Show notes
Send us Fan MailA type 1 diabetes diagnosis used to come with a countdown. Dr Dwight Baker was fifteen in 1966, with no finger sticks, no A1C, no insulin pumps, and no continuous glucose monitors, yet he was told he could still outlive the odds if he committed to tight control. Sixty years on, he is 75, active, and free from the major complications many people fear, and he joins us to explain exactly what he did, what he learned, and what he wishes every newly diagnosed person understood from day one. We get into the real mechanics of long-term diabetes management: why diet remains the foundation, how to think about exercise and hypoglycaemia, and where modern tools like CGMs and automated insulin delivery can genuinely change outcomes when they sit on top of solid habits. We also clear up confusion around type 1 versus type 2 diabetes and why the distinction matters for education, expectations, and day-to-day decisions. If you care about improving A1C, reducing complications, and building routines that last decades, this conversation is packed with grounded guidance. Dr Baker also shares his career journey through general, vascular, and plastic surgery before moving into wound care medicine, where he treats diabetic foot ulcers and venous stasis ulcers and sees how quickly small problems become limb-threatening when people delay care. We talk about the biggest barriers to healing, the role of compliance, footwear, elevation, compression stockings, and the hard truth of socioeconomic constraints that stop patients doing what they already know they should do. He finishes with a forward-looking take on stem cells and regenerative approaches, informed by his experience with fat grafting in plastic surgery. If this perspective helps you, subscribe for more clinically grounded conversations, share the episode with someone managing diabetes or chronic wounds, and leave a review so more listeners can find us. What is the one habit you think makes the biggest difference over 10 years?Guest BiographyDr Dwight Baker, MD, FACS is a Mayo Clinic-trained, board-certified plastic surgeon with more than four decades of experience spanning general surgery, vascular surgery, plastic and reconstructive surgery, cosmetic surgery and wound care. Throughout his distinguished career, he has dedicated himself to improving patient outcomes through both surgical excellence and compassionate, evidence-based care. Diagnosed with Type 1 diabetes at just 15 years old, Dr Baker was told his long-term outlook was poor. Nearly 60 years later, he remains free from the major complications of diabetes—a testament to his unwavering commitment to tight glucose control, healthy lifestyle habits and patient discipline. His unique perspective as both physician and lifelong patient brings exceptional insight into chronic disease management and preventative healthcare. After completing his medical degree at the University of South Alabama College of Medicine, Dr Baker trained in General and Vascular Surgery before returning to the Mayo Clinic to complete a residency in Plastic and Reconstructive Surgery. He spent more than 25 years specialising in breast reconstruction and cosmetic surgery before transitioning into wound care, where he now focuses on helping patients with complex wounds, diabetic foot ulcers and limb preservation. Beyond clinical practice, Dr Baker is passionate about mentoring, medical consulting and advancing the future of wound healing. His interests include stem cell therapies, patient education and improving long-term outcomes through lifestyle medicine and preventative care.Connect with Dr Dwight BakerLinkedIn: linkedin.com/in/dwight-baker-md-821b5733MD Legal Consulting of the Southeast: SEAK Expert ProfileAbout Dr Andrew GreenlandDr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing.Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care.💌 Join the mailing list for new episodes and exclusive reflections: https://subscribe.voicesinhealthandwellness.com