A New Decade Beckons

2020, a new decade

2020 will usher in the seventh decade I’ve existed on this earth. Wonder of wonders, I never thought I’d get to this point. And 2019 showed me that it won’t last forever, so I have a renewed appreciation for God, life, liberty and family.

Despite some of the tougher issues facing me this year, overall I have to say 2019 was a darn good year! The economy has been gangbusters, and this has benefited me in every way: salary, investment, retirement saving! I had some great travels, took some nifty photographs, acquired new guitars and guns, and enjoyed spending time with my family. My daughter blessed me with a new grandchild, and now I have two I can watch grow!

I will start the new year by traveling to California for the annual company meeting. This is not one of my favorite trips, as California doesn’t appeal to me (heresy, I know!), but it’s unavoidable. In March, I plan to once again attend the annual DalĂ­ Museum dinner. After that, we’ll have to see. No long-term plans at this time.

So, that wraps up my end-of-year offering. I discovered earlier this year that there are actually some people who have come across this site, and have read some of the posts. If you’re one of them, I wish you a HAPPY NEW YEAR!

The Year of Living. And Dying.

It occurred to me recently that 2019 was the year I started to die.

Now I need to explain that somewhat morose comment.

Throughout my life I’ve been blessed with extraordinary health. Oh, I’ve had the broken bone or two, and some residual effects from them, but I’ve never had an illness or internal problem. For 67 years, I’ve been invulnerable. Oh, I know no one lives forever, but I never considered dying.

Contrast that with my daughter, who’s had allergies and a variety of health issues, even resulting in the removal of her gall bladder. Her mother also, had thyroid problems and other odds-and-ends health problems through the years. But not me.

Until this year, that is.

In late January, spurred on by a comment made by my dental hygienist, I visited a doctor for a checkup and was given the bad new: My Hemoglobin A1c (HbA1c) was through the roof and my cholesterol was way high . HbA1c is a measure of glucose adhering to blood cells. A reading of 6.5 or higher denotes a diagnosis of diabetes. Mine was twice that: 13.0!

So now I had Type-2 – sometimes known as adult-onset – Diabetes. I knew little about the disease, and what I learned was twofold: #1 – It’s a “catchall” disease, causing a myriad of problems – neuropathy, kidney failure, heart attack, even cancer. #2 – It’s self-inflicted.

Well, okay, #2 is my take on it. In essence, I believe its cause is poor diet and lack of exercise. Put another way, as Dr. Jason Fung states (I’m paraphrasing), “Diabetes is a sugar disease. The cure is to stop putting sugar in, and to burn the sugar that’s there.”

Six months after my diagnosis, my HbA1c is down to 5.6, which is just a hair above being non-diabetic. I’m sure some of the credit goes to the medications given me, but I want off of them, and I’ve been altering my lifestyle. I’m eating whole foods, avoiding sugars and processed foods, and I’m running again. I lost 20 pounds (which was not in my plan, and which I didn’t want to lose. But now I’m kind of happy that I have).

But here’s the truth: Once diagnosed as a diabetic, you never stop being diabetic. It’s like being an alcoholic: You can stop drinking and live a happy, productive life, but you’re still an alcoholic. If you drink again, all bets are off. I will have to read labels, watch my diet and get plenty of exercise for the rest of my days. At least as long as I’m able.

And that’s not a bad thing.

Two Viewpoints

Over the past several weeks I have been feeling like a ping-pong ball, bouncing back and forth between opposing viewpoints.

No, this is not a post about politics, although the same case for the same could be made: Two diametrically opposed points of view; each professing to be “right” and the “only way.”

When I was first diagnosed with Type 2 Diabetes (T2D), I knew precious little about the disease. Oh, I knew it had deadly consequences, and that it had to do with excessive sugar in one’s blood, but that’s about all I knew.

