Thursday, September 5, 2013

The slide down to hell

9-5-13

It has been far too long.

When I was first diagnosed with diabetes I was sure that I would beat it. And beat it I had. I dropped my numbers both in A1C and Lbs, but nothing worth beating is easy. Diabetes and weight loss are no different as both of them are something one has to continue to work at constantly.

Sadly, I took all of my success for granted.

Sure, I can chalk up the 50 pounds I gained back to stress. This isn’t untrue. It isn’t even an excuse. It is, however, not something I am ok with.

For the past 8 months or so, I have put my health on the back burner. I found myself frustrated on a daily basis in regards to the quality, or more realistically, lack thereof, of the school my kids attended. They have been enrolled in LAUSD since Pre-K and although we are fortunate enough to have a fantastic primary school, the lack of funds, dangerous secondary and high school options, and the less progressive education methods had left me in a tizzy.

The option arose to accept assistance from my in-laws and uproot the family and move a couple miles inland so that my boys would be privy to a better education in the Torrance Unified School district. Although this was in fact a dream come true, there was a lot of effort being put into making this a reality.

I spent tons of time researching houses, setting up viewings and trying to find a suitable living environment for us. It left me drained in many ways. It also left me with less time to schedule my workouts. It was becoming easier and easier to simply skip a day, or 2, or a week.

As if the lack of sweat wasn’t enough, I got lazier with food. We would be out and about often at random times due to appointments and it became easier to just pick up Taco Bell than it was to go home and make something healthy.

Then the house was bought. Escrow ended up being a nightmare of epic proportions and during all of this there were many close calls in which the house almost dropped out. Once it finally closed there has been the daunting task of both fixing up our old digs for rental purposes and complete renovations on the new place in order to make it livable.

Yeah, needless to say, my diet and lifestyle went to shit.

I knew it was getting bad. I could no longer fit in the really awesome newer pants I had obtained. I kept justifying calories because there would be times in which I just felt exhausted and famished even though really, the food was just comfort.

Now, I am a big fat roly poly woman again. I am disgusting. To top it off, my A1C numbers came back and they had risen a couple of points. My doctor wasn’t worried, but she said I needed to get back on track.
Back on track. Those words don’t inspire me like they did. I am still in the period in which I am feeling sorry for myself. I hate that I let myself go. I hate that I let it happen so close to my high school reunion. I hate that I have watched other people have such amazing success and yet here I am, a blob, a failure, a joke.

I have found myself now actually seriously contemplating speaking with my doctor about a more drastic solution. I can’t bring myself to do anything that would be permanent, but I certainly have considered things like a Lap Band. It is one of those things that would truly force me to change, and I would have a much harder time turning back.


What is worse about all of this is that I honestly don’t know who to talk to. My friends and family are certainly there for me in so many ways, but I feel like I have fucked up so much that I can’t bear to talk to them. It isn’t like they can’t see what is going on, but the embarrassment is a red hot source of tension in me. Every night I lie down in bed and feel like my husband thinks I am gross. I go to work and I notice that my clothing no longer looks cute and I wonder what people are thinking of my back slide. I am actually in a total spiral of freakout and I can assure you, it isn’t pretty.


So now what do I do? Obviously I have made sure to not miss a day of the gym at work. I have done 25 minutes each day, not stopping at 20 as I have been so tempted to do. I would have eaten better the last couple weeks but everything is still so chaotic at home what one kitchen not ready for move in and the other a disaster because of all of the renovations. It truly isn’t an ideal situation by any stretch of the imagination.
That being said I need to suck it up. I need to get my shit together. I need to approach my body the same way I did before. I need to make it as inhabitable as I am doing to my new house. I need to get to a point in which I once again can see some results. I need to do this for my children since even though I got them in a new school, losing their mom would negate all of that effort.

So lookout world, I am back. I am going to kick my own ass now and get back in gear.

I just wish I wasn’t so damned scared.


Friday, February 3, 2012

Quick Fix

2-3-12
There are days in which I wish I had taken the easier route.

The principal at the school the boys attend chose the meal replacement program. She is positively svelte at this point. She struts around in her knee high boots with a glow in her face and you would never be able to tell how heavy she was only a few months back. It is no wonder that much of the school thought she might be sick being that she lost so much of herself over the summer.
I have to admit, I am jealous.
To date, I have lost 75 pounds since July 1st. That is 12 and a half pounds a month. Not bad I suppose, but I wish I was smaller. I also wish it had fallen off me at such a rapid rate as the principal was able to have.
I have another friend who recently underwent drastic surgery to reduce her weight. Since December she has already lost 40 pounds. Yes, she is walking every night (which I take some pride in the fact that she says I inspired her) and taking better care of herself, but when you hear that kind of number, well, let’s just say I get discouraged.
You can tell me over and over how I am being very healthy in how I am accomplishing my own victories. These words are empty. Sadly when you are plagued with defective esteem, it is hard to accept what is right there in front of you.

