About a month after switching to lchf, ditching sugar and grains in particular, my A1C level went from 8.4 to 5.5.
It’s now one year since I went lchf—did I stick with it? What happened?
Still lchf—it’s not at all difficult to eat this way. Contrary to what “the authorities” claim, it IS sustainable. I’ve lost 35 pounds since I started (and maintained the 30-pound loss I’d already achieved with the low-fat diet). My blood sugar readings have stabilized—I rarely have a glucose reading above 100 and they’re typically in 80-90 range. I need to get my A1C level checked again—shooting to get that done within a week or so. But what’s really great is I’ve lost the additional 35 pounds without ever feeling hungry, without cravings, without that deep hunger that cannot be ignored (you know what I’m talking about!)
Other benefits: my psoriasis has cleared up, my osteoarthritis is vastly improved, no more edema, my HDL went up so high (and triglycerides so low) the test results indicated a negative risk factor for cardiovascular disease. No more brain fog and a lot more energy. LDL cholesterol particles are the big fluffy type. I try sweet things every once in a while but find them unpleasant—and watching people eat things I used to love, such as gelato or cake—doesn’t bother me. I don’t eat potatoes or high-starch vegetables or fruit except once in a while, I’ll indulge in fresh pineapple. I no longer miss bread, though I do miss sandwiches (I’m going to make some paleo bread this weekend, though without honey, to see if it’s worth the trouble).
I’ve learned to be very careful about ordering things such as hamburgers at restaurants—tried one at Sherwood Diner about a month ago and it made me quite ill (not to mention my blood sugar reading shot up)—I assume they use wheat-based filler in them since they menu did not claim they’re 100% beef. I miss pasta, so I have shirataki noodles instead (konjac), and it does the trick for me. I make my own tomato sauce because I can leave out the sugar (commercial tomato sauce has a shocking amount of sugar in it—make sure you check the label!)
I eat lots of eggs, macadamia nuts, walnuts, meat (except lamb, which I don’t care for), fish, cheese, heavy cream, butter, coconut oil, olive oil, avocados, low-starch vegetables (spinach, broccoli, asparagus mostly), small amounts of berries (blueberries and strawberries mainly). I eat more tomatoes than I should—my biggest frequent indulgence. My total carb count averages less than 30 carbs per day. Right now, I try to be ketogenic. No corn oil, canola oil, or other nasty fake oils. I try to eat as clean as I can afford to—I would love to eat nothing but grass-fed meats but they’re really expensive, so I do the best I can.
Would this work for everyone? I don’t know—it’s working for me. When I lose the rest of the weight I want to lose, maybe I’ll add in some more carbs (more fruit, probably) if I want to, but I don’t feel an overwhelming need to do so. Or even a slight need to. I suspect it would be good for anyone with diabetes, autoimmune diseases, neuropathy, fibromyalgia, or other chronic conditions to at least give it a month-long trial to see if it helps. Others have said the first week to ten days of switching to lchf makes them feel kind of ill, but I didn’t find this at all (maybe I was just lucky?) One or two weeks is not long enough to try it—give it at least one month, longer if you wean yourself instead of jumping in with both feet. I couldn’t believe how quickly I started feeling better when I switched—and I switched about two weeks after I’d had major surgery. Experiment with the right level of carbs—it’s different for everyone.
My current problem is most of my clothes are too big and I don’t want to replace them yet because, well, I’ll lose more weight. What a problem to have, huh?
What do I do to make this work? Well, I use FitDay to track what I eat, weigh, do, etc.—tracking and measuring my food and weight helps keep me on track. I follow Diet Doctor, Authority Nutrition, and a few other lchf/paleo sites (most of the ones here: http://www.dietdoctor.com/new and a few others). I track my blood sugar at least three times a day (fasting, before dinner and after dinner). I weigh myself every morning. I drink lots of water. I have bulletproof coffee every day (coffee with coconut oil and butter and heavy cream—my version) because I love it and it gives me good energy. I read Why We Get Fat: And What to Do About It by Gary Taubes (excellent book) and recently read Diet 101: The Truth About Low Carb Diets by Jenny Ruhl (pretty good—the reality that it’s not an overnight miracle for weight loss for most people, especially for middle-aged, post-menopausal women!) and this site for diabetes information: Blood Sugar 101 (anything by the American Diabetes Association is bullshit).
