Worldview: The Rambling Road: Documenting Progress

I had a medical appointment yesterday, which in itself is not remarkable, but that revealed a very good result.

I should back up a step and explain that, since about June of last year, I have altered my approach to managing my physical maladies, adopting a very low-carb diet(1) and following an intermittent fasting schedule(2) along with ramping up my physical activity. These changes flowed into the fact that I also started taking a pair of antidepressants in October that helped clear my head so I could focus better on what I am trying to do. Finally, in December I started taking Trulicity in addition to insulin and metformin

When I got out of the hospital a couple of years ago, my A1C was 8.5 and my blood glucose was running in the 450s mg/dL (yes, I am aware of how dangerously high that all is). At my last appointment, my A1C was 7.1 and my blood glucose average was around 180 mg/dL.

Fast forward to yesterday, and after about 9 months of focused effort, my A1C has dropped to 6.6 and my blood glucose average sits at around 161 mg/dL.

The moral of the story is that, if you are suffering from similar issues to mine, there are methods to overcome the obstacles those issues present. The right combination of medications, diet, and exercise can pay huge dividends in a short period of time and offer the promise of remission if not recovery.

DLH

(1) I try to keep my daily intake of all carbohydrates between 20 and 40 mg a day and do so by avoiding all sugars, modern grains (basically, anything containing wheat or rice), and manufactured foods. In general, I also try to keep the foods I consume in the low Glycemic Index range (below 55). Foods called Brassicas (broccoli, cauliflower, cabbage, and the like) are great for this.

Understand this kind of diet can be a huge adjustment, and if you decide to try it, there may be a period of transition where you experience symptoms similar to coming down with the flu. Also, if you have other health issues, be careful not to make them worse by following this diet. Be sure to consult your health care provider as you move forward.

(2) There are as many opinions on intermittent fasting as there are people who try it, and I don’t have a specific recommendation of where to start, but in general, the idea is to limit your calorie consumption to a narrow window once or twice a day. For me, this means usually eating one big meal between 2 and 4 and another smaller meal about an hour before bed (this helps level out overnight blood sugar spikes). These meals can vary somewhat based on my daily schedule, but in general results in there being at least 12 hours and as many as 16 hours between caloric intakes.

This method of eating helps encourage your body to take advantage of its already extant biological pathways that are part of the “feast and famine” experienced by our ancestors. Doing so helps our bodies use calories more effectively and, once you get into the habit, often results in eating less.

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Worldview: The Rambling Road: When no news is bad news

It’s been a while since I’ve posted, but that’s mostly because there really hasn’t been anything new to post. Frankly, I’ve been waiting for the doctor’s appointment I had this morning in the hopes it would answer some questions about the lingering effects I’m experiencing.

No such luck.

It turns out that, all things considered, my test results came back great. My blood serum numbers are fine. My triglycerides and lipids are improving. My cholesterol is better than it’s been in years. My thyroid numbers are a-okay.

That seems like good news, and it is, but it doesn’t explain why I’m suffering such significant fatigue that I can’t even walk to the end of my driveway and back without being done for the rest of the day.

Frankly, I think doctor’s tend to ignore the fatigue complaint because everybody has it, but that doesn’t mean it’s not real and not affecting someone’s quality of life. I’m not complaining about my specific medical care so much as I am identifying something I think is endemic to modern medicine.

So, as things stand, I’m improving but also not. It’s all well and good for my numbers to have improved, but the fact is that, until I’m not so easily fatigued, I’m not better. How that improvement might come about remains to be seen.

DLH

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Worldview: The Rambling Road: Checkpoint

Today turned out to be a pretty good day, despite the fact I’m tired and a little sore now.

The day started with my second quality walk in as many days. It was a lot colder this morning than yesterday, so my pace was much faster, resulting in a higher heart rate. Other than some muscle fatigue toward the end, I tolerated it well, and that gives me hope I’ve turned a corner.

This afternoon, I had my second follow-on appointment since I was in the hospital. We went over the results of my blood draw from Friday, and most of my numbers look really good for someone who was so recently sick. There are a couple of things we’re going to keep an eye on, but I don’t have to go back for a month, so that’s a good sign.

Finally, Keba and I wandered around our local Kroger while they filled a new prescription I’m starting to replace an old one. It ended up being a second walk for the day, leaving me tired and sore but contented.

As impatient and restless as I have been about recovering, I’m surprised and pleased with the sudden progress I seem to be making over the past few days. Now, the task is for me to restrain my enthusiasm so as not to overdo it.

DLH

Read more at my The Rambling Road weblog...

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