I have clothing that falls off of me. I can fit into some clothing from regular stores now. I can run up a flight of stairs without being winded or break a sweat. I brag about these accomplishments in Facebook posts and blogs. I walk proud down the hall and find myself with the stock answer to people who tell me how good I look of, “Awe, thanks! It has been hard work, but it is worth it”, complete with the country bumpkin drawl that for some reason accompanies it. Maybe this is why I can’t take it seriously.

When I look at this all logically, I certainly know that my friend and our principal didn’t take the “easy” way. There is no “easy” way. With meal replacement, you lose out on good food and you don’t get the ability to train yourself on how to eat. With surgery, you run the risk of complications and there is the fact that if you eat too much in a sitting, you can get very sick. With every method, there are risks and benefits, and I need to make sure I know that I chose the option that was best for me.
With my plan, I am getting more exercise. Even if I don’t lose another pound, I can keep up with my kids better. I can run around and feel more youthful. I can coach the boys on their soccer teams and can ride bikes with them as a family.

I am beating diabetes. I have learned how to regulate my sugar intake. I have discovered the wonders of science in how they have created sweeteners that don’t hike up my glucose levels and still manage to make my iced tea yummy.

I do not deny myself pleasure. I will have the occasional larger meal or treat. I don’t cut out life because I have overindulged in the past. I simply am making sure that moderation is the theme and that with every splurge there can be consequences. I can’t skimp on exercise if I am going to have pasta. I have to eat a snack if I am going to do a large workout. I take care of myself, and in turn, my body is taking better care of me.

I have to stop thinking of this journey as a sprint and know it is only done when I am lying in my bed with my loved ones around me saying their goodbyes. Even if I get down to 150 pounds, this doesn’t mean I should stop. Even if the doctor takes me off of my meds, I should not stop. I have to be like this forever. I want to get old with Ken. I want to hold my grandchildren. I want that parade I keep asking for. I can’t have any of this if I look at this as simply the quickest way to get thin.

I am proud of my friend and the principal. They have taken steps to better themselves, for better or for worse. I am also taking steps. Sometimes the steps result in 5 pounds coming off in a couple days. Sometimes they result in a couple weeks of a frustrating plateau. I have to know this is life, not a game. You don’t always get to the next level just because you play it a lot.
My views of my body will certainly not correct themselves quickly, either. Like my road to health, my road to mental health is a long one as well. I have good days and I have bad days. Hell, I have good minutes and bad minutes. I am just hoping I get a few good days soon.

Wednesday, January 25, 2012

Mother Nature

1-25-12
What they don’t tell you when you get diabetes is that even something as simple as nature can work against you.
I checked my blood sugar this morning. The glaring 119 in front of me freaked me out. My morning numbers have been running between 98 and 102. 119 isn’t horrific, but it is high for what I have been working towards.

As if dealing with elevated glucose levels isn’t bad enough, this all happens due to the other blood issues women deal with. Menstrual cycles and hormones don’t just affect my mood and the unpleasant bloating. They also can jack up my blood sugar for a day or two.

Luckily, I do have everything in check, so a slight spike here and there, and still significantly lower than any number I need to worry about, is simply a minor inconvenience. But could you imagine if I was not as good as I have been? Or if in my hormonal rage I opted to polish off a pint of ice cream? As a diabetic, I now have to be responsible even after being told by everything from girlfriends, chick flicks and various commercials that my time of the month is my time to be bad because I have earned it.

My periods are nowhere near as bad as they used to be back in high school. A week of heavy bleeding, cramps that could take down a horse and vicious food cravings would have put me in a diabetic coma now.
We take nature for granted more often than we should. My meds are helpful. My exercise and better diet are probably even more so, but even with all of that, Mama Nature doesn’t fuck around.
  

Monday, January 23, 2012

Piercings

1-23-12
I have been dealing with my diabetes now for 6 months. My last checkup said I have it in check. So why is it that I froze when the consent forms for my piercing this weekend said I had to inform the piercer that I had diabetes?

In fact, I didn’t tell him. I was so freaked out about the possibility of not being able to get it done; I just skimmed over this part.
This has a couple of really bad things associated with it. First and foremost, it says that I am not really being as serious about my disease as I should be. That warning isn’t on the form because the piercer thinks he will catch it. It is there because when people have a condition like diabetes, there is an increased risk of healing poorly. A consent form wants to make sure the person getting something either pierced or inked knows all of the information before they have a needle jammed into their body.

I kept the line to myself, and then this morning I did my Google search on why it was that they would include it. I have gone to several classes on Diabetes, read my share of web sites and brochures, but really, they don’t tend to cover the possible scenarios of body modification. I didn’t see the pamphlet in the endocrinologist’s office saying “So, you want to put a ring in your nipple!” Perhaps they should have this, but being that they don’t, I as the patient need to be more diligent about my checks and balances when it comes to things I used to take for granted.

Thankfully, I don’t think I have anything to worry about on this adventure. Not only are my numbers good as far as A1C’s and glucose levels, but  the piercing looks amazing with barely even any blood. I am also one of those crazies when it comes to following the aftercare.
What is really sad, though, is I still don’t think I will tell the piercer when I go back for more in a few weeks. The fear of him telling me he won’t pierce me is too great. The fear of me not being able to be ‘normal’ keeps me silent.


