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Letter from the Editor, #776

Apr 6, 2015

Have you ever had your patients tell you that they only eat small servings and they are never hungry? I find it interesting that obese patients will suddenly swear that they are eating less just because we tell them to. They had to have had that message over and over before they were diagnosed with diabetes and even though we know that gastric emptying times are decreased in these patients because of a decrease in GLP-1 production we still expect to have our patients decrease serving sizes to treat their elevated weight and blood pressure, just because we tell them to.

A better approach might be to let them eat as much as they want but guide them to selecting the right food to gorge on. This seems to work for many patients and gives them a sense of success even as they try their darnest to out eat each other.

As more proof to the fact that portion downsizing does not work. we have a study from the American Psychosomatic Society showing what happens when you try to downsize portions on patients.

PCSK9 — what is it? Check out Item #7 so you can find out how this protein holds the key to cholesterol regulation.


Announcements: Sunday, April 12, 7PM ET

From "Actress, comedienne, and "The View" co-host Sherri Shepherd talks candidly about her diabetes life. Plus, Jim Turner examines the wild world of competitive eating." Sundays live online at at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at

TCOYD Health Fair Conference, Hawaii Convention Center, Honolulu, Hawaii, Saturday, April 25, 2015

With a day packed full of education, motivational tools, one-on-one sessions, and workshops, the TCOYD health fair is a great way to get your patients to take better care of their health and themselves.

We can make a difference!


Dave Joffe, Editor-in-chief