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Happy Snoopy Dance Numbers!

and no, it’s not on the scale.  Lab test results!!

Fasting blood glucose was a looooovely 93 but that was not a huge surprise since I’ve been testing my own every morning.

Cholesterols were good, not hugely changed.

But my triglycerides! My triglycerides! You might ask,

What are triglycerides?

Triglycerides are the chemical form in which most fat exists in food as well as in the body. They’re also present in blood plasma and, in association with cholesterol, form the plasma lipids.

Triglycerides in plasma are derived from fats eaten in foods or made in the body from other energy sources like carbohydrates. Calories ingested in a meal and not used immediately by tissues are converted to triglycerides and transported to fat cells to be stored. Hormones regulate the release of triglycerides from fat tissue so they meet the body’s needs for energy between meals.

How is an excess of triglycerides harmful?

Excess triglycerides in plasma is called hypertriglyceridemia. It’s linked to the occurrence of coronary artery disease in some people. Elevated triglycerides may be a consequence of other disease, such as untreated diabetes mellitus. Like cholesterol, increases in triglyceride levels can be detected by plasma measurements. These measurements should be made after an overnight food and alcohol fast.

The National Cholesterol Education Program guidelines for triglycerides are:

Normal Less than 150 mg/dL
Borderline-high 150 to 199 mg/dL
High 200 to 499 mg/dL
Very high 500 mg/dL or higher

So, in January my triglycerides were 215 (ie HIGH). Today they are…… 97!!!!!!!!!! YAY YAY YAY YAY!
1

Over the River and Up the Mountain

I have always had this very vivid image of my weight-loss efforts over the years. I recently tried to draw it but the drawing looked so bad I will have to stick with a verbal description. (can’t draw with a trackpad to save my life!!)

I call it the River. For as long as I can remember (at least in my adult life) I have been on one side of the river, or the other. One side (I’ll call it The Banks of Unconscious Eating!) is where I defiantly stayed for long periods of my life. When I was on that side, I’d eat whatever, whenever and how much I felt like. Often very high caloric, fat and carb-y foods. (think: macaroni and cheese in huge quantities) I’d exercise fairly minimally. I’d thumb my nose at “dieters” and think they were super anal control freaks. I’d feel disdain for people who were “obsessed with exercise.” And, I’d be (surprise?) overweight and fairly unhappy. But really believing that I was “free” because I was not being oppressed by counting calories, depriving myself or flogging myself to exercise. You get the picture. During the periods when I was on that side of the river, I’d look at the Other side and feel anxiety, anger, fear, disgust, whatever.  I was firmly entrenched.

At other times in my life, I’d be on the Dieting side of the river. On that side, I felt fairly rigid, usually counted calories or points, was fairly tense. I exercised whether I liked it or not. I steeled myself with “willpower.” I lost weight, but it was exhausting and I could never ever get to my actual goal weight and never maintain it for very long. I was (maybe) happier but also very tense. And when I was on THIS side of the river, I felt disgust and fear and shame about the OTHER side. (ie, “you fat slob,” I never want to be like you again!!)

Sometimes I’d thrash back and forth from one side to the other, in the space of days.  Often I’d be on the dieting side for 4-5 days of a week, then after my Weight Watchers weigh-in day, I’d fling myself to the “unconscious” side by giving myself a “treat” day.

The truly remarkable thing about this time around is that I feel like I’m not even near the river anymore. I feel like I’ve gone from a short period on the Dieting Side, where I was very anxious (see January posts) but somehow I kept going, away from the river. I crossed a field. I got to the foot of a mountain. I feel like I am miles away and above where I’ve ever been before.

Even though I feel like that Unconscious side is so far away, when I look down it from here, I don’t feel disgusted or afraid of going there anymore. I feel a lot of compassion and love for all the suffering that happened when I was over there. It makes me sad. And I don’t feel tense OR self-righteous or anything about where I am now. It’s easy to be here. I have these small moments (like longing for carrot cake when I was in Trader Joe’s) but they sort of pass, like clouds. (do you see the influence of my meditation class kicking in?) As my meditation teacher says, “You can notice the train going by. You don’t have to hop on that train and let it take you for a ride.”  (okay, HOW many metaphors am I going to use in this post??)

I truly feel like I am geographically, physically, emotionally, in a place where I have never, ever been before. It’s not without its challenges at ALL, but I feel like I’ve moved far away from the banks of that river where I was always feeling battered, conflicted, cold, wet.

9

Watch Out What You Wish For…

All my adult life, I’ve wished – I mean desperately wished….

