Overweight, now diabetes

I feel really stupid I didn't see it coming. I haven't officially been diagnosed and possibly I won't be for a while, but my own private blood sugar testing has shown some spikes up into the Definitely Diabetes range. If it EVER gets that high, if it EVER takes three or more hours to come down to a reasonably normal range, most sources say that is diabetes, no longer "pre-diabetes" but there's still some doubt about it and I'm still hoping I'm not really over the line yet. The one time it spiked up to 204 and took three hours to come down to 118 (Normal is 70-100) I was testing myself on a very high carb meal of chips (Spicy Nacho Doritos) and lemonade (Simply Lemonade brand). I measured both very carefully, tallied the calories and the carbs and I have to say that that was a very modest indulgence for me -- a SMALL bag of chips, not the usual 3/4 or more of a large one, a measured cup of lemonade, not the usual guzzling of what must have amounted to over 20 ounces. I shudder to think what I was doing to myself on those periodic binges.

A couple years ago I got worried about my blood sugar and got a blood monitor. My readings were pretty low as I recall. I lost the monitor, wish I could find it and whatever notes I took at the time. I concluded I was hypoglycemic, I remember that much, and was relieved I wasn't diabetic but also felt a little foolish for being worried about it. Not foolish at all as it turns out, I was on the way to diabetes even then but didn't put two and two together. You'd think I'd have seen it coming but I didn't.

I didn't change my eating at that time but it might have saved me what I'm going through now with HAVING to change my eating or ELSE. For one thing I never thought of my eating pattern as being bad for me. I go for fresh natural foods, I eat lots of vegetables, I don't drink sodas, I very rarely even eat a hamburger. BUT I WAS eating too many potatoes, fried, hash browned, baked, boiled and mashed, whatever, I was really into potatoes, and if I had spaghetti I always had seconds, and any other pasta as well. I would make the occasional sugary dessert and usually ate too much of that too. A local bakery has a great raspberry cream cheese croissant. That and a cafe latte were an occasional indulgence. Not very often but still, now I think of it as death by carbohydrates. One thing that's been hard to get into my head is how much carbohydrate there is in milk. That latte packs a powerful carb punch of its own on top of the lovely flaky fruity creamy pastry.

Never had soda pop but lemonade has just as much sugar in it and has exactly the same effect on blood sugar. Not that I drank a lot of lemonade either but it's SO good on hot days. I'd also get that great juice mix of banana, pineapple and orange from time to time and drink it over ice cubes. Same thing carbohydrates-wise. You can't just have a little bit of such tasty thirst-quenchers either, at least I can't, has to be a couple of large glasses at a time. Again I shudder at the thought of all that sugar bombarding my system and overwhelming my poor pancreas. If I weren't overweight and had been more active -- hard to do with painful arthritis of the hips -- perhaps it wouldn't have been such a dangerous thing to have such periodic indulgences, but the overweight and the inactivity are all part of the syndrome on the way to diabetes.

Why DIDN'T I see it coming? Isn't the national obesity problem in the news enough these days, and the rising incidence of diabetes too, for that matter?

I didn't even register that hypoglycemia is one of the steps to diabetes, when it seemed that was my problem a few years ago. Well, that's probably understandable. How often do you hear that connection made?

A year ago I went to the doctor about worries about taking NSAIDs for my hip pain. He put me through some general testing. My renal function was OK, which is the main worry with NSAIDs, but I was told my fasting blood sugar was a little high. I had no idea what that meant and the doctor didn't explain. Maybe he expected me to know, but I didn't. It doesm't sound good but it doesn't necessarily sound bad either -- a LITTLE high. We discussed diet and the necessity of losing weight, but I've also known for a long time I needed to lose weight and didn't put it together with the slightly high blood sugar reading. It's not easy losing weight, I've tried for years off and on, make some headway and then regress, so unless I'm told something flat-out like You are on the way to getting diabetes UNLESS you lose weight I just sort of figure OK I can try again, but I don't really have much hope for it. I did try again. I lost five pounds. But I wasn't very motivated. I wasn't putting two and two together yet.

