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Pavlok Habit Management Wearable Wristband Review

By Samuel Kolodney 2 years ago 2254 Views No comments

I’ve tried Pavlok for about a week now and while it is technically an operant conditioning aversion therapy device, I have found that the manual use case is actually more of an exercise in mindfulness rather than aversion therapy. It is notable that the Pavlok instructions recommend manual use to break a habit as better than the automatic method.

Here's my experience. Like the instructions suggested, I picked a goal. My goal was to avoid high carb foods like cookies, chips and cakes. Once my goal was set, I put on the Pavlok with a commitment to use it when I broke my pledge to stay away from carbs.

For the first few days I wore the Pavlok, I was so afraid of what the shock might feel like that even though the device was fully charged, I didn’t eat the foods that would necessitate I shock myself.

The effectiveness of the Pavlok for me, wasn’t that I associated the “bad feeling” of a shock with my bad behavior. It was that with the wristband on, I was mindful enough when presented with the option of eating junk-food to think twice about how if I engaged in the bad behavior, I would have to live up to my commitment to deliver an unpleasant shock of unknown magnitude to myself. That turned out to be enough for me to meet my goals.

In fact, thanks to Pavlok I'm off to a good start. I lost 2lbs last week.

I ultimately did try the shock and found that, for me, the threat was far more intimidating than the actual sensation. So put on your Pavlok and remember... every decision you make is entirely under your control. The more conscious you are about the real consequences of your decisions, the better your decisions will be.

My insulin fails to lower my blood sugar!

By Samuel Kolodney 2 years ago 959 Views No comments

There can be more than one reason why your insulin injection doesn't reduce your blood sugar. The first things most doctors attempt to rule out is degradation of the insulin and loss of potency due to poor storage. This video features Amin Zayani who has type 1 diabetes and his amazing story of how he came up with a solution to know if your insulin is exposed to temperature excursions that could degrade its effectiveness and alert you when it happens so you can potentially save it from being ruined.

L- Carnosine supplementation and its effect on diabetes

By Samuel Kolodney 2 years ago 3029 Views No comments

Research indicates many benefits of L-carnosine supplementation including increased mass of insulin producing beta-cells and a delay in diabetic cataract formation by protecting retinal capillaries from damage due to high blood sugars.

L- carnosine has also been found to inhibit the oxidation of “bad” LDL cholesterol, which in turn helps reduce the potential of oxidized LDL clogging arteries - a major cause of heart disease. Additionally, it helps prevent glycation, which in turn helps reduce the incidence of nerve damage, lower A1C levels and even help reduce wrinkled skin and other cell damage associated with aging.

Another benefit of L-carnosine supplementation is the potential to lower blood glucose levels. Data suggest that carnosine supplementation may be an effective strategy for prevention of type 2 diabetes.

With so many health benefits including anti-aging effects L- carnosine should be included in everyone’s supplementation regimen.

Check out L-carnosine.

​DHEA counteracts AGE(Advanced Glycation End product) formation

By Dr. Richard K Bernstein 2 years ago 954 Views No comments

This is an article published in Diabetes Care a number of years ago, but it's still pertinent. I stumbled upon it when I go through my reminders of important facts.

Many people have asked me on these tele-seminars over the years, how do we stop glycation of proteins in the body? That assumes that you're going to have elevated blood sugars. We know that most of the complications of diabetes are caused by the attachment of glucose to important proteins throughout the body.

We've gone into detail about some of these things in the past, and if we could stop this from happening, we could prevent many of the complications of diabetes. Well, the best way to stop this from happening is to have normal blood sugars, and as those of you who are using my book, Diabetes Solution know, that's not too hard to do.

But you have to control your overeating if you eat too much carbohydrate, and you have to stop following the ADA Guidelines that recommend high carbohydrate. So number one is, normalize blood sugars. For those people who can't possibly control their overeating, DHEA, which is dehydroepiandrosterone and is a precursor to testosterone and estrogen, is something that apparently inhibits glycosolation of proteins.

