In my diabetes book I didn’t tell the whole story. I couldn’t because I had no data, and no proof.
But now the stories come in – here is one (I have changed names, etc., so not expose people):
A good friend of ours has been a diabetic type 2 for many years. I nearly had taken him as the example in my book how diabetes goes if you don’t do anything: The slow decline of all faculties. Last when I saw him – about two years ago – he was more or less bedridden. Daily, a nurse came in. He was on insulin – always a dire sign that things are not going well. In the past he had had several falls, and he labored with the consequences. He had been a highly successful man, but now seemed to be a burden onto himself.
This month, I visited him and his wife. Both had lost a great amount of weight, he was up and around. He uses a cane in the house, and a walker on the street because of his history of falls. But he does not lean heavily on the walker – it is more like a security blanket. We talked about the books he had read recently (always one of my favorite subject). He is going out every day; they have a dog, a gentle creature that seems to want to protect him.
When I asked how this marvelous change in them had come about, they pointed to a book on the kitchen table. It was my diabetes book “The Diabetes Cure”. The copy was well-read, obviously, beginning to fall apart at the spine. I had given them the book when it had come out, thinking that he was a good candidate to try my prescriptions. But not really believing they would do it.
In the book I write that most diabetes could be reversed, but I also warned readers that it was near impossible, once they already were taking insulin shots. I had seen some great changes in my patients, but I had never seen anyone throwing out their insulin syringe. So I didn’t claim that it was possible. My friend proved me wrong: He changed his eating, and he moved more (with the help of a physical therapist). And now he is off insulin! He is out of bed, and he is living again, pursuing the things that delight him in life: reading, enjoying his wife, music, going out for a walk, playing with the dog.
If he could do it, you can do it. Read More
Blog: On Health. On Writing. On Life. On Everything.
Seven Exercises from Heaven
October 3, 2014
As I have mentioned too often, I never have been athletic – in school, I was the proverbial girl that nobody wanted on their sports team. But as I cleaned up my diet (starting with gluten and dairy), my muscle weakness and arthritis improved.
Movement is important. And the older you get, the more urgent it becomes. People generally think that heart disease and cancer are about the worst conditions leading to final demise. Immobility is worse. Not moving – either by choice, or because of illness – is the clear beginning of the end.
Every evening after dinner my husband and I go out for a walk, down the hill, and up the hill. Often I run uphill – slowly, but without pause. That alone is not enough, I fear, to keep old age at bay. Obviously, you can’t stave off death forever – decline is inevitable. But you can give it your best effort.
When B.K.S. Iyengar (1918-20140, the revered teacher of my yoga teacher Carol Nelson, recently died, a picture of him in old age went around the world. It showed him in lotus position but with barely any muscles that I could discern. Now, he was really old when the photo was taken, but looking at him it dawned on my that in yoga we need three accomplishments:
• Spirituality - I’d translate that as inward looking
• Flexibility - yoga certainly accomplishes that)
• Strength – more muscles.
The last one, strength, can be trained in some of the more vigorous forms of yoga like ashtanga, but I prefer the deep, gentle yoga Carol Nelson teaches. That leaves me with strength training for homework. Since I am still not fond of gyms and strenuous workouts, I do a routine of seven small muscle-building exercises at home. They take less than ten minutes – actually, less than seven minutes! You can do them all together in one setting, or interspersed during the day.
1. Bending backward over a zazen cushion or a half-cylinder
2. Bench pressing
3. Wall pressing (a modification of push-ups)
4. Rubber band exercises
5. Yoga ball
6. Kettlebell
7. Dumbbells.
As you might have read in my book The Diabetes Cure, my philosophy is that exercise should never be overdone – we have sports medicine because we have sports, is my constant saying. Every exercise will be repeated twenty-one times, never more. If initially you can’t do an exercise twenty-one times, do as many as you can do without undue force, and slowly build up to twenty-one.
More information about each exercise:
1. Bending backward over a zazen cushion or a half-cylinder
This is not a strength training. But I start with opening my back because my worst problem is upper back posture (in childhood and youth, I spent much time bedridden). – Slowly count to 21, while you wiggle your back in place and bend it backward over the cushion. – When I travel, I replace this with bending downward from the hotel bed.
