Robert Filice, M.D. - Dr. Bob's Newsletter

Adult onset diabetes
A man in his seventies was brought in as a new patient by his wife and his daughter (who happened to be an active patient of mine). He had recently suffered a stroke, had persistent right-sided paralysis, aphasia, difficulty speaking, and had a past history of coronary bypass grafting.

I write about this case here in the hope that it will motivate my readers to be proactive about addressing their health problems. The patient is a very kind man, but stubborn. When he first found out he had developed
diabetes, he went out of his way to deny and avoid that fact. He actually refused to monitor his blood sugars at home, and wouldn’t even allow blood sugar tests at the doctors’ office. He continued to indulge in sweets, and to drink sugary soda beverages. His blood glucose on a blood panel 3 months old was about 450. 

Although he was taking anti-diabetic medication, his follow up and maintenance care was severely deficient. To make matters worse, he had only stopped smoking after the bypass.

What does this case teach us? Adult onset diabetes is very treatable, especially with a combined effort between a motivated cooperative patient, and a knowledgeable natural medicine physician. It makes no sense to avoid it. You must face it, and then attack it in a logical way…before it attacks you. That is what happened in this case. He acted as though he didn’t have diabetes. He didn’t want to change. He didn’t listen to the good counsel of his loved ones, and he refused to modify destructive life style habits. 

The combination of the damage from improper diet, elevated blood sugar, elevated insulin levels, and free radical damage from smoking produced the inevitable and predictable effect…generalized, cerebral, and coronary arteriosclerosis, and hypertension. Just like day follows night, no one is immune from this effect. The result was a stroke with loss of independence and quality of life for this fine man. I told him jokingly that he had his chance at taking care of himself, and he had fallen down on the job, and that now he must listen to his wife and daughter. He smiled. He knew what I was saying. I was able to offer him some hope, but I also made it clear that his life was on the line. Proper management of his diabetes and some important life style changes on his part may help him avoid further deterioration and additional coronary or cerebrovascular events. But how I wish he had taken his health more seriously, and faced it more directly. If he had, the stroke might surely have been preventable.

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