Thursday, May 30, 2013

Constructive Disagreement

The following 8 tips will help you, as a leader and team member, create an even stronger environment where constructive disagreement, leading to better decisions, is a vibrant part of your culture. : courtesy : peterstark.com
  1. Clarify the organization’s vision and goals. If you are going to disagree with someone, ensure that you are clear on the vision and goals for the project, prior to disagreeing with them on what they are saying or a solution they are proposing.
  2. Listen for understanding. Everyone has different experiences and expectations. Let your counterpart speak first. Listen for both content, feeling and understanding for what the counterpart is communicating and from what is their point of reference.
  3. Ask questions to ensure understanding. Before you state your beliefs, ask a question or two to ensure you do understand your counterpart’s point of view. Providing a recommendation to resolve the difference without true understanding is leadership malpractice. Last, when you feel your level of emotion rising, almost always, you will be better off asking a question versus telling someone why they are not right.
  4. Change your goals from “being right” to finding a solution that will work. When disagreements occur, egos take over and both counterparts can develop a need to be right. The minute you think you are right, you are also indirectly saying that you are smarter than your counterpart or the team. If you are focused on the goal of resolving the disagreement versus “being right,” there may be multiple solutions that will work.
  5. Let go of the past. When there is a disagreement, some people are prone to focus on what happened in the past relationship versus resolving the difference being discussed at the moment. Being willing to forgive or forget will help you to stay focused on the current disagreement.
  6. Be motivated to learn. If two people think identically, there would be no need for the second person to be involved in making the decision. When two people think differently and/or have different experiences, there is an opportunity to learn from each other and make an even better decision.
  7. Pick your battles wisely. There are some disagreements that are not worth the time to disagree or the fallout that may occur. In certain situations, it may be in your best interests to end the conversation with, “I am not sure I agree with your perspective but I feel that I now have a better understanding of why you feel the way you do. In this discussion, I think it is ok to agree to disagree. I know we will make it work. Thanks for talking to me.”
  8. Thank the people who disagree with you. There is an opportunity to have an even stronger relationship and a more successful team with people who do not always think alike. If people have the guts to disagree with you, indirectly, they are helping you to become a better leader. Thank the people who are willing to speak up with an alternative opinion.
Don’t shy away from disagreement. When lead correctly, diversity of opinion can bring out valuable solutions to problems, which you otherwise may have not known existed.

Saturday, May 18, 2013

How to Lower Blood Sugar Naturally


How to Lower Blood Sugar Naturally
By Laurie Sanchez, Lifescript Staff Writer
Published May 07, 2013

It’s the Holy Grail for people with diabetes – checking your blood sugar and seeing the numbers right in line. Can lifestyle changes help? Yes, says Jill Weisenberger, Lifescript’s nutrition expert, and other top diabetes doctors. Check out these 10 tips to learn how to lower your blood sugar naturally...

If you have diabetes, lowering blood sugar isn’t just a short-term goal: Doctors believe that it consistently helps prevent or delay diabetes complications, including kidney, eye and nerve diseases, such as diabetic peripheral neuropathy.

Most of these diseases require 10 or more years to develop, but “it's still worth aggressively managing blood sugar levels to slow the onset of complications,” says Edward Geehr, M.D., Lifescript Chief Medical Officer.

Here are 10 tips to keep your readings on target:

1. Spread out your meals.
“I always tell my patients to spread their food out over the day, keeping carbohydrates consistent,” says Jill Weisenberger, M.S., R.D., C.D.E., and Lifescript’s nutrition expert. “Don’t eat small meals so you can save up for a big dinner.”Avoid fasting or skipping meals, even on weekends or other days when your schedule is hectic. It’ll give your body enough time to regulate blood sugar levels and keep them even.

How many carbs per meal are ideal?

“It’s tailored to each individual,” says Weisenberger, who factors in medication, hormones and other key information for each patient.

A typical starting point is 45 grams per meal for women and 60 grams for men (15 grams per snack). From there, make adjustments according to your blood glucose readings. 

2. Eat more food with resistant starch.
Resistant starch — found in some potatoes and some beans — bypasses the small intestine, gets metabolized by the good bacteria and then behaves as dietary fiber in the large intestine, Weisenberger says.“Even after your next meal, your blood sugar will be lower,” she says. “It’s called the ‘second-meal effect.’”

