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Why Do I Want To Lose Weight?

Along with a friend of mine, I decided to actually write out my specific reasons for wanting to lose weight. I’ve been mulling this in my head for the past month, and it occurs to me that it is very, very different from other times. In the past, I’ve wanted to… just because.  But it was very mushy thinking. The only time I was ever really successful with a food plan was when I was pregnant with my daughter and had gestational diabetes. My food intake was impeccable during that period. There was NOTHING I was going to do to put that baby at risk.

So here I am again, only it’s me this time. I’m the one who is at risk. And I’m finding it an excellent, excellent motivator. And here are my Reasons. (not necessarily in order of importance, just as they come into my head)

  • I don’t want to have diabetes. I don’t want to have to take medication or insulin to keep it under control.
  • I want to be a healthy role model for my daughters. I feel like I have a lot of karma to work off for the years of being an unhealthy one.
  • I don’t want my physician husband to have to feel “concerned” about me and my health because I am overweight.
  • I’d love to be able to randomly order clothes from a catalog or at a store and feel pretty confident that they will fit and/or look good on me.
  • I want physical activity to feel good, not to feel like torture.
  • I want to have energy, not feel like a couch potato.
  • I know I will die someday, but when I do, I want to feel that I did not contribute to my death by having unhealthy habits. I used to have a recurring dread nightmare that I would die of a stroke or heart attack, and when they did an autopsy they would find that my heart was encased in fat like a big butterball.  And people would shake their heads and say, She brought this on herself. I want to feel that I truly did all I could do to keep myself healthy.
  • I feel a lot bouncier overall when I weigh less  – physically and emotionally.
  • I want to find better ways of dealing with my emotions other than eating stuff.
  • I want to not be disgusted with myself.

The Beck book recommends making multiple copies of your list and keeping it in one’s wallet, coat pocket, computer screen and whatnot.

Can I just say, I love my reasons. I think they are good reasons and I think they will help me get where I want to go. In the past, I had either very nonspecific reasons, or dumb, temporary reasons like “high school reunion.” (did that, 10 years ago, promptly put it all back on right after) I feel like these reasons are going to stay with me for a long time. Or at least that is my hope. They’re not reasons that can “wear off.”

What are your reasons?

Good Doctor

I had my first visit with my endocrinologist this morning. It was good!! I really like her. She’s very young but super friendly and seems to really know her stuff. She was easy to talk to. She took her time, didn’t seem rushed, let me ask all my questions and was overall just great. YAY!

So, my big question #1: do I have diabetes? The answer was, no, not YET but I am certainly at very high risk. The lab slip shows that I am no in the “diabetic” range but am in the “impaired” range. She gave me big credit for losing 12 lbs (yes! finally cracked that wall!) in the past month, and said that obviously made a big difference. I still have about 16 to go. (at least)

I have to go for an oral glucose tolerance test, which for those of you who have not had the pleasure, is one of the nastiest experiences ever. You have to chug a huge quantity (a quart?) of what is essentially SYRUP and then get your blood tested as you see how your body responds to this mass sugar intake. I am SO not looking forward to it, especially since I have had about zero sugar in the past month (except that teeny slice of chocolate cake) and I know my body is not going to respond in a pretty way.  I had to take this test several times while pregnant. Once I chugged too fast, trying to get it over with, you know? and ended up puking it all up and having to START ALL OVER again. I remember sitting down on the floor and just bawling my eyes out. Hopefully it will go better this time – but man, I am not looking forward to it.

But otherwise we had a good chat. She said it was more important to lose the weight than to actually do a diabetic diet at this point, and whatever combination of food plan/exercise/emotional support will get me to the weight loss, that’s the best plan. She did give a shout-out, however, to the Zone Diet and the Mediterranean Diet. I’m going to check out the Zone book.

So that’s the plan. Exercise every day if possible.  Continue whatever diet feels the most do-able, but most definitely try to stay away from anything high carb. Check back in five weeks. I am actually very happy to have this five-week appointment because it gives me a target date. I want to have lost weight in five weeks. I want my numbers to be even better.

It took a few minutes for her to come in to the exam room, and while I was waiting I looked at this big DIABETES poster on the wall right next to me.  What are the results of untreated Diabetes 2? Heart attack! Stroke! Amputations! Blindness and neurological problems!!!  With nice illustrations for each! Oh, boy. Yeah, I do not want these things. I am going to walk/row/pedal my way away from that stuff and fast.

I feel like I’m in a good place right now. I feel like I can do it and it’s not painful.

Oh yeah, I am excited because Biggest Loser is on AGAIN tonight! I’d love it if they could do two one-hour shows every week.

And LOST! And Top Chef!!

Better! Better! Better!

I just got a call with my lab test results. It’s only been a month since my first wake-up call lab tests. And while my numbers are not IDEAL, they are much much much better.

I am particularly proud of my triglycerides. Normal is less than 150. A month ago, they measured 240. 😦 And yesterday, they were 185. I am so definitely moving in the right direction.

My blood sugar was 110.  Moving further and further away from that diagnosis, YAY. I feel confident that if I keep this up, my numbers will be absolutely, completely normal.

