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Diabetes Updates Number 171: Patient-centered Medicine

October 1, 2012

By David Mendosa


A Big, Angry Bison

This bison looks ready to charge me in
Yellowstone National Park's Lamar Valley,
August 18, 2012  

  • My New Diabetes Articles for HealthCentral:

    Last month HealthCentral published four more of my diabetes articles about all aspects of the condition:

    Diabetes Can Be a Pain
    Diabetes itself doesn't hurt. But the complication can be painful. The good news is that we can avoid suffering from pain and can do it without drugs.

    How Will You Celebrate Success?
    For us to be successful in anything -- think weight loss -- we need to have a reward in mind for what we are going to get for reaching our goal. How will you celebrate success?

    The Numbers That Drive Our Diabetes Management

    Two numbers determine how healthy those of us with diabetes are. These numbers -- our A1C and BMI -- are the levels that drive me in my quest for great health.

    Empathy in Patient-centered Medicine

    We know now that liking our doctors can make us more healthy. We like the doctors who have empathy, and we do better with them than with those who lack empathy with us. Doctors who have empathy are the people who are leading the way to patient-centered medicine.

  • Fitness and Photograph for Fun:
    Last month I published eight more of my articles on staying fit by getting the activity we need. Photography gets me to hike, and hiking keeps me fit:

    En Route to Yellowstone
    In mid-August I drove from my home in Boulder to Jackson, Wyoming, where I met my friend Mark the next day. He flew there from his home in the Silicon Valley, and together we began a four-day exploration of Yellowstone National Park.

    Yellowstone Thrills
    I spotted a large herd of bison on the far side of the Yellowstone River near its junction with the Lamar River. This herd gave me an unwanted thrill. After my friend Mark and I hiked down to the river, they surrounded us, blocking  our escape.

    Exploring Yellowstone

    The next three days that my friend Mark and I explored Yellowstone. Each had the same themes, but with variations. We saw wolves and bison every day. We saw different birds each day. Each day we hiked to a different lake. One day we also hiked along a rushing mountain stream. On another day we hiked to where we could view a 132-foot waterfall.

    Leaving Yellowstone

    In the long drive from our cabin near Yellowstone's Lamar Valley through the park and Grand Teton National Park to the airport at Jackson Hole, Mark and I stopped often to photograph what we saw. But once the scene stopped us. Writing about this huge traffic jam still brings a smile to my face.

    The American White Pelicans that I saw at Seedskadee National Wildlife Refuge in Southwestern Wyoming are one of my favorite species. One reason is that they coordinate their movements much more than other birds or animals as they hunt for food in a group. They can teach us a thing or two about cooperation.

    The Wild Horses of Pilot Butte
    Today, wild horses roam on the range at Pilot Butte in Southwestern Wyoming. In earlier centuries, this butte was a landmark easily seen for many miles in all directions. The wild horses are harder to find, but I found them.

    Browns Park

    Browns Park ends at the Gates of Lodore. When I first visited the area two years ago, I had tried hard to find it, but never could locate the road there. But now with new signs I found it easily this time. I especially wanted to see the Gates of Lodore because I knew of both its beauty and its history. It is a deep canyon of the Green River with treacherous rapids within Dinosaur National Monument. John Wesley Powell’s first expedition named it in 1869.

    Ute Crossing to Upper Beaver Meadows
    I really got to know this 6-mile trail in the time I took on it. Hiking down more than 3,000 feet took more than 9 hours, a record slow speed for me. This was the steepest hike I ever made. But what wonderful country!

  • New Flickr Site
    I keep added some of my favorites nature photographs on In the past month I have added several more. You can find them the easiest way by clicking here

  • Dr. Bernstein's Webcast
    If you have any interest in controlling your diabetes by low-carb eating, one of the best resources is Dr. Richard K. Bernstein's monthly webcast. It's an hour of excellent diabetes education available free either on the Internet or by phone. You can click here to register

    Dr. Bernstein's will have two live webcasts this month. The first will was the one postponed from August. It will be on Monday, October 1, at 7 p.m. CST, 8 p.m. EST, 6 p.m. MST, and 5 p.m. PST. He designed it to answer your most important questions concerning diabetes and to offer his thoughts on the latest developments in this area. The special topic of this webcast will be common variable immunodeficiency.

    His second live webcast in October will be on Wednesday, October 31, at 7 p.m. CST, 8 p.m. EST, 6 p.m. MST, and 5 p.m. PST. The special topic of this webcast will be diabetes/cancer and common variable immunodeficiency.

  • Searching for My Articles
    Whenever you want to find anything that I have written about diabetes -- whether on my website or on HealthCentral Network -- the easiest way is to use the search tool on my site. You can search for all of the articles on my site or for the "Diabetes Developments" blog or the "Fitness and Photography for Fun" blog or what I have written at HealthCentral, which is now a part of Remedy Health Media.

    Just go to and check which one of the four sites you want to search and enter what you want to find in the search block.


  • Health Central
    The Health Central Network will now notify you by email of new articles (SharePosts) by me or anyone who posts at Just click on "Subscribe" at the top of each of my articles or on my "Profile" page.

    Each month I describe and link my new Health Central articles here. But you can also use a blog reader to keep up with my articles more quickly. I use Bloglines, as I describe in my article, “Reading Health Blogs.

  • This Newsletter:
    1. Is and will remain free.
    2. Will never include advertising (except targeted Google ads at the bottom of the web page and not in the email newsletter).
    3. Nor will I ever sell, rent, or trade your email address to anyone.
    4. I will link sources of information.
    5. I will disclose any conflict of interest.
    6. If and when I learn of any errors of fact, I will correct them.
  • Archives: I now send out Diabetes Update once a month.

  • Previous issues are online at Older Issues.
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