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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!!

Just Because There’s A Scale I Don’t Have to Step On It

I’m in the nice hotel. Had a great workout on the elliptical this morning in their fitness center. They have a medical scale. I did NOT step on it, given the debacle of what happened last time. I’m going to wait until I get home, to my own scale.

I’m worried about my daughter. She had a little setback and I think is being very rough on herself, and when you feel that bad, things don’t tend to go well. I’m sending her love and compassion and hoping she can get through this time and be kind to herself. She has helped me so much and I just hope she can be as good to herself as she has been to me.

Reality Check

Back home now, to the Home Scale. So there was good news and bad news. The bad news is that it didn’t reveal that I’d lost six lbs on vacation, like the scale in the fitness center said. More like two. But I also consider that great news; to be able to lose two pounds on vacation where I was constantly eating in restaurants or at buffets and even had some slip ups. And two pounds is really what I consider “real weight” and not water-weight or other factors. I was suspicious of that huge “loss” anyway so I am not massively disappointed. I feel like now that I am home I can get to the real work.

Relief, and Enduring Discomfort

I went back to the fitness center this morning and YAY the scale was the same nice, low number that it was two days ago. WITH clothes.  So yay, and a pox on that stupid mall bathroom scale!  (WHY do I do these things???)

Between our room and the fitness center there is an ice-cream shop right on the corner. I have to walk right past it a few times a day. They make those warm homemade waffle cones and the smell is overpoweringly enticing.  I don’t necessarily even want ice cream, but the smell of those cones is incredible. (one good thing to remember is that smelling doesn’t cost any calories)

I remembered something from this great book I’m reading, as I smelled the waffle cones on my way back from the gym. One thing they ask is to rate your discomfort in dealing with some weight-loss challenge. Ie, how uncomfortable do you feel on a scale of one to ten, when you have to avoid something that you want to eat. First, make your scale. One is sitting comfortably in a cushy chair, and ten is childbirth. (HA) I’d say, walking by that waffle smell is about a 2 or 3 on that scale. In other words, I can deal with it. Take about ten steps and it’s over.

Now I’m going to meet a buddy who has gestational diabetes and we can have a healthy luch and bemoan the state of our pancreases (pancreii?) together. Yay.

All The Weights Of My Life

We are on vacation now, which means I can’t be stepping on a scale every day. This is admittedly making me a little nervous. I’m of mixed feelings re the scale. Some people say you should never weigh yourself but just judge things on how you feel, your clothes fit, etc. Some people say you should not weigh yourself more than once a week because weights fluctuate so much daily, and you can go crazy from the miniscule ups and downs. And then others say you should weigh yourself daily so that you can adjust your behavior based on the feedback you get on the scale, but not more than once a day.

I’ve found that when I go long periods without weighing myself, it’s because I am afraid of the scale. I know it’s going to give me bad news so I avoid it. And if that goes on for too long, the news just gets worse and worse. So for me, I think it’s important to do that reality check.

Right now, I think (if I am the same as when I left home on Saturday), I am at what I call “normal overweight.” Meaning I’m still about 20 lbs overweight according to my BMI, but it’s also the weight that my body has defaulted to over the past 5-10 years.

I get alarmed when I’m at “high overweight.” This is when I begin creeping towards, or sometimes even surpassing, my All Time High. Which is what I weighed the day before I gave birth to my daughter.  I’ve been in touching distance of that weight, and even passed it, a few times this year and last. NOT a good feeling, especially when I look at pics of myself at nine months pregnant.

It’s pretty sick? that I can remember exactly how much I have weighed at various points in my life. I remember how distraught I was in middle school when I passed 100 lbs and many of my friends were still in the 80s and 90s.  When I was in high school and running on the track team, I was probably at my all time low for this height. I weighed more in my latter years of high school and then in college.  Then it started creeping up. When I was 27 I went on a trip to southeast Asia and lost 26 lbs after two months of trekking 8 hours a day and not eating very much.  I know exactly what I weighed the day I got married.

Getting pregnant and having kids put me in a permanently higher bracket. First, I got pregnant and we lost that baby after six months. I’m a person who eats when in grief, not the kind who loses weight when in grief. Then I got pregnant again, had that baby, and three years later did it again. I did have gestational diabetes with the 2nd pregnancy and did a LOT of exercise and food monitoring during those months. After I had the baby I was at one of my all time lows again.

So here I am at normal overweight again. All I want is to get into that normal BMI range. The highest BMI # is fine with me. It feels like a long way off.

I’m trying to just focus on avoiding the simple carbs, exercising every day and not getting overfull this week. It will be interesting to see what the scale says when I get home.

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