  • that I could enjoy exercise.
  • that I could be satisfied with small portions of food
  • that I could deal with hard emotional times without diving into high-carb comfort/smother foods
  • that I could truly CHOOSE healthier options, and feel good about it
  • that I could run again
  • that I could lose weight without feeling deprived
  • that I could feel the benefits of meditation
  • that I could develop a meaningful spiritual life

Well, guess what. It looks like I’ve gotten all those things – for now, anyway. I have to say I’m sort of stunned. Because just a few months ago I would not have believed that even ONE of these things were even remotely possible.

All of these statements are now true.
AND… I’ve got diabetes.

Is that the tradeoff? Or was it diabetes that allowed me to finally wake up and have these things I always wanted?

It’s like a zen koan. It’s actually too incomprehensible for words.  I wonder what I would have said, if I’d climbed to the guru on the top of the mountain, please let me have these things, and he said, “OK, but you also have to have diabetes.” What would I have said? What would I have chosen?

Several people have remarked to me that I am doing an amazing job dealing with my diabetes. But I really feel like, what choice do I have? That’s how I feel now. I feel like there is no option but to be as healthy as I can be.

But I didn’t feel like this before, when I was way overweight, when I had high blood pressure, when I was inactive. Those things didn’t scare me and didn’t cause me to change anything. If anything they made things worse. It was the diabetes that woke me up.

Funny how life is.

14

foodbodyheartmind

Last night I went to the second session of my meditation class. I love this class so much. I have gone to several meditation classes and retreats before, and always ended up feeling like it wasn’t for me, or I wasn’t doing it right, or something. It didn’t fully click somehow. But this class, and this teacher, clicked from the moment I walked in the door.  I love this place in downtown Oakland. The teacher fills me with a sense of calm. Her voice is just amazingly soothing, reassuring, peaceful. The sound of the bell at the end of the meditation is one of the most beautiful sounds I have ever heard.

Last week, when I went for the first time, it was a Monday night, the night before I went to my first diabetes class and started using my blood glucometer. I was wound up tighter than a spring. I was anxious, distraught, grieving the loss of my innocent health, and just a wreck. But I knew that I needed this. I knew that stress is one thing that has a definite affect on blood glucose levels.  It also has an effect on weight loss – if you’re stressed out, your cortisol levels rise, and that makes  you gain weight, or unable to lose it. So I felt like coming to this meditation class and learning how to de-stress was as important as taking my medication or exercising.

I loved it pretty much immediately.  Sitting there, I felt like my heart was breaking and I was just opening up in all directions. I felt like I had found an absolutely essential little sanctuary in time and place.  I needed it.

Last night the teacher opened with this poem by the poet Kabir, and that was it – I started tearing up right away.

You know the sprout is hidden inside the seed

We are all struggling; none of us has gone far.

Let your arrogance go, and look around inside

The blue sky opens out farther and farther

The daily sense of failure goes away

The damage I have done to myself fades

A million suns come forward with light

When I sit firmly in that world.

Whoo. Right? That line – the damage I have done to myself fades – just made my heart start pounding. The damage I have done. I really feel that now, the years that I overate and didn’t take care of myself.  The tendency to want to blame and punish myself for getting to the point of having diabetes.  It makes me want to howl sometimes. But then that other word – fades – is also true. It’s fading. With every thing I do to be good to myself, it fades. But wow, it is there.

The thing that I love about this meditation class is that it is all about love and compassion. Because I think truly that that is the key for me, it is the ONLY WAY out. Because when I was eating more than I needed, for so many years, it was because I was chasing love (in all the wrong places), I was hurt and rejected-feeling and all the food in the world couldn’t make that go away (although believe me I tried). And so while counting calories and points and exercising is all good and important, I don’t think there’s a shadow of a chance it can work unless I find a way to live with more love and compassion, for myself and for others.

7

Thinking of Quitting…

Weight Watchers, that is. I realize that the high point of my attending meetings is getting on the scale and getting my little star sticker or whatever. I’m about 6 lbs away from my 10% goal AT WW (I already reached my at-home 10% and more) and for that I will get … a key ring!! OH BOY!!

The little “class” part of the meeting is not particularly inspiring me. I feel like I can get 100% better tips and ideas just by reading the blogs on my blogroll, and following people on Twitter. (my Tweet people are GREAT at inspiring!) And I’m feeling like probably 70% of the people at WW are SO not into it, are just coming back week after week because they don’t know what else to do. The level of conversation at these meetings feels like it is so dumbed-down that it’s frustrating.

I’m not counting points anymore. If anything, I’m counting carbs and watching my blood glucose meter, and I’m still losing weight. So that’s not particularly useful for me right now either.

