Learning to Keep Your Blood Sugars Normal

As a doctor, it’s easy enough for me to think I understand a disease state, and then to know how to manage it with medication to be taken two or three times daily. I spent hours and hours studying that problem. I talked with patients who were diagnosed with that illness, and learned how it changed their lives. But it’s still not the same as having someone close to you diagnosed with it. Continue reading


My TEDx Talk

It’s been about ten years since I gave this talk at Ursuline College in Cleveland, Ohio. That’s quite a long time. I remember there weren’t enough spaces for the whole title, so it was changed from Your Health to Our Health. That also works. There’s a lot here that I still use, Continue reading


YOUR HEALTHY PLATE: Two Brand New Salads

A couple of weeks ago we were making plans to a host dinner for a large group, and I got inspired to come up with a couple of new salads to add to our regular lineup. I sat down, started thinking, and before you knew it, I had come up with recipes for two brand new salads. And with a bonus — not only did they use up some of the contents of our pantry, they added only a few items to the shopping list!  Continue reading


On Glyphosate, an Herbicide, by Guest Author Ella Mfene

Roundup is a widely used herbicide whose main ingredient is glyphosate, and it has been shown to have harmful effects on plants. When applied, it can cause plant death and inhibit the growth of healthy plants. Repeated exposure to glyphosate can lead to long-term soil degradation, affecting not only the current vegetation but also the future health of the soil ecosystem. Moreover, non-target plants, including ornamental species, can be damaged or killed if they come into contact with the herbicide. This broad-spectrum action against plants underscores the importance of alternatives.

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Fake Fruit Names for Your Breakfast Cereal

A while back I wrote a post about the high profit-margin-to-cost of the breakfast cereal business. Today I have more to say on breakfast cereal, not about the manufacturing process or profit margins, but about the pervasive use of fruit-related words in the naming of these products.

If I had just ten seconds to share advice on improving your nutrition, I suspect you already know exactly what I would say: Eat more fruits and vegetables. And I don’t think that would surprise anyone. We all know that fruits and vegetables are nutritional powerhouses, and we also know that everyone should be eating more of them, especially since most of us don’t eat enough produce to begin with.  Continue reading


And the Winner is Real Food

Years ago, the article Can We Say What Diet is Best for Health?, by David Katz and Stephanie Meller from Yale University School of Public Health, was published in the Annual Review of Public Health. A related essay by James Hamblin, Science Compared Every Diet, and the Winner is Real Food, was subsequently published in the Atlantic.  

Katz and Meller compared low-carb, low-fat, low-glycemic, Mediterranean, DASH, Paleolithic, and vegan diets, concluding that “A diet of minimally processed foods close to nature, predominantly plants, is decisively associated with health promotion and disease prevention.”  Michael Pollan said, “Eat food. Mostly plants. Not too much.” More recent research continues to confirm these findings. Continue reading


YOUR HEALTHY PLATE: Quintessential Peach Salsa

Truckloads full of Georgia peaches have been making their way into our neighborhood, and a few weeks ago my husband signed up to receive a box. We were very happy when it finally arrived last week, and we put the box of 42 hard peaches on the counter to await the great a-ripening. We were not disappointed. 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


Defining Diabetes

Diabetes is a complex disease whose hallmark is elevated blood sugars. Persistently uncontrolled diabetes causes devastating and costly complications. My former patients knew that I would pay any price, whether it involved medication or not, to keep their blood sugars in the normal range. No matter what it costs to keep blood sugars normal, let’s be honest: It costs a lot more not to. We continue to see skyrocketing costs of medical care for patients with diabetes and associated complications. But prevention is not just the most economical approach; it’s also the most humane one.  Continue reading


Food for Thought

I once saw a post that said “Eat organic food, or, as your grandparents called it, food.” Only a century ago, nourishing food did not require prefixes like real, whole-grain, pastured, free-range, wild, or grass-fed. That’s what food was. What is happening to the food supply? As you have probably surmised by now, I spend lots of time thinking about the differences between real food and manufactured calories.

One strategy I use is to avoid products invented in the 20th century, like cottonseed oil, or high-fructose corn syrup. Also, I stay away from products that tell me when to use them, like breakfast cereals, lunch meats, and TV dinners. No one needs to tell you when to eat a banana, or scrambled eggs, or oatmeal, or guacamole, or chicken noodle soup. Continue reading