I went for a consultation last week to discuss bariatric surgery with the local team of experts. I am pretty borderline for consideration with a BMI of just under 39 but of course have a co-morbidity, being diabetes. I already attempt to follow a calorie and carb controlled diet and even when doing it very strictly with plenty of exercise, didn't lose so much as a gram.
A very interesting discussion ensued with the consultant who informed me I had an atypical body type for a diabetic in that I am a pear and not an apple, the slow heart rate of somebody that obviously takes plenty of exercise and generally in very good health. She also said that if measurements were being based on hip to waist ratios I wouldn't even be sitting there and on returning home and measuring and googling, I only just fall outside of an excellent hip/waist ratio! All very uplifting to be told by an endocrinologist that I didn't really need to be sat there, but it still doesn't sort the social stigma of being "big" and the utter inability to purchase clothes for my body shape.
So then I saw the dietician and they like you to lose 10% of your body weight so for the next 8 weeks I am to follow a 1200 calorie and restricted carb diet. Tbh this is no different to what I was doing last year when I was seeing a different endo to try and sort my spiking levels but it didn't result in any weight loss so that is worrying me for sure.
Both the endo and dietician told me I am the hardest sort of person to help to lose weight, don't I know it, that is why I was sat there in the first place. I am sick of reading of people low carbing, upping exercise and the stones dropping off when it makes not an iota of difference to me. In fact, neither of them could figure out the following - having had 2 lots of knee surgery last year and done less exercise this last 6 months than ever before, and with Christmas just gone past, I have mysteriously dropped 1.5 kg since last October!
Anyway, they are willing to work with me and see me again after 8 weeks to see how the diet has gone so at least I am now getting some professional input. We were somewhat at odds with me reluctant to accept spikes in my levels from the foods they want me to eat having finally got things under control and my HBA1C at an acceptable level. They assure me that short term it isn't dangerous to my health. I can't find any links to scientific data about what levels and length of spikes cause harm or otherwise. So, the journey begins, be interesting to see how it unfolds.
She told me I am extremely unlucky to be diabetic and that it is highly unlikely to be lifestyle related but genetic, she also said it is unlikely to improve with weight loss which is something of a blow if I am honest. Again, you read of people losing it overnight once surgery has been done but they don't think that is going to happen to me, hmmm. I have reached a difficult decision to try and find my blood parents because I really want some family history medical questions answered. I have set the wheels in motion on that one........... watch this space.
Ali
A very interesting discussion ensued with the consultant who informed me I had an atypical body type for a diabetic in that I am a pear and not an apple, the slow heart rate of somebody that obviously takes plenty of exercise and generally in very good health. She also said that if measurements were being based on hip to waist ratios I wouldn't even be sitting there and on returning home and measuring and googling, I only just fall outside of an excellent hip/waist ratio! All very uplifting to be told by an endocrinologist that I didn't really need to be sat there, but it still doesn't sort the social stigma of being "big" and the utter inability to purchase clothes for my body shape.
So then I saw the dietician and they like you to lose 10% of your body weight so for the next 8 weeks I am to follow a 1200 calorie and restricted carb diet. Tbh this is no different to what I was doing last year when I was seeing a different endo to try and sort my spiking levels but it didn't result in any weight loss so that is worrying me for sure.
Both the endo and dietician told me I am the hardest sort of person to help to lose weight, don't I know it, that is why I was sat there in the first place. I am sick of reading of people low carbing, upping exercise and the stones dropping off when it makes not an iota of difference to me. In fact, neither of them could figure out the following - having had 2 lots of knee surgery last year and done less exercise this last 6 months than ever before, and with Christmas just gone past, I have mysteriously dropped 1.5 kg since last October!
Anyway, they are willing to work with me and see me again after 8 weeks to see how the diet has gone so at least I am now getting some professional input. We were somewhat at odds with me reluctant to accept spikes in my levels from the foods they want me to eat having finally got things under control and my HBA1C at an acceptable level. They assure me that short term it isn't dangerous to my health. I can't find any links to scientific data about what levels and length of spikes cause harm or otherwise. So, the journey begins, be interesting to see how it unfolds.
She told me I am extremely unlucky to be diabetic and that it is highly unlikely to be lifestyle related but genetic, she also said it is unlikely to improve with weight loss which is something of a blow if I am honest. Again, you read of people losing it overnight once surgery has been done but they don't think that is going to happen to me, hmmm. I have reached a difficult decision to try and find my blood parents because I really want some family history medical questions answered. I have set the wheels in motion on that one........... watch this space.
Ali
I can never find clothes to fit me either and if I do I look like I am either pregnant or trying to look like a marquee !