You’ll find it in a potato that has been baked and then cooled, but not in a warm potato. So a half-cup of potato salad will bring on better blood sugar readings than the same amount of warm mashed potatoes.

Black and kidney beans also have natural resistant starch.

3. Bring on the beans.
Can something as simple and inexpensive as beans really help with diabetes control?

Yes, according to the American Diabetes Association (ADA). Beans digest slowly, resulting in only a small rise in blood glucose levels. Several studies have shown that eating 1-1/2 to 2-1/2 cups of cooked beans daily improves diabetes control.

Beans also are an excellent source of folate, which is linked to a lower risk of cardiovascular disease, a common diabetes complication. Eating 1-3 cups of cooked beans a day will lower total cholesterol 5%-19%.Sneak beans in soups and salads, or eat them as a side dish.

But introduce them gradually into your diet, the ADA says. Chew thoroughly, drink plenty of liquids to aid digestion and take enzyme products such as “Beano” to avoid gastrointestinal distress.

For convenience, go for canned beans, which require less preparation time and are as healthy as dried.

4. Cook up cactus.
The paddle-shaped nopal cactus (also known as “prickly pear”) slows carbohydrate absorption and lowers post-meal blood glucose readings in people with type 2 diabetes, according to some studies. In Mexico, nopal is used for treating the disease.

According to a 2007 article in the journal Diabetes Care, the cactus is very high in soluable fiber, and, when eaten with other foods, slows the rate at which sugar from the meal enters the bloodstream.

Nopal, popular in central Mexico, is boiled, grilled, fried or mashed and added to soups and stews.It’s available in supplements, but be careful: Some people experience gastrointestinal distress, and it hasn’t been studied extensively in the U.S. as an oral extract. Always talk to your doctor before trying this or any other supplement.

5. Get more sleep.
Poor or limited sleep affects body chemistry and getting more shut-eye helps with blood sugar control, Weisenberger says.

People who get fewer than 6 hours a night consistently are 4.5 times more likely to get abnormal blood sugar readings than those who slept longer, according to a study by the University at Buffalo, N.Y. Adults typically need 7-9 hours a night.

Lack of sleep is also linked with other health conditions, including heart disease, stroke and cancer.

More than a third of people with type 2 diabetes have obstructive sleep apnea (OSA), where a collapsed airway causes a person to repeatedly stop breathing during sleep, according to James Herdegen, M.D., director for Sleep and Ventilatory Disorders at the University of Illinois in Chicago.“Studies have demonstrated that type 2 diabetics who also suffer from OSA can dramatically reduce their glucose levels by getting treatment,” he says.

OSA can be treated with a continuous positive airway pressure (CPAP), a mask worn during sleep that sends air through the airway to keep it from collapsing.

Check out more sleep disorders here.

6. Lose a little weight.
Carrying around those extra pounds causes insulin resistance, keeping the blood sugar lowering hormone from working.

Your weight-loss goals don’t have to be enormous either, Weisenberger says. Some of her patients have seen improvements in blood glucose readings with only a 5-pound loss.

7. Manage stress.
When you’re stressed out, your body creates a lot of stored energy – glucose and fat – so cells can use it when called into action.

In diabetics, this extra energy doesn't make it to the cells, so glucose piles up in the blood and results in high readings, according to the ADA.

How can you burn off tension?Yoga and meditation have helped lower blood sugar levels in her patients, Weisenberger says.

The ADA also recommends creating your own stress-relieving routines: talking with a supportive friend, taking a warm bath or shower, watching an enjoyable movie, listening to music or taking a walk.

8. Get moving.
Exercise normalizes blood glucose in people with type 2 diabetes (but not type 1).

“In type 2, exercise helps improve insulin resistance,” says James Beckerman, a Portland, Oregon cardiologist. “The end result is lower blood sugars.”

But exercise is important for both types because it helps prevent heart attack, stroke or diminished blood flow to the legs.

Because exercise can immediately reduce blood sugar levels in type 2 diabetics, work with your health care team to determine the right amount of activity and timing for insulin.

A combination of resistance and aerobic exercise may be the most beneficial, Dr. Beckerman says.9. Fidget more.
That’s right. It’s OK if you can’t sit still.

Mayo Clinic researchers studied how thin people burn calories and found that they have more “spurts” of daily activity, such as fidgeting, than heavier people. Just how much? Up to 350 more calories per day.

