Testimonial from an Old Friend

I was scrolling back through some posts that I wrote over a decade ago, and came across this one. I decided to include it here once again to highlight the message that diabetes is reversible. A great many people feel that their diagnosis is inevitable, and that once it appears on their list it will stay forever. Not true.

Further, it isn’t exactly diabetes that’s the problem. It’s high blood sugars. It isn’t a diagnosis of diabetes that’s the problem; it’s uncontrolled diabetes. When I was practicing, I made the point with my patients that I would do whatever it took to help them keep their blood sugars normal. Activity, food choices, mindfulness, and, yes, medication. That’s how important it is to maintain your blood sugars in the normal range. Elevated blood sugar levels are like glue. They interfere with circulation, digestion, immune system function, brain function, and more. So here goes.

Just over a year ago, a near and dear friend was lying in a hospital bed. He had been admitted several days earlier for a leg infection, but it was not responding to the appropriate first-line IV antibiotics. He was frightened, and in terrible pain.  

When I first heard about my friend’s hospitalization, I expected that he would soon feel better. But this was not the case. As a physician, I began immediately to sort through the medical reasons that he might not be responding to the treatment. It didn’t take long for me to ask the right questions. What do his blood sugars look like? They were far above normal.

What is the first reason to consider when an infection isn’t healing? Uncontrolled diabetes. Though he had never actually said so, I surmised that my friend was likely diabetic. I called him. And it was true. He had actually been diagnosed with diabetes several years prior, but never wanted anyone to know. I shared a few basic recommendations, and the very next day his blood sugars and pain began to improve. The infection resolved over the following days. As you will see for yourself, he never looked back. With his permission, here is the update my friend sent a week later:

“I’m thinking of you and smiling as I eat my breakfast. Starting my day today with King Oscar brand “Finest Brisling” SARDINES packed in Extra Virgin Olive Oil. …Delicious! They are just sooo good swirled around in that rich, delicious olive oil. I love my food. Now, I know some people might turn their nose up at sardines for breakfast …. but I also know that there is a doctor in Ohio who thinks sardines are a great breakfast. So I think of you and smile.”

Many months later, I received another message. “You were there for me in my darkest moment, so I feel a little medical update is in order when I have nice news to share. My endocrinologist has sent me away! Dismissed! Doesn’t want to see me anymore. For three followup visits in a row (the last two being 6 months apart) my numbers have been spot-on, boringly normal with little or no medication. Weight. Blood pressure. Blood sugar, etc. Even the cholesterol is normal. I’m taking a vitamin, a baby aspirin, and 10 mg/day of Lipitor. That’s it. And the endocrinologist is recommending that my regular doc followup in four months and remove the 10 mg of Lipitor and we’ll see what happens. That would mean zero prescriptions. Not too shabby.”

“I’m flabby [personal part] so I won’t be posing for playgirl magazine, but I’ve got no gut hanging over the belt whatsoever. Went from waist size 54″ to 32″. And the 32’s are loose and comfortable. It’s amazing.”

Peace,

R…”


Breakfast in Winter

I really love snow, and last weekend Northeast Ohio got more than a foot of snow, a real snowstorm. My neighbors reported that their dachshunds’ morning walk was extremely challenging, and the roads weren’t passable until mid-morning. I myself spent a lot of time shoveling snow, so I needed to eat a breakfast that provided more fuel than usual. Today we’re talking about breakfast. Continue reading


YOUR HEALTHY PLATE: Sweet New Year Soup

Next week we will celebrate Rosh Hashanah, the Jewish new year. Traditionally, Rosh Hashanah foods tend toward the sweet and the circular: sweet for a sweet new year, and circular to represent the seasons that run one into the next, year after year, around and around. At this time of year, we even twist our challahs (egg bread) into rounds instead of the characteristic braided loaf we eat all year long.

