Diabetes Self-Management Blog

David Spero

David Spero

David Spero has been a nurse for 32 years and has lived with multiple sclerosis for 25 years. He is author of two books: The Art of Getting Well: Maximizing Health When You Have a Chronic Illness (Hunter House 2002), and Diabetes: Sugar-coated Crisis – Who Gets It, Who Profits, and How to Stop It (New Society 2006). He writes for Diabetes Self-Management and Arthritis Self-Management magazines. He is a project director with New Health Partnerships: Improving care by Engaging Patients, a project of the Institute for Healthcare Improvement.


Getting to Sleep and Staying There

I’m writing this at 3:30 AM. I really should be sleeping, but my body doesn’t want to. Losing sleep is not good for health, as I detailed last week. What can I or any of us do to sleep better?

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Sleep for Diabetes

According to recent research, sleep is as important for health as diet and exercise. Lack of sleep raises blood sugars and insulin resistance. With enough sleep, our bodies can heal and repair. Without sleep, they get sicker…

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What Is Depression?

Lately the things I used to enjoy, even loved, have come to seem boring or not worth the effort. Watching the animals and birds, listening to people, playing games, writing about diabetes — even sex seems like too much work. Am I depressed?

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Self-Manage Your Blood Pressure

With diabetes, controlling blood pressure is as important as controlling blood sugar. You can self-manage blood pressure, but most doctors don’t tell you how. Here are some clues…

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Anxiety and Grief

My phone client Roscoe was diagnosed with Type 2 diabetes three years ago. He’s doing well, with an A1C of 5.9. “But I’m still scared,” he told me. “And I’m still sad. Do these feelings ever go away?”

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Money Is Strong Diabetes Medicine

The less money you have, the more likely you are to have diabetes and other conditions. Studies find that giving people money improves their health. Why is that, and what can we do with that information?

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Why Bother About Sex?

Diabetes brings many demands. Maya, a recently diagnosed woman, told me “I don’t have time or energy to think about sex right now.” But there are many reasons to have a good sex life with diabetes, and many ways to do it…

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Doing Your Own Research

Doctors used to be the only source of medical information. Not anymore. You can get much of the same information they have on the Internet. Problem is, not all of the information you’ll come across online is good. Here are some ways to empower yourself with good Internet research…

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Bang for Your Self-Management Buck

You can’t learn all the steps required to manage diabetes at once. Whether you’re experienced or a newbie, what do you focus on now and what do you get to later? One way to decide is to ask, “What activity will give me the most bang for the buck?”

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New SGLT Drugs Coming

SGLT1 and 2 are proteins that move glucose out of the intestines and kidneys. Blocking them might keep glucose in the intestines and cause more glucose to be urinated out via the kidneys, lowering blood sugar levels. That’s what “SGLT inhibitor” drugs try to do…

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