Slide Update: ADA’s website now includes Low-Carbohydrate Diets in Standards of Care, and looking back on the times the medical profession called people/ideas a “fad”

Slide Update: ADA's website now includes Low-Carbohydrate Diets in Standards of Care, and looking back on the times the medical profession called people/ideas a “fad”

I’ve been asked to present on changes happening in our understanding of nutrition lately, so will be sharing slides here. The above isn’t news to people in the nutrition realm (as of April, 2019). The American Diabetes Association (@AmDiabetesAssn) has officially added low carbohydrate and very-low carbohydrate diets to its standards of care. They have …

Just Watched: Our Transgender Pride Flag Emoji Proposal is Now in a Documentary: Where Emojis Come From

Just Watched: Our Transgender Pride Flag Emoji Proposal is Now in a Documentary: Where Emojis Come From

Thanks to the team at @VPRO and @VPROBroadcast for producing this documentary that unravels the secrets of how emojis are born. Transgender Pride Flag vs White Wine – tale of two emojis The protagonist in the piece is the transgender pride flag emoji born from designer Tea Uglow (@Teaulieu), later joined by a global team …

Just Re-Read: Americans have been following dietary guidelines, coincident with the rise in obesity

Just Re-Read: Americans have been following dietary guidelines, coincident with the rise in obesity

For me this is actually a re-read, since NHANES data is continually being recycled to attempt to describe what’s been happening with American diets. This paper modeled data from 1965 (pre-NHANES, USDA Household Food Consumption Survey used for this year) through to 2011. It describes what is essentially a flip in the American population in …

Photos from Yesterday, Washington, DC USA – Climate is an Emergency

Photos from Yesterday, Washington, DC USA - Climate is an Emergency

Photos from Washington, DC, taken via active transportation (of course). Climate is an emergency It is known what can be done to mitigate climate change, and it’s probably bigger than arguing over what we eat Physicians and the health care system have an important (and accountable) role to our generation and the generations who come …

Part 11: Wearing a Continuous Glucose Monitor as a non-diabetic Physician: The Experience (Updated for 2019)

Part 11: Wearing a Continuous Glucose Monitor as a non-diabetic Physician: The Experience (Updated for 2019)

In Part 1 (2018) of this series, I described why a physician without diabetes (me) would wear a continuous glucose monitor (CGM): Why I decided to wear a continuous glucose monitor as a non-diabetic physician I followed up with a Part 2, which this post updates based on the change in technology. Disclaimer/Caveats I don’t …

Just Read: Understanding Global Methane Emissions as a Family Physician without Diabetes (and hoping to keep it that way)

Just Read: Understanding Global Methane Emissions as a Family Physician without Diabetes (and hoping to keep it that way)

“Methane” is said to me as a statement a lot. When I probe if there’s more information behind the statement, I don’t hear very much. The overwhelming majority of physicians do not have a good understanding of climate science. It’s okay, we’re all on a learning journey 🙂 . We should understand: Climate change is …

Part 10: Wearing a Continuous Glucose Monitor as a non-diabetic Physician: Impact of a (mostly) meat diet; Learning about the lives of people with diabetes

Part 10: Wearing a Continuous Glucose Monitor as a non-diabetic Physician: Impact of a (mostly) meat diet; Learning about the lives of people with diabetes

The numbers above and below are continuous glucose monitor measurements while eating a (mostly) meat diet for a few weeks. As the images show (and people seem to forget…), meat includes fish. As predicted, the numbers are normal, and very stable, given meat’s glycemic index = 0. I would say they are more stable than …

Just Read: Cutting Carbs Curbs Kilos, Cholesterol, Blood Pressure – And Maybe Not in that Order

Just Read: Cutting Carbs Curbs Kilos, Cholesterol, Blood Pressure - And Maybe Not in that Order

We’re now in the era of diabetes reversal. Why don’t more doctors know? Tip for fellow physicians: Question the statement “low carbohydrate diets work only in the short term.” Many of the often-quoted studies about diet and health are surprisingly short term. Perhaps most notably, the widely cited DASH diet [25] to lower blood pressure, …

Photo Friday: U Street, Washington, DC USA (The Future Has to Start Somewhere, it’s Usually Here)

Photo Friday: U Street, Washington, DC USA (The Future Has to Start Somewhere, it's Usually Here)

This week’s photograph was taken on Northwest U Street, in Washington, DC (of course). You can see the beautiful mural on 15th and U Street, “Touch the Sky,” by Aniekan Udofia (@Aniekanreloaded) It can easily said that U Street has hosted more civil rights history per millimeter than almost any other place in the United …

Just Read: Care of The Transgender Patient & my 7th Capital TransPride – doctors telling humans how to exist fails 100 % of the time, so why would we want to do that…

Just Read: Care of The Transgender Patient & my 7th Capital TransPride - doctors telling humans how to exist fails 100 % of the time, so why would we want to do that...

