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.


Accepting Everything — Even Diabetes

I’ve had a pretty easy life, but illness has thrown some curves. Giving up sports, then dancing, then walking, things like that. For me, the key has been acceptance. We have to accept a situation before we can deal with it or change it…

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Do You Have an Advance Directive?

I’m working on my Advance Directive for Health Care, or “living will.” Why? Because an essay called “How Doctors Die” convinced me I need to get this done right away…

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How Important Is CoQ10?

I’m not much of a dietary supplements guy. But months of wildly irregular heartbeats will get people to try new things. A friend told me coenzyme Q10 (CoQ10) had fixed her heart rhythm…

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Healing Leaky Livers

It may surprise you to know that, for many people, Type 2 diabetes is primarily a liver disease. The pancreas damage comes later. Is there anything we can do to heal a diabetic liver?

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Can Beta Cells Be Healed?

Can Type 2 or Type 1 diabetes be not only reversed, but cured? Can beta cells start producing enough insulin? Can the liver store glucose better, and can body cells learn to handle glucose more efficiently?

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Keeping Skin Healthy With Diabetes

Good skin makes us attractive, maybe because it signifies health, and health is sexy. But diabetes can harm skin in several ways. What can we do to protect ourselves?

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Magic Melon for Diabetes

I spent the last three weeks writing about low-carb eating. But at least one fruit, called bitter melon, seems to be a powerful treatment for diabetes, even if you do eat a lot of carbs…

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No Starches, No Sugars — Then What?

People around the world are eating low-carbohydrate diets to treat their diabetes. But all plant foods, other than seeds, are carbs. So what can you eat? Is it all animal products, or are there other options?

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How Low is Low Carb?

Many agree: People with diabetes should eat a low-carb diet. Last week we looked at what “carbs” are. But what is meant by “low?” How much carbohydrate should you eat?

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What Does Low Carb Mean?

Many say low-carbohydrate eating controls diabetes. Others say such diets are unhealthy or impractical. But what does “low-carb” mean? If you want low-carb, what can you eat, and how much? Let’s see…

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Disclaimer of Medical Advice: You understand that the blog posts and comments to such blog posts (whether posted by us, our agents or bloggers, or by users) do not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified health care professionals to meet your individual needs. The opinions and other information contained in the blog posts and comments do not reflect the opinions or positions of the Site Proprietor.


When Good Management Efforts Go Wrong
Sometimes the best of intentions leads to the worst of outcomes. Here’s a chance to learn from the mistakes of others.

Insulin Resistance: What It Is and Why It Matters
Most people with Type 2 diabetes and some with Type 1 have insulin resistance. In either case, it makes blood glucose control more difficult.

How Much Do You Know About Irritable Bowel Syndrome?
This common problem often responds well to healthy lifestyle measures: exercise, stress reduction, and careful food choices.

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