Monthly Archives: June 2016

My Typical Day Now

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I am trying to practice consistency in all areas of my life…nutrition, physical activity, stress management, time management, studying for my LMSW exam….and my blog. To help facilitate making the blog portion of my daily life more consistent, I’ve created a Facebook page just for my blog. https://www.facebook.com/wozaniwaste/

One of my biggest decisions in the last few weeks was to give up trying to make deadlines for powwows. My friends and family know that I love to sew. It’s a form of stress relief. I sew for my entire family and I take orders for friends and families. Over the years I’ve developed a habit of what I would refer to as “binge sewing”….meaning I get frantic about meeting a deadline and I end up spending all my time trying to get an item done for a specific powwow, either for my family or for an order. Powwow beaders and seamstresses are well acquainted with this. Lol. It is anything but “stress relief”. What occurs in those instances is that my cooking and healthy eating go out the window. My sleep is little to non-existent. I don’t take the time to exercise because I’m too focused on getting something finished. And my time and attention is taken away from my kids and family. I decided two weeks ago that I am no longer going to do it. The cost to my health and my family’s health isn’t worth wearing a new item immediately at a powwow, or even fulfilling an order. I will have to get used to giving a much more generous estimate on completion dates for orders. My family will understand if I don’t get something done. And I can deal with my own impatience of wanting something done right away. At least I think I can…..haha.

I also asked one of my former students, and recent MSW graduate, to be my study partner so I can finally sit for the LMSW test. Leaving myself to my own devices has resulted in no studying getting done. So I reached out and we have made arrangements to meet once per week to study together. I even downloaded an app she sent that sends me one practice exam question everyday. I am proud to say I got my first question right today. Lol.

So….my typical day consists of the following:

I try to get at least 6-7 hours of sleep. When I wake up I drink 2 big cups of water and have my beloved coffee. I just drink it straight up…no creamer or sweetener. I have to take a synthetic thyroid pill every morning on an empty stomach to treat hypothyroidism (was diagnosed in my early 20’s), so I have to wait an hour before I eat anything. My breakfast after the hour is either a smoothie made with unsweetened cashew milk, natural PB, whey protein powder, a handful of spinach and ice cubes, or I poach an egg and eat it on a slice of low-carb toast. Or low-carb toast and PB. It’s rare that I have the time and alertness enough to make a veggie omelet. The Metabolism Miracle book has a good “hot cereal” that I like to make as well on occasion. On days where I am really rushed I just use a shaker cup and throw some cashew or almond milk and a heaping scoop of protein powder and run out the door.

I pack my lunch every day to take to work. My lunch box today consists of leftover steak and pepper stir fry, an Atkins protein shake, celery and natural peanut butter, and a bag of mini sweet peppers. There’s a water cooler at work so I keep a 32 oz water bottle at my desk and I try to drink 2 a day. This sames me money and I’m not tempted my restaurant food that’s not in my eating plan.

I have a membership to the wellness facility at my work. Costs me less than a dollar a day and they have an indoor track, weight machines, free weights, cardio equipment, basketball court, racquetball courts, and a small pool. I pack my workout bag every time I go to work (45-50 min drive from home) even if I don’t use it everyday. When I do use it, I use a combination of the cardio equipment, and yesterday I started in on the weights. I need to use the pool more but it’s a pain washing the chlorine out of my hair and trying to get back to the office within my allotted wellness leave time. If I run out of time to workout at work, I make sure I do something at home. Usually walking in my neighborhood with my girls. I’ve also been trying to do something during commercials if I’m watching TV, like squats or push-ups. Lately I’ve added the stadium steps once per week. That’s a killer so I don’t see myself doing that anymore that once every 7 days anytime soon. I try to do any activity for 45 minutes, the very minimum of 30 minutes per day, 6 days out of the week.

I may have mentioned in a previous blog entry that I have battled depression in the past. It’s something I try to stay on top of because I don’t like taking medication. I mean I will if necessary, I just try to manage things so that it doesn’t get to that point. Exercise can change and lift your mood in as little as a 15 minute walk. So not only is exercise important to my goal of getting rid of pre-diabetes, it is a powerful tool in my efforts to combat depression. I’ve also started a gratitude journal and I have my girls keeping a gratitude journal of their own. Staying optimistic is very important to health. Writing things down and practicing gratitude will change ones outlook for the better. Which is also very important to preventing depression and staying motivated on this health journey.

I try to cook as often as I can. I like to make extra of whatever I cook so we can have leftovers the next day. That saves me at least 3 nights of cooking every week. Lol. Once in awhile I would prep several meals in one afternoon and I haven’t been able to make the time to that in a long time. Something I need to prioritize because it was really nice to have a full meal that I just had to thaw and re-heat on very busy days, or post-powwow travel days.