Life isn’t as simple as that, and neither is the human body. I found Understanding Type 2 Diabetes, a fact-filled web site written in a quirky manner by a man who, like me, had found himself diagnosed with no understanding of the meaning of that diagnosis. I have been reading it (and other sites) copiously, and my understanding of diabetes has grown enormously. Ken Stephens (the author of Understanding…) got me to thinking, and I had previously been drawn to the work of Joel Fuhrman, MD., so I began to explore. I joined a private Facebook group based on the writings of Dr. Jason Fung, and hints from Stephens.

So, I started following the diet regimen there, which consisted of eating a low carbohydrate, high-fat diet, excluding processed foods, added sugars, and “white food” (pastas, rices, breads, etc.). I thoroughly enjoyed having bacon and eggs for breakfast, although it saddened me a little to think I couldn’t eat fruits and some of the more “comfortable” foods. This is, essentially, a keto (short for “ketogenic”) diet.

Then came a webinar I joined, from a Fuhrman reference, I think. Here were two actual diabetics talking about reversing insulin resistance through eating whole, plant-based foods. They offered a year-long program and guaranteed that it would work. Well, I wasn’t born yesterday, so my belief in Internet guarantees is that they’re worth the paper they’re written on, but I made a decision: Here was a structured program, guaranteed to improve my diabetes condition. This was no time to play cheap with my health, so I took the plunge.

The program is called Mastering Diabetes (MD), and its co-hosts are Cyrus Khambatta, Ph.D. and Robby Barbaro. Theirs is an online course, Internet webinars, a private Facebook group, and lots of helpful printouts and tips.

But Mastering Diabetes is all about high carbohydrates and low fats. The similarities are the expulsion of “processed” foods, sugars, and “empty” white foods. Another similarity is that both Fung’s philosophy and this is the concept of intermittent fasting.

I’m on my second week of MD. I haven’t fasted on this plan yet, but I did several times on the “keto” diet. Water and green tea were all I needed to get me 18-20 hours of fasting.

What I’ve discovered in this short amount of time is that both programs have worked to lower my blood sugar. All of my readings for the past four days have been in the “green” zone (80-140 mg/dL (4.5-7.8 mmoL). This pleases me to no end, but I want to improve to the lower end still.

Mastering Diabetes gets my nod because their focus is less on the level of glucose in the blood, than on insulin resistance, and the causes behind it. High blood sugar is like the fever exhibited when one has an infection. You can either treat the fever or treat the infection. I choose to treat the infection!

Now, I may be a bit premature and/or presumptuous, but here’s my initial take on both programs: They both work. Maybe it isn’t so much in the details, but their similarities strike the right chord: Get rid of junk food, processed food, and sugars (hidden and otherwise), and things tend to straighten out. The epidemic of diabetes is such because too many people have taken the “easy” way, and eat junk food, fast food, and boxed food. I’ve gotten back to using my kitchen (which I actually enjoy) and I’m already healthier as a result!

But Seriously, Now…

The past month has been one long read-and-research experience. Along with my learning about diabetes, I’ve been undertaking dietary and fitness changes in an effort to reverse the diagnosis. Considering I feel great, it’s hard sometimes to realize that I’m now dealing with a life-threatening condition that affects every part of my body.

Information on reversing Type 2 diabetes seems to be everywhere, and there’s a lot of agreement (except on the part of the established medical community, ironically) that it can be done. It’s the “how” that differs from viewpoint to viewpoint.

Most superficial descriptions of diabetes rely on the translation of the term, “diabetes mellitis,” which means in essence, “sugar urine.” In other words, too much sugar in the blood.

It now seems to me, based on my reading, that high blood sugar is a symptom of diabetes. The underlying cause is insulin. Lack of it (Type 1) or too much of it (Type 2). Even that is a bit of an oversimplification. But consider: if you are running a fever, do you treat the fever or the underlying cause of it? This is to me, the heart of the matter.

