There Is So Much You Can Do To Make It Better

Sometimes I think this blog should have a category called “It’s worse than you think” or “I’m really not exaggerating,” or maybe just “More scary news.” Sometimes I even get the feeling that people think I may be overstating the urgency of the diabetes epidemic. So I gathered together a few statistics for you. Continue reading


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


Small Steps

Some time ago, Gene the computer guy showed up at my office for the first time in a while. Right away, I knew something had changed. I said, “Gene, how are you? You’re looking very well!” He responded with an uncharacteristic grin, and answered by telling me one thing all of us know, but few believe (despite numerous confirmatory personal experiences!). I sat up fast when he said, “Diets don’t work.” Continue reading


Basics of Kindness & Self Care

It’s been a long time since I went back to the basics, but a letter this week from a reader in Missouri prompted me to think again about the basics. He asked specifically about fat, carbohydrate, and protein. I will get to what he said in a minute, but before I talk about food I would first like to talk about wellness. Continue reading


Every Little Bit Counts

I have some amazing news to share. A recent study published in the journal Diabetes Care observed a reduced risk of diabetes (type 2) in older women who walked just 1000 steps more every day. You can access those findings here. This week’s post might, at first glance, seem a little dry to you, but if you’ll stay with me for a couple of minutes, I think you’ll find an important observation here that may resonate deeply. It’s not about diabetes, or even walking for that matter. It’s about success. Continue reading


Your Health is Where You Want it to Be

Good morning, and happy Sunday! I want to tell you about a conversation I had with a patient this week. She was someone I’d never met before, and, like many before her, she was absolutely flummoxed about what to try next. She had already done everything she could think of to lose weight. I think you know this story. I’ve told it many times before, and you may even have experienced it yourself. Maybe you’ve been on practically every diet, eaten cabbage soup, denied yourself your favorite foods, carved out time you didn’t really have to get more exercise than was comfortable at the time. Of course none of this was sustainable. You can’t eat cabbage soup for breakfast forever. So what’s next? Next comes balance. Continue reading


Baby Steps

This week i had a conversation with a patient, a math tutor, about the difficulty she was having measuring up to her impossibly difficult personal standard. Why “impossibly” difficult? Because I’m sure that she was doing the best she could. And to ask more of herself, at least right now, was impossible. Continue reading


Every Little Bit Means Progress

This is a post about how perfection is the enemy of progress. The thing is, this is true all the time, but I feel like it’s especially important to remind ourselves now, when we’ve been through so much, and it isn’t over yet, and we still need to be extra kind to ourselves, not to mention our family and friends and co-workers, who are also trying very hard to keep putting one foot in front of the other. So here’s the story: A while ago, it was time for us to replace our 300-foot-long driveway, so we contracted with some very competent, able-bodied cement guys. They put a date on the calendar for the following spring, and we waited (patiently) until May came around. Then they came one day and ripped out the old driveway, fully intending, of course, to replace it later that same week. Alas, as my grandmother used to say, “Menschen tracht unt Gott lacht.” That means people plan and God laughs. Ha-ha. Continue reading



One Step At a Time

Some time ago, Gene [not his real name] the computer guy showed up at my office for the first time in a while. Right away, I knew something had changed. I said, “You’re looking very well! How are you doing, Gene?” He responded with an uncharacteristic grin, and answered with an observation that all of us know, but few believe (despite numerous confirmatory personal experiences!). I sat up fast when he said, “Diets don’t work.” Continue reading