We are in softball season now, so Joe B and I run practice or coach games 3 nights per week. Time management and prioritizing are essential. It has been testing my resolve from the 1st paragraph daily….do I cook or sew some more shells on the dentalium cape sitting on a table in front of the TV???? Of course I cook. But the answer even one month ago would have been “Are you kidding? SEW SHELLS ON THE CAPE!!!”

The biggest differences for me between now and 2 months ago are the daily activity and keeping my grams of carbohydrates to less than 5 net grams per meal and if I eat a snack before bedtime. And not obsessing over getting sewing done. That’s huge.

I try to patient with myself, reminding myself daily that it’s a journey, not a race. Which is why I don’t step on the scale anymore and just focus on today, and when I need extra motivation, I focus on my next A1c in August. Daily gratitude and daily focus. 🙂

New Health Challenges To Conquer

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I just re-read my last blog entry from April 8, 2016. I have a topic that’s been weighing on my mind since Monday April 25 – which is truly the day I have been referring to as the “first day of the rest of my life”.

Most of the people that are acquainted with me, know that I teach a culturally tailored diabetes class for a college with a student population that is 100% American Indian. I also teach Basic Nutrition. Type 2 Diabetes in American Indian populations has been my area of expertise since 2005. I love it and have a passion for it because of the strong family history of the chronic disease in my family and because I truly believe culturally appropriate education and family-based interventions can make a difference.

I get my blood glucose tested every year, as recommended by Indian Health Service. I know that preventive care is the only way to not get the chronic disease of diabetes. I’ve had a couple of hemoglobin A1c tests done and my results have always been within the normal ranges. I try to eat healthy and exercise has been a regular part of my life for years. Although sweets and homemade popcorn have also been regular parts of my life as well. 😛

So imagine my surprise when on a Sunday at home, April 24, I realized that my feet were tingling. They felt like they were falling asleep. I knew this would happen if I sat in an unpadded chair for too long, but as I was resting on the couch, I thought back to when I felt my feet tingle at other times. And I recalled that they had felt like that for a few days…no matter what I was doing…sitting, standing, laying down. My immediate thought was “diabetic neuropathy” and I wondered when my last fasting plasma glucose test was. So I called my doctor’s office the next day. The receptionist looked in my patient portal and was able to tell me that my last blood glucose test was during my pre-surgery physical at the beginning of December that is was “out of range”. She didn’t tell me how far out of range, she made me wait until my doctor’s nurse called, which wasn’t for another hour. I spent that hour freaking out and working out my anxiety on the recumbent stepper at my work’s rec facility.

When the nurse called she told me that my last fasting plasma glucose was 102 (anything above 100 could be considered the pre-diabetic range, diagnosed with further testing), which she said was a little high but my doctor wasn’t worried about it. I really like my doctor. I think she is amazingly skilled and I trust her completely. I can only assume that she wasn’t concerned because she knew my my lifestyle and felt it was a healthy lifestyle.  I told the nurse that I knew that was in the pre-diabetic range, and with my family history, I was concerned. So my doctor ordered an A1c that afternoon and I headed to the lab as soon as I left work (you don’t have to be fasting to take the A1c, and it measures a person’s average daily blood glucose levels for the past 2-3 months). I prayed my A1c would be below 5.7, which is the normal/healthy range – it means no diabetes or pre-diabetes. I had 5.5 or lower in my mind. I asked the lab tech if I could wait for my results (I know the test takes about 5-8 minutes to run) and she said I could. I waited and prayed for about 10 minutes after the finger stick. Then a nurse holding a baby and piece of paper with my lab results appeared and told me my results. An A1c between 5.7 and 6.4 means you are pre-diabetic. 6.5 and over means you could have Type 2 Diabetes. My A1c score was 6.1….which is right in the middle of the pre-diabetic range. Imagine the irony….the only thought flooding through my mind on the drive home was “The Diabetes Teacher has pre-diabetes.” I laughed to myself but it was a very bitter laugh. I was upset and disappointed in my myself and everything around me.

I came home and told my husband and children. I told my girls that I needed their support in getting my health back on track. I needed them to walk with me or do some type of activity everyday. I needed them to not complain about my meals being “too healthy” and that they needed to eat more vegetables with me. I told them I didn’t want to develop diabetes, but that I was headed in that direction and I needed to make changes NOW. They asked me if I made healthy changes if the pre-diabetes would be gone. I said yes. They were immediately all in. I won’t lie, it was a tearful conversation on my part. Sara just hugged me for a long time while Shelby told me she would walk with me everyday.

