Just coming to terms - and hello

liarsdance

Well-Known Member
Messages
221
Type of diabetes
Treatment type
Diet only
Hello - another T2 noob here. I'm a 62 year old retired nurse and have been an overweight sugar addict for the whole of my adult life. I'd tried many, many diets (including low carb at one point) over the last 45 years, but all I seemed to do was lose and regain the same 10kg, then add a few more kg for good measure. And this frustrating pattern is largely due to my inability to stick with any of these diets. Since I retired back in 2010 I'll admit that I fully adopted the 'ladies who lunch' lifestyle. It was huge fun but with all those long lazy lunches and afternoon teas, I knew my weight was going up and up. However, I never knew by how much (until very recently) as I avoided the scales at all costs; I was definitely in denial. But despite my denial and profoundly irresponsible way of eating (especially given that as a nurse, I had a good knowledge of nutrition) deep down I remained concerned about my health – and I was right to be concerned.

I'd been diagnosed with hypertension and atrial fibrillation back in 2007, both of which are well controlled with medication and I take warfarin for stroke risk reduction in relation to my arrhythmia. I also have osteoarthritis in both knees. But despite having these long term conditions, I still continued to eat all the sweet, sugary stuff; chocolate, ice-cream, cakes, biscuits and bread – lots of bread. So if I'm honest, it wasn't really a surprise when on April 19th 2018, my chickens came home to roost, so to speak. Following an overdue but routine blood check, I was found to have an HbA1C of 52 (the previous one had been 39...). But not being surprised by the result, doesn't mean I wasn't shocked by it - because I was; I'd had none of the 'classic' symptoms of tiredness, thirst, visiting the loo more often or blurred vision. I suppose deep down, I believed (somewhat irrationally) that I could somehow get away with this appalling way of eating – that somehow my body could cope with the onslaught. But it seemed that it couldn't.

Anyway, my GP was warm and supportive, not in the least judgemental of my carb addicted lifestyle and sympathised with my lifelong frustration with not losing weight. I said at the outset that I didn't want to take any more medication and she said that was fine, 'let's find a way for you to reverse this thing with our support.' It was at this point I realised that a) I had just received the biggest boot up the backside imaginable - and b) that I could and would 'reverse this thing'. I was told I needed to have a repeat blood test (which I had 8 days later) to confirm diagnosis - and during that time I re-engaged with this community (I had visited before but not for the last year or so), read everything Jason Fung had ever written on the subjects of losing weight and treating T2 diabetes - and read/watched/listened to pretty much everything on the Diet Doctor website too. I also restarted a low carb diet combined with daily 16:8 fasting initially and started walking 3 miles a day. After the second blood test, I saw the nurse at the practice to discuss the results and the way forward. My repeat HbA1C was 48 - which though only a little less than before, made me feel a lot happier; a downward move was good. I left the surgery feeling positive and energised and knowing that my choice to tackle my weight and T2 with LCHFMP and intermittent fasting for the rest of my life, was wholly supported.

Since then I have fully embraced a 'keto' life, eating 20-25g carbs a day, and extending my fasting to 24h three times a week and so far, have lost 7kg. I'm not interested in doing longer fasts as I want to eat with my husband each evening – and besides, I'd likely screw up my INR (warfarin/clotting balance) if I fasted for more than 24 hours. I'm going back in 3 months for a repeat blood profile and I'm hoping for a significant drop in that HbA1C. Wish me luck (and profuse apologies for the waffle and if I've posted this in the wrong place)!
 

Diakat

Expert
Retired Moderator
Messages
5,591
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
The smell of cigars
Hi and welcome. I am sure some T2s will be along soon to say hello.
 
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bulkbiker

BANNED
Messages
19,575
Type of diabetes
Type 2
Treatment type
Diet only
Hi and welcome
You've certainly it on what I consider to be the best way of keeping thi condition well under control and from two of my fave doctors as well.
Well done for taking control and doing something about it.
I'm sure with your positive attitude you will achieve great things so good luck!
 
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archersuz

Well-Known Member
Messages
1,213
Type of diabetes
Type 2
Hi and welcome. I was diagnosed with an HbA1c of 52 and got it down to 35 within 3 months due to LCHF and walking miles every evening. It sounds like you are already well on your way to achieving a fantastic result, well done.
 

