Tag Archives: physical activity

Recovery From Another Injury

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My left total-hip replacement surgery recovery was going great until January