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Diabetes Update #217: Do You Want Patient-centered Care?

August 1, 2016

By David Mendosa

My New Diabetes Articles for HealthCentral:

Last month I published four more of my diabetes articles about how to manage our condition:

Why People with Diabetes Aren’t Managing It Better
People with diabetes aren’t doing better, even though we have many new drugs. The solution is up to your, not your doctor.

Cut Your Risk of Retinopathy
If you have diabetes, no drug can do as much to prevent retinopathy as tight glycemic control, a large new study shows.

Doctors For and Against Patient-centered Care
When you are knowledgeable about diabetes, you can have both patient-centered care and good A1C control.

You Can Stop NASH Before Your Liver Fails
If you have diabetes and the fatty liver disease called NASH, you need to talk with your doctor about taking generic pioglitazone or Actos. It might save your life.


My Slideshows​

I write slideshows about diabetes for These are my new ones:

The Best Vinegars for Diabetes
Vinegar is a staple of the diet of anyone who has diabetes. It is one of our few free foods, doesn’t go bad, and needs no refrigeration.

The Best and Worst Oils for People with Diabetes
If you have diabetes, you need to know which oils will help you and which can cause harm.

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 to register at no cost here: and you can ask a question or not as you choose.

The webcast is available for ten days at, and then it is moved over to, where a membership fee provides access all of his videos, webcasts, and transcripts.

Dr. Bernstein's next live webcast will be on Wednesday, August 31, 2016, at 7:00 p.m. CST, 8:00 p.m. EST, 6:00 p.m. MST, and 5:00 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.

60 Years with Type 1 Diabetes:​​

Dr. Robert Spiro lived 60 years with type 1 diabetes and had no complications due to his philosophy of tight control of blood glucose. Last year, he died from cancer at the age of 86.

Dr. Spiro was diagnosed with diabetes when he was in medical school. But he went on to a 45-year career at Harvard Medical School, where he became a professor of biological chemistry.

Keeping detailed records of his blood glucose trends, insulin requirements, and hypoglycemic episodes were key factors in Dr. Spiro’s success in managing his diabetes. He achieved this in spite of the fact that during almost half of his journey with diabetes we didn’t even have blood glucose meters or A1C tests to measure his levels.

Dr. Spiro’s wife, Mary Jane Spiro, PhD, has compiled a fascinating study of how he managed his diabetes under hardships that none of us face today. You can read it at “60 Years with Type 1 Diabetes.”

New Flickr Site

I keep adding 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

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.

rchives: I now send out Diabetes Update once a month. Previous issues are online at Older Issues.

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