Last evening was the annual Washington, DC Capital TransPride (@DCTransPride365) rewind, held a few months out from the TransPride celebration as a review and planning for next year. 2019 marks my 7th Capital TransPride attendance. It marks my first participation as a Capital Pride (@CapitalPrideDC) photographer – the best photographs are ones of humans in …

Just Read and adding comments from our experience: “We Just Got 230 New Emojis, But Still No Trans Flag” – VICE

Just Read and adding comments from our experience: "We Just Got 230 New Emojis, But Still No Trans Flag" - VICE

On this day after World Emoji Day, thanks to Anna Iovine (@AnnaRoseIovine) and @Vice for publishing this story on the transgender pride flag emoji. I’m adding commentary, background, and a not-yet published quote from one of our global collaborators, the awesome Tea Uglow (@teaelleu). The following quote from the piece is correct (and thanks for …

Because humans spend 90% of their time in buildings, where their health and lives are shaped – my year as a concept advisor for the WELL Building Standard

Because humans spend 90% of their time in buildings, where their health and lives are shaped -  my year as a concept advisor for the WELL Building Standard

I am in a group of doctors that I’d say practice “boundless medicine,” meaning, we go to the places where health is produced. It’s what the people we serve expect of us, even if the greater health system doesn’t expect it of us.

My rationale for joining the International WELL Building Institute (IWBI) (@WELLCertified) Global Network of Concept Advisors is laid out in this blog post I wrote when I joined.

See: Joining the IWBI Global Network of Concept Advisories | International WELL Building Institute – WELL Community Concept advisory – Ted Eytan, MD

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Slide Update: If you’re tied to dogma, what’s your interest in data?

Slide Update: If you're tied to dogma, what's your interest in data?

Time for another slide update….

I have always been fascinated by the topic of conflict of interest, maybe because my generation of physicians was trained in an environment that was chock-a-block full of conflict, with no balance.

We now live in an era where there is more disclosure, however, it still happens in the background of discourse that is clearly influenced by it (the conflict).

These are some examples, along with some sage advice from Salim Yusuf, OC FRSC, Distinguished University Professor of Medicine, McMaster University, lead investigator of the PURE study.

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Slide Update: American Diabetes Association New Nutrition Approach, Heart-Check Still Awarded for Sugar Sweetened Cereals

Slide Update: American Diabetes Association New Nutrition Approach, Heart-Check Still Awarded for Sugar Sweetened Cereals

I’ve updated my slide repository as I track the interesting behavior of various national organizations with regard to nutrition. Click through to each image to read the caption and access linked references. I’ll write about the positive/science-based change at American Diabetes Association separately. My disclosures and potential conficts of interest (I have none to declare) …

Photos from the 2019 Capital Pride Parade, Washington, DC USA – The future is (authentically) ours

Photos from the 2019 Capital Pride Parade, Washington, DC USA - The future is (authentically) ours

I’m sharing some photos from this year’s (2019) @capitalpridedc LGBTQ pride parade. These are the images of our #LGBTQ communities, across the spectrum of humanity, getting stronger, more determined, and in control of their health and life destinies each day/month/year. I was especially excited to see people living as their authentic selves, made possible by …

Part 9: Wearing a Continuous Glucose Monitor as a non-diabetic Physician: An unrequested oral glucose tolerance test

Part 9: Wearing a Continuous Glucose Monitor as a non-diabetic Physician: An unrequested oral glucose tolerance test

The chart above is not the PQRS of an EKG, it’s a blood glucose spike, followed with a brief hypoglycemic episode. Both events were asymptomatic – I had no idea they happened until I checked continuous glucose monitor readings later. What must have happened is the diet soda I ordered at our favorite beer garden …

The Transgender Pride Flag is accepted as Draft Candidate Emoji for 2020!

The Transgender Pride Flag is accepted as Draft Candidate Emoji for 2020!

In the photograph above, my T-shirt is printed with the proposed transgender pride flag emoji symbol, which was accepted as draft candidate emoji for 2020 in May, 2019. If accepted into the standard, users of nearly every computing device in the world will be able to share the transgender pride flag symbol in communications, alongside …

Thanks for Telling Our Story, in Unicode finally responds to lack of a trans pride flag emoji – FastCompany

Thanks for Telling Our Story, in Unicode finally responds to lack of a trans pride flag emoji - FastCompany

Thank you @FastCompany and @kschwabable for reporting on the origins and experience around proposing a transgender pride flag emoji for the @Unicode character set. To see the details of this process, I’ve documented our work to date here. I was not interviewed for the piece, as requested, because it’s important for people with lived experience …

Photo Friday: Low(er) Carb, Health(ier) fat Spring Rolls & Exploding myths about what an LCHF diet is

Photo Friday: Low(er) Carb, Health(ier) fat Spring Rolls & Exploding myths about what an LCHF diet is

These wonderful morsels of real food were handcrafted in the Thrive Kitchen at Kaiser Permanente Mission Bay in San Francisco (itself a LEED Platinum building) under the guidance of Chef Linda Shiue, MD (@SpiceBoxTravels).

Linda brought us her culinary skills, her medical acumen, and her creativity and enjoyment of the beauty of food as we made these, in lower carbohydrate and higher carbohydrate (with rice paper and whole grain rice) versions.

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Last Century: “You Are What You Eat” – This Century: “You Are What You Do With What You Eat”

Last Century: "You Are What You Eat" - This Century: "You Are What You Do With What You Eat"

In the last century, people were told based on faulty science, “you are what you eat.” In this century we now know “you are what you do with what you eat.” Continuous glucose monitors (#CGM) confirm the science we were taught in medical school works as advertised. Combined with a #FoodNotPharma approach, we could end …