The wake-up call came six years later in 2024, when, after returning from a cruise, James collapsed from a severe hyperglycemic episode and was rushed to the hospital. His blood sugar had soared to a dangerous 365 milligrams per deciliter (mg/dL).
It was a life-changing moment, but not the end of his story.
Today, James is not only managing his diabetes but thriving thanks to the support and guidance he received through the Health Services Authority’s (HSA) Diabetes Education Clinic. He credits the education sessions and one-on-one support, particularly from pharmacist and certified Diabetes Educator Winsome Jefferson, with turning his life around.
Literally having a blood glucose monitor has changed my life and my perspective on health and self-care. I was 428 pounds and now I’m 360 and still going.
James Geary, Caymanian musician and diabetes patient
James is not alone. His experience demonstrates the power of education in helping individuals living with diabetes gain control over their health. And now, thanks to a new initiative by the HSA, more people like James can access these life-changing services closer to home.
In a major step toward improving access to care and preventing diabetes-related complications, the HSA has launched monthly Diabetes Education sessions at all district health clinics.
Watch Video | Caymanian Musician James Geary talks about his experience at HSA Diabetes Education Clinic
These group sessions, led by certified Diabetes Educators and Pharmacists Winsome Jefferson and Amanda Daley, provide practical guidance on lifestyle changes, medication adherence, nutrition, physical activity, and blood glucose monitoring.
“Expanding these services to our district clinics is part of our strategy to empower the community to make informed choices that enhance their well-being,” explained Senior Nursing Officer for Public Health and Primary Health Care Services, Nurse Joanna Rose-Wright. “We’ve seen firsthand how knowledge improves outcomes, and we want every person at risk for diabetes or living with it to benefit.”
In contrast to the one-on-one sessions offered weekly at the General Practice Clinic at Smith Road Medical Centre, the district sessions are designed to reach larger groups and serve both diabetic and pre-diabetic individuals. They are free and open to the public, making them especially valuable for those who may not yet have a formal diagnosis but are showing early warning signs.
Patients attending general appointments at the clinics often engage with educators in the waiting areas, leading to more personalised referrals.
“The community response has been very encouraging,” said Nurse Rose-Wright. “People are asking questions, requesting one-on-one consultations, and showing a real interest in learning how to manage their condition.”
According to Mrs. Jefferson, diabetes education plays a critical role in both prevention and management.
It never ceases to amaze me how little many patients understand about their condition. Some are completely reliant on medication without changing their lifestyle, and others stop taking their insulin altogether. One patient I worked with reduced his HbA1c from 17 to 6.3 in just five months by committing to the lifestyle changes we discussed and through consistent follow-up.
HbA1c is a blood test that shows the average level of blood sugar over the past two to three months. A level of 17% is dangerously high, while 6.3% is within the target range for most people with diabetes, showing a major improvement in overall health.
She added, “We want people to understand that diabetes isn’t just ‘a touch of sugar.’ It can lead to blindness, kidney failure, and amputations. But with education, monitoring, and support, it can be managed, and these complications can be avoided.”
James Geary’s experience is a cautionary tale of what happens when symptoms are ignored, but also one of hope.
“My advice to anyone living with diabetes or on the verge of it: Get help. Leave your pride at the door. Use the community around you, such as these clinics, to improve your life until you can do it yourself,” he said.
Today, James is healthier, more informed, and most importantly, more inspired to keep improving.
With the expansion of diabetes education clinics across Cayman, the HSA is reinforcing its commitment to improving public health through community engagement, prevention, and support.
District Diabetes Education Sessions are held monthly at all district clinics during the fourth week from 10am -12pm. The schedule is as follows:
- West Bay Health Centre: 4th Monday of each month
- Bodden Town Health Centre: 4th Wednesday of each month
- East End Health Centre: 4th Thursday of each month
- North Side Health Centre: 4th Friday of each month
They are open to the public and individuals who are diabetic, pre-diabetic, or simply want to learn more about managing their health are encouraged to attend.
A one-on-one Diabetes Education Clinic is also available in half-hour sessions at the General Practice Clinic at Smith Road Medical Centre on Tuesdays and Thursdays from 2pm to 6pm.
For more information or to book an appointment at the General Practice Clinic at Smith Road Centre, call 244-7520 or 244-7683.
To learn more about HSA’s Diabetes Education services, visit: https://www.hsa.ky/medical-services/diabetes-clinic .