Cecilia Gyan – Newly diagnosed

Cecilia Gyan has been newly diagnosed with Type 2 diabetes. She shares how she has modified her lifestyle to better her health.


Cecilia Gyan (58) lives in King William’s Town, Eastern Cape with her husband of 31 years. They have three children.

Diagnosed after having COVID

Cecilia was diagnosed in July 2022 with Type 2 diabetes several months after having COVID. “I don’t know if it was brought on by COVID. But I do have a family history of diabetes; my mon had Type 1 and my dad had Type 2. Because of this I have maintained a healthy lifestyle as she encouraged me to take care of my health. Though, when I was pregnant with my first two children, my blood glucose levels were high but I was never put on medication. I was advised to be more active and watch my diet. After giving birth, my blood glucose regulated. I had my last child when I was 42 and surprisingly had no blood glucose problems during that pregnancy, but then I had lost over 12kg by then and that could have contributed to not experiencing any problems.”

The 58-year-old got COVID in December 2021. “Around April 2022, I realised that I was urinating more often than usual, especially at night, about six to eight times before dawn, and I also felt generally under the weather. I visited my GP who did a finger-prick test and it was high (11). He advised me to change my diet to try and lower it,” Cecilia explains.

After a second visit to her GP, a HbA1c test was done which was confirmed that she had Type 2 diabetes. “He prescribed 500mg of metformin. However, after the first week, my blood glucose readings weren’t decreasing so my GP doubled my dosage to the morning and evening.”

Family history of diabetes

Apart from both Cecilia’s parents having diabetes, her husband was diagnosed with Type 2 in 2005. “Because of my parents, this news didn’t feel like a train smash. I felt it was a condition that you can live with. My husband has been very supportive of my diagnosis and has taught me how to prick my finger and check my blood glucose readings. He puts the pin in the instrument for me the night before so that I can test in the mornings. We have always ate similar things so now cooking from a single pot is easier.”

“My daughter, who is a medical doctor, was also diagnosed with Type 2 in 2017. She was prescribed metformin. But thankfully due to her changing her lifestyle through diet and exercise, she no longer needs to take any medication.”

Challenges

“Even though most of my family has diabetes, my diagnosis has been hard on me, it’s different when you are diagnosed! I struggled with acceptance and woke up crying a couple of times.”

Cecilia goes on to say, “Personally, my struggle has been not being able to eat what I want and portion sizes. I felt weak and hungry all the time after eating the recommended portion size. The cravings have stopped ever since I started medication. My daughter helped me out temporarily with her meal plans and I have now consulted with a dietitian. This has helped me tremendously in terms of portion size and what I love which I can include in my diet.”

“I also felt tired more often and it’s difficult to be physically active when you’re hungry and fatigued. For the first three weeks of taking the medication, I had side effects, mostly nausea. Thankfully that has subsided.”

Another challenging aspect of nutrition for Cecilia is “it gets boring eating greens all the time. Also, I have to plan around my eating. Preparing beforehand is essential for eating correctly. My biggest headache is when I have to travel for work purposes. I realised that breakfast tends to be difficult and depending on the accommodation provided, healthy food choices in terms of greens may not be available or the same every day. There is very little flexibility.”

Aiming for steady readings

“Since I’m newly diagnosed, I’m still trying to get steady reading continuously. After my daughter’s meal plan, I’ve seen readings being steady (5-6) which makes me feel good that I’m doing something right. And now with the dietitian’s help, I’m doing well.I test my  blood glucose level every morning.”

Cecilia experienced her first episode of hypoglycaemia in August. “I didn’t know if I was having a hypo or if it was a hot flush. I felt weak and was sweaty. I ate a boiled egg and after eating it I felt better.”

Lifestyle adjustments

Cecilia has changed her diet; she has cut out red meat and gets her protein from eating eggs and fish. She doesn’t consume dairy as she has gastroesophageal reflux disease (GERD). She has also started walking 30 minutes a day or does other exercise. “I’m also making a deliberate effort to take regular breaks away from my desk and laptop. I stretch and walk around,” she says.

The mother of three has lost about 4kg and she says that people are commenting on it. “I use this opportunity to inform them about my diabetes and the fact that diet is what is making me lose weight, without much effort.”

Accepting diabetes as part of life

The 58-year-old is open about having diabetes with work colleagues.“I tend to be upfront about it so that if I seem to be a bit fussy, especially when eating out, the host or my colleagues will understand,” Cecilia explains. However, she adds that travelling for work is a concern as she worries about experiencing hypoglycaemia.