Add these short bursts of activity to your daily routine: 
  • Park your car at the back of the lot and walk to the store’s door. 
  • Return your grocery shopping cart to the supermarket door. 
  • Walk to your neighbor’s house instead of calling her.
  • Walk your outgoing mail to a farther mailbox.
  • Do some sit-ups or push-ups during TV commercials.

10. Eat breakfast.
We’ve all heard that breakfast is the day’s most important meal, and this is especially true for those who have diabetes. After fasting 8-12 hours, your body needs food to balance blood sugar levels and injected insulin from the previous night.

Besides, eating breakfast can help overweight people with type 2 diabetes shed extra pounds.Of the 4,000 participants In the National Weight Control Registry who maintained at least a 30-pound weight loss for about 5.5 years, almost all said they ate breakfast daily.

So what’s the best breakfast? One with carbohydrate, protein and fiber, according to the ADA.

Good options are cereal or an English muffin, low-fat milk or yogurt and fruit. (Save high-fat foods, such as bacon, sausage and eggs, for special occasions.)

And think beyond the breakfast box: Leftover chicken breast with fruit is just fine too, the ADA says.

What if you're not usually hungry for breakfast? Then make your previous night’s meal smaller, so you’ll wake up hungry, the ADA says. It will spread your carbohydrates more evenly throughout the day, leading to better blood-sugar control.

For more information, visit our Diabetes Health Center.

Friday, May 10, 2013

Henry Ford's Experiment to Build a Better Worker

Henry Ford's Experiment to Build a Better Worker
By RICHARD SNOW,  WSJ 05/09/13

Early in 1914 Henry Ford, spurred by a combination of wanting to cut down the high turnover in his workforce and what seems to have been genuine altruism, announced that henceforth the base wage in his factory would be five dollars a day. This at a stroke doubled the prevailing salary for industrial work, and it caused a sensation.


Henry Ford posed in an early model at his plant in Detroit, in 1900.

.But Ford company workers discovered that achieving their five-dollar day came with some rigid stipulations. To qualify for his doubled salary, the worker had to be thrifty and continent. He had to keep his home neat and his children healthy, and, if he were below the age of twenty-two, to be married.

Book Excerpt

From the forthcoming book "I Invented the Modern Age: The Rise of Henry Ford" by Richard Snow.

.The job of ensuring such behavior went to John Lee. He was in charge of what today goes under the pallid name of "human resources," and was one of the very few of Ford's high executives who was universally liked.

Lee put out a booklet called Helpful Hints and Advice to Employees, which opened by declaring a "sole and simple" purpose that was far from simple. It was "to better the financial and moral standing of each employee and those of his household; to instill men with courage and a desire for health, happiness, and prosperity. To give father and mother sufficient for present and future; to provide for families in sickness, in health and in old age and to take away fear and worry. To make a well rounded life and not a mere struggle for existence to men and their families, and to implant in the heart of every individual the wholesome desire to Help the Other Fellow, whenever he comes across your path, to the extent of your ability."

This irreproachable aim was advanced by investigators for the newly formed Sociological Department who brought their questionnaires to the home of every Ford employee. The agents weren't mere busybodies. They'd been trained to offer useful advice on hygiene and on how to manage household finances. Behind them stood the Ford legal department, whose lawyers would help, free, with everything from buying a house to becoming an American citizen. Should an employee get sick or be injured, the company maintained a full-time staff of 10 doctors and 100 nurses.

The agents, initially recruited from among Ford's white-collar workers, soon grew to a force 200 strong. Its members had to assess some 13,000 people, and do it quickly. Naturally they met resistance, from newly arrived Russians, for instance, whose memories of the czar's secret police were all too fresh, and from the occasional descendant of an original settler whose family had been in Detroit for generations and who didn't care to have some company hireling tell him how to live like a decent American.

For the most part, though, the workers took the intrusion into their lives philosophically. A few nosy questions were a minor ordeal if they opened the door to the highest-paying job in the industry.

William Knudsen, Ford's immensely capable lieutenant, who by now was busy sowing branch assembly plants across the nation, opposed the plan. He told his biographer that "as he saw it, the men were entitled to the money and, having earned it, it was theirs to spend without answering the snooping questions of investigators."

