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…”


When Your Heart Becomes a Home

A while back I wrote about various ways a heart’s function can become compromised. Think of the heart as having electricity, carpentry and plumbing. Today’s post focuses on the plumbing. Heart attacks are a plumbing problem, a blockage in the blood vessels, or pipes, of the heart. Yes the heart has its own blood supply. Blockages are caused by a clot, or a thick layer of plaque. If blood can’t pass through a vessel, then all the cells beyond the blockage quickly become starved for oxygen, after which they die. This is a heart attack. Continue reading


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


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


With Years Come Wisdom, Guest Post by Joe Gardewin

Our recent guest post on aging inspired yet another guest post, this one by long-term reader Joe Gardewin. I hope his words inspire you as much as they inspired me!

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Dear Doc Roxanne, 

I may not be an expert on aging but, at 78, I do consider myself aged or, as my friend, Tom Isern, says, “seasoned.” In other words, most of my life is in my rearview mirror. Ha! That is not a bad thing, because I’ve had a pretty full life. But I do hope to live for a while yet and, in all honesty, I think I will. I think that, in part, because I have a good family doc who has now followed me for 20 years. In her words I am “… not the patient I worry about most.” 

These are my thoughts on [hopefully] living a long, healthy life:  Continue reading


Back to the Basics

Lately I’ve been feeling a desire to return to talking about the basics. The question of how I personally began thinking about wellness, prevention and nutrition is as basic a place to start as any. And while it is very true that my own parents’ commitment to nourishing food, their common sense approach to life, and the fact that they lived their values for almost 45 years on their farm in the New Jersey’s Watchung Mountains set a sure foundation for my interest in fresh food and good health, today’s post is the story of how I made these passions my own. Continue reading


Breast Cancer: My Passion for Prevention

I would like to share with you that I have recently made a big change at work. After many years in general internal medicine, wellness, and prevention-based care, I will now be applying my passion for prevention to the community of patients at increased risk of breast cancer. Lest you think this is not such a big deal, it turns out that breast cancer affects approximately 12% of women, or 1 in 8, over their lifetime. In other words, it’s a public health emergency. And the research has clearly demonstrated that obesity is a significant risk factor for breast cancer. Continue reading


Ten Steps to Preventing Diabetes

Let’s say that you’re not diabetic and, of course, you want to keep it that way. But you have a couple of family members with diabetes, and you’re wondering if it’s inevitable that it’s going to happen to you, too. Not necessarily. Here are some things you can do to dramatically reduce the likelihood of developing diabetes. Continue reading


I Like Patients Vertical

If I can help it, I like patients vertical, not horizontal. I want to make sure that nobody gets a disease that could have been prevented. Sure, accidents happen. And illnesses show up every day in the lives of patients and their families who did nothing to deserve them, and who could have done nothing to prevent them. But not all illnesses. Continue reading