It’s been an interesting year. And it feels good to be writing again.
In February, I was diagnosed with diabetes. I was told I was pre-diabetic in spring 2012, but didn’t pay attention to it. Big mistake.
The doctor prescribed metformin, I went to Diabetes Class at Norwalk Hospital—I guess one needs to learn how to be a diabetic (Stanley went too—so he could learn what’s what and know enough for me not to be able to bullshit him) and embarked on a Mediterranean-type diet. The Flat Belly Diet. Which I’d been on quite successfully in 2008 until my Mother died. All bets were off then and the weight crept back up. The goal is to lose enough weight, and control the blood sugar well enough, to get me off metformin (I hate taking meddies). And also get my hypertension under control so I could go off hydrochlorithiazide and losartan (I have no idea of those are spelled correctly).
The trip to the doctor was initially to check up on my blood pressure, but I’d also gone through a very heavy period. Which was strange considering I am in menopause. So that concerned the doctor as much as the diabetes and he told me to get to the gynecologist right away. I needed to get the usual preventative tests done, anyway, so I saw her the next week, I think.
Pap smear, mammogram both normal. But the gynecologist wanted an ultrasound done to check on the bleeding, and the ultrasound showed a mass was present. Which led to a D&C and biopsy.
I was diagnosed with endometrial cancer in early May. It was weird: I knew I had cancer before it was diagnosed, like in February when I had that heavy period, but it’s hard to hear it confirmed. Worse for Stanley, I think.
By June 12, I was in Bridgeport Hospital getting my uterus, fallopian tubes, and ovaries removed. Along with some lymph nodes for good measure. By this time, I’d lost 30 pounds, but my blood readings were not settling down into the ranges I wanted them to be in.
But, I had a post-surgical weight gain of 15 pounds! All that work ... it turns out it’s normal to put on a bunch of water weight due to the surgery. I wish they would’ve told me before so I wouldn’t have been so freaked out about it. I managed to get rid of all the extra weight in about three weeks. And the cancer is gone—it hadn’t spread or anything so I didn’t need any further treatment, just a followup every six months for the next few years in case some of the cancer cells escaped and were missed during surgery. I have a lot to say about what I went through, but I’ll save that for future posts.
So that huge worry was lifted off our shoulders.
But the blood sugar levels were still too high, and too uneven, and I started to worry about having to go on insulin sooner or later. I thought I was doing everything right when it came to how I was eating: low fat except for the good fats, kept my calories in way lower than my calories out. Yeah, I lost about five pounds a month, but I was always hungry, had cravings for bread and ice cream and pasta and it was really hard not to eat the entire pint of sea salt caramel gelato all by myself, and my blood sugar readings were all over the map, though not quite as high as they had been in March and April.
Then I watched a TED Talk given by Dr. Peter Attia about obesity and diabetes—it blew me away. Which led me to Gary Taubes’ work on fat and carbohydrates and sugar, then on to other research about diabetes and carbohydrates and how fat doesn’t make you fat ... it all made sense to me: ditch the carbs. (I’ll document the sources later—I’m too sleepy to look everything up now.)
So, on July 2, I switched to a low-carb, high-fat died. No more bread or gluten, no more sugar outside of what I get in fruit. Lost eight pounds in six weeks, which is cool, but even better is my blood sugar seems to be stabilizing at a much lower reading than I ever saw on the low-fat diet. I’m feeling so much better without gluten and all that sugar it’s hard for me to believe it’s not just the placebo effect—how long does that last? I’m in a much better mood. I get more work done and can concentrate longer on the detailed, rote stuff that is the part of designing and building websites I don’t like.
