If you remember from the last Diabetes Update, my blood sugar level was 194, and I’d lost 7 pounds. The doctor had put me on Januvia, and told me that he needed me to lose more weight, faster.

Well, May 27th and my FBS (fasting blood sugar) had dropped 24 points to 170! I was so excited about that, though the doc said it was good, but that had I lost more weight it would’ve been a better number. Yep. The weight thing.

I’m not struggling with the food, I promise you. I’ve been doing very well, not completely excluding anything, but rather focusing on adding the good stuff to replace most (seriously, 99%) of the bad stuff. It’s really, honestly, with head hung in shame… the exercise.

So I bought Core Rhythms. Yes I did. I’ve been ridiculously busy and haven’t had time to try it for more than 15 mins since it arrived, but I can already tell I’m going to love it. Likely much more than the treadmill, that’s for sure. I feel like a gerbil on that thing.

So anyway, while the weight is steadily at 245 (yes, actually a 4 lb. gain from my lowest since starting this trek) I’m hoping that by continuing the good eating and incorporating the workout DVDs, I should finally start to see some serious weight droppage.

I’m madder than hell at the producers of The Biggest Loser… let me just share that with you. Bitter? You bet your big fat butt I am.

Okay, so my next appointment is mid-July, on the 14th, right before the three-month mark that I’ve been on the Januvia. So that means I’ve got another 6 weeks to do some serious damage control. I know what you’re thinking: “But Lara, more than 1-2 pounds per week isn’t healthy.”

Guess what? The contestants on TBL weigh in every week and a half (10 days, not 7 as the show would make you think), and if they are being medically supervised (as I am) to lose that enormous amount of weight that they do, I think I can handle 3-4 lbs per week without fear. My goal for July 14th is 20 lbs. which would put me at 225. I’ve done it before without even trying, and now I’m going to do it again. I think once I do that, I’ll have a good jump start behind me and I will be able to continue this without giving up.

Related articles by Zemanta

• US$1,000 to tell your Biggest Loser story (dailymuscle.com)
• Diabetes Marathon: Crossing the Finish Line (diabetesdaily.com)
• Bored With Cardio (strengthandphysique.blogspot.com)

So on my last post about my diabetes battle, where I mentioned that I’d “only” lost 7 pounds, a beautiful reader by the name of kirwin left a comment that totally put some things in perspective for me:

I know it’s not the numbers you were hoping for but seven pounds is seven pounds. Consider this: that’s a newborn baby. You did AWESOME, and you are heading in the right direction.

Keep it up. It’s the tortoise that wins the race.

To that end, because I’ve never in my life thought of measuring weight loss to the weight of your average, healthy baby… and because one of my dreams in life is to be a mom… I’ve decided to add the “baby meter” in a way that’s unlike any other baby meter you’ve seen!

I’m going to be naming these babies… and sending them out in the world to live outside my body! Once you give birth, you can’t put the baby back in. You have to name the baby. I see it like I’ve been nurturing these babies far longer than a normal pregnancy… in fact, it’s been about 18 years, so they’re due to get a life of their own, outside my body!

I’d like to introduce you to my first born…

Meet Elardabeth! She was the first 7 pound baby born during my battle against diabetes. Thanks kid, but you’re on your own now!

So for those of you who got to this page by clicking on the “What’s with all the babies?” link on the home page, now you know! I’ll be updating this page with all the babies and their names, every 7 pounds I lose!

Babies I’ve Set Free

Elardabeth

As you might recall, this morning I had my 6-week check-in with the doctor regarding my diabetes diagnosis that I got on March 9, 2009. I’ve got a few things to report, some good, others not so much.

• I did lose 7 pounds since my last visit, 6 weeks ago. It’s not the numbers I was hoping for (or that my doc was hoping for) but it did prove to him that I’m taking this seriously, so that’s a good thing. He said a pound a week was okay for a normal person trying to lose weight, but he wanted to see a big initial drop, which I didn’t have.
• My fasting blood sugar (FBS) was 194. That’s about 10 points higher than it was the last time, so I’m really kind of upset over that. I’ve been doing really well with limiting carb intake, despite a few wagon trips.

