Quote for Today – 09.22.22

Charlie Munger, the billionaire partner to Warren Buffett at Berkshire Hathaway, describes his friend’s day as 80 percent reading—often five hundred pages. Before he invests his client’s money in a company, Buffett puts the odds in his favor by reading everything he possibly can about the company itself and the broader industry. He is not always right, but he is always informed. We might imagine him flying around on private jets, wheeling and dealing, when in fact he is more likely sitting at his desk, reading everything from the great books to technical analysis.

Mr. Buffett’s reading habit provides a powerful lesson for all of us. But most Americans read almost nothing. A friend who teaches at a large public university thinks less than half of his incoming freshmen have ever read a single book in full.

Jeff Deist President of the Mises Institute. Five Keys to Professional and Personal Development accessed online 9/22/22 — https://mises.org/wire/five-keys-professional-and-personal-development

Some good advice, no matter what stage in life you find yourself. This talk was delivered on September 2, 2022, to a student workshop at the Ron Paul Institute conference in northern Virginia.

  1. Sift
  2. Read
  3. Learn Continuously
  4. Avoid Arguments
  5. Promote People, Not Just Ideas

Another Sweet Saturday – 09.17.22

Our 1-year RCT indicated that a lifestyle intervention program can be highly successful in older adults with diabetes and chronic comorbidities. In this specific population, lifestyle intervention not only improved glycemic control associated with improved insulin action and secretion but also improved age-relevant outcomes such as body composition, physical function, and quality of life.

Alessandra Celli, Yoann Barnouin, Bryan Jiang, Dean Blevins, Georgia Colleluori, Sanjay Mediwala, Reina Armamento-Villareal, Clifford Qualls, Dennis T. Villareal; Lifestyle Intervention Strategy to Treat Diabetes in Older Adults: A Randomized Controlled Trial. Diabetes Care 1 September 2022; 45 (9): 1943–1952. https://doi.org/10.2337/dc22-0338

From the periods 1988–1994 to 2017 to March 2020, there was an increase in the prevalence of diagnosed diabetes (from 4.6% to 11.7%), but no change in prevalence of persistent undiagnosed diabetes (from 2.23% to 2.53%) or confirmed undiagnosed diabetes (from 1.10% to 1.23%). Consequently, the proportion of all undiagnosed diabetes cases declined from 32.8% to 17.8% (persistent undiagnosed diabetes) and from 19.3% to 9.5% (confirmed undiagnosed diabetes). Undiagnosed diabetes was more prevalent in older and obese adults, racial/ethnic minorities, and those without health care access. Among persons with diabetes, Asian Americans and those without health care access had the highest proportion of undiagnosed cases, with rates ranging from 23% to 61%.

Michael Fang, Dan Wang, Josef Coresh, Elizabeth Selvin; Undiagnosed Diabetes in U.S. Adults: Prevalence and Trends. Diabetes Care 1 September 2022; 45 (9): 1994–2002. https://doi.org/10.2337/dc22-0242

Remember, Stay as Thin as You Can as Long as You Can.

Covid and…Neti Pot?

They knew that the more virus that was present in your body, the worse the impact, Baxter says. “One of our thoughts was: If we can rinse out some of the virus within 24 hours of them testing positive, then maybe we can lower the severity of that whole trajectory,” she says, including reducing the likelihood the virus could get into the lungs, where it was doing permanent, often lethal damage to many.

Medical College of Georgia at Augusta University. “Twice-daily nasal irrigation reduces COVID-related illness, death, study finds.” ScienceDaily. http://www.sciencedaily.com/releases/2022/09/220913110403.htm (accessed September 13, 2022).

Small study n=79 but still…

An Algorithm Put This Article in My News Feed

Photo by Egor Kamelev on Pexels.com

In a survival situation, you probably wouldn’t make it on bugs alone, despite what some sites would have you believe. But insects could certainly be an important part of what keeps you alive. Bugs are highly nutritious, with lots of proteins and vitamins and modest amounts of fat. Here are the things you should know.

9 Bugs to Eat in a Survival Situation (And 4 You Want to Avoid) — https://www.fieldandstream.com/story/survival/insects-to-eat-in-survival-situation/

Faithful followers know I have two blogs, this one and http://garyskitchen.net. The latter is more or less devoted to food. I debated whether to post this article link here or there. I decided here because my professional life is devoted to understanding what kills people. Obviously getting lost while hiking and running out of food can lead to an early expiration date.

The article was fun to read. You’ll enjoy it too unless you’re a conspiracy theorist.

Insect consumption has been highlighted by the UN’s Food and Agriculture Organization as an important tool in addressing food insecurity for a growing global population. And since agriculture is the second-largest greenhouse gas emitter after the energy sector, insect eating presents a compelling climate solution, too – crickets, for example, can provide the same amount of protein as cows for less than 0.1% of the emissions.