2. Bench pressing
Since I don’t own a bench, this is not exactly bench-pressing. But it is similar. I use a bar with two five-pound weights – including the bar, it’s 14 pounds. The point is not to use heavy weights, but to use light weights slowly, and regular – every day. Position the barbell over your lap, and bring your body in position: Stand knees up, and pull your arms backward, and make a hollow with your thoracic spine: If you lie too straight and heavy on your shoulder blades, there is potential of hurting your rotator cuffs. Do 21 slow repetitions. Push directly upward with your arms – and never over your face. There are several deaths each year of people who have dropped the barbells on their faces …
3. Wall pressing (a modification of push-ups)
Stand a bit away from a wall or a kitchen counter or anything stable, and push up with your hands 21 times. Be careful not to slip when you stand away from the wall. - If you can do real push-ups on the floor: Good for you! But, like lotus position, I am unlikely to get proficient at push-ups in this life.
4. Rubber band exercises
Use an expander-like rubber band over a bar (or from a hook). Use it twice 21 times to pull your arms down and back. This is the exercise that makes arm flab a thing of the past. Occasionally, sleepless in bed, I add this exercise: Lying on your back with elbows at my sides, I push into the bed, arching my upper back, holding the position for 21 counts. The relaxing of the muscles afterward is a good sleeping aid. - When I travel, I take Therabands.
5. Yoga ball
Lie belly-down over a yoga ball. Secure your feet at a floorboard or under a sofa. Lift your back from the hips 21 times without overarching your neck – it is better to let your head hang down a bit, and instead lift your arms. Gives wonderful strength in the lower back area, and will eventually strengthen your whole spinal musculature. – When traveling, one can do this exercise across a chair.
6. Kettlebell
Swing a small (5 pounds) kettlebell back between your legs and up to horizontal with your eyes 21 counts. Have a give in your knees. This exercise strengthens legs, pelvic musculature and arms. This is the one that always makes me pant. – I fear there is no good substitute for this when I travel as lugging around a kettlebell in my suitcase is not an option. I try to walk as many stairs in the hotels as possible – which has led to hilarious situations as we have from time to time ended up in the kitchen quarters or other off-limits work spaces.
7. Dumbbells.
Have a pair of small (5 pounds) dumbbells (or bottles filled with water or books). Push them up 21 times, high up over your head, and slightly backward – without creating pressure in your lower back area. This one took me the longest before I could do all 21 repetitions. – When traveling, I use my laptop as weight, and try not to drop it.
Lately, at yoga class, I notice how much easier the yoga postures are now that I own some muscles. The three goals – looking inward, flexibility and muscles – inform one on the other: They spread out through our bodies to keep us alive, healthy and, well, younger. Read More
Minimal Exercise Program
December 5, 2011
Reasons why I keep my exercise program as minimal as possible:
1. Exercise is boring.
2. Too much exercise may easily lead to injuries: We now have a medical specialty called “sports medicine”. If we didn’t overdo exercises, we would not need sports medicine. Using those modern gym machines while watching TV is a mindless enterprise. And as things go around, they come around – you could end up hurting yourself.
3. Definitely, there are more interesting things to do – playing cello, writing a book, reading tons of books, dabble with colors and brushes, being with family and friends, learning Chinese – to name a few.
On the other hand, I do have bad posture – inborn (many years of unrecognized gluten intolerance that weakened my muscles), and from years of being bedridden as a young person. Movement creates fire and warmth inside, without which we would not be alive. We need to move yes, but nowhere is it written that we need to jog or overexert ourselves in bad ways.
My exercise program changes all the time – I am always on the lookout for something faster and better. You might remember how much I liked the Five Tibetans – until I developed lower back pain. Recently I had to abandon my laps in the unheated Californian pool; the temperature got too low. I still jump in from time to time, just to get the immune-stimulating jolt of the cold water. But I can’t get my exercise that way anymore - danger of hypothermia and ruptured muscles.