I started putting on weight when I quit smoking in 1989. At times in the previous twenty-five-plus years I'd smoked as much as three packs a day. I did quit for a while in my thirties but went back, never again got as high as three packs after that, but still over time I accumulated an awful lot of pack-years. After I became a Christian in the mid-80s I was able to quit finally by giving it all to God, in 1989.

Then I started gaining weight. Do you eat more when you quit smoking or is it just that your metabolism changes?

Anyway I slowly put on weight. In the early 90s I put myself on a drastic self-invented diet and lost a lot, in fact too much. I'd cut out nearly all fat and my daily calorie count was ridiculously low, something like 700-800 a day. My hair and nails got dry and brittle. That was the clue that fat is necessary. It wasn't exactly a healthy diet for those reasons although I did stick to basic natural foods, lots of fresh vegetables, and it certainly worked. I also do have to say I felt good on it: aches and pains went away, stomach problems went away, had a big boost in energy.

Of course after that I started gaining it all back bit by bit. An artificial diet aimed strictly at losing weight is just impossible to live on indefinitely. Took, oh, another ten years to reach my maximum weight, just a bit short of 200 pounds -- on a frame that carries about 130 comfortably and 125 ideally. By that time I was sitting in front of a computer almost all the time, hardly ever got any exercise, had developed severe arthritis in both hips that made even walking difficult, and I was more or less resigned to the situation.

I'd still diet occasionally, usually Atkins style. It does work but I was never able to do it strictly and never stayed on it long enough to give it a real test -- I'd lose a few pounds, even up to ten or more, but then abandon it.

Partly I was just never sure about its claims: is this a good way to eat or not?

Then a few months ago I noticed I had this sweet smell about me. Very odd. Also a yeasty sort of smell. It was in my clothes, in my bedding even. I didn't think much of it for quite a while but then it hit me. Uh oh. Yeast thrives on sugar, my skin smells sweet. Is sugar coming out of my pores or what? What does that make you think of? Yeah, diabetes. So I looked it up on line but the usual diabetes sites never mention a sweet smell as a symptom. Then I finally found a message board where one person said she had that symptom and wondered what it was. She said she smelled "like cookie dough." Exactly! At last! The other contributors to the board had never heard of it either but most of them immediately thought *diabetes* -- better go get it checked out.

So I bought another blood glucose monitor, cut down my calories and carb intake, started reading up on diabetes, and eventually made an appointment with the doctor.

So abruptly, startlingly, I finally put two and two together. NOW I'm motivated. Fear is a wonderful motivator. I am losing weight. I've lost over thirty pounds and am still losing. It's slowed down but as long as the trend is still downward I'm content. I know I'm doing something right and it's going to keep going even if there are some lengthy plateaus on the way. My blood sugar readings are rarely down into the normal range, but they aren't really high either as long as I watch what I eat, and I'm hoping to learn how to master the situation until they ARE normal.

And that first of all means keeping carbs to an absolute minimum.

It's the carbs that raise your blood sugar, nothing else, just carbs. It doesn't matter if it's "good" carbs or "bad" carbs, they ALL raise your blood sugar. The only difference is that the good carbs often come with enough fiber to slow down the effect, and if you eat them along with protein and low-carb vegetables that also helps keep them from spiking your blood sugar level. But still, they have to be kept to a minimum. They DO raise your blood sugar, there is no getting around that, and it's high blood sugar you want to avoid because it's the high blood sugar that does all the damage to your body in diabetes. The bad carbs have to go out just about absolutely.

NO MORE SUGAR
NO MORE RECIPES THAT REQUIRE FLOUR
NO CEREALS OF ANY KIND
NO POTATOES, RICE, PASTA AT ALL UNTIL FURTHER NOTICE
HARDLY ANY BREAD.
NO FRUIT EITHER.
JUST LOW CARB VEGETABLES, AND MEAT AND OTHER PROTEINS