Tuesday, March 18, 2025

Weight and See

When you are eating healthy and steadily losing weight, it is very soul satisfying to step on the scale and discover that you've achieved a milestone. Today, once again, I got up and discovered myself to be closer but still not quite under that. Just ounces away...but not there. 

A1C is at fault for this big change. 

The doctor is pushing hard to begin medication. When they call, they always push for that. "The doctor has reviewed your numbers and she wants..." and I always say, "Listen, I am not trying to be recalcitrant here but the thing is, I want to try to lower things naturally." They always try to say, "Everyone who takes this loses weight..." as if that is going to lure me over to the dark side. They talk about damage to organs, kidneys and eyes mostly. 

My A1C was never a problem until my knee made exercising more and more difficult. Right now, I am managing only a third of the steps I used to do. So. While I can't exercise more, I can watch my diet. 

Reading carefully about things, I begin my day with a high protein breakfast. Two hard boiled eggs, one avocado, one slice of wheat bread slathered with peanut butter, and plain yogurt with blueberries along with my coffee. That's what the diabetic diets all have in common - a high protein breakfast. 

While that sounds like a huge breakfast (and if feels like a huge breakfast), what it does is holds me comfortably until supper. I skip lunch all together, which is supposedly a big no no, but it seems to be working for me. Supper is a huge salad. That holds me until morning. 

When I went in for my last appointment, they were quite surprised at the weight loss. The nurse called it a 'significant' weight loss and noted that on my chart. I felt as if I had made my point, that they would see that I am dead serious about making this change. 

I continued on with my new healthy diet, and keeping myself just as active as possible given the knee situation. 

But when I took my glucose readings in, again, I got the call. "The doctor has reviewed your numbers and..." 

And I said very plainly, "No. I think I have demonstrated a strong willingness to change my lifestyle. I've got an A1C test coming up in April. I've got a knee replacement in May. We are going to see how those things shake out and then we will talk about whether medication is needed. I think it is fair." 

They are not happy with me. 

I feel badly about it, but I'm also seeing amazing things happen. I've dropped a pant size. Two pretty shirts that I bought last year were a bit too snug. This year they fit perfectly. Tim says he can see the weight loss. No one else has commented on it, so I can't tell if he's just saying that to be nice. But...I have lost a pant size. My old favorite jeans are now my 'work pants' and I wear them with a belt. So...maybe he can tell. Maybe the rest of the world just doesn't watch my ass the way he does. Dunno. 

My next doctor visit is April 3rd. If the nurse called my last weight loss 'significant', she will be happier yet with this one. This weight loss is greater than the last. 

 I always make Tim a supper, but I stick to my salad. He wanders out into the livingroom after supper eating a bag of potato chips. Or a ding dong. Or a bowl of ice cream. Sometimes he walks down to the Tim Horton's to get a donut. Sometimes he does multiple things. Sometimes multiple times. All in the same night. (This proves to me that life is not fair.)

I have been surprisingly untempted by this. Not sure why. But a couple nights ago, he was eating chocolate. The bag was on the coffee table, and every so often he helped himself. I was finishing a book and I found myself craving a chocolate. 

Just one. 

One wasn't going to kill me, right? 

So, I had one.

And then...I discovered that it wasn't nearly as good as I thought it would be, which was very interesting.

I'm not sure where all this is headed, and I'm anxious to get that next A1C. If nothing more, the new weight loss should prove to them that I mean business. By the time that appointment rolls around, surely, surely I will have ducked under that milestone weight. 

I really hate feeling like I'm a problem patient, but really, inside me there's this determination to avoid medication if I don't have to take it. 

I think that is fair. 



46 comments:

  1. I think they should be happy with a patient taking the situation seriously. You seem to be showing them.

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    1. I am working very hard at this. I am curious how my second blood test will go.

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  2. Your healthy eating plan seems to be working really well for you, especially as you feel satisfied and are not losing out on any nutrients. I would prefer healthy eating to taking medication any day.

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    1. I do try to pay close attention to making sure that I am getting all the food groups.