Friday, January 20, 2012

Sugar Coating

I had suspected it for a while.
Let’s face it, I wasn’t healthy. I weighed 325 pounds. I gladly ate multiple donuts in a sitting right after having polished off a huge, greasy breakfast at a fast food joint that I frequented in the mornings before work. This of course was only a couple of hours before I would consume the huge helping of leftovers that came from the previous night’s dinner as my lunch. Thinking about it, my lunch probably could feed a small family. Instead, it fed my enormous body.
July 2011

It wasn’t always like this.
If you looked at any number of my high school photos, you would not recognize me. I played soccer, I was fit and even though I wasn’t rail thin, you could tell that I wasn’t struggling with my waistline. Yet if you spent a day with me, it should have been obvious where my health would take me.

High School me


Sure, I always worked out, but the pints of ice cream every weekend when the girls would get together and the constant Taco Bell runs topped off with multiple Big Gulps each day were bound to wreak havoc on my pancreas. Sadly, when your doctors don’t know this and only see that overall you are “healthy”, how is it that they are going to advise you otherwise.
A teenager’s metabolism also can’t last forever. Nor can the energy output when you are spending days and nights working retail and your main source of nourishment is from the candy rack.
Food was a luxury. I was making very little money. Thankfully I had a roof over my head in the form of mom and dad, but even so, when you are doing the close shift at Blockbuster as a manager, your food options and time to eat are diminished. I can’t count how many times I would order pizza since they would deliver to the store. I would then polish off a large pizza in the back office at 11 o’clock at night. It never occurred to me to just bring a lunch from home. I could have easily made a sandwich , using the resources of my parents’ kitchen, and then I would have saved myself not only money, but I would have been eating better. But let’s face it, when you are 18, you don’t always think these things through.

Me during my Blockbuster years. Don't worry, swords were not part of the job


I ended up getting an amazing job that would have me commuting from Redondo Beach to Pasadena each day. It was one of those 9 to 5 deals in an actual office. I would even have weekends off! It was thrilling. Within a month of the new position, I also moved out of my parents’ house and in with a friend. I was now on my own when it came to things like rent, food, gas, etc.
Although I had now put on a fair amount of weight, I didn’t change things. Sadly, my self-esteem was already shot, and the pity party dinner had quite the spread. The menu had lots of fatty foods and I justified this simply because I didn’t get to eat like this every day. Some days, I didn’t eat. When you are poor, you are ok with not consuming anything aside from a couple crackers. I also praised myself when I could make it through the day with less than 300 calories.

Earthlink Christmas Party


Now add to the mix the idea of settling down. My then boyfriend, now husband, and I both sucked at how to deal with food. Not only did I determine I was a comfort food genius when it came to cooking, my man was more than happy to take home cooked meals over the fast food diet he and his first wife enjoyed. It didn’t seem to matter that in reality, my cheese rich foods were probably worse than a Big Mac.

April 1, 2000


I dabbled in healthy. During both pregnancies, I ate really well and even lost weight with them. After the birth of my second son, I had some gall bladder issues, which resulted in an extended hospital stay. When you take away food for a week, the stomach seems to shrink, and I used this along with some hard work to drop 75 pounds. It was amazing. I was down to 225 at my lowest, and I felt great.

Me in late 2007


But, as often is the case, within a couple years not only had I gained it back again, I added more.
I had just turned 36. My new doctor opted to run a full work up just so we had a nice baseline on me going forward. I sat on the table, and she told me my numbers were high and that it would be good for me to go see the endocrinologist. She said a bunch of other things, but I was so delusional that I only keyed in on the term pre. She said I was pre-diabetic. This seemed ok to me. It just meant I had to do a few new things and it would go away. I wasn’t in trouble yet, right?
In reality, my new doctor was actually sugar coating my diagnosis. I wasn’t pre-diabetic. I had type 2 diabetes. I would be put on Metformin along with another med in order to stabilize my blood sugars, which were reaching 350. My Type 1 diabetic nephew happened to be in town the day the pharmacy called me to let me know my monitor was in. Monitor? What monitor? No one told me about any monitor. Turned out, I was to start checking my blood. Thank goodness for my nephew’s help. He was able to tell me what I should aim for.
This all was in July 2011.
As I sit here, typing this, it is January 2012. A new year and as cliché as it sounds, a new beginning. At present time, I have lost 70 pounds since my diagnosis. I walk on average a mile and a half a day. As of 2 days ago, I started a gym routine. I weigh 255. I still have a long way to go.

My friend, Brandy suggested that I journal my journey. I often spend my days being upbeat and positive about my success, but often keep the failures to myself except for grand statement of self-loathing. I need to be real, and not do what so many doctors have essentially done, which is to sugar coat the diabetic. I have enough struggles in day to day life that the best way to go about this is through the one outlet that has never let me down.
Maybe this will keep me motivated enough to succeed, and be ok with being human when I have setbacks.