Joe B took them out to practice softball to give me more time to calm down. I started researching to find out if stress was the main cause of high blood glucose in otherwise healthy patients (this was me looking for something/someone to blame…lol). And I found some information that surprised the diabetes teacher.

There are 6 factors that can contribute to high blood glucose (high blood sugar). After reading the 6 factors, I realized that I had FIVE of those factors. The 6 factors are as listed, as well as how they fit in my overall health picture.

  1. Hormonal changes, such as pregnancy, perimenopause and menopause. I have this, I am perimenopausal and have been on a progesterone replacement for a year.
  2. Serious illness or major surgery. I have this, as my  hip replacement was a major surgery and occurred within the last 4 months.
  3. Stress. Always a part of life, but my stress since last October has been much higher than normal. I would describe it as “through the roof”. It’s getting close to being back to what I could consider a more normal level, but the stress was hell for over 5 months without relief.
  4. Use of corticosteroid medications, such as Prednisone. This is the ONE factor I do not have.
  5. Being overweight. Remember, I gained about 15 pounds after my surgery.
  6. Being sedentary. This was me as well. Once my physical therapy ended, I was so frustrated with how hard walking was that my activity levels were hit or miss. Mostly miss.

Finding this information had a very calming effect on me. 3 of the factors were out of my control (the stress I felt was inflicted on me, it took awhile to be able to deal with it), but they were either over or they could be managed. I knew I could change my eating habits and make myself do something most days out of the week. I felt calm enough to start to plan how to deal with this and take control of my health again.

The first thing I did was break out my copy of the book “The Metabolism Miracle” which is a low-carb eating plan designed for people that have what the author describes as Metabolism B (see Diana Kress’ blog page, twitter page, and Metabolism Miracle FB page for some preliminary information and how to order the newest version of her book). Joe B and I did this back in 2013 and we had good results, we just didn’t stay with it. I wanted something that will bring my A1c down in a healthy and efficient manner. I started with dinner that very same night of baked chicken and non-starchy vegetables, and started my next morning off with lean protein and vegetables.

The next thing I did was make a plan to move every day. I packed my workout clothes on the days I did my commute to KC. I walked when I worked in town or got on the elliptical machine at Thorpe Fitness Center. The day after my diagnosis I got on the elliptical for the first time a few months. I stayed on for 45 minutes and it was brutal. I did something every day for 6 days in a row. I was more sore than I could remember in a long time….just general muscle soreness as the new hip joint felt great.

(*By the way, my doctor followed up with me  the next day and told me she felt that my blood glucose was high because of all the changes to my diet and activity stemming from my surgery and recovery. She referred me to a dietician and felt that I wouldn’t have any problem bringing it back down with some changes to my diet and exercising more. She has a lot of faith in me. Lol).

My primary focus is on bringing my A1c score down. I feel like the weight loss is a secondary benefit. If I had trouble staying on the Metabolism Miracle plan before, or if I didn’t have the will or energy to walk, let me tell you this….there is NOTHING that will motivate you more than a diagnosis of pre-diabetes. I have been consistent. I have been diligent. I have been mindful. I share my daily progress with those closest to me. My diet consists of lean protein, non-starchy veggies, healthy sources of fat and LOTS of water. I’m doing all the things I’ve taught and recommended to my students to deal with or prevent diabetes. This was truly the kick in the butt that I needed to get me living healthy again instead of wallowing in my disappointment in how different my life has felt post-surgery. And I have my own cheering section of all 3 of my daughters, my husband, my family and extended family, and my best friends.

I’ve given up weighing myself every other day in order to eliminate potential sources of frustration. My focus is my blood glucose, not my weight. But when I did weigh myself almost 2 weeks ago, I had lost 11.5 pounds and I can fit back into the all the new work and summer clothes I bought last summer. I danced at a powwow last weekend and I had to move my dance belt back in to its original size. Before this, in April when I danced I had to move my belt out to its largest size. I can tell I’ve lost inches but I haven’t measured myself yet to see how many. I have more energy. That darned elliptical and my walking route with all the steep hills is finally getting easier. I tried out the stadium stairs once (they were as brutal as I remember them and I was only able to do one full set) and I am going back again with my daughter as soon as I finish this blog entry.

My good friend Kevin told me that this was all going to be a blessing. That I would be able to use my experiences in my teaching…showing my students and others that I’ve dealt with the beginnings of this disease, and showing them how I managed it. That it can be done. Sharing this experience is the first step.

I am counting the days (64!!!) until I go back for my follow-up A1c. 🙂  I didn’t want to share this at first because I was embarrassed. The diabetes teacher has pre-diabetes. But my maske’ Erica told me that it was nothing to be embarrassed about, it would just show people how hard this disease is to fight….for anyone.