’ functioning pancreases, all for the reason being that they produce insulin. For that I say sorry to you.

This piece of writing will never be one to be used as a piece for school. My story does not deserve to be graded. This is my life, the span of my 10-year journey with an illness that changed a five-year-old tiny life into a whirlwind roller coaster of ups, down and mediums within a flash of a second. As humans, we all have our low moments, but just like a roller coaster we find ourselves soaring again.

The day of that diagnosis, you are immediately classified as a different personality, “The diabetic.” Hi, I’m that diabetic and I think that’s pretty cool. Don’t grow up with a label you regret, especially with one that was not a choice and was given by a group of societal members that have no understanding of this illness.

I spent years trying to hide the fact that I was diabetic. I was ashamed and embarrassed, but oh do I wish I didn’t. Wishing for the past to change won’t do anything, so as I continue entering my nows, know that I am no longer embarrassed and you shouldn’t be either.

This is my story, it wasn’t chosen but it’s there and I’m happy to say that I had a story. I wasn’t able to choose my storyline but I was able to choose my purpose for it. My purpose is spreading my acceptance to the people who are struggling to cope with this newly found

illness. Even if you don’t have diabetes, please know that you and I aren’t so different. We have individual stories, different storylines, evidence and even characters. Though our words and emotions will forever be conjoined. I am diabetic and that’s who am meant to be.