Deb asked a question that made me stop and think. "Has it been the two years you projected for the new house?" I looked back through my posts, and found that Carrot Top, aka Johnny began pouring our basement June 1st of 2023. So. Yes, it has been two years. Two years, 1 month and 2 days to be precise. It seems like such a long time ago, and I am grateful this project is winding down. We have the next big project which is the attic, and then it needs to be sided this summer, which can wait until we are moved into it to get done.
We've been cleaning up around the outside of the house now that the house is no longer a construction zone. William was a big help with that today, neatly stacking some wood. He also helped put up some lattice on the raised beds for the cucumbers. I've never done that before, but I see other people doing it, and it will save garden space if the vines are going up instead of sprawling out.
I am discouraged today. I've been working very hard on lifestyle changes. Part of that has been paying close attention to what I eat. Part of it has been walking faithfully. It is frustrating to me that my healthcare provider is really, really pushing the metformin. My A1C was 6.4, which is prediabetic levels. That really galvanized me into making those lifestyle changes. My A1C dropped to 6 which made me feel better. Much to my surprise, I still received a phone call. "The doctor has reviewed your test results and wants to put you on Metformin."
I told her that according to NIH, themselves, they do not recommend treating prediabetes with metformin. They encourage healthy eating and exercise and watching the numbers carefully to see if the levels respond to that. There was some polite disagreement. In the end, I refused to medicate.
My next well check? They wanted to send me to a podiatrist for a diabetic foot evaluation. I was starting to get frustrated. I said, "I am not diabetic. I am prediabetic, and after three months of exercise and good eating, I've reduced my A1C by .4. So no. We're not doing the foot doctor."
Today, I had another A1C test to monitor the situation. I walked to the appointment, which was a mile and a half. I was feeling pretty confident about the whole thing. I've lost 25 pounds now since making the big changes back in December, so I was pleased with that. Surely, surely, all my hard work would pay off.
I looked at my A1C results just now. 6.1. How disappointing! Mostly because I know I will have to argue with the doctor again, and I hate that.
So.
That's my day.
America has had even a worse day. I'm not going to go into it.
But here are some words of wisdom from Pete Buttigieg:
"The thing I would like for Americans to feel is that it is the very pain of this moment that signals how important it is. All the moments in history that we study, admire and romanticize were pretty brutal to be in the middle of and that's what makes it so interesting. For better or worse, we are in one of those now and that should propel us to think more originally as things get burned down around us - about what we would build instead."
(Thanks to Jackie for passing that along to me. If ever was a day that I needed to read an encouraging word, this is that day.)
There are some very helpful thoughts here. Thank you. And I hope you stay strong on your own behalf with doctors. Rx isn't always the answer
ReplyDeleteOh. I am resolute. I just don't understand why my decisions cannot be respected, esp. when there is plenty of health data to back those decisions up.
DeleteYou don't have to fix today. You just have to move through it. Gosh, I need to get better at that.
ReplyDeleteTwo years then it has been.... and you can see the end in sight. I'm looking forward to more pictures.
I don't understand the medical push on you either. You are very aware of what you are doing and keeping good care of yourself.
We don't have magic wands. We can't fix it. I wish we could though. What is happening now is wrong on every level.
DeleteI'm so sorry! I dread blood tests because I'm guaranteed a tactful lecture about my A1c (pre-diabetic although I can't remember the number) and my cholesterol. The doctor didn't mention that my cholesterol number had dropped by 20 pounds, don't ask me why. She didn't give me any kudos at all! At least, she didn't try to push medication on me though. I am sickened and frightened by so many of my fellow citizens these days. Disgusted.
ReplyDeleteThat's what surprises me most, Margaret: that there is so little support for the things that I am doing right.
DeleteThe doctor can get stuffed. Does your doctor work for a large corporation? Just curious. I can imagine a large corporation would want more tests, more procedures, more crap. Your A1C is good. You lost 25 pounds. Wow! I saw my doctor today and my A1C is 6.2 and she said that's good. I argue with my doctors too. I don't care anymore if they don't agree with me. If they want to try and convince me, that's on them.
ReplyDeleteI stole that meme, Why is it important to be kind? It's everything.
You're right Pixie. It IS everything. Especially now. Be kind. It has never been so important as it is right here, right now.
DeleteWe keep hearing that you have to be your own advocate for your health. You also have to do a lot of research to be sure that what you're doing is right. You are doing all the right things. It will pay off.
ReplyDeleteI read a lot, which is just the sort of thing that you hear the medical profession complaining about: that they are the ones who have gone to medical school, but they have to argue with 'Google Doctors'. I feel badly that they might be lumping me into that category, but honestly, it's all there in plain black and white. Metformin is not recommended to be prescribed to prediabetics.
DeleteYou have done impressively well this year. It is odd that A1C number rose. I have also lost weight and am learning how close the line is between gaining, losing and staying steady.
ReplyDeleteNow that I am once again able to be active, I am finding that that 'line' is not as close as it was before my knee was replaced. Thank goodness for that little miracle!
DeleteI am glad the quote I shared helped. Thank you for sharing Pete's words with your readers.
ReplyDeleteThank you sharing them with me, Jackie. I appreciate it very much.
DeleteI am very stubborn with doctors, myself. Stick to your guns and your lifestyle changes. You know yourself better than anyone else. Yes!
ReplyDeleteI'm glad you are getting toward the end of your build. Whoohoo! :)
I can scarcely believe it myself. We will be in there before the end of summer, at the latest. We will celebrate our first Christmas in that little house this year.