Because of the above two points, he’s put me on a prescription diabetes medicine called Januvia. It’s supposed to suppress the appetite, lower blood glucose levels, and all around help when used with diet and exercise to lose weight.

I’ve read about drugs like Metformin and Janumet (a combination of Januvia and Metformin) used as oral prescriptions for those with Type 2 Diabetes who are having troubles with just diet and exercise.

I’ll be the first to admit that I haven’t been 110% perfect with the diet or the exercise, however I’ve got another appointment in 5 weeks for another blood sugar test and a check-in with the doc (May 26th). I’ve also set the appointment with the CDE (Certified Diabetes Educator) for May 6th.

I’ve re-dedicated myself to using SparkPeople to journal my food consumption – It’s got to be a permanent factor in my life right now, because when I don’t use it, I can pretty much safely assume that I’m going over the 1200-1400 calorie limit.

I’m also going to be forcing myself to get on the treadmill every day. I don’t care what it is that has me “busy” – there’s nothing as important to me as getting on that damn machine. Period.

So there you have it – Maybe I should be going to the doc once a week, for a weekly motivation boost?!? LOL

Related articles by Zemanta

• DrSugar Answers: Prediabetes and Blood Sugar Struggles (fitsugar.com)
• Here’s the Skinny on our Brown Fat (friendseat.com)
• With diabetes, eating pizza not always a treat (mayoclinic.com)
• How to Reduce Your Risk of Diabetes (dietriffic.com)

Granted, thus far the study has only been done on mice, and we all know that means that it may or may not yet apply to humans. But what they did was take subcutaneous fat (the layer of fat right below the skin) from the buttocks and moved it to the abdomen areas of the mice. The result was a drop in body weight and blood sugar levels in those mice. Researchers believe there is something in this kind of fat that improves the metabolism of glucose.

What they do know is that women with a larger backside and smaller stomachs have a lower risk of Type 2 Diabetes than women with large amounts of abdominal fat. It all goes back to Dr. Oz and his grotesque display of that “omentum” on Oprah a few years back.

Belly fat in the omentum is probably the most dangerous. It’s only job is to provide fuel to your internal organs, but when you have too much and are not eating properly, it’s delivering toxic fuel to those organs. Fuel loaded with chemicals and poisons that aren’t good for your body. It’s almost the equivalent to putting sugar in your car’s gas tank. Fortunately with the body, as opposed to a sugared tank, you can actually reverse it before it kills the car.

If you’re interested in learning more about how your body works, especially when you’re dieting, you need to grab a copy of You: On A Diet by Dr. Michael F. Roizen and Dr. Mehmet C. Oz. It’s on my reading list for sure.

So get out those “Apple Bottom Jeans” and wear them with pride, ladies! (But get your bellies flat first!)

Related articles by Zemanta

• A Big Bottom Can Cut Diabetes Risk (findmeacure.com)
• Foods to Help Balance Your Blood Sugar (abcnews.go.com)
• Diet Infos – Atkins and Diabetes (healthlifestyleforever.com)
• Diabetes Food Pyramid (diabetes-treatment.suite101.com)
• FDA Announces New Recommendations On Evaluating Cardiovascular Risk In Drugs Intended To Treat Type 2 Diabetes (medicalnewstoday.com)
• Are fat bums a sign of good health? (sciam.com)

A Little Back Story

Two days prior to the “Day of Dawn” for me, I’d been sitting at my desk and noticed that my left hand had these weird, jerky twitches going on. Not like your everyday eyelid twitch or that rhythmic thumping twitch, no… it was the fingers on my left hand moving around in strange, unbalanced movements. I got a little weirded out so I called the doctor’s office and they set me up for a 2pm appointment.

Now, I need to explain here that prior to all of this mess, I’d never EVER been much of a breakfast eater. I’d wake up around 6 or 7 and drink coffee with 2% milk and equal until about noon-thirty before actually putting something in my mouth that required chewing. I had a feeling they were going to draw blood, so I didn’t even eat that day until after the appointment.

