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


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


An Oatmeal Hierarchy (with recipe)

Like many other messages of its kind, Americans and other consumers of the standard Western diet have internalized the idea that oatmeal is “good for you.” Not all oatmeals are alike, however, and it is no surprise at all that the ultra processed items industry has identified a number of objectionable ways to influence the manufacture of oat-containing edibles. Today’s post provides more information on various kinds of oatmeal and related items available to consumers, beginning with instant oatmeal, the most highly processed product, and ending with steel-cut oats, the least processed form of oatmeal.  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


Toast and Jelly Waste Your Insulin

You probably already know that diabetes and obesity in the United States have reached epidemic proportions, but you may be surprised to learn that many, if not most, cases of diabetes are preventable. How? The best strategy for preventing diabetes and obesity is to learn how to conserve your body’s insulin supply. Continue reading


Insulin: A Very Good Place to Start

Here is why it’s important to use less insulin: The fact is that insulin is not your friend. You need it to live, but you want to use as little as possible. You want the levels of insulin in your bloodstream to stay as low as possible. Like sugar. The lower the better (within reason, say 80 to 99 for fasting blood sugars). When it comes to insulin, you want your levels to remain as low as necessary to do the job, not zero of course, but on the low side. Why is that? There are a number of reasons. Continue reading


Insulin: Like Money in the Bank

Have you ever considered that the amount of insulin you are capable of making over your lifetime is limited? Maybe your pancreas can make, let’s just call it 1000 pounds worth of insulin, and after that it starts to have trouble keeping up with the demand? What would happen if you used up most of your supply by the time you were 40 or 50? Then what? Then your blood sugars would probably start to rise dramatically, and you would need to start taking medicine, whether to make your remaining insulin work more efficiently, to get your pancreas to make more, or to augment your existing supplies. Continue reading


Make Your Insulin Last a Lifetime

If you’ve seen my TED talk, then you know I spend a fair amount of time teaching folks how to use their insulin more efficiently so that they don’t run out, and so they have enough (hopefully) to last a lifetime. Insulin is like a valet service that escorts blood sugar from your blood to all your cells. If you don’t have enough, your sugars start to rise. The fact is that even though you need insulin to live, it is not your friend. You want to use as little as possible. You want the levels of insulin in your bloodstream to stay as low as possible. Just like blood sugar, you want your insulin levels to remain low. Why? Continue reading


Stripped Carbs First Thing in the Morning? No!

Having a hard time understanding why breakfast is the one meal of day that you should not eat toast, bagels, muffins, waffles, pancakes, cereal, biscuits, bread or grits? Here’s why:

When you eat foods that are rich in fiber, fat and protein, it takes quite a while for your body to break them down. So they get absorbed into your bloodstream very slowly. But whenever you eat items made primarily from sugar and other kinds of stripped carbs, your digestive system absorbs the ingredients very quickly.  Continue reading


Gains and Losses

There is a clear connection to be made between stripped carbs, insulin release, and weight gain. High insulin levels cause us to gain weight and store fat. How does that happen? Little by little we are figuring it out. The fact that the obesity and diabetes epidemic continues to worsen day by day underscores that we are operating under a fundamental misconception: If things continue to get worse no matter how hard you try, it’s time to reexamine the fundamentals. The information we get from advertisements and cereal boxes is frankly inaccurate. I have a special name for the nutritional claims on food products: advertising. Continue reading