Three Cheers for the Torture Machine

I’m only half kidding when I say that about our beloved (cough) erg machine (ie rowing machine). Both of my daughters, as I’ve mentioned before, are rowers, one on a Division I college level. I’ve watched them and their teammates erg for years. It looks like torture. But they are not kidding when they say that rowing is a full-body sport.

I just got off my third 20-minute erg session. The sweat is running in rivers down my head and body. I know I’ve gotten an amazing workout. And the cool thing is that the machine actually shows you your progress. The first time, I was averaging (“splitting”) 3 minutes and six seconds per 500 meters. (to give you some perspective, the young athletes are always trying to get a “sub-two”) The second time, I got a 2:56 (YAY! a sub-three!!) and today I got down to 2:50.4.  I was very proud of myself. If I can get into the 2:30s by this summer, I will be a happy person.

I have to thank The Biggest Loser and my daughters for even getting me to try this (my older daughter for being an example of a MONSTER rower, and my younger one for not laughing TOO hard when she tried to show me proper form). But it’s a crazy awesome HARD workout that I can do from my garage. With all my best music on my iPod.

Yay for the torture machine!!

Note to self: do NOT eat hard boiled eggs prior to erging. Burps will be very nasty.

I have to say, I’m pretty pumped full of endorphins right now.

The Lure of Biggest Loser

I basically turn my nose up at many reality TV shows, but I am a total sucker for The Biggest Loser, (and also Top Chef).

This season of Biggest Loser started out in a really uplifting and heartwarming way. People on this season were “the biggest ever,” meaning some upwards of 400 lbs. But everyone seemed to be earnestly working hard and rooting for each other.  There was a hint of Bad Attitude before, but last night it really hit the fan. It was so bad. People fighting and screaming and such. It was really unpleasant.

I have been most interested in the medical aspects of this show; the guys on the Black team who don’t look SO bad, until you look at their body scans. The doctors present their transparent body scans next to one of a “normal” body. They point out the enormous pockets and layers of fat, and this one guy whose lungs have been pushed up into the shape of orange slices, rather than full length lungs, because he has so much abdominal fat pushing up from below.

This is something I have long been afraid of: that if somebody opened up my body and removed my heart, it would be this slippery butterball. And that the truth about my diet will be out.

I guess the blood test was one way that I got a little insight into my insides. Which was a hard truth.

Anyway, 3 weeks into The Biggest Loser, the guy with no lungs goes back to the doctor and the doc gets rid of ALL OF HIS MEDS (10 pills per day) except one (he didn’t say which one). I was rather shocked at that. Was he really at normal levels for EVERYthing after 3 weeks, or was that doctor practicing really irresponsible medicine?

Speaking of medicine. I am taking a certain drug, Lisinopril, for my high blood pressure. One of the side effects of this medicine is a tickly, dry, super annoying cough. Last night I feel like I was coughing all night. I have had this cough for over a year. Before, I was on something called Diovan, which had NO side effects, but my health insurance changed, and suddenly Lisinopril was $3/bottle while Diovan costs $90.  It’s not rocket science, but it’s annoying.

Anyway, I hope that if I can lose enough weight I can stop taking this BP medicine altogether, and my cough will go away.

Some nice news: I have lost about 4-5 lbs since last week.

#*&@&! Numbers

I’ve been a very good girl since Saturday. Vigorous long walks, not a single simple carb or sugared anything have passed my lips. Proteins, and veggies!  I was feeling quite proud of myself.

Hubby gave me the very romantic gift of a home blood glucose testing kit. (I hinted that I wanted one) So this morning, before my coffee, I decided to take it for a test drive. I read the little booklet, got it all calibrated, stabbed myself in the finger and voila!  …

167.

I think I actually yelled “Shit!” just as my mother entered the kitchen. 

He said it was wrong, it had to be wrong. But those big black numbers just kept flashing up at me. I was filled with a sudden dread. What if I did everything right, was a very very good patient, and the numbers got WORSE? I mean, MUCH worse? (because 167 is wayyyyyyy over the diagnostic number of 125)

I’ve been very grumpy ever since. He thinks it’s a mistake. He says, “and if it’s true, we just treat it.” As if it is a simple thing. On one level maybe it is but the swirl of emotions that is running through me says it is NOT. SIMPLE. AT ALL.

Bleah!!!!!!!!!!!!!!!

More numbers: not surprisingly, my blood pressure was quite high after this blood testing debacle.

Scare Tactics

I love certain kinds of foods so much. Mostly carbs and dairy products. I could easily give up sugar, chocolate, alcohol, meat. But the combination of carbs and dairy – ie wheat and cheese – are like heroin to me. Macaroni and cheese. Grilled cheese. Quesadillas. Pizza. Any kind of bread-and-cheese combo is good. Potatoes and butter. And sour cream. Mmmmm.

I also love rice. My mother made steamed white rice nearly every day of my childhood, and continues now. It is hard to resist. How will I resist?

I’ll tell you how. I did not eat one simple carb today. I saw the bread sitting on the counter. I saw the rice cooker half full of rice, and the leftover phad thai in the refrigerator. How did I not even want to eat it? I scared the crap out of myself.

