Do you know how to get support to help control your diabetes?
Half of people living with diabetes don't know they have it. We know that more than 4.5 million adult South Africans have diabetes. 14 November is World Diabetes Day, now is the time to know your blood sugar levels. And if you have diabetes, we have the enhanced support and benefits to help you.
Since March, South Africans have been focusing on the signs of infection and protecting themselves from the COVID-19 virus. This is sensible, but so is paying attention to a condition that affects 12.7% of adults in South Africa according to the International Diabetes Federation's (IDF's) 2019 Diabetes Atlas. By now, even more adults could have diabetes, especially considering the jump in numbers from just three years ago.
Have your blood sugar tested. Early detection and treatment can help prevent complications. If your diabetes is under control, you can lead a full, healthy life.
Getting the best health outcomes
Teamwork is the best way to manage chronic conditions like diabetes. You have to do your part by knowing your blood sugar, educating yourself, making healthy food choices, exercising, and taking your prescribed medicine. But while you have to put in the time and dedication to manage your condition, you have a team of healthcare professionals to guide and support you.
People with diabetes have the best health outcomes when one doctor helps you manage your diabetes with the support of a healthcare team. This makes sure that everyone involved in your treatment is following the same strategy and that they share important information with each other.
Research shows that modifying health care delivery to include team-based care combined with patient-centred technologies offers great promise to better treat chronic conditions, so you get the best health outcomes.
The Diabetes Care Programme
Once you register for diabetes on the Chronic Illness Benefit, you have cover for the care, treatment and ongoing management of your diabetes through the Diabetes Care Programme. This does not use up their day-to-day benefits, where applicable.
The Diabetes Care Programme is based on clinical and lifestyle guidelines. Through the programme, the member and enrolling GP can agree on key goals and track the member's progress on a personalised dashboard on HealthID.
In addition to the standard treatment basket of procedures and consultations available to members approved on the Chronic Illness Benefit for the management of diabetes, members who enrol on the Diabetes Care Programme will have access to the following additional benefits:
- A biokineticist consultation to ensure that members obtain the best advice about exercise. To ensure that the claims fund from the correct benefit, the biokineticist needs to claim the code DCARE and include the relevant ICD-10 diagnosis code on the claim
- An additional dietician consultation to ensure that members obtain the best advice about nutrition. To ensure that the claims fund from the correct benefit, the dietician needs to claim the most appropriate code from the table below and include the relevant ICD-10 diagnosis code on the claim.
- Members registered on Diabetes Care will have access to an extra 100 blood glucose strips a year; claimed as a quantity of 50 twice a year:
- Blood glucose test strips on the formulary will be funded in full up to the Scheme rate
- Blood glucose test strips not on formulary will be funded up to the CDA, applicable to plan type.
SABMAS members have access to benefits and technology to help them achieve the best possible health outcomes.