“I need to see my diagnosis in a positive light and move with it. There will definitely be challenges but with family support and knowledge from reputable sources, I will thrive and not let my diabetes define me.”

And this is what Cecilia is doing. “I have gone back to dressing up because of the weight loss and I’m looking after myself properly. I’m my priority now. As a mother, we tend to look after everybody else and now, I look after me first.”

Diabetes may have some control of her life but laughing is not one of them. “Diabetes doesn’t stop anyone from laughing! Laughter is great medicine too.”


Images supplied.



This article is sponsored in the interest of education and awareness by Sanofi. The article has not been changed or altered in anyway by the sponsor.


Go-getter Jones

Thato Jones has his eyes set on a rugby career after matric. He shares how he realised that his diabetes doesn’t have to define who he is.


Thato Jones (18) is currently in his matric year and stays at King Edward VII School Hostel during the week and on weekends in Krugersdorp, Gauteng with his parents, Zinto and Lavern.

Diagnosis 

At the age of 10, in April 2015, Thato was diagnosed with Type 1 diabetes. He experienced excessive thirst, painful stomach cramps and numerous bathroom breaks. “I wasn’t feeling well and lacked energy. One afternoon after school I told my mom that my teacher asked whether I was sick. My mom asked if other teachers had asked that question too. She was shocked to hear that quite a few had. Since she didn’t notice any changes due to her seeing me every day, she decided to take me to the pharmacy where I was given Citro-Soda but was also advised to see a doctor. That same evening I landed up in hospital as I had diabetic ketoacidosis,” Thato explains.

Thato says he knew a little about Type 2 diabetes before he was diagnosed due to the Personal and Social Well-being class at school. Though, his knowledge of Type 1 is expansive today.

Treatment and management

Thato currently uses insulin before every meal, this is usually three times a day. He checks his glucose levels four times a day, before every meal and before bedtime.

He has been at boarding school since 2018 and says eating the bulk prepared food hasn’t been an issue with managing his diabetes.

The 18-year-old says he has been upfront about his diabetes with dorm mates, team mates, close friends and a few teachers. However, he chooses not to overshare. “It isn’t because I’m shy or embarrassed about it, it’s quite the opposite. I test my blood glucose whenever I need to and I inject wherever I want to. I just don’t want to feel like a burden.”

He adds that he has taught close friends and people that he trusts how to help him when he experiences low blood glucose levels. “A quick fix for a hypo is drinking Coke, or eating a Super C or something sweet. Managing my diabetes is almost like second nature. I know what to do and when to do it.”

Go-getter

Thato explains that when he was first diagnosed he thought that his diabetes defined him as a person. “But I soon realised that I don’t have to allow diabetes to control my life and I won’t allow it to control my life. I define myself; I’m a go-getter and believe in hard work, and often I’m hard on myself but this is because I want to achieve my goals.”

Thato has already achieved many of his short-term sport goals: “I played 1st team rugby at Monument Primary and was captain of the team. I represented Gauteng at different provincial weeks for rugby, cricket and athletics at primary school. Now in high school, I made it on the 1st rugby team for King Edward VII School this year in the position of wing while last year I was part of the 2nd rugby team. I also play basketball and participate in athletics. I live a normal life and go to gym four to five times a week.”

The young man has his eyes set on pursuing a rugby career after finishing matric.

Managing diabetes as a sportsman

“During rugby season my blood glucose levels are close to normal (no highs are experienced) due to the physical activity during practices and matches. Because my blood glucose levels are almost normal, I take less insulin dosages. Before physical activity, I have a pre-game or practice snack, such as a Futurelife bar, or have an Energade or Powerade, or even an apple.”

Thato finds the most challenging aspect of nutrition to be “not being able to consume the amount of carbs that I need to, for example, a protein shake after a gym session. I normally take two thirds of what is recommended.”

Message of encouragement

To honour World Diabetes Day, Thato will be educating school mates about diabetes on this day. “I try to educate them whenever I get the opportunity.” He advises any person to test their blood glucose levels when visiting a GP. “It’s a good thing to know your health status,” he adds. His message to other youth who have recently been diagnosed is “Don’t let diabetes ruin your life. Don’t let it control your life. Carry on. Follow your dreams.”


Images by Donovan Jackson.


Thato Jones T1

This article is sponsored in the interest of education and awareness by Sanofi. The article has not been changed or altered in anyway by the sponsor.