So far, it seems to be working well for me. I had blood labs done earlier this week and will get the results on Monday—I hope my A1C is lower but I recognize that I had the stress of major surgery and recovery during the last three months so I’ll be glad if it hasn’t gone up. I think my doctor ordered a whole range of tests from blood sugar to thyroid to the usual—unless something is seriously out of whack I plan to continue my low-carb ways. Mainly because I feel so damned much better. And my blood pressure is way down, too.
Stanley is very tolerant.
I learned how to make bread out of peanut butter and eggs—that’s what I’ll write about next. Needed it so I could make a grilled cheese sandwich now and then—lettuce just won’t work for that ...
Recently, the city put in a new sidewalk. Such at it is—an ugly macadam stretch on one side with a nice cement pavement on the school side. At any rate, they cut back a lot of the hedge fronting the road and later, Stanley thinned out the multitude of rogue maple trees. So it’s looking kind of sparse. Sooner or later it will fill out again (there’s no denying privet). But to fill it out a little, we decided to plant morning glories. So we did: scarlet, pink/chocolate, double-flowered, heavenly blue ... we’ll probably regret it since they are practically a weed around here, but for now I’m looking forward to their blooms in a month or two.
We have a lot of yard work to do over the next couple of weekends. I would like to get the tomatoes in next weekend. I have surgery coming—I won’t know when until Thursday—so I want to get as much as possible done before then.
Surgery. Yes. A hysterectomy and bilateral salpingo-oophorectomy (removal of the uterus, ovaries, and fallopian tubes). Why?
A. Endocervical curettings: Inflamed endocervical glands. Detached fragments of squamous epithelium without significant histopathologic abnormalities.
B. Endometrial curettings: Complex glandular hyperplasia with atypia focally involving a polyp. Fragments of lytic endometrium. (See Comment).
C. Endometrium, “mass”, tissue: Complex glandular hyperplasia with atypia in a polyp and in detached fragments of endometrial tissue. (See comment).
In several areas the complex glandular hyperplasia with atypia borders an endometrioid adenocarcinoma. Some of the changes appear to be involving a polyp. Clinical correlation is essential.
I knew, before the d&c and biopsy, that I had endometrial cancer. I don’t know how I did. But it was still a blow to sit and hear my gynecologist, Dr. Marrone, confirm it. I knew it was going to be bad news when she asked if she could bring my husband back. Stanley said when he saw her, he thought “Oh shit.”
Yes, I know it’s very early and I know I’m lucky I actually paid attention and got my post-menopausal bleeding checked out. But it’s still terrifying.
Dr. Marrone set up an appointment with Dr. Masoud Azodi, a gynecologic oncologist from Yale-New Haven. We will see him on May 23. He’s got a terrific reputation. Chances are good that I will get to have da Vinci surgery so I’ll recover faster. I have a hundred questions.
My sister Jamie asked me how I feel about having a hysterectomy. I always thought that I would avoid it at all costs. But I told her that my reaction is “get it out of me—I don’t want to die from cancer.” I’m dreading the operation and the recovery period and I’m afraid of general anesthesia, but I’m trying not to think about it too much until we see Dr. Azodi and can ask him questions.
I found HysterSisters.com and joined that forum. But other than reading their booklet and introducing myself, I haven’t spent much time there. I think because it’s not quite real to me. Or maybe because I’m leery of becoming a, I don’t know how to describe it, professional patient? I think that’s why I haven’t looked at any cancer support forums yet. Right now, I just want to get rid of the problem and move on with my life.
It’s a bit odd, but I’ve been feeling a bit calmer lately. Not sure why. Maybe it’s because I know exactly what the problems are these days, if not quite how to solve them. Let’s just say we’re a very long way from ever becoming part of the 1% (oh rub the Powerball God’s belly) or even the 25%, but I believe, finally, that sooner or later, we’ll be okay. (Just wish it wasn’t such a slog!) That’s all we want: to be okay. Health stuff too, but we’re getting there, also.