Bluetit1802

Legend
Messages
25,216
Type of diabetes
Treatment type
Diet only
Blimey, you have certainly hit this running! Well done for being so proactive, and if you continue you have every chance of bringing your blood levels down within the non-diabetic standards. (under 42), although once that is achieved, the hard work really starts!

Do you have your own blood glucose meter? If not, I strongly urge you to buy one. Without it you are working blind and guessing. Waiting months for an HbA1c is no way to control matters. We can help you with all this.

Have you researched all your medications? Quite a few are known to increase BS levels, and even contribute to a non-diabetic crossing the threshold. Beta Blockers are among these, if you are on those, plus steroids and statins, and others.
 

Rachox

Oracle
Retired Moderator
Messages
15,881
Type of diabetes
I reversed my Type 2
Treatment type
Tablets (oral)
Hi liarsdance. We are twins separated at birth! I was a nurse til I retired at 55, grabbed my pension and ran, well hobbled due to osteoarthritis. I too spent much of my adult life yoyoing from one diet to another but more recently just avoided scales and didn’t bother anymore. Got caught with an HbA1c of 70 a year ago on an annual check up for BP. I have been low carbing and self monitoring along with Metformin and my HbA1cs have been non diabetic since last September. I was on Ramipril and Amlodipine for my BP. Amlodipine can raise blood sugars so as my BP came down as I lost weight and regained blood sugar control, after discussion with my GP I’ve dropped the Amlodipine and my sugars dropped a little further. Looking to reduce my Metformin at next review but happy to stay on a smaller dose and Ramipril due to their protective benefits. My arthritis has benefitted from losing weight but even my non weight bearing joints have improved, I believe due to the anti inflammatory effects of a low carb diet.
You sound like you’ve got the bull by the horns already so welcome to the best corner of the internet for us Type 2s!
Has anyone tagged @daisy1 for you for her welcome info post?
 

h884

Well-Known Member
Messages
391
Type of diabetes
Type 1
Treatment type
Pump
Hi there, . My history sounds very similar to both of yours Liarsdance and Rachox. I retired as Nurse aged 58 and have arthritis. Unfortunately I have progressed to insulin as was unable to tolerate and of the Diabetic dugs

Hope you find the forum useful
 
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liarsdance

Well-Known Member
Messages
221
Type of diabetes
Treatment type
Diet only
Hi liarsdance. We are twins separated at birth! I was a nurse til I retired at 55, grabbed my pension and ran, well hobbled due to osteoarthritis. I too spent much of my adult life yoyoing from one diet to another but more recently just avoided scales and didn’t bother anymore. Got caught with an HbA1c of 70 a year ago on an annual check up for BP. I have been low carbing and self monitoring along with Metformin and my HbA1cs have been non diabetic since last September. I was on Ramipril and Amlodipine for my BP. Amlodipine can raise blood sugars so as my BP came down as I lost weight and regained blood sugar control, after discussion with my GP I’ve dropped the Amlodipine and my sugars dropped a little further. Looking to reduce my Metformin at next review but happy to stay on a smaller dose and Ramipril due to their protective benefits. My arthritis has benefitted from losing weight but even my non weight bearing joints have improved, I believe due to the anti inflammatory effects of a low carb diet.
You sound like you’ve got the bull by the horns already so welcome to the best corner of the internet for us Type 2s!
Has anyone tagged @daisy1 for you for her welcome info post?

Thanks for the lovely welcome! It's nice to know I have a twin somewhere :) I've been thinking about my meds; I'm on bisoprolol and lisinopril and I'm going to look into those and discuss at my next review. I too am hoping for an improvement in my knee pain as things progress! Thanks again
 

liarsdance

Well-Known Member
Messages
221
Type of diabetes
Treatment type
Diet only
Hi there, . My history sounds very similar to both of yours Liarsdance and Rachox. I retired as Nurse aged 58 and have arthritis. Unfortunately I have progressed to insulin as was unable to tolerate and of the Diabetic dugs

Hope you find the forum useful
thank you - much appreciated :) I'm sure I will find it helpful.
 

