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


Discipline is Remembering What You Want

Years ago, in the weeks prior to starting medical school, my brother-in-law gave me a small card with a message in calligraphy: “Discipline is remembering what you want.” I affixed it to the wall of my new study carrel where it remained for a long time until, years later, I passed it along to a friend who needed it more than I. Continue reading


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


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


Mind and Body Connections Help You Grow

Western culture has long considered the mind and body as separate entities, one from the other. In medicine, for example, mental illness has long been considered separate and different from physical illness; many aspects of care, insurance coverage, and chronicity reflect this. In one of the most widely watched TED talks of all time, Sir Ken Robinson, a highly respected educator, described an academic as an individual who employs the body to move their head from one meeting to another.

On the one hand, we are contemplative, cognitive, spiritual, moral selves; on the other we are our oriented, balancing, turning, stretching, physical selves. Two sides of the same coin, we are each and we are both. Continue reading


Is That Soup Healthy? Or is it Nourishing?

Today I’d like to talk about just one thing, and that is the difference between healthy and nourishing. In 2017, Michael Ruhlman, the noted chef and writer, published a book called Grocery*, in which he reflected on a great many aspects of supermarkets and grocery stores. As part of his endeavor, he asked me to meet with him and share my perspective. Continue reading


My Favorite Topic: Real Food

Almost all diets have one particular strategy in common, which is to increase the amount of real food that people are eating while simultaneously decreasing the amount of manufactured calories, including both stripped carbohydrates and the ultraprocessed oils invented in the 20th century.

Stripped carbohydrates are processed to remove the most nourishing parts, including the bran and germ. Other stripped carbohydrates include white rice, corn starch, corn syrup, and sugar. It is not a coincidence that white flour, corn starch and powdered sugar look exactly the same. We’ve removed the original identities of these products, so all that is left is a pile of white powder. Continue reading


Old-Fashioned Gratitude

Many years ago, when I was eleven years old, my parents bought a Corning Cooktop stove, a fancy new appliance whose coils remained white even when they were hot. You simply had to take it on faith — or not. No matter how long I stared at that new stovetop, I could not convince myself that the white coils were hot. And that is why I still remember so clearly, this many years later, the perfectly oval burn on the tip of my right index finger. I touched it only once, but that was enough. It was all it took. I couldn’t take anyone else’s word for it.  Continue reading


Nourishing Yourself With Joy

Joy has been in the news lately, and that’s what I want to talk about today. 

Eating is meant to be a source of joy, as satisfying as the sunrise. Like listening to music. Talking with friends, or sitting together on a bench at the park. The wind at your back. Trading backrubs. Dancing. Stretching. A hot shower. A book that transports you to the other side of the universe. Walking along the shore. 

Eating is deeply satisfying. It speaks to your soul. Eating is sour, sweet, bitter, spicy, umami. Crunchy, soft, toothy, smooth, sticky. Beautiful, colorful, warm, cool, icy, bubbly. Expressive, imaginative. Fun, chaotic, quiet, or peaceful. Continue reading