Wednesday, February 14, 2018

One month in...

I almost forgot I started this.  So much has happened over the last month since my diagnosis that I need to catch up.  There's been learning to take my sugar readings, taking diabetes education classes, logging everything I eat and drink, planning for my upcoming surgery, working with my husband after his surgery, and on and on. Regardless of this, life goes on.

After leaving my doctor's, I got busy looking for things that might help me.  This included a meeting with a registered dietitian who specialized in diabetic nutrition.  She taught me to take my blood sugar readings (twice a day at differing times and meals) and enrolled me in the education series.  Although I have several immediate family members with Type 2 diabetes, I've learned so much - especially how different we all are.  First thing I noticed was a really high reading right after my husband's hip replacement surgery (that night and next morning).  Turns out stress is a huge influence on blood sugar (blood pressure too).  Next problem:  my blood sugars were high first thing in the morning before breakfast.  Solution:  a snack right before bedtime helped.  Turns out your liver will screw with you when you fast (sleeping is fasting!) and my sugar is normal if I eat a snack within an hour of going to bed.  Who knew?

I downloaded an app and am tracking all my food and drink consumption - and my exercise.  I am on week two and I am down 10 pounds since my diagnosis.  Logging everything keeps me honest - Weight Watchers was definitely on to something there.  And I've learned some new recipes that I actually like, am eating more vegetables, and can still have steak.  Life is good.

Having knee replacement surgery next week is weighing on my mind.  When I really think about it, my blood pressure goes up - as does my blood sugar.  I know things will be fine - and I'm looking forward to no longer being in pain from the knee.  Just prepping for it is a bit crazy. And I'm looking toward the next three months thinking 'WTF?' 

Oh yeah - I forgot to mention we are in the process of selling our San Francisco place.  So many things to do, sign, etc - but we have a great realtor who is really taking it over since we no longer live there.  It's just paying the bills or painting, cleaning, staging, etc.  As I am writing, I'm really happy no one is taking my blood pressure right now.  Ugh.

So to cope - I've done a few things.  Writing helps me process things, hence the blog.  Today I hired a cleaning service to take care of the house - something I really should have done ages ago.  Next week is prepping meals to freeze for when I cannot just stand and cook.  And Lee will be with me through all this - overall not too shabby.  And my A1C has already come down. 

Life is good.

Wednesday, January 31, 2018

DNA

As a reasonably well-educated woman, and wife of a healthcare professional, I have a good understanding of the role genetics plays in a person's health.  I knew that I had the high chance of becoming diabetic since my grandfather, one uncle, mother, and brother all are or were Type 2 diabetics.  Did this really serve as the object lesson it should have?  Apparently not, as I am overweight and sedentary- like so many Americans - and even though my sugar readings kept climbing over the past two years, I didn't change my lifestyle.  Obviously, I lived in a mental fantasy land where I dodged that diabetes diagnosis bullet that hit so many family members.  On January 11, 2018, at the age of 63, the bullet hit me.

Since I go through a healthcare network that has an online portal for members, I saw my lab results two days before my appointment with a new primary care physician.  I prepared myself for the conversation that would take place when I met with her and knew neither of us would be happy.  I had been so proud of the fact I had lowered my blood pressure, but this wasn't anything to be proud of and I knew it.  So I went to my appointment a bit stressed and ready for a verbal berating. Not quite what happened.

We met.  We talked about all other issues and saved the diabetes diagnosis for the last item.  It was a long discussion.  While there are several excuses, and I'll elaborate on that over the course of blogging what's happening to me, they are just that:  excuses.  My new doctor called me on my bullshit excuses - in an abrupt yet polite way.  It was perfect.  No recriminations, just "what should we do from here on out?"  As she pointed out, this diagnosis is and should be life changing - literally.  I needed to make solid, longterm changes in my lifestyle.  No blaming my DNA - I can still overcome that with changes. So, a game plan was formed.

This blog is about making those changes - and hopefully keeping them all.  It's easy to be determined early in any diagnosis, but this is rest-of-my-life longterm.  Together with my doctor, we set a goal of being able to control this with diet and exercise after a year.  That means a year to get my act together, take the medication, get educated, track my blood sugar, exercise, eat right, and then re-evaluate.  I decided to write this blog as a helpful warning to others in my position about making those changes.  But I also want to look at factors in our American society that contribute to Type 2 Diabetes affecting a huge portion of the American population.  Bear with me - it promises to be an interesting year.