What Motivates Me

I have been fortunate to play a small role in the medical approach to treating and managing diabetes. It still inspires me to help people maintain their health, alleviate symptoms, and live their lives through better self-care management of their disease.

Less than 100 years ago, a diagnosis of diabetes was a virtual death sentence. Since then we have learned a lot. Dr. Elliot Joslin, the pioneer diabetes scientist in the early part of the 20th century, wrote in the 1930s that people may get better with treatment but will still have unpredictable health and well-being in the future. The second part is no longer true today because we can predict, up to a point, what will happen to their diabetes in the future, even ten or twenty years from now.

Diabetes has always been difficult. Today, the chances are better than ever that people can lead productive lives and preserve their health through new treatments to control sugar and prevent complications. People with diabetes can preserve their health through choices which are simple, sensible, successful, and sustainable. That is why I am here.

The Six Aspects

There are six aspects of a successful approach to diabetes maintenance. Care and treatment must be:



Diabetes is emotionally and physically burdensome. By using what you know about your diabetes you can lessen the burden of your daily diabetes self-care. I believe that is possible when you have access to information when you need it to address problems that make you feel unsafe.


In this diabetes medical practice we supplement your information toolkit to enhance your self-care. Using this foundation we show you how to make sugar data simple and understandable during short time periods. Then we guide you in eliminating confusing barriers to self-care. This opens the opportunity for growing actionable knowledge you already have and improves daily diabetes self-care outcomes. Then, personal goals are attainable while you achieve clinical targets that protect your health.


Diabetes is financially expensive. Sometimes better outcomes occur with less medicine and less cost. Your body may retain the ability to stabilize sugar levels in some situations. We try to identify when that occurs and use those findings to decrease your severity of illness and risk of hospitalization.


We reduce your risk of diabetes complications or reduce their progression if they have occurred. We address immediate needs and at the same time work to preserve your future health.


We want you to feel competent with your diabetes. It doesn’t mean you can take care of everything. It means you know when you can and when you cannot address an unexpected problem safely. When that happens, we want you to know you have a place to go. It also means when you are on vacation, experience seasonal changes, or suffer a minor injury you know how to adjust your diabetes treatment safely and predictably. So, we address urgencies to avoid emergencies.


Whenever possible my staff and I will support you and your self-care support network. You are the leader of this group of trusted people you have chosen from different parts of your life. I believe these people need to be informed and ready to assist you if and when it is needed . . . and also recognize when they should not intervene.