Of course, back in Boston, I work in the garden and go to yoga classes, and have a house to tend to. Here, in this tiny apartment, I had nothing comparable – so far. Until last week , when I joined tai chi classes – or as it is called in proper pinyin Chinese: tai ji. In German, tai chi is called “shadow boxing” – and that describes well those flowing, artful movements I now try to learn. Emphasis on “try”: This is not my first time; in the past, I always had trouble remembering the sequence of movements. This time around, I will not even try to learn the sequence; I will just mimic my teacher and lose myself in the flow of gestures. Because, in the two more months we will stay in San Diego, how much can I really learn? Not much.
But in the first lesson, I already learned an important movement, which I now practice every time I pass by a mirror and notice how bent I have gotten up from my studies. Which makes two little exercises which I do in en-passant, not putting in extra time:
1. This squeezing of my shoulder blades that immediately makes me more upright. Firstly, it is a simple reminder; secondly, the squeezing loosens the muscles of the upper back and prevents that my head slowly vanishes between my shoulders like the head of a turtle in its shell.
2. Standing on one leg – especially while brushing my teeth, or waiting and whiling time away. This is good for balance, and for strengthening leg and pelvic muscles. Imbalance is what kills the elderly: Imbalance – fall – hip fracture – pneumonia – death; we physicians see it all the time. This exercise also increases bone mass in legs and spine, thus counteracting osteopenia and osteoporosis, thus preventing those nasty hip fractures. Standing on one leg is far more interesting and effective than Kegel exercises! Keeps your sex alive!
Not everything can be done on the go. So, I have this daily program – and don’t hold your breath! - each of these exercises takes less than a minute, and presently, I am doing six of them, each of them repeated 21 times. Twenty-one: That is the number of repetitions I have kept from the Five Tibetans. You can’t overdo much in twenty-one times, and twenty-one brings me just to the border of utter boredom.
1. Knee bends: Done wrongly, knee bends can hurt your knees. Therefore make sure that you are doing them right: Keep feet and knees together, keep knee caps over your toes, and don’t go deeper than you can easily do, but challenge yourself to go deeper with time. 21 times. Or, in the beginning, you might want to do this by holding on to something stable.
2. Arm exercise: Done with a small heavy ball. I have one of those weighted exercise balls – six pounds. When traveling, I am using my whale of a laptop – has nearly six pounds, too. Fill a plastic bottle with water (this is lighter), or find a heavy book. Slowly lift the ball (or whatever) with both hands and arms out-stretched, and bring it up above your head. Then bend your arms backward and down. Bring up your arms again, over your head and then down in front. Repeat this 21 times. It is good against arm flab, and strengthens the muscles of your upper back.
3. Back exercise: Stand tall. Take the ball in both hands behind you back and lift it upward 21 times. That will squeeze your shoulder blades and improves posture.
4. Swimming on dry: I started this after I had to leave the pool, because I missed the exercise that built up my upper back muscles. Come down on the floor on your belly, lift arms and legs slightly from the ground, and make swimming movements 21 times. A boon is that you are massaging your bowels in this position, which is good against constipation. Getting down on the floor daily acts also anti-aging.
5. Neck strengthening: This I do mornings and evenings in bed: Dig your heels and the lower part of your back head into the mattress. It feels like you arch your back in this position. Breathe in and out. It strengthens all back muscles, especially the upper back. It also works like a charm against a double chin.
6. Tongue exercise: This also helps to eliminate a double chin. Stretch out your tongue, 21 times.
One would think that a program this trifling would do nothing for the health of your body. On the contrary – I was never as toned and nimble as I am now, on this program. If however you are already doing triathlons or marathons: Stick with it, don’t listen to me … at least not until you come home injured. Then turn to my gentler method.
A big part of why this works is the mindfulness you practice all day: You stand on one leg while waiting for the bus. You get up from the computer and squeeze your shoulder blades. You are in the bathroom and stick out your tongue a few extra times. This program keeps you aware that you have a body, and your body needs attention and pampering, too. Moving your body gently pampers it. Lying down and doing nothing pampers your soul. There needs to be a balance between the two!
The other activity we do as often as we can, is walking. Here in San Diego, we have the beautiful Black Beach. If one removes shoes and socks and walks at the water line, in and out of the waves, it is great fun, and another great provocation to the immune system! And by walking and talking we keep our marriage afresh and alive. Read More