Strategies for Improving Your Blood Sugars

This week I’d like to talk about the concept of diet-controlled diabetes. Sometimes, when a patient’s most recent bloodwork demonstrates a mild elevation in their blood sugars, their doctor offers them an opportunity to try to improve their sugars without medication. If the patient is able to bring their blood sugars into the normal range through changes in the way they eat, perhaps along with increasing their activity levels to some extent, the doctor diagnoses this patient with what they term “diet-controlled diabetes.”  Continue reading


Defining Diabetes

Diabetes is a complex disease whose hallmark is elevated blood sugars. Persistently uncontrolled diabetes causes devastating and costly complications. My former patients knew that I would pay any price, whether it involved medication or not, to keep their blood sugars in the normal range. No matter what it costs to keep blood sugars normal, let’s be honest: It costs a lot more not to. We continue to see skyrocketing costs of medical care for patients with diabetes and associated complications. But prevention is not just the most economical approach; it’s also the most humane one.  Continue reading


Food for Thought

I once saw a post that said “Eat organic food, or, as your grandparents called it, food.” Only a century ago, nourishing food did not require prefixes like real, whole-grain, pastured, free-range, wild, or grass-fed. That’s what food was. What is happening to the food supply? As you have probably surmised by now, I spend lots of time thinking about the differences between real food and manufactured calories.

One strategy I use is to avoid products invented in the 20th century, like cottonseed oil, or high-fructose corn syrup. Also, I stay away from products that tell me when to use them, like breakfast cereals, lunch meats, and TV dinners. No one needs to tell you when to eat a banana, or scrambled eggs, or oatmeal, or guacamole, or chicken noodle soup. Continue reading


An Oatmeal Hierarchy (with recipe)

Like many other messages of its kind, Americans and other consumers of the standard Western diet have internalized the idea that oatmeal is “good for you.” Not all oatmeals are alike, however, and it is no surprise at all that the ultra processed items industry has identified a number of objectionable ways to influence the manufacture of oat-containing edibles. Today’s post provides more information on various kinds of oatmeal and related items available to consumers, beginning with instant oatmeal, the most highly processed product, and ending with steel-cut oats, the least processed form of oatmeal.  Continue reading


YOUR HEALTHY PLATE: Randi’s Sunshine Salad

I just spent a few days with my dear friend Randi. A long time ago, we grew up together on Long Island. She and her husband, Larry, keep a fantastic garden in which they plant all kinds of specialty veggies. Randi is an amazing and creative cook, and if you don’t believe me, just take a quick peak at this little gem that she whipped up once upon a time. Continue reading



The Menu from Bookclub Earlier this Week

This week we had bookclub at my house. I’ve written about bookclub before, and about the incredibly delicious dishes that people bring to share with one other. There’s never a plan, never been a plan, so once in a great while we have ended up with a couple bottles of Prosecco, salad, and two desserts. On the other hand, you are often likely to find grilled salmon, white bean salad, guacamole, green salad, grapefruit, and roasted olives with lemon rind. Everybody shares something. You just never know.  Continue reading


YOUR HEALTHY PLATE: Incredible Almond Butter-Ginger Sauce

It is my pleasure to share, once again, this incredibly delicious sauce. I posted it once before, over 10 years ago, but a half-empty container of almond butter on my countertop, along with a huge chunk of fresh ginger, sent me on a search for the recipe. Now that I’ve found it, I am thrilled to share it with all of you!  Continue reading


YOUR HEALTHY PLATE: Carrot-Zucchini Soup

Here’s a lovely plant-based soup that I tossed together a couple of weeks ago. I made it in a little green Staub Cocotte that I’ve had for a very long time. It always seems like everything I make in that pot comes out so flavorful and delicious. Any soup pot will do of course, but it’s always nice when you have a favorite. Continue reading


I Like My Patients to be Vertical

Throughout my years of practicing medicine, I liked to say that I preferred my patients vertical. As opposed to horizontal.

If and when I could help it, I wanted to make sure that no one got a disease that could have been prevented. Sure, accidents happen. And illnesses, sometimes serious, are diagnosed every day in the lives of people who did nothing to deserve them, and who could have done nothing to prevent them. But not all illnesses. Continue reading