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Message: <blockquote data-quote="HairySmurf" data-source="post: 2670205" data-attributes="member: 583820">Hit a milestone today – 10 Kg lost since diagnosis, around 1.6 stone, 10% of my body weight.I did some reading when I was diagnosed and my doctor very strongly urged me to lose weight, and I set out to lose 1Kg or 1% of my body weight per week, whichever is smaller. This maximum rate, apparently, will help to avoid health problems due to over-rapid weight loss, such as gallstones. I couldn’t find anything in the way of evidence for it, and 1Kg seems like a suspiciously round number, as if someone pulled it out of thin air, but in the absence of better advice that became my goal. I did manage to hit and keep to 1Kg per week for a while but then Christmas came, diet suspended, and I started an SGLT2 inhibitor at around the same time. My weight loss rate has gone a bit haywire lately, though hopefully I’ll get it settled again soon.I did it the old fashioned way, counting calories in every meal for six weeks, eliminating all the worst meals and replacing them with better ones. Along the way I of course cut my carb intake by quite a bit but have not yet embarked on a very low carb diet. I’m still on the fence on that one – lots more to learn.I also increased my exercise, mainly by walking on 3 days, resting for 1, then repeat, and gradually increasing the distances I walk. I was pretty sedentary for a few years so even walking my bulky self a couple of miles caused aches and pains. Very much easier now.It hasn’t been easy, but it has been very straightforward.  Calories go in, calories go out.  I’ve felt like I had very low energy for a few hours on many a day and often felt hollow in the run up to meal times and at bedtime, but it has been tolerable and has gotten easier over time. My goal is to lose another 10 to 15 Kg as quickly and as safely as I can, which I hope will improve my levels of insulin resistance quite a bit and drop my blood pressure and cholesterol levels. At that point I’ll start to analyse everything I eat in detail with blood testing and evaluate what I can achieve by tightly controlling carbs, and whether I have the option to reduce or cease my medication. Time will tell.[ATTACH=full]65392[/ATTACH][ATTACH=full]65393[/ATTACH]</blockquote>

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