For those of you who want to go to the original source, the article is entitled "Dehydroepiandrosterone Administration Counteracts Oxidative Imbalance and Advanced Glycation End Product Formation in Type 2 Diabetic Patients" This is from Diabetes Care Volume 30, 2007. You can access the PDF here.

Now, DHEA you can purchase at most health food stores. I can't testify about the quality of all different sources of DHEA. You have to use a reliable manufacturer, and you don't want to overdose yourself. So I would think that, depending upon your size, and certainly not for children, we would probably take 25 or 50 mg per day. But this is speculation based upon one article in one major journal, so that's about the information that I can give you. Shop for DHEA

How do I check the precision and accuracy of my blood glucose meter?

By Richard K Bernstein 2 years ago 2278 Views No comments

You can check the precision of your blood sugar meter and even possibly the accuracy.

Here's the method Dr. Richard Bernstein uses to enable you to check the precision (reproducible results) of your blood sugar meter and even possibly the accuracy.

As you probably know, most of the blood sugar meters on the market, according to studies that have already been published, are grossly inaccurate. I see the best accuracy, especially around normal values – so I consider normal values around 80, except with children, in the 70s, and how do you do that? Well, one could say, “Let's look at the control solutions or test solutions that the manufacturers provide with their meters.” The trouble is that, nowadays, most of the manufacturers are not providing normal controls – it has to do with some FDA guidelines that don't make sense and they're doing the minimum that they have to do to comply with FDA regulations – so they usually have control solutions that would read somewhere around 30 or 40 milligrams per deciliter, on the one end, and another solution that would read around 300 milligrams per deciliter. Now how do you now, measure for accuracy? I'm not interested in precise accuracy at a blood sugar of 30 or at a blood sugar of 300; I want it accurate where most of my patients' blood sugars are, which would be, let's say, between 80 and 100.

So how do I get this, and how do I go about testing? Well, what we do is we get hold of the manufacturer's control solutions to a meter, and we use 3 parts of the low control, which might be 30 or 40, as the middle of the range, and 1 part of the high control, and we put them in a little plastic squeeze bottle or in a glass dropper bottle that has a tight seal 'cause you don't want evaporation – evaporation will make the concentration of glucose go up – and this mixture will have a blood sugar of somewhere around 100 – it might be 108; it might be 113; it might be 97 – and you could calculate what that value would be by taking the middle value of the low control – so let's say the low control is 30 to 70: you can get the middle value by adding 30 and 70 and dividing by 2, and you get 50. And if the high control is 200 to 400, the middle value would be 300, so we would take 3 parts of the low control, so 3 times 50 would be 150, and we'd add in 1 high control, which would be 300, so that adds up to 450, and we've taken a total of 4 samples, 3 and 1, so we divide 450 by 4 and you get something like 112. So this solution should read at 112 milligrams per deciliter. So if the solution is accurate, if the manufacturer's provided you with accurate control solutions, then it's a good test of the accuracy of the meter – it should read that value that I just told you, of 112.

Now, just as important or more important, is the precision or reproducible results. What if you did 10 tests in a row, would they all read 104? And what we find, with most of these meters, is that they're scattered over a wide range. In fact, we found that one of the most popular-selling meters, a meter that many of the insurance companies require for diabetics, instead of the most accurate one, reads chronically low and may read very low or very haphazardly. So that particular meter, you might think you're going to get a reading of 104, and you get a 160 or you get 50 – that's how wide a range of readings you get with some meters – and, therefore, you do 5 or 10 tests in a row, you get a load of different numbers. On other meters, like the one that we recommend and we've mentioned it before, we get the same value over and over and over again, plus or minus one or two milligram per deciliter. So that shows consistency. And then if our reading is almost on the nose with the value of our control solution, we can be fairly confident of the accuracy, but we're assuming that the manufacturer made accurate control solutions. So the only way to be absolutely sure of the accuracy is to do a blood sugar at the clinical lab, while they're drawing blood from your arm, and see how it compares.

​What is a normal fasting blood sugar?