liarsdance

Well-Known Member
Messages
221
Type of diabetes
Treatment type
Diet only
Hi and welcome. I was diagnosed with an HbA1c of 52 and got it down to 35 within 3 months due to LCHF and walking miles every evening. It sounds like you are already well on your way to achieving a fantastic result, well done.
thank you - much appreciated! :)
 

liarsdance

Well-Known Member
Messages
221
Type of diabetes
Treatment type
Diet only
Blimey, you have certainly hit this running! Well done for being so proactive, and if you continue you have every chance of bringing your blood levels down within the non-diabetic standards. (under 42), although once that is achieved, the hard work really starts!

Do you have your own blood glucose meter? If not, I strongly urge you to buy one. Without it you are working blind and guessing. Waiting months for an HbA1c is no way to control matters. We can help you with all this.

Have you researched all your medications? Quite a few are known to increase BS levels, and even contribute to a non-diabetic crossing the threshold. Beta Blockers are among these, if you are on those, plus steroids and statins, and others.

Thanks - I must admit in some weird way, this diagnosis might turn out to be a blessing in disguise. I have got myself a meter and intend to look at my meds over the next month or so and see what might be done with them. But I don't want to upset my AF control so it'll be a balancing act, I think. Thanks again :)
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@liarsdance

Hello Liarsdance and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you like and someone will help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 

Crocodile

Well-Known Member
Messages
683
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
I can't have it often
Thanks for the lovely welcome! It's nice to know I have a twin somewhere :) I've been thinking about my meds; I'm on bisoprolol and lisinopril and I'm going to look into those and discuss at my next review. I too am hoping for an improvement in my knee pain as things progress! Thanks again
I hope so too. I've had a dicky right knee for years that got so bad that I could no longer go for my regular morning walk without popping 50mg of voltarin every day. Unfortunately, the voltarin was messing up my kidneys. Over the next few months I lost 18kg and the knee pain has gone. The weight loss will help with your diabetes as well in a big way.
Take care and good luck.
Glenn
 
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liarsdance

Well-Known Member
Messages
221
Type of diabetes
Treatment type
Diet only
@liarsdance

Hello Liarsdance and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you like and someone will help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
Many, many thanks gor
I hope so too. I've had a dicky right knee for years that got so bad that I could no longer go for my regular morning walk without popping 50mg of voltarin every day. Unfortunately, the voltarin was messing up my kidneys. Over the next few months I lost 18kg and the knee pain has gone. The weight loss will help with your diabetes as well in a big way.
Take care and good luck.
Glenn
I hope so too. I've had a dicky right knee for years that got so bad that I could no longer go for my regular morning walk without popping 50mg of voltarin every day. Unfortunately, the voltarin was messing up my kidneys. Over the next few months I lost 18kg and the knee pain has gone. The weight loss will help with your diabetes as well in a big way.
Take care and good luck.
Glenn
Thank you, Glenn - much appreciated :)
 

jayney27

Well-Known Member
Messages
1,643
Type of diabetes
Treatment type
Diet only
Hello - another T2 noob here. I'm a 62 year old retired nurse and have been an overweight sugar addict for the whole of my adult life. I'd tried many, many diets (including low carb at one point) over the last 45 years, but all I seemed to do was lose and regain the same 10kg, then add a few more kg for good measure. And this frustrating pattern is largely due to my inability to stick with any of these diets. Since I retired back in 2010 I'll admit that I fully adopted the 'ladies who lunch' lifestyle. It was huge fun but with all those long lazy lunches and afternoon teas, I knew my weight was going up and up. However, I never knew by how much (until very recently) as I avoided the scales at all costs; I was definitely in denial. But despite my denial and profoundly irresponsible way of eating (especially given that as a nurse, I had a good knowledge of nutrition) deep down I remained concerned about my health – and I was right to be concerned.