My October goal: to redesign our company website. It’s like the cobbler’s kids, running around with holes in their shoes because the cobbler is so busy making money to feed them he doesn’t have time to tend to thier shoes.
And to finish organizing the house—which I made a pretty good dent in before we went on vacation in August. Ah, maybe that’s it—why I feel calmer—I think so much better when there are no piles of clutter and when I know exactly what the issues are.
It’s also starting to sink in that as long as I accomplish something, I don’t have to feel badly for not accomplishing everything on my to-do list. I have to remember: they’re goals, not deadlines.
One thing that still puzzles me, though: why would people who barely have a pot to piss in, or will never, ever be in the 25% (let alone the 1%) unless they win the lottery, supporting Romney? I just don’t get it.
Another day of getting back-burnered stuff done. Mainly cleaning up comment spam on two different websites and adding to the blacklists. Installing a program, Carefree Ad Manager by Will Bontrager, that counts impressions and clicks on ads so we can tell advertisers how well (or not) their ads are doing. Which will let us offer another service to our advertisers, perhaps.
What I didn’t get to, again, was updating our company website or company Facebook page. Or cleaning the house. Spent a good amount of time last weekend getting rid of paper so I could clear it off my desk—I tossed and shredded enough to fill at least one huge trash bag. I wanted to empty crap from at least one office cupboard this weekend, but didn’t get a chance. Nor did I get any gardening done—I wanted to at least get one pot planted. Tomorrow I will.
My goals this week, aside from work: spend about 30 minutes a day catching up with the cleaning and another 30 minutes in the garden. And not watch the political blowhard pundits flapping their jaws for at least a few more days. I miss the days when the 24-hours news channels had, you know, news and not wall-to-wall bullshit opinion shows, full of the sound and fury ...
I am being summoned for dinner.
Steamy out today—lots of sun and lots of muggy. I think we need to get some fresher Off as the stuff we have now doesn’t seem to be working anymore (it’s about five years old ... )
We did get some tomatoes and other plants—the garden is not quite ready for planting, still a little too muddy. And did I say it’s steamy out today? I played with the dogs instead.
What fun is there in having new software if you don’t play with it?
No particular point to this entry. I just feel like posting some photos of our creatures. Sans Pepper. She remains as hard for me to photograph as she can (Stanley gets better photos of her).
It’s been a long time. I miss blogging.
The hedge looks great, the front is complete. However, Stanley fell off the ladder when he was climbing down, and has a scrape on the back of his head and he hurt his wrist. He didn’t knock himself out and he says he’s ok. I plan to hold the ladder the next time—I couldn’t bear it if he ended up in the hospital.
We lost Twitch Thanksgiving weekend. He had a heart murmur and we knew he was on borrowed time, but it still hit us hard. Slink was lost without him, so we knew we needed to get him a buddy. Pepper adopted us when we met her at the Connecticut Humane Society in Westport on December 1, 2012. She’s a tuxedo cat and pretty much runs the house buy now.
I’ve neglected the housekeeping on the blog—it’s going to take a while to clean out all the spam comments that have accumulated. And upgrade it to the latest and greatest and final version of ExpressionEngine 1x. I need to update the home page to include photos of our current furry family, and update other pages. I’ll get it done.
I do miss blogging. Facebook just doesn’t do it for me—it’s too impersonal. Now that I’ve taken the first step in getting back, I hope I keep going.
More snow. Another 17 inches. Or 15 inches, depending on what measurement you believe. Yesterday we got three inches. I am so tired. Another day of work lost to shoveling. Stanley did most of it (he’s still out working on enough more so we have a turnaround). We’re legal, the sidewalk has a foot-wide path between 3.5-feet-tall snow walls. The car is cleared off, including the top so we don’t get a ticket.