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.


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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Lower Your Blood Sugar — Eat Slower

Two years ago, a European study found that people who eat faster have two-and-half times more chance of developing diabetes. Now there is more evidence that slow eating is a powerful diabetes treatment…

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Insulin for Type 2

Doctors are starting people with Type 2 diabetes on insulin sooner, sometimes at diagnosis. But two recent studies give reason to question this treatment. If you have Type 2, is insulin right for you?

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Diabetes Distress and Depression

Depression was a big topic at the ADA’s Scientific Sessions last month. It might be an issue for you, too. Why so much attention? Depression is three to four times more common in people with diabetes than in those without…

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Good Control Now = Lifetime Benefit

Two famous studies showed that tight control of glucose did not cause a statistically significant reduction in heart attacks or early death. But roughly 20 years after the studies ended, tight control subjects are living longer and healthier than those who were in the comparison groups. What is going on?

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Diabetes: They’re Working On It

At least people pay attention to diabetes now. Thousands of scientists are researching it. Many of them came to San Francisco last week to share their findings, and I was lucky to be there. I’ll write about it for the next several weeks…

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Blood Glucose Self-Monitoring — Part 2: Technique

What Stress Is Doing to Your Brain

Diabetic Cooking: The Summer Issue

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