I'd been diagnosed with hypertension and atrial fibrillation back in 2007, both of which are well controlled with medication and I take warfarin for stroke risk reduction in relation to my arrhythmia. I also have osteoarthritis in both knees. But despite having these long term conditions, I still continued to eat all the sweet, sugary stuff; chocolate, ice-cream, cakes, biscuits and bread – lots of bread. So if I'm honest, it wasn't really a surprise when on April 19th 2018, my chickens came home to roost, so to speak. Following an overdue but routine blood check, I was found to have an HbA1C of 52 (the previous one had been 39...). But not being surprised by the result, doesn't mean I wasn't shocked by it - because I was; I'd had none of the 'classic' symptoms of tiredness, thirst, visiting the loo more often or blurred vision. I suppose deep down, I believed (somewhat irrationally) that I could somehow get away with this appalling way of eating – that somehow my body could cope with the onslaught. But it seemed that it couldn't.

Anyway, my GP was warm and supportive, not in the least judgemental of my carb addicted lifestyle and sympathised with my lifelong frustration with not losing weight. I said at the outset that I didn't want to take any more medication and she said that was fine, 'let's find a way for you to reverse this thing with our support.' It was at this point I realised that a) I had just received the biggest boot up the backside imaginable - and b) that I could and would 'reverse this thing'. I was told I needed to have a repeat blood test (which I had 8 days later) to confirm diagnosis - and during that time I re-engaged with this community (I had visited before but not for the last year or so), read everything Jason Fung had ever written on the subjects of losing weight and treating T2 diabetes - and read/watched/listened to pretty much everything on the Diet Doctor website too. I also restarted a low carb diet combined with daily 16:8 fasting initially and started walking 3 miles a day. After the second blood test, I saw the nurse at the practice to discuss the results and the way forward. My repeat HbA1C was 48 - which though only a little less than before, made me feel a lot happier; a downward move was good. I left the surgery feeling positive and energised and knowing that my choice to tackle my weight and T2 with LCHFMP and intermittent fasting for the rest of my life, was wholly supported.

Since then I have fully embraced a 'keto' life, eating 20-25g carbs a day, and extending my fasting to 24h three times a week and so far, have lost 7kg. I'm not interested in doing longer fasts as I want to eat with my husband each evening – and besides, I'd likely screw up my INR (warfarin/clotting balance) if I fasted for more than 24 hours. I'm going back in 3 months for a repeat blood profile and I'm hoping for a significant drop in that HbA1C. Wish me luck (and profuse apologies for the waffle and if I've posted this in the wrong place)!
Hello and welcome
I believe the biggest hurdle we face is accepting that we have this condition, it’s far too easy to keep putting off what can be done to turn things around
My story is fairly similar to yours, no outward signs or symptoms but a niggle in the back of my mind that this fate might be waiting in the wings for me. It was, and like you I was shocked and I’m not ashamed to admit I cried out of frustration and for the loss of my carefree eating choices.
However, I again, like you did the research and came to the conclusion that LCHF was the way to try to achieve what I wanted, reduced BG levels and weight loss. I’m happy to report I have achieved and am still achieving this and although I get an occasional desire to stick two fingers up and eat whatever I desire I don’t, my health is too important to be taken for granted plus I have a wonderful partner who I want to be here for and 3 gorgeous grandchildren to enjoy.
Good luck on your journey and if you need any support or a virtual ear and shoulder I’m happy to help if I can.
 

liarsdance

Well-Known Member
Messages
221
Type of diabetes
Treatment type
Diet only
Hello and welcome
I believe the biggest hurdle we face is accepting that we have this condition, it’s far too easy to keep putting off what can be done to turn things around
My story is fairly similar to yours, no outward signs or symptoms but a niggle in the back of my mind that this fate might be waiting in the wings for me. It was, and like you I was shocked and I’m not ashamed to admit I cried out of frustration and for the loss of my carefree eating choices.
However, I again, like you did the research and came to the conclusion that LCHF was the way to try to achieve what I wanted, reduced BG levels and weight loss. I’m happy to report I have achieved and am still achieving this and although I get an occasional desire to stick two fingers up and eat whatever I desire I don’t, my health is too important to be taken for granted plus I have a wonderful partner who I want to be here for and 3 gorgeous grandchildren to enjoy.
Good luck on your journey and if you need any support or a virtual ear and shoulder I’m happy to help if I can.
Thank you so much - your support is very much appreciated. I too spent a few moments thinking about all the ice cream I wouldn't be able to have any more - but as you say, health is more important! Thanks again