Even at the discounted rate, it’s $9/week. Couldn’t I find something better to do with $36/month? I think so. Like – how about some new clothes?? 🙂

I’ll probably go to the meeting tomorrow (why? Because I’m anticipating reaching my 10-lb mark there and I want my sticker, dammit!). 🙂  But then I’m going to seriously consider stopping.

I’ve joined WW many times in the past before. And I’ve quit many times, too – because I’ve gained weight, given up and thrown in the towel. That isn’t what this is about this time – I’m not giving up on losing weight or my health in any way – I’m maybe giving up on something that I’m not sure has anything to offer me anymore.

Just thinkin’ on it right now.

9

No More Excuses

Not too long ago (not long at all!!) a day like this would have been one giant excuse not to exercise. It’s raining outside. My trainer is out of town. My running buddy is sick.

But I really wanted to get going on the 3rd week of Couch-to-5k. I remembered that back in the day when I was training for a marathon with Team in Training (this was 9 years ago, and I WALKED the marathon, didn’t run it), we would train even in heavy downpours. NO MATTER WHAT. I got a really great waterproof jacket then, and I still have it. It’s still waterproof!

So I put it on, put on a baseball cap and went down to the muddy little track at the bottom of our hill. I was sad to get my beautiful new white running shoes muddy and wet. But heck.

I set my iPod to C25K Week 3, Day 1 and set off. After the first lap I was still cold. But by the halfway point I was totally warmed up, pumped up, jacked up and ON. It was great. My glasses got all steamed up. (do I need to get contacts again??)  I did a little 3 minutes extra at the end and was DONE. It felt so good. The rain felt nice and refreshing. I got in my car and it also got all steamed up. Came home, showered, felt great. STILL feel great.

The thing that I don’t remember when I’m making all the excuses is that THIS feels so, so, so much better than THAT.

7

20

Twenty. Twenty twenty twenty twenty twenty!!!!!!!!!!!!!!!!!

I haven’t been at this weight in over twelve years.

That is all the news for today. 🙂

7

Star Student at Diabetes School!

Today I took my first class at the Diabetes Center. I have to say, it was really hard to wait for this because while I had the knowledge of my diagnosis, and I had started medication, I had NO IDEA what was going on in my body and it was all a bit crazy-making. I also was having these weird grief reactions while walking through the grocery store this weekend: omg CRACKERS (never again!!), ICE CREAM (never again!!!!!!!!) etc etc and just sort of flipping out but not really knowing why.

So finally I got to get some reality which I was sorely needing.

First, though: I got to the place and I was BY FAR the youngest person in the room. Most of the other attendees were 20 or 30 years older than me and looked pretty much a lot worse for wear. One woman came in, in a wheelchair, and was a double above-the-knee amputee. That was… sobering. I have no idea if this was diabetes related but I have been having nightmares about this for a week.

So we went around the room and were supposed to say our names, what kind of D we had, and when we got diagnosed. I was also the newest “newbie” at less than one week. It was interesting to me how many people got diagnosed 3-6 weeks ago and have not come in until now. (believe me, I took the FIRST POSSIBLE OPENING) Some people have had diabetes for 15+ years. One had had it for 40. I was really agog, like WTH? Really?

One guy sitting next to me said he’d gotten diagnosed 5 years ago, tested for a year or so, but never got a good result on his blood meter, so just gave up on it. Then he had a heart attack, and here he is trying to get back on the wagon again. That pretty much boggled me.

Then there was this woman who was sitting there chugging a bottle of GRAPE JUICE (ahem? and none of the nurses or dieticians said a word!!!) and she was saying how she couldn’t give up fried food because she grew up on it and it was all she was used to. And when the nurse was discussing that the range of blood sugar should be 70-120 she let out this hoot like, “That’s normal people!” and the nurse goes, yes, that’s the range we are aiming for and the woman was like, she aint’ NEVER seen those numbers EVER.

I do not think I could have that job. (teaching the class)

So there was a whole bunch of talk about what is diabetes, blah blah, which I’ve pretty much figured out, and then the all -important WHAT DO WE EAT question, and the diet they were discussing seems to be a lot more food than I am currently eating, and she said it all depends on what your Meter says. And I’m jiggling my knee going, when are we going to get the damn meters?

Two hours later. FINALLY. The meter people come and give out tote bags and a sales pitch for test strips and what-all and I’m like, LET ME TEST MY BLOOD!!!! I was so antsy at this point I was about to start shrieking and stabbing at myself with a plastic fork.  They showed us our cute little meters, and we all plugged in the needles and learned how to lock and load the stabbers, then we DID IT (yeah, I felt it and yeah it hurt for a millisecond) and I closed my eyes when I heard the beep just praying for something good, and it was…. 85!