My doctor hypothesized I might be “insulin resistant.” This term could be taken one of two ways: either the cells that are to receive the glucose the insulin is trying to deliver to them are refusing it, or there is simply too much insulin in the system. Either way, the high blood sugar is the result of insulin trying to “force” glucose into cells that are already filled with it, thereby refusing it. Dr. Jason Fung has a great analogy for this in his book, The Diabetes Code.

The Diabetes Code, by Dr. Jason Fung

Well, my self-treatment has been going very well. At least peripherally. I discarded all the processed foods in my pantry, eschewed all “white” foods (potatoes, pasta, breads, sugar, etc.) and went more and more to a Keto diet, with intermittent fasting. In four weeks my blood glucose readings have been trending down (the two outlyers are post-pho lunch. Sadly, it looks like I need to eliminate that from my diet.

But, as I mentioned earlier, blood glucose is only part of the story. It’s possible to have a good blood sugar reading and still have insulin resistance.

And that’s when I decided to get serious.

Last night I watched a webinar. As with most “snake oil” presentations, I was very skeptical. But it was compelling, and a 100% guarantee was offered. I went to investigate further today, and saw another webinar was scheduled to start in just moments. So, I pulled out some earbuds, plugged in, and spent another 90 minutes watching and learning.

Much of what was presented was in line with what I’d already read and learned. I decided that since I was getting a modest tax refund (and more importantly — this is my LIFE I’m talking about), I’d spring for a year-long program.

I am now a member of Mastering Diabetes, an online coaching, teaching and support system. It’s a structured approach, and the results are promised to be evident almost immediately. I’ve seen dramatic improvement doing it myself for four weeks, so I think a systemic approach may be even better. Stay tuned…

Reading and Researching

The diagnosis of Type 2 Diabetes causes — as might be expected — a plethora of confusion, questioning, uncertainty and fear. Life isn’t a bed of roses, and so being confronted with a new challenge, the first thing I do is start trying to understand what it is I’m being confronted by.

One good thing about traveling is the time it affords one to read; nothing makes an airplane ride go by faster than a good read. Same with bus trips. Both of which I have had in abundance lately.

So, I’ve bought and borrowed from the library, a number of books, which I think deserve some recognition. The first is “The Diabetes Code,” by Jason Fung, MD., a book the site Diet Doctor says, “should change the world.” Subtitled, “Prevent and Reverse Type 2 Diabetes Naturally,” the book is a wealth of medical information and practical advice.

Another is “Goodbye, Pills & Needles: A Total Re-Think of Type II Diabetes. And A 90 Day Cure,” by Tom Jelenik, PhD.

I’ve also been reading the articles on understandingtype2diabetes.com, a free web site written by a Ken Stephens, who isn’t selling anything, and actually seems to minimize his personal identity on the site. Stephens writes he was diagnosed as Type 2 (sometimes abbreviated as T2D) and his site is the result of his own research. I confess, I like a lot of what he writes.

In fact, all of the sources listed above all have in common the same basic idea: Diabetes is an epidemic and that it is mostly caused by lifestyle choices that sometimes we aren’t even aware of.

Truthfully, I first found myself in this camp during my running years. I still have linked to George Mataljan’s World’s Healthiest Foods site, and I own several books by Joel Fuhrman, MD., who to me is the “godfather” of the “eating healthy” movement.

The upshot of the above is, to me, evidence of a growing awareness into the problem — and solution — to the ever-increasing number of people who have been diagnosed (or will be diagnosed) as diabetic. The main medical community seems reluctant to rethink the carbohydrate-heavy diet promulgated by the government and the big sugar and corn interests, when all around them the evidence is right in front of their faces.

I started this post, thinking it was just going to be a touch point, a brief update. But it’s gotten longer that I thought, so I’ll end it here.

A Pain In The… Neck

This diabetes thing is going to turn me into a grumpy old man.

Even though I currently feel no differently than I did before I was diagnosed, I’ve been prescribed medication that I must take twice a day, and remembering to do so — especially with the schedule I keep — has proven problematic. And the only way I have to track my improvement is to take a blood glucose reading three times a day, every other day.