Simon & Schuster

.Mr. Knudsen was greatly amused to learn about a boardinghouse close to the factory on Manchester Avenue where 11 young Ford workmen lived. None of them was married, but whenever an agent stopped by, the man he was visiting would borrow the generous-spirited landlady and present her as his wife. Fortunately, said Mr. Knudsen, the social workers never called on all 11 at the same time.

One stipulation of the new mandate was that a Ford worker needed permission from a Ford executive if he wanted to get his own automobile. Mr. Knudsen was in Mr. Lee's office when an employee came in and said, "Mr. Lee, I would like to buy a car."

"Got any money?"

"I have seven hundred dollars."

"Do you have a family?"

"Yes, a wife and four children."

"Is the furniture paid for?"

"Yes."

"Have you any insurance?"
"Yes."

"All right, you can buy a car."

"Thanks, Mr. Lee." On his way out the door the man turned and said, "Oh, by the way, Mr. Lee, my wife is going to have another baby. I'm going to buy a Buick."

The occasional worker was openly defiant. When asked if he had any savings, one man told the investigator that he had invested his earnings "in houses and lots." When the skeptical agent pressed him for details, the man explained he'd meant "whorehouses and lots of whiskey."

On the other hand, there was Joe, who had come from a peasant life in Russia with his wife and six children.

F.W. Andrews, one of the Ford investigators (they were later to be given the less provocative title of "advisors"), told his story. "Life was an uphill struggle for Joe since landing in America," Mr. Andrews wrote. But he was willing to work, and work hard, digging sewers and farming, making his way to Detroit where "for five long months he tramped in the 'Army of the Unemployed'—always handicapped by his meager knowledge of the English language, and unable to find anything to do." Joe's wife "worked with the washtub and the scrubbing brush when such work could be found."

Joe landed a job at Ford, and that is when Mr. Andrews entered his life, to find him living in "an old, tumbled down, one and a half story frame house." Joe and his family were in "one half of the attic consisting of three rooms, which were so low that a person of medium height could not stand erect—a filthy, foul-smelling home." It contained "two dirty beds…a ragged filthy rug, a rickety table, and two bottomless chairs (the children standing up at the table to eat)." The family owed money to their landlord, to the butcher, to the grocer. The eldest daughter had gone to a charity hospital the week before. Mr. Andrews said the remainder of the family "were half clad, pale, and hungry looking."

Mr. Andrews at once got the pay office to issue Joe's wages daily instead of every two weeks. He secured a $50 loan, and such was the Sociological Department's seriousness of purpose then that Mr. Andrews, not Joe, borrowed the money. Mr. Andrews paid the butcher and the landlord, rented a cottage, and filled it with cheap but sound new furniture, new clothes, and, he said, "a liberal supply of soap."

Then the messianic moment. Mr. Andrews "had their dirty, old, junk furniture loaded on a dray and under cover of night moved them to their new home. This load of rubbish was heaped on a pile in the backyard, and a torch was applied and it went up in smoke.

"There upon the ashes of what had been their earthly possessions, this Russian peasant and his wife, with tears streaming down their faces, expressed their gratitude to Henry Ford, the Ford Motor F -0.46%Company, and all those who had been instrumental in bringing about this marvelous change in their lives."

Were those tears only of gratitude as Joe watched this strange pyre of his family's old life?

Today the Sociological Department might seem the essence of suffocating paternalism, and many felt it so even at the time. Certainly no other big industrial operation had anything like it. But with its medical and legal services, and the English language school it ran for the company's thousands of immigrant workers, the department appears to have done more good than harm. In 1914 the average Ford worker had $207.10 in savings. For those who stuck with the company during the next five years, the average had risen to $2,171.14.

The reformer Ida Tarbell went to Highland Park planning to expose the oppressive Ford system. Instead she wrote, "I don't care what you call it—philanthropy, paternalism, autocracy—the results which are being obtained are worth all you can set against them, and the errors in the plan will provoke their own remedies."

Copyright © 2013 by Richard Snow. From the forthcoming book "I Invented the Modern Age: The Rise of Henry Ford" by Richard Snow to be published by Scribner, a division of Simon & Schuster Inc. Printed by permission.

A version of this article appeared May 10, 2013, on page B1 in the U.S. edition of The Wall Street Journal, with the headline: Henry Ford's Experiment To Build a Better Worker.