EIGHTY-FIVE!!! WHICH IS WHAT NORMAL PEOPLE GET!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

I was like, woo hoo, under my breath. Because everyone else was getting 106, 127, 135, 178, etc etc and I was SO HAPPY and relieved because that means that my Metformin is working! I haven’t had a reading of less than 100 EVER.  So I was very, very happy. And the nurse went around collecting our numbers and I said ’85’ and she had to look at my meter to be sure I wasn’t making it up. Ya the hoo!!

Then I went home and had lunch. (whole wheat English muffin with cheddar cheese, in case you’re interested) I came to work. After about an hour, I tested again and it was…. 109!!!!!! Which is freaking fa-bu-los-a!!

Thank you Metformin. Thank you exercise. Thank you blood glucose meter for letting me know that I’m not at death’s door, or on the verge of losing my feet, after all.

I am officially in love with my blood glucose meter now. Because now I feel like I can check it anytime I have a question about ANYTHING, and I can just… see what happens. I’m going to learn stuff. I am actually very, very excited.

14

Medicine by Dr. Bruce, and Re-Adjusting

Well, the Day of Wallowing is over. So now begins the week/month/year/lifetime of trying to figure this all out. I want to thank all of you lovely wonderful people who commented, emailed and DMed me yesterday after my distressing/distraught post. I can’t tell you HOW MUCH those comments buoyed me up. Truly. I am grateful, so grateful, to every single one of you. Your comments made me well up with warmth and a sense of being truly taken care of. So THANK  YOU.

Last night it helped immmmmmmmensely to have tickets to see Bruce Springsteen. At first I really didn’t even want to go, I just wanted to – you know – WALLOW – but it seemed stupid to pass up such an event, and I am so glad I didn’t. It was great medicine.  When he started out with “Badlands” –

it aint no sin to be glad you’re alive

it gave me a big lump in my throat. And then he’d yell periodically into the audience, “Is anybody aliiiiiiiiiiive out there?” and I had to jump up and down and yell affirmation to that. I’m still alive! Hell yeah!

I got up in the morning and did my 2nd session, 2nd week of Couch-to-5k with my buddy Mary. It was a lot better and easier than earlier in the week, which was great. So it felt good to start the day with some affirming exercise.

Then later in the day I got down to some of the business of dealing with this diabetes thing.

  • I signed up for a bunch of diabetes-related blogs, forums and Tweets.
  • I registered for Diabetes Education classes, which begin next Tuesday. They said to bring my glucometer (blood testing machine). I have to say, this put a twinge of fear/resistance/oh noooooo into my heart. I had a moment of the heaviness of FOREVER. But then I breathed it through. I really do think this is going to have to be one day at a time.
  • I got an appointment to see the opthamologist this afternoon. I had just read this sobering account of Mary Tyler Moore’s (type 1, not 2) diabetes, and how her vision is really starting to go. This made me so sad and scared, so I was glad they had an immediate appointment.
  • The good news: I don’t have any “vascular complications” in my eyes.
  • The bad news: (watch out, I’m about to rant) The eye doctor asked for my family medical history. I said I didn’t know, because I was adopted. She said, “You’re adopted?? Oh, that’s so cuuuuuute!”  I almost launched into an Arlo Guthrie yell (a la “Alice’s Restaurant”) “Kill! Kiiill! Kiiiiiiiiiiiilllllllllllll!” but I refrained.
  • Rant #2: as if it was’t bad enough being told that being adopted is “cute” it reminded me ONCE AGAIN of the absolute wrongness,  indignity and danger of not having access or knowledge of my family medical history. Now maybe I don’t have a genetic family history of diabetes. But maybe I do. And if I do, and I had, say, KNOWN about it, five years ago, maybe I could have diagnosed/dealt with this even earlier. Who knows. But it just SUCKS so much to have no idea about these things. It is wrong, wrong, wrong, wrong, WRONG in every way possible.
  • I filled my prescription for Glucophage/Metformin and took first dose at dinner tonight.

So, I did everything on my endocroinologist’s check-off list. I bought a book about diabetes.

I’m a little thrown off in terms of the diet thing right now. I think my primary concern is figuring out what to do to keep my blood sugars “under tight control” which is what the opthamologist said I must do if I do not want to go blind. (OK! OK! I will!!!) Hopefully what is good for the blood sugars will also be good for the weight and it will all sort of work itself out. But right now I don’t have it in my to count the points or calories. I’m just sort of hanging on.

6

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