By Samuel Kolodney 2 years ago 1421 Views No comments

There is a lot of information about “normal” blood sugar levels floating around the internet from many sources but the science paints a clear picture that isn’t always described by the various recommendations.

I find it interesting that the American Diabetes Association, along with other reputable organizations, suggests blood glucose level targets for most nonpregnant adults with diabetes that do not account for the relative risks of higher blood sugars. An example of this is the ADA recommendation of a fasting blood sugar of between 80–130 mg/dl. You can see the recommendation at this link

This number leaves out mention of a study published on another ADA website that concludes:

Fasting blood glucose values in the upper normal range appears to be an important independent predictor of cardiovascular death in nondiabetic apparently healthy middle-aged men.

More importantly, the study describes the “upper normal range” as being above 85mg/dl.

You can read an abstract of the study for yourself here.

The question that immediately comes to my mind is why do the suggested numbers in this recommendation skew dangerously high? The facts contained in the study clearly point to the need to keep fasting blood sugars below 85. In fact, Dr. Richard K. Bernstein maintains his blood sugar at 83 mg/dl and as a type 1 diabetic has kept them there for the last 50 years. He is now 82 years old and has no complications commonly associated with diabetes.

The research shows the optimal fasting blood sugar is between 80-84 mg/dl

Dr. Bernstein details how to achieve normal blood sugars in his best-selling book Diabetes Solution. Learn more at:

Genteel Butterfly Touch Lancet Review

By Samuel Kolodney 2 years ago 2908 Views No comments

If you have ever had to repeatedly stick yourself with a lancet to draw blood, you know what it is like to experience anxiety just before you initiate the lancing device to prick your finger and obtain the blood sample.

I am grateful I do not personally have to do this for my health but as part of my job I test out the products offered on Doctor's Option to ensure they live up to the claims made by the manufacturer. I have to say that after looking at the research, I was optimistic that this new Butterfly Touch Lancet by Genteel would live up to its promise as a pain free lancet and I was not disappointed.

The design of these lancets is unique, it is not a single gauge. If you look closely at the point, you can see it is tapered on an angle that allows it to penetrate the surface of the skin painlessly and gets thicker toward the base in order to create a hole that is sufficiently wide to enable the blood to flow to the surface to form an adequate sample.

In reviewing the research, I found that the developers at Genteel did a complete scientific study on 32 of the leading lancets and literally examined them under a microscope to see what physical properties where responsible for obtaining an adequate blood sample with the least amount of associated pain. They assigned a number called a Figure of Merit to each lancet they tested.

The Figure of Merit number is calculated by the average micro-liters of blood obtained in the sample divided by the average subjective pain level (1-10) given by all subjects for each lancet. The lancet with the highest Figure of Merit was the one that got the highest amount of blood with the least amount of pain.

Characteristics of needle design, such as number and angle of facet cuts in the tip, needle diameter, flexibility of the shaft, and level of needle polish were analyzed and compared to each lancet’s Figure of Merit. The result of the study is that Genteel’s engineers were able to positively identify the properties that were associated with better performance. They then incorporated all the best features of the lancets with the highest Figures of Merit into a new lancet called the “Butterfly Touch”.

Once the product was developed, the Butterfly Touch Lancet, performed 27.7% better than the average of the next two highest performing, commercially available lancets.

I found this methodology fascinating and logical. I couldn't wait to try it out! When the sample arrived I loaded my Genteel Lancing Instrument with a Butterfly Touch Lancet and went to it. As you can see from the picture below, the first lancing experience was so painless that I immediately did it again to see if I could repeat the results. It definitely works and I can see why Dr. Richard K. Bernstein has decided that these are the only lancets he purchases for his personal use.

You have to try it for yourself! Get a box of 100 Butterfly Touch Lancets today.

How people with peripheral neuropathy keep their feet healthy

By Samuel Kolodney 2 years ago 1014 Views No comments

This video by Barry Jacobs D.O. offers insights into how people who are in danger of developing diabetic peripheral neuropathy can quickly and easily test to make sure their sense of sensation is still intact before serious complications develop that can lead to foot ulcers and amputations.