This has been the infuriating part of this new life. The Certified Diabetes Educator (CDE) gave me a kit containing an Accu-Chek reader, a lancet device and some reader strips.

My doctor sent in a prescription for additional lancets and strips, which I got after a small bit of confusion and mix-up. I’m not entirely sure why I needed (or need) a prescription, as these all seem to be over-the-counter products. My problem is that every time I try to test my blood, the device tells me that the blood drop is too small and to try with a new strip. I have wasted more strips this way than actually getting readings. After three finger-pricks, I’ve had it, and put the stuff away. It also costs me in used lancets.

This isn’t the way to manage this disease. I know. I have tossed all my white foods (pastas, sugar, rice, bread, potatoes) and am trying to maintain a healthy diet. It’s pretty easy for me to do that at home, but when I travel on business, as I am currently, it becomes quite a challenge.

Today, my first day on a five-day business trip, I skipped breakfast due to an early flight, and then when I arrived, had to find a restaurant that served healthy cooking. I was fortunate, as when I asked my server if I could have a double portion of vegetables in place of mashed potatoes, she was kind enough to offer me a soup and salad in place, so I stayed as low-carb as possible. At dinner, I opted for (another) bowl of soup and a dozen chicken wings. Again, not ideal, but as low-carb as I could make it.

Somehow, I’ve got to overcome this glucose metering issue. I’m likely going to have to keep testing myself, and I have to find the solution to doing so quickly, easily, and accurately.


The Acceptance Factor

I was recently diagnosed as Diabetic. I’m still processing that news. I guess at some point in everyone’s life, bad news about one’s health is inevitable. After all, no one lives forever.

My surprise came at the fact that I do not fit the profile of a Type-2 diabetic; I’m not overweight (5’10”, 147 lbs. a BMI of 21.1 – smack dab in the middle of “normal”), I don’t drink alcohol, sugary beverages, smoke, dine at fast-food restaurants, am relatively active, and feel great! But there it was: blood tests showed my hemoglobin A1C (HbA1c, also referred to simply as A1C) level at 13.

According to WebMD, a normal A1C reading is below 5.6. 5.7 to 6.4 suggests a pre-diabetes condition, and anything over is 100% diabetic. My test at 13 showed I had over twice the level of glycolated hemoglobin.

HbA1c Readings

So, in the face of immediate denial, I thought back on my behaviors over the past year. Sure, I don’t drink soda pop or eat greasy fast food, but I have been gorging on Starburst candies, Reese’s Peanut Butter Cups, and lots of ice cream. Add pasta, rice and potato dishes more often than not, and there was certainly a recipe for disaster!

Starburst Candies
Reese’s Peanut Butter Cups. The “mini” size

A wake-up call, for sure! Here I am, a former marathon runner, getting old, sedentary and careless about my diet. My second thought, post-denial, is that diabetes is one condition that is managed by self-care. There are some, like Joel Fuhrman, MD, who believe that Type-2 diabetes is completely reversible! This is accomplished by adopting a new way of eating — a “nutritarian” approach, that focuses not on macronutrients (fat, protein, carbohydrates), but on food that are dense with nutrients, phytochemicals, vitamins, etc. He has a simple formula: H = N / C, where H is health, N is nutrients and C is calories. Focusing on macronutrients means counting calories. Focusing on micronutrients automatically reduces calorie intake and feeds (literally) the body what it needs.

There’s a lot of (often contradictory) information and advice online. While I’ve been researching, I’ve also started building a healthcare “team.” I now have a primary care physician, a Certified Diabetes Educator (CDE), an endocrinologist, and a dietician. In addition, I include my dentist, eyecare doctor and dermatologist. I will likely add a podiatrist to the list. But the “boss” of my health care is ME.

As in running, this battle will not be a sprint, but a marathon. I may experience setbacks, but I’m determined to lick this condition!