Ever since I was diagnosed with diabetes, I've been struggling with my weight. I remember when I thought being a size 14 made me feel huge. I remember looking at horror when the scale hit 155 while I was married to my first husband. I even went to a psychiatrist because I thought there was something mentally wrong with me that I would allow myself to get "that fat". (I weigh more than that now.)
When I met Mac, I was a size 7. In 1995, when we got married, I had gone up to between a 12 and 14 and had gained about 30 pounds. In the next four years I gained 30 more and was diagnosed with diabetes.
I've always been at risk. I have always had a large waist in proportion to my hips - a trait I inherited from my mom and grandmother (both were diabetics) Even when I was a skinny kid, I had to wear bigger sizes to fit my waist. In the 9th grade, I wore a larger size than my mom even though I was thin (she was petite until after my youngest brother was born and she had to have a hysterectomy - the hormonal imbalance was probably the largest factor in her weight gain.)
So about diabetes. . .
It usually starts out as glucose intolerance in type 2 diabetics. The glucose (sugar) attaches itself to the blood. The pancreas secretes insulin, which is like the key to unlock cells to allow the glucose in, to give energy. When the cells won't open up, it's called glucose intolerance. When the glucose has nowhere to go, it turns into fat and settles around the middle. Excess belly fat promotes glucose intolerance. Thus you can see it's a cycle. (Excess fat around the middle causes glucose intolerance, which, in turn, causes excess fat around the middle.)
So while some people can lose 1-2 pounds a week, I'm lucky to lose 1-2 pounds a month. And that's with a LOT of work. But this year I've been managing to do that (1-2 pounds a month). And since I saw my dietician, I've been doing even better, because my glucose readings are coming down. I bet I'll have a great checkup in September. I have a feeling my A1c will fall below the ADA recommendation of < 7.0 - and maybe even lower than the American Association of Clinical Endocrinologists recommendation of < 6.5.
Non-diabetics would have an A1c of about 4.5 or less.
I just have to keep telling myself "Slow and Steady wins the race."
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