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


Walking With Wellness

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


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


Keepin’ It Movin’, All Year ‘Round

I think of wellness like a pyramid with three major pillars: eating patterns, activity pattern, rest & relaxation patterns. This week I’m talking about activity patterns. Your muscles are going to need a little warming up if you want them to help move you in the direction of good health. Cardio, balance, resistance, flexibility. It’s pretty easy to tell who’s been protecting their balance and flexibility for the past few years. It’s not just about marathons, or weight lifting. And you definitely don’t need to train for the Olympics. You just want to increase your opportunities to move. And for that, you could probably use a plan. Continue reading



Practice Makes Progress

A few years ago, the computer guy showed up at my office for the first time in a long while. Let’s call him Gene. 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 with a statement that all of us know, but few believe. He said, “Diets don’t work.” I sat up quick. Continue reading


Go For a Walk!

This week we’re going to talk about taking a walk. Here’s what I tell my patients: “I’ll pay any price to keep you mobile.” I consider mobility a goal of the highest priority. There is only one other goal about which I feel this way; I also want patients to know that I will pay any price to keep their blood sugars normal. When our kids were much younger, and they got stuck in a complaining mode (I’m cranky; I don’t feel well; I’m bored; I have too much homework), I would always say, “Go for a walk!” It got to be a joke in our house. They took it to the next level. Fever? Go for a walk! Migraine? Take a hike!  Broken leg? Walk it off! Appendicitis? “Very funny,” I said. Continue reading


A Big Fan of Small Change

Maybe you know, or maybe you don’t, but I like to imagine that there’s a big sign on my office wall that says “Perfection is the enemy of progress.” It isn’t actually there, but I like to pretend it is, and I quote it all the time. It’s not important to hit the track like you’re training for the Olympics. It’s not reasonable to think you should be able to lose 20 lbs. by next month. And it’s definitely not in the cards for you to become the next meditation guru. But it’s not necessary either. Continue reading