Everytime I looked at something that could possible raise my blood sugar at all, I visualized a needle. With insulin. Going into my soft, tender skin. When I felt the hint of a temptation, I raised the stakes and imagined amputated feet and legs. This was not hard because I used to be a physical therapist and was actually an expert at wrapping lower-extremity stumps. The cause for 99% of these amputations was diabetes. I could take it even further and visualize blindness, which is one of my greatest fears. I’d gladly give up my legs to save my eyes.

But hopefully if I can keep focused around these, none of these things will be realities in my life.

Two Selves, Fighting

I just got back from a long, gimpy walk in the woods. One leg is super tight and sore from doing a lot of very steep stair and hill workout this week. The other side has some sort of pulled groin muscle. So I was moving pretty slowly. But I was glad I went. It gave me a lot of time to contemplate things. I thought of about twenty blog posts while I was out there.

I’ve been down this road many a time, where I swear to focus and eat right and exercise and the whole thing. And once I make that decision, usually from sort of numerical wake-up call (the scale, or blood tests, or blood pressure, all of which have given me BAD numbers) I am generally pretty ON it. But then I drift away from that eventually, and I am back in the land of “I don’t want to think about it” until something forces me to.

I really do believe there is something to that whole “Ignorance is bliss” thing. Part of me really violently resists the idea of being AWARE, and of having to pay attention to this stuff. In fact it makes me want to have a freaking TANTRUM. I want to just live my life, and eat whatever I feel like, and don’t tell me what to do!!!I almost ripped my radio out of my car because I get so enraged listening to that frickin Allison Janney and her Kaiser “Thrive” commercials. They sounded so smarmy and finger-wagging. “Put down the ice cream, and have some nice broccoli! Get off the couch, and go for a walk!” Even if I agreed with stuff she was saying, even if I WANTED to go for a walk, listening to someone tell me I HAD to just got me into this very defiant, pissed off mood. 

I know that when I’m in the whole “paying attention” mode I tend to look back on my “not paying attention” self with a lot of disgust, disdain and shame. There’s like zero compassion there. And when I’m in my “la la la la I’m not paying attention” mode, I tend to look at my other mode as rigid, restrictive, punishing, anal and neurotic. There’s just no winning and there’s no seeing eye to eye. It’s a little bit like the Middle East; the chances for peace seem very fragile.

I know that I am about to enter a phase of paying attention. (which is funny because when I set up this blog, I was going to be coming at it from the OTHER perspective) I hope that I will be able to do it without totally hating that self that I’ve been for the past year or so.

Wake-Up Call

I thought about starting this blog a few days ago. I set it up yesterday. During this time, the things I imagined I would write have changed dramatically.

On Thursday, two days ago, I went in to the lab to get some bloodwork done. This at the urging of my physician husband who has been “concerned” about my health. Which brought up huge Feelings in me, because I felt all resentful and indignant that he would be “concerned” about me when I am only about 20 lbs overweight rather than like 100 lbs overweight. It made me feel pathologized and messed up and criticized for nothing.

So that was one part of the whole complicated story. But this morning he came to me with the results in hand. They were not good. Bottom line: my good cholesterol is too low, my bad cholesterol is too high, and I am 2 blood sugar points away from being officially diabetic. (123, and diabetic is 125)

Last time I got these measured I was about 10 lbs less, and was exercising more and doing a modified sort of South Beach thing.

But somewhere in the year or two since then, I started having this “fuck it” attitude and angry about having to change or modify or restrict my diet. The weight came back and well, here I am.

It’s hard. It’s hard. But I think I have sufficiently woken up.

Two of my favorite TV shows are “The Biggest Loser” and “Top Chef.” Ha. SO what does that say?

My lifelong “relationship” with food and my body have been SO fraught, and complicated, and struggly. I started this blog in order to help deal with the struggles.

Please please do not give me  diet advice. I am hoping that people who read this blog will be able to relate to my struggles on some level, and there can be some solidarity, and some way to deal with all of it.

SO here I am. Two days ago, I was all defiant and resentful. Today I am staring that 123 number in the face. I can’t forget the expression he had when he pointed to that number and said, “You were fasting? Really?” And the way his shoulders slumped when I nodded.

I also think I sort of came to this myself, a little bit. On Tuesday I was supposed to write, but had to put it off until the afternoon. My lunch included a lot of (white) rice. In the afternoon I was so tired and out of it I couldn’t even think. I was going to joke that this is what my husband calls “Postprandial Fatigue.” I googled PPF and realized one, it fit my description perfectly and two, that it is a #1 symptom of Metabolic Syndrome, which is what I guess I have. It sort of stunned me because I thought PPF happened to EVERYbody, including normal people. But apparently not. I’ve been mulling on that one for the past few days too.

When I was pregnant with my 2nd daughter, I got gestational diabetes (which puts one at risk for regular diabetes later; I guess it is knocking at my door now). I was able to test my blood and to stop eating sugar like right away and it was no hardship because I was doing it for my baby’s sake.

I hope I am able to make good changes for my own sake now. But I can tell you it is going to be an emotional ride.

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