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Mobile Alert System To Call & Text Caregivers Directly

By Samuel Kolodney 2 years ago 1277 Views No comments


Finally, A Mobile Medical Alert Device Dials & Texts Your Caregiver.

According to the U.S. Centers for Disease Control and Prevention, each year one out of four seniors age 65 or older reports a fall. Regardless of whether they are seriously injured, seniors who live independently often limit their daily activities because of a fear of falling. These self-limiting behaviors can lead to physical decline, feelings of isolation and depression.

Seniors, who live on their own, report feeling safer and more secure when they have a medical alarm button. Unfortunately, many seniors resist calling the professional monitoring center associated with their alarm unless they think it is a life or death emergency. Poor judgements made after a fall can have serious consequences. RescueTouch innovative CareCallers™ train wearers to call every time a fall occurs, especially when they are not sure it is serious.

When the CareCaller SOS button is pressed, it directly sends a text notification and then calls up to three user-programmable contacts that may include caregivers, family, neighbors, or friends. The text message alerts all contacts, provides the wearer’s name, date and time of the SOS, GPS location of the wearer, and even provides a link to a Google map to make it easy to find a senior who may be disoriented. A call is then placed to the three contacts on the list in order of priority. If the first contact does not answer, the CareCaller™ dials the second number and then the third number. This process is repeated for up to five minutes. Once the call is connected, a built-in two-way speakerphone makes it easy to talk with the wearer.

If you are caring for a senior with limited mobility or who gets disoriented, CareCaller™ has an advanced feature that can’t be found on other older devices. Pre-designated contacts can text the CareCaller™ device and receive its current location quickly and easily and can even call a senior’s CareCaller™ directly to check-in and make sure they are okay. Learn more at RescueTouch .

The Need to Test for Loss of Protective Sensation

By Peter Allton, DPodM 2 years ago 1260 Views No comments

A podiatrist's perspective on reducing amputations due to diabetic foot ulcers

As a podiatrist with 28 years of experience, my personal passion fits in very well with what Medipin has to offer and in fact, in my book Undefeeted by diabetes, which is the spearhead of our award winning not for profit organization- Undefeeted, I cite a need for such a device to test for Loss of Protective Sensation (LOPS) when at the time of writing I was unaware of Medipin.

Medipin can help reduce amputations from diabetic neuropathy in a number of ways:

1) As a practicing Podiatrist I regularly come across patients who, although they can feel a monofilament, are unable to detect the sharpness of a neurotip pinprick (a test usually omitted from diabetic screening appointments here in the UK) These people are often unaware going forward of their level of risk of not feeling a wound that then gets no care and becomes infected.

2) Out of 194 countries only 60 of them (give or take) have Podiatrists. For people in these other countries Medipin offers a safe way to test themselves so they can be empowered by knowing their risk status.

3) Once they know their risk, they can act appropriately by altering their behavior to minimize a wound developing or in the event of a wound would be alerted to contacting a physician or attending a clinic to thoroughly diagnose the risk and obtain prophylactic treatment to prevent foot ulcers from developing.

4) Even if they can feel the pinprick sensation when they use the Medipin, there is still the benefit that they are paying attention to their feet. It has been my experience that anything that reminds patients of the importance of maintaining healthy feet and the vulnerability they have to neuropathy has to be a plus. is passionate about helping the USA to win the battle against amputations. It is our vision that every country in the world can cut their amputation rate by 2/3rds by the year 2035 so that globally the rate will be reduced from 1 every 20 seconds to 1 a minute. In the USA, with proper awareness, the number of amputations would fall from 200 a day to around 66 a day.

Medipin is an FDA listed, all-plastic precision instrument designed to avoid skin puncture while significantly heightening pinprick sensation at lower application pressures by exploiting neural lateral inhibition. To accomplish this, a specially faceted and blunted point is situated within a surrounding annular component that serves to both micro stretch the skin and create an artificial center surround field.

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