We eat lots of fruits, especially apples, prunes, pomegranates, dates and apricots. Chosen vegetables might include sweet potatoes, beets, carrots, and leeks (sliced into rounds of course). Dishes made with black-eyed peas and lentils are a frequent addition to the table. And there is always lots and lots of honey, especially for dipping bread and apple slices. Continue reading


Salmon Teriyaki by the Lake

The first week of May, we spent a long luxurious weekend with old friends who live at the confluence of two quiet lakes north of Detroit. Twenty-four hours a day, we found ourselves looking out large windows at the mesmerizing ripples on the surface of the water, lakes filled with Mallard ducks, geese, swans, a pair of loons, and even the first egret of the season. We saw four waddling yellow puffballs following closely after their Mallard parents. No matter the time of day, no matter the weather, the view out those windows was stunning. Continue reading


YOUR HEALTHY PLATE: Anya’s Salmon Soup

I published this recipe once many years ago, and haven’t made it in a long time. But Anya’s salmon soup is the perfect choice for this time of year, and I have all the ingredients I need to make some this week! It’s a beautiful color, exactly right for adding some brightness to your life as you start settling into the deepest part of winter. Also, the combination of ingredients is exactly right for bracing yourself for the coming Arctic temperatures. Continue reading


YOUR HEALTHY PLATE: Salmon Soup

I posted this recipe once a long time ago, but it’s such an elegant recipe that I wanted to share it again for all my readers who had not yet seen it. Not only is it a warm and beautiful color, perfect for the cold weather, but it is also a wonderful addition to the menu for friends whose celebrations include the custom of eating many different kinds of fish on Christmas Eve. Continue reading


Real Breakfasts for All You Champions

Last week I wrote about the sorry story of how boxed cereals came to predominate morning choices for breakfast; this week I’m sharing some of my own breakfast choices. The first thing I am going to point out is that my breakfasts do not differ significantly from other meals I eat through the day. That is to say, I don’t keep a separate list of breakfast options from lunch and dinner options. While I would say that I probably eat less spicy stuff at breakfast time, it’s more of a suggestion than a hard-and-fast rule, as you will see.

A major category of breakfasts in my house is the leftovers I find in the refrigerator, with or without a little extra something. So it could be that I heat up a bowl of leftover stir-fried vegetables, and that might be enough by itself, but I might also add some leftover rice if there is any. Or maybe I will fry an egg and slide it on top, or melt a slice of cheese (vegan for me) on top.  Continue reading


YOUR HEALTHY PLATE: Red Lentil Soup for Rosh Hashanah

Rosh Hashanah, the Jewish New Year, begins tonight at sundown. High Holiday foods tend toward the sweet and the circular: sweet to represent our wishes for a sweet new year, and circular to symbolize the seasons that run one into the next, round and round, year after year.

So it is traditional to eat many different kinds of fruits, especially apples, prunes, pomegranates, dates and apricots; and sweet vegetables such as beets, carrots, sweet potatoes, and leeks (sliced into rounds, of course), as well as black-eyed peas and lentils. And lots of honey, especially for dipping bread and apples. Continue reading


YOUR HEALTHY PLATE: Channah’s Whitefish Soup from Jerusalem

I am back! Inboxes, circadian rhythms, unpacking, and laundry are all emptied, adjusted, and done! It was nothing less than thrilling to meet our new grandson, and to feel the joy of seeing our son and daughter-in-law become parents to their beautiful new baby boy. Our daughter-in-law is a great cook, and I brought home a special recipe of hers. She emphasized that this recipe works with any whitefish available, and you should not feel the need to purchase anything too expensive or special. These are her instructions below, and I’ve underlined the ingredients to make it easier to get organized: Continue reading


Leaves, Buds, and Stems: Cruciferous Veggies

A few years ago a patient came into my office complaining of migraines. He said, “You might think I’m crazy, doc, but I only get these headaches when I eat certain vegetables.” Which ones? It was hard to be sure. Salads gave him a headache only sometimes, and usually only in restaurants. Cole slaw gave him a headache no matter where he ate it. The list seemed completely random, and included Brussels sprouts, watercress, broccoli, and radishes. I grinned like an amateur holding a royal flush. The patient was naming only cruciferous vegetables. Continue reading