So by the time I got to the doctor’s office and the subsequent lab for a blood draw, I had gone 21 hours without anything but that day’s coffee in my gut. More on that thought later…

The next day I get the call that my doc wants to see me to go over the bloodwork results. Okay, so there’s clearly something wrong, since if everything were okay he’d have called to tell me that and told me to keep an eye on the twitching stuff and let him know if it gets worse or more frequent.

I go into the office and the PA comes in and asks me why I’m there. (In case you’re wondering, I’m not a big fan of any of the PA’s at this office, but whatever…) So I tell her and she leaves and comes back with that finger pricker thing but never says a word. I see her putting it together and I mention that I really hate it. Like, I have a ridiculous reflex against it, have since I was a kid. It’s uncontrollable by myself alone, so I’m hoping she can hold my hand steady enough.

She couldn’t. Or rather, she didn’t even bother to really try. She kind of cupped my finger in her hand like she was holding an egg.

I wound up with an inch long gash on my finger that wouldn’t stop bleeding for hours after I left the damn office.

Doctor comes in and tells me that my cholesterol levels are “perfect”, my proteins and all that other stuff are normal, but my blood sugar was really high, at 183. This slash test just now (also about 18 hours since the last time I’d eaten, by the way) showed 186. He was sending me for a Hemoglobin A1c, which tests for the percentage of sugar bonded to proteins in the blood, and which is a defining test for Type 2 Diabetes. He said that 6% or lower was normal, 6-7% was borderline, and 7% and above was definite T2.

So back over to the lab I go, pulling up the sleeve of the other arm and since I know the hematologist, having a discussion with her about how I’m now officially nervous.

The Waiting Is The Hardest Part

I came home and my mother came down to spend time with me. I made a stir-fry dinner with brown rice and we talked about all the things the doctor said. Basically what he told me was that right now, regardless of the test results, the only thing he wants me to focus on is a 1200-1400 calorie per day diet, low in carbs and zero refined carbs, and 30 minutes of exercise every day. Heart-pumping exercise that is, to get the heart rate up.

I’m thinking, “Okay, I can do this. I’ve been wanting to do this, and now I have to do this, and I can do this.”

So the next day I get a call from the doctor’s secretary or PA or whatever, and she tells me that my A1c came back at 10.6% and she is going to make me an appointment to see their CDE (Certified Diabetes Instructor). Um, but the doctor said he doesn’t want me on a meter, doesn’t want me stressing over anything at all, just to focus on calories, content, and exercise. I tell her this, and she says, “Well, let’s set you up with the appointment anyway and if the doctor says no, we can cancel it.”

That, folks, is another long story, but the bottom line is that I didn’t see the CDE, and when I spoke to the doctor about it the other day, he was fine with it.

So Here I Go

I’ve been tracking every morsel that goes into my body with SparkPeople and have really tried to get on the treadmill every day. I’ve not succeeded, but every single morning I tell myself that I’m going to do it. It’s been over two weeks, and I’ve lost 4 pounds thus far.

I’ll be writing about this whole process in great detail of course. My next appointment with the doctor is on April 21, 2009 but don’t worry, I’ve got lots to say even before then… ;)

Related articles by Zemanta

• Diet rich in beans, nuts better for blood sugar control: study (cbc.ca)
• Qnexa Reduces Hemoglobin A1c By 1.6% In 56 Weeks (medicalnewstoday.com)
• In Patients With Diabetes, Low-Glycemic Diet Shows Greater Improvement In Glycemic Control Than High-Fiber Diet (medicalnewstoday.com)
• FDA Announces New Recommendations On Evaluating Cardiovascular Risk In Drugs Intended To Treat Type 2 Diabetes (medicalnewstoday.com)
• SimpleGlucose.com – Control Your Diabetes Easily (killerstartups.com)
• Exercising Smart with Type 2 Diabetes (diabetes-treatment.suite101.com)
• Avoid or Control Diabetes with Low Glycemic Foods (wamfitandwell.wordpress.com)
• Diabetes Alert Day: Do You Need to Know? (sixuntilme.com)
• How Can Obesity Impact A Person Wellbeing? (healthlifestyleforever.com)