Meaty, cheesy, coconutty: a chef’s quest to prove insects taste delicious — https://www.theguardian.com/environment/2022/sep/09/insects-food-menu?amp;amp;amp

Hmm…maybe I should have posted this on https://garyskitchen.net

A Plan is Not a Strategy – Update 08.03.22

A few months ago I was thinking about retirement. The funny thing about life at “retirement age” and still working is you think about retirement a lot. See Thinking About Retirement (or just another fine Saturday Morning) While catching up on news I came across several articles on unretirement. I learned the word unretire is actually in the dictionary. See https://www.merriam-webster.com/dictionary/unretire. Rather than retire then unretire I decided I needed a plan. The more I thought about coming up with a plan the more I realized I needed a strategy instead.

So now I’m working on strategy only to realize I’ve had a strategy for many years. I’ve just never taken the time to write it down. It might be time to document my strategy. But it’s been too hot to write and Too Hot to Blog.

Take Home Message: A Plan is Not a Strategy.

Update 08.03.22

For an excellent example of strategy read this piece https://www.noceilingsnba.com/p/the-art-of-presti on how Sam Presti the General Manager of the OKC Thunder epitomizes this definition of strategy.


Now that I have your attention…

“Some of the best evidence for the role of exercise in maintaining weight loss comes from the National Weight Control Registry, an online group of over ten thousand men and women who have lost at least thirty pounds and kept it off for at least a year. These folks defy the cynical view that meaningful, sustainable weight loss is impossible. The average Registry member has lost over sixty pounds and kept it off for more than four years. They are truly exceptional…Nearly all of them (98 percent) report changing their diet to lose weight, which makes sense given how diet can affect the reward and satiety systems in our brain and impact how much we eat.”

Pontzer, Herman. Burn (pp. 255-256). Penguin Publishing Group. Kindle Edition.

It took a while for me to find the manila folder hanging somewhere in one of my file drawers. Surprising because I have a lot less paper files gathering dust in hanging folders. I know it’s here but where? Ah, there it is… Desk 2 south of the tax files, north of my paper life insurance policies. I am participant number 8784.

The National Weight Control Registry (NWCR) was established in 1994 by Rena Wing, Ph.D. from Brown Medical School and James O. Hill, Ph.D. from the University of Colorado. This study is the largest investigation of long-term successful weight loss maintenance. Few individuals succeed at long-term weight loss. The NWCR was developed to identify and investigate the characteristics of individuals who have succeeded at long-term weight loss. The NWCR is tracking over 10,000 individuals who have lost significant amounts of weight and kept it off for long periods of time. http://www.nwcr.ws/

I started sending data to this study in 2007. Most years I get one annual survey. Occasionally I’ve received and completed a number of smaller supplemental surveys. I am 8784 and have kept the weight off for nearly 50 years. Since the Great Melt of 1975 I’ve cycled between 163 and 205 pounds. For the past decade I carried 200-205 pounds on my 5.10 frame. During the first year of the pandemic I dropped 25 pounds (again). Currently I’m holding around 170.

I am exceptional but you can be exceptional too. 8784 signing out.

Thinking About Retirement (or just another fine Saturday Morning)

Andel’s suggestion to anyone contemplating retirement: “Find a new routine that’s meaningful.” He points to people living in the Blue Zones, regions of the world that have been identified to be home to a greater number of residents who’ve reached the age of 100 and beyond. One of the common characteristics among Blue Zone inhabitants is, says Andel, “these people all have purpose.”

Think Retirement Is Smooth Sailing? A Look at Its Potential Effects on the Brain — https://getpocket.com/read/2840794990

The funny thing about life at “retirement age” and still working is you think about retirement a lot.

Since I still work a full time job I have a lot of trouble envisioning what my retirement will look like.

After reading this article and listening to Andel’s short talk I am now scared of retirement.

I need to figure out how to avoid brain rot. But my journal tells me I already have.

My Purpose is to educate others on diet and disease, weight loss and weight management by sharing my personal journey through writing and other teaching activities.

Stay as Thin as You Can as Long as You Can

Based on the evidence from clinical trials weight loss (typically 15 kg or greater) is the main driver and predictor of remission.

Dietary strategies for remission of type 2 diabetes: A narrative review — https://doi.org/10.1111/jhn.12938

A weight loss program can lead to type 2 diabetes remission, even in individuals with a normal body mass index (BMI), via loss of body fat, particularly in the liver and pancreas, shows a UK study.

Type 2 Diabetes Remission Possible For Those With Lower BMI — https://www.medscape.com/viewarticle/971599?src=rss#vp_1

The title of this post is a direct quote from an Endocrinologist who at the time was practicing in Dallas Texas. I asked if he had any advice for me to reduce my risk of developing diabetes.

“Stay as thin as you can as long as you can.”

These words have stuck with me ever since.