DeleteMaybe I wasn't there in Med School that day, but I (like Pixie) think your Doc is wrong. You're doing all the right things. Stay the course!
ReplyDeleteOh, I will. I have no intentions of getting off course now.
DeleteThank you for the words from Pete. I am still sad, angry and frustrated, but he makes me feel a little better.
ReplyDeleteI think you are doing wonderfully with your lifestyle changes. And I think you know YOU best.
Jackie e-mailed them to me. On such a disappointing day, they were a balm. Think about the biggest times in our nation's history...people struggled, and they prevailed.
DeleteWow, what a journey both with the house and your health. You're doing all the right things, and it’s tough when progress feels slow. Keep going! That quote from Pete Buttigieg really hit home.
ReplyDeleteThanks for sharing this honest post.
Progress has been slow, but it has been steady, and progress is progress.
DeleteI think Pete Buttigieg will be president one day if we ever get past these terrible days. I don't expect to be here when that happens, but if I am, there will be joy. Lots and lots of joy.
Definitely stand your ground over the unnecessary medications. You are doing really well. Wish I could lose 25 lbs - lost 4 when I was ill last week and the moment I had a couple of meals, it all came back on. In my defence though, I've not been able to walk because of the heat. That makes a difference. Even though after an hour's walking, you've only burned 100 cals!
ReplyDeleteLike you, I am trying not to think about the way my country is going at the moment - it's just too depressing. Like having the inmates in charge of the Asylum . . .
Have you got any idea when you may be moving into your new home yet?
I think that losing a significant amount of weight has been a great motivator for me and kept me carefully on my diet. But, since the whole knee thing, now that I am active and exercising daily...I was plainly shocked to see that I'd lost 6.5 pounds in the 6 weeks since surgery!
DeletePS I really love that picture of you and Rosie. It is pure joy. I hope it finds a place on your wall.
DeleteKeep standing up for yourself...and asking the hard questions of them...like how much do they get for prescribing certain things?!
ReplyDeleteYou are doing well with diet and exercise..you don't need them stressing you!!
Looking forward to seeing you move in!!
I would be so interested to know the answer to that, gz! I would really like to know why.
DeleteLife becomes too complicated sometimes. Make your own decisions about pills, I've been fighting off statins for years. Somehow the doctors think a handful of pills are alright for each person, when it is not so and all these pills are just handed out routinely. We are all waiting for the big move!
ReplyDeleteSo am I, Thelma. It will be a wonderful thing to finally be there full time.
DeleteI often think doctors have a script to follow and a plan to pursue and dislike it when there's pushback from the patients. I'm sure it's all to do with money.
ReplyDeleteI keep thinking that it is about money as well. It really is frustrating. I know though that the whole experience has galvanized me to make some big changes in my life that were probably overdue.
DeleteDebby, most people are like, sure, just give me a pill, rather than make the necessary life style changes. Bravo to you that you did. Stay the course, keep refusing meds. Most Doctors have a template for care, rather than looking at each person as an individual. They are covering their bases. So we must be our own advocate.
ReplyDeleteI keep thinking there has to be a reason they are pushing this so hard. I was so proud of myself when I went back in in April. I'd lost weight, my A1C had declined. In my mind that showed my willingness to change bad habits, and I thought that they would see that as well. Instead, they wanted me to go see a diabetic foot doctor. Why? I had no problems with my feet. None at all. I said I wasn't going to do that. Probably 3 weeks ago, they began pushing for daily glucose readings. I did it for two weeks and gave them their results. There is a real push going on here to put a label on this and I do not like this. I have a friend whose readings are considerably higher than mine. She has begun an exercise program and is dieting. Her doctors monitor her and are waiting to see.
DeleteOoohhhh. You’ve said the magic words that triggered my memory, confirmed by this AI generated answer: “Medicare Advantage plans may use a risk-adjusted payment system that can lead to higher payments for patients with more complex health needs. This system incentivizes providers to report more diagnoses, which can increase their reimbursement rates.”
DeleteIf they can label you, you’re worth more to them…
DeleteIt sounds like you are doing a good job of researching what is good for your body and working on getting and staying healthy. Keep up the great work and don't let it get you down. You got this, Debby...
ReplyDeleteI can't believe how much you have gotten done on your house while also taking care of all of your rental places and your current house, too! No wonder you are tired! I hope you have a chance to relax soon and just concentrate on you.
The rentals are pretty much completely renovated at this point. We did have a washer go in one of them, which required our attention. But for the most part they are done. The renovation was the problem, but we are selling that to the young mother. That was too much. Once we divested ourselves of that, we were able to focus full time on the new house. Things went much more quickly after that.
DeleteBut yes. I am ready to do other things. Unfortunately, Tim seems to believe that once the deal is closed on Mia's house that we can use it to buy another house. We are not going to do that. I am not giving in this time.
I remember when my cholesterol started to creep up. I refused medication and went almost entirely vegan. I was not at all overweight then and exercised regularly, walking miles daily.
ReplyDeleteStill, the cholesterol rose.
My doctor, whom I do trust, told me that high cholesterol caused by genetics is not generally treatable by diet and exercise. I am now on medication.
Sigh.
I do take a statin. I have been able to reduce my high blood pressure medication, which has been gratifying. If my A1C was in the realm of actual diabetes, I certainly would not debate taking the drug. I have seen the damage that diabetes can do.
DeleteBut there is plenty of documentation out there: https://pubmed.ncbi.nlm.nih.gov/32936780/
Perhaps you just need a different medical practice.
ReplyDelete