Some time ago, I received my first pedometer with which to track my daily steps, and I could not have been more thrilled. Attached unobtrusively to an elastic wrist band, it ventured forth with me every day as I plotted my path, set my course, stepped up, or took a hike. Continue reading
Category Archives: Strategies
The Effects of Lifestyle on Function
Recently I wrote about a patient I met many years ago. Like most people, he spent a fair amount of time thinking about medical expenses. That was understandable, as his elevated blood pressure required treatment with four medications.
I explained to him that if he could make a couple of lifestyle changes, there was a good chance that he would be able to reduce the number of blood pressure medications he took. Could he take a short walk when possible? Could he cut back on ultraprocessed food items, like Ritz crackers and cheese whiz, and substitute homemade popcorn and a slice of Jarlsberg or cheddar on wasa crackers? What about more fresh fruit and vegetables? Maybe, but he was worried about the cost. 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!
******************
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
A Nation of Sugar Addicts
A few years ago I wrote a piece on cravings for the Sam’s Club newsletter. In the process of writing it, I became further convinced that sugar is a recreational drug to which a great many Americans are addicted. Today I’m going to discuss my impressions. But we’re going to start not with sugar, but with alcohol. Continue reading
Making Your Kitchen Fruit-Friendly
For the record, I do not want you to think that I have always eaten the way I do now. It has been a process. There have been important milestones and realizations along the way such as, for example, the day I realized that there was absolutely no high-fructose corn syrup in my refrigerator. Or the time I decided that we were going to begin diluting the boxes of marginally nutritious “breakfast cereals” with dried fruit, nuts, seeds (e.g., sesame, pumpkin, sunflower), and rolled (steamed) oats until they contained essentially none of the original agents.
And then there was the time I realized that we had inadvertently made an important change in the way we unpacked the groceries. This change, though virtually invisible, was to have a significant effect on the way we ate. Continue reading
Returning to the Beginning: Two Core Messages
Today I want to focus on two of the core messages to which I continue to return time and time again: First, there is an enormous difference between real food and manufactured calories. And, second, as we have been discussing at length in recent weeks, manufactured calories have been associated with an epidemic of chronic diseases, including not only diabetes, coronary artery disease, and obesity, but also depression, dementia, and other brain diseases. Continue reading
Can I Eat Fruit?
On many occasions, patients have asked me whether it’s okay to eat fruit. They’re worried about whether they should eat a food that they know is rich in sugar. Let’s think about this for a minute. Does anyone really believe that fruit is what’s causing the epidemics of diabetes and obesity? You can rest assured that the obesity and diabetes epidemics are not being caused by fruit. I think of fruit as “nature’s candy” and while it’s true that some fruits contain a lot of sugar, it is always accompanied by a large amount of fiber. Continue reading
Eating Slowly
Many years ago my mom and I were spending the day running errands when we suddenly realized that it was already the middle of the afternoon and we hadn’t eaten lunch yet. We were famished. I rummaged around for a snack, but all I could come up with was a tiny cellophane package of jelly beans. While my mom kept her eyes on the road, I tore open the package and divvied up six jellybeans. A very short while later we laughed as we realized that now we were barely hungry at all. Knowing that this was going to be a temporary state, however, we soon pulled in to our favorite diner and ordered lunch.
For me, this experience illustrates an important principle, namely that if you wait a little while after you eat, there is an excellent chance that your hunger will resolve. Continue reading
A New Patient Gets a New Perspective
A few months ago I saw a new patient and she had a good deal in common with many other new patients I see. Even though she knew that her excess weight was doing her no good, and that it raised her risk of many chronic diseases, like breast cancer, for example, and diabetes and high blood pressure and colon cancer, she was unable to do anything about it. She was also really tired of doctors telling her that she should lose weight. Really, really tired. “Tell me something I don’t know,” she said to me. So I did. 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