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  3. I am so impressed with your dedication! How wonderful! What will power! You should be so proud of yourself. I bet more people haven't commented because they don't want you to think they thought you were too heavy before. A pants size is impressive! I do think doctors are too quick to prescribe medication (that you will be on for a lifetime!) for an easy fix. I am excited to see what you can do with new knees.
    I have one of those husbands too. He is the one with the higher A1C levels which I think in his case are genetic. He switched from coke to coke zero and lost 10 pounds and dropped his levels in a flash. He is a snacker, but luckily not the grocery shopper. He does sneak in chocolate and snacks and always tries to share with me. A very bad influence. And - Mr Lost Ten Pounds is already a skinny guy. Totally unfair.

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    1. As my friend Dixie used to say: Life isn't fair. If it was there'd be a ferris wheel.

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  4. I too hate taking medications and only take what is absolutely necessary. I have been reading this and find it very interesting. Photomotoman.ca I hate that Canada has to align with countries other than the USA. now that you have lined up with Russia and Putin. When will the rest of the republicans wake up. Canada is very united unlike the USA. Gigi

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    1. We seem to be doing a fine job of uniting Europe as well. So...I guess something positive can be dug out of all this.

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  5. I have a genetic predisposition to type 2 diabetes and my A1C has slowly climbed as I've gotten older. It went up to 6.6% and the doctor was telling me that I would probably need metformin. I suck at healthy diets and food, so I increased my exercise (which I know you can't do with your knee). The exercise helped and I lowered my A1C to 6.2% which made me happy. Apparently the AMA recommends starting treatment when the A1C hits 7% which is good for me to know.
    You're doing a great job and it must feel good. Your weight loss will make recovery and rehab easier too, less weight on the new knee.
    I admire your tenacity. I just ate some chocolate this morning as my midmorning snack:)

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    1. Now that is fascinating, Pixie, because my A1C never hit 7. You have made me feel a lot less as if I am taking my life into my own hands.

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    2. I think American doctors work differently than Canadian doctors. I was sick once in Hawaii and had to see a doc. I had a viral infection, he told me I had a viral chest infection. He ordered antibiotics for me, which don't work on viruses. I refused the script. He also ordered tylenol #3 with codeine, which I also refused, didn't need them. The only prescription I took was for sudafed. It was weird.

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    3. Something I also read was that before prescribing metformin, there should be two high A1C, and that it should be proved that this cannot be controlled by diet and exercise. I am just kind of shocked that they don't seem to want to wait to see.

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  6. I don't think you're being difficult at all. You are taking steps to address your problem and very sensibly avoiding medication. Do the doctors benefit from prescriptions they make out? Is there a 'target' they're encouraged to meet?

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    1. You know, Jabblog, I do find myself wondering about that. I did some reading. It does not seem to be the case, I'm happy to say.

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  7. Yes. I commend you for sticking to your guns, walking the walk, not just talking the talk. This is not easy.

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    1. Interestingly enough, Mary, this time it does seem easy. I'm not sure exactly what the 'switch' was in my mind. I mean, I got good and upset about a situation, and usually that would me to the kitchen to stress eat. It didn't this time. Something is different, and I'm glad.

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    2. I actually stress ate a salad here a week or so ago! LOL

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    3. I'd call that stress eating done the right way, Marcia!

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  8. Impressive sticking to your guns, Debby! I admire that.

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    1. It's a bit nervewracking. But the more I read, the more I am questioning why they are jumping all on this right off the bat. From what I read the A1C would be tested twice to confirm two high readings. My numbers are not 7. Not close to it, actually, and I've only had one reading they consider high.

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  9. Even trying to be a good girl, I found that metformin does help keep my A1C below 7. Stress and surgery will also make your glucose read all over the place, mostly way up. You could give it a trial run for 3 a months. I now have to protect my kidneys from further quiet damage, so I can't take NSAIDS (Aleve) for other aches and pains. That option would be so nice for my other body parts, as tylenol doesn't divert some of the pains. Just something to consider, as diabetes is such a quiet disease. (Popcorn is a pretty good option against all of those temptations.) Linda in Kansas

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  10. Good for you for standing up for yourself and your health..you are doing a good job, and once your op has been sorted and you are back active ( gently does it!) you should be ok.

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  11. Congratulations on a "significant weight loss". That's impressive. Losing a pant size is great. Jim and I got a little chunky a few years ago, getting back into my bell weather pants was exciting, hadn't worn them for a long time. The answer is not always out of a pill bottle.

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    1. Significant was six pounds. I've lost 8 pounds more since then. By the first week in April, I really would expect to reach the 10 pound mark.

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  12. Well done on the diet and keeping things in check. Also, please keep an open mind about how medication may help you in the longer term should you need it. Having seen second-hand some of the peripheral damage diabetes can cause (especially with wound management and sight) I think that the blame game with diabetes can be disingenuous and dangerous. But not taking away from how well you are doing in holding that tide.

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    1. I am not averse to medication if needed. I sure would not risk my long term health. But based on the metformin data I am reading, it actually is not recommended for where I am at especially since 2 out of 3 never worsen. So...like I said, we will see how the next test shakes out, but I really think that once I am able to resume a more regular activity level, I would expect to see things even themselves out.

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  13. It sounds like you are doing great without meds, especially considering that you are restricted by your knee. I think the Doc should be praising you for your determination and will-power.

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    1. The more I read about metformin, the more questions I have about why it is being suggested. I've got a lot of questions for the doctor.

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  14. Congratulations on the weight loss! I am similar to you in taking my health into my own hands. The only prescription I take is Levothyroxine. My doctor was understanding when we first met and changed language from "I think you should" to "how do you feel about" which I greatly appreciated. Unfortunately, now retired so I will meet my new GP in a couple of months. BTW "Maybe the rest of the world just doesn't watch my ass the way he does" made me LOL!

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    1. Glad I gave you a giggle, Jackie. That's no small thing in the world today.

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  15. Well done. Stick with it, you are the boss.

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  16. I weighed myself for the first time in years just a couple of days ago, two days in fact. I had to borrow daughter’s scale. I will soon need to know my weight to fill out a pre-surgery questionnaire. I have also lost and more than I had guessed. Someday, I will also report.

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    1. It's pretty interesting that it is just sort of working itself out, but you know, it happened like this before. I used to smoke. I quit in 2001. After years of quitting and starting again, I watched my dad die of lung cancer. That did it for me. Stopped on the spot. Never missed it. Smoked one with my daughter once...didn't like it. This diet thing is the same...it is just working this time. I have no food cravings.

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  17. I should know more about my own numbers & don't, and in this case, ignorance is not bliss. Anyway, I wasn't aware you were getting a knee replacement Debby. I sure am sorry.... I know several people who have had that done. 3 people with quick recoveries, 2 not so much. I'll be anxiously awaiting your results.

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    1. If your numbers were high, you'd definitely be hearing all about them. Yep. Scheduled for May. Tim tells everyone he's getting me a new knee for my birthday.

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  18. Watching weight with limited activity is difficult. You are doing great. I wish you success.

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    1. I guess that I'm really motivated at this point. My mother was morbidly obese and virtually a prisoner in her own home before it was over and done. I guess this has been a powerful desire to change. I don't want to spend my last years like that.

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  19. Kudos to you! I trust myself and knowing my own body (along with a lot of google research) and have refused medications and treatments, too. You are really doing fantastically!! You'll have to let us know what they say when they see the additional weight loss. :) :)

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  20. I will. My appointment is April 3rd.

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  21. Good for you! I did the same a couple years ago and lost 30 pounds. No one noticed until I had shed 20. I haven't been able to budge any more, but winter is never easy, and I haven't been watching my intake like I was. Fortunately I haven't had issues with my bloodwork, always looks good.
    And today, Judge Roberts! Yay!

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  22. Well, I had to run off and read that. I didn't watch the news today. Thanks for that.

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  23. I had a blood clot in December last year, and the MALE drs said, "Oh, you will need to be on blood thinners for the rest of your life, and you have to get off of HRT." Um, no, I won't, thank you. I am working with my PCP and she and I did the research, and no, I do not have to stop my HRT, I just switched from oral estradiol to the patch. The male doctors didn't know shit about that. At my request for natural help to get my diet and weight under control, my PCP sent me to a place where they do PT with metabolic testing, and nutritional counseling. I am tracking my food now, and using a heart rate monitor when I exercise. This has made all the difference in the world, and I am losing weight without any sort of "restrictions" and I feel great. So, KEEP GOING on what you believe, Debby, and what is obviously working. Just because 20 bazillion people are using glp1 to lost weight doesn't mean it's right for everyone.

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