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.


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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Exercise or Have Fun?

Is exercise good for you? Kind of, but recent studies show that having active fun is better. If physical activity (exercise) is seen as work, or as something you have to do, it’s not as healthful…

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What Is Hardest About Diabetes for You?

A few months ago, I asked “What’s your diabetes strong point?” Now I’m asking, what about living with diabetes is hardest for you? What do you do about the hard things, and what could you use some help with?

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Obamacare and Diabetes — Year Two

What does the Affordable Care Act (the ACA, also known as “Obamacare”) mean for people with diabetes? ACA makes some changes that should help people with diabetes, and some that maybe aren’t so good…

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Leptin and Diabetes — Are You Leptin Resistant?

We know insulin resistance contributes to Type 2 diabetes. But resistance to another hormone called leptin also contributes big time. Fortunately, we may be able to turn down both kinds of resistance…

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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.


Blood Glucose Self-Monitoring — Part 1: The Gear
Blood glucose self-monitoring is one of the keys to diabetes control. Here are the tools you need to carry out this task.

Perfectionism: An Impossible Goal in Diabetes Management
Striving for good self-care is important, but perfectionism can make diabetes care — and life — more difficult.

Recipes for Spring
Enjoy recipes for Baked salmon on beet greens, Tofu and snow pea slaw, Radish and cucumber salad, Spinach pinwheels, Beet salad with citrus dressing, and Stuffed berries.

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