Book of the month – October 2025

When the Body Says No: The Cost of Hidden Stress

Gabor Maté, MD

In this international bestseller, renowned mental health expert and speaker, Dr. Gabor Maté, provides insight into the critical role that stress and emotions play in the development of many common diseases.

Although written for a general audience, When the Body Says No definitely wouldn’t be everybody’s cup of tea. It’s like reading a textbook, but my daughter and I both read it recently and when I discovered that another friend was also reading it, I decided that it might appeal to more of you and that it would be worth reviewing here.

Dr. Maté has experience as a family practitioner and a palliative care physician and has also worked with the addicted men and women of Vancouver’s Downtown Eastside. He weaves together scientific research, numerous case histories, and his own insights and experience to explain the relationship between psychological stress and the onset of chronic illnesses including arthritis, cancer, diabetes, multiple sclerosis, Alzheimer’s disease, and heart disease. While I don’t agree with everything he says and he definitely needs to update the section on prostate cancer (the book was published in 2003 ), a lot of it makes very good sense. 

What I liked best was the fact that Dr. Maté validated what I have believed for years; that the stress I endured prior to and especially during the early decades of our marriage and the anger that I suppressed during those years contributed to my present health conditions. In fact, the author would probably say that they caused my cancers. As he says, all of us probably have within our bodies the occasional rogue cell that could multiply and become cancer. In most cases, the body has the resources to destroy those cells before they spread, but chronic stress and repressed anger reduce the body’s ability to do that and magnify the risk of developing the disease.  

In the final chapter of the book, Dr. Maté addresses what he calls the seven A’s of healing: acceptance, awareness, anger, autonomy, attachment, assertion, and affirmation. He believes that pursuing these will help us grow into emotional competence and empower us to be our own health advocates.

Note:  This book was published in the US under the title When the Body Says No: Exploring the Stress-Disease Connection.

 

Another diagnosis, another pill

No, it’s not another cancer this time!

Seven years ago, I was diagnosed as pre diabetic. I managed to control it with diet alone until recently when I gradually slipped into the diabetic range. Though I’d originally hoped that this would never happen, it comes as no real surprise. In some ways, I’m not a usual candidate for diabetes. I’ve never been overweight, I’m not a smoker, and I ate a healthy diet and exercised regularly long before the pre diabetes diagnosis. In addition to a family history of diabetes, however, the injection of Sandostatin that I receive every 28 days for my neuroendocrine cancer (NETS) can suppress the release of insulin and cause elevated blood glucose levels. With those two strikes against me, I’ve now reached the stage where I need medication and my doctor has prescribed Metformin, the most common treatment for type 2 diabetes. I’m also going to be meeting with a dietician to find out if there are ways that I can further tweak my diet.

If there’s one good thing about having NETS, it’s the fact that the regular surveillance that it requires brings other health issues to light before they become as serious as they might otherwise. Typical symptoms of type 2 diabetes include increased thirst, frequent urination, increased hunger, unintended weight loss, fatigue, blurred vision, slow-healing sores, and frequent infections. I have experienced none of these. If it wasn’t for the regular blood tests that I undergo because of my cancer, I likely wouldn’t have known that I was pre diabetic seven years ago and without the dietary changes that I made back then, I probably would have reached the diabetes threshold much sooner. Looking for silver linings helps me maintain a positive attitude!

I don’t share these health updates to garner sympathy. In spite of cancer, diabetes, and several other health concerns, I continue to enjoy excellent quality of life. Hopefully, with the help of medication, excellent health care practitioners, and healthy lifestyle choices, that will continue for a long time yet!

post_1-1

It’s pumpkin spice time!

 

IMG_0133

I’m always sad to see summer come to an end and this year is no exception. With our long, cold winter just around the corner, fall is bittersweet. Thankfully, it’s also pumpkin spice time! There’s something about a pumpkin spice latte that warms the tummy and the heart. I’ve always said it tastes like hot pumpkin pie in a cup!

pumpkin spice latte

Sadly. when I learned that I was prediabetic and had to start seriously limiting my sugar intake, I had to stop indulging in these fabulous autumn treats. “Don’t drink your sugar,” is the advice given to those of us on the diabetes spectrum. 

There are sugar-free pumpkin spice recipes online that use artificial sweeteners, but I haven’t tried one of those yet. What I have been experimenting with and perfecting lately is a simple pumpkin spice smoothie recipe that I’ll share with you today. It’s not sugar-free, but it’s low-sugar, healthy, and delicious.  

Pumpkin Spice Smoothie (for one)

  • 1/2 cup cold canned pumpkin puree (not pie filling)
  • 1/2 banana
  • 1/2 cup skim milk
  • 1/2 cup fat-free vanilla yogurt
  • 1 tbsp artificially sweetened maple syrup substitute
  • 2 tbsp unflavoured protein powder
  • 1/2 tsp pumpkin pie spice

Put all seven ingredients in a blender. Blend until smooth and creamy. Enjoy!

If sugar and/or fat content are not a concern, you can use whole milk, regular yogurt, and/or maple syrup instead of the low-sugar, low-fat substitutes that I use. 

IMG_20191024_145928198

I’m still using hubby’s laptop to blog while the WordPress Happiness Engineers do their best to figure out a way to help me. My fingers are gradually getting more accustomed to his keyboard and I’ve figured out a way to transfer photos from my computer to his, but the whole blogging process is slower and less satisfying than usual. I’m not giving up, however. I will persevere until the problem is resolved or I have to buy a new laptop! 

 

A new diagnosis!

Yes, that’s right! Apparently two different cancers in 20 months wasn’t enough. This time I’ve been told that I’m pre diabetic.

In this regard, I’m following in the footsteps of my grandmother, my mother and my aunt. Fortunately, Nana lived to 83, Mom to 92 and my aunt is an amazingly active 91. None of them developed full blown diabetes. Hopefully, I won’t either but if I do, it’s manageable. I’ve already spoken with my doctors at the Cross Cancer Institute and they’ve assured me that it wouldn’t change anything as far as my cancer treatment is concerned.

There are 3 lifestyle changes that are usually recommended for a diabetic (or pre diabetic):

      • Lose weight. Umm… no! At 5’8″ tall and 135 to 140 pounds, I don’t have any extra weight to spare!
      • Make dietary changes. Again, not an easy one for me as we already eat an extremely healthy diet, but we met with a nurse this morning and I have a bunch of reading to do on this subject. Apparently, I don’t have to eliminate sugar. Moderation is the key. That means that I don’t have to completely cut chocolate out of my life. After all, would life without chocolate be worth living? It looks like I have a lot to learn about carbs though; which ones to choose and how much of them to eat. I might also be wise to cut out my morning glass of orange juice even though it’s almost as essential to me as most people’s first cup of coffee! A couple of common slogans for diabetics are “Don’t drink your fruit” and “Don’t drink your sugar”.
      • Exercise. Again, exercise has already been a vital part of my life, but I do admit to getting rather lax about it over the past few months. 30 minutes of aerobic exercise 5 days a week is recommended. The half hour of yoga like exercise that I do 5 mornings a week doesn’t count as it doesn’t elevate my heart rate. Sadly, golf doesn’t either, except maybe in those moments when it frustrates the heck out of me! No, it’s time to get back in the habit of going for a brisk walk every day.

 

IMG_5090

Well, I’d love to be curling up with a good novel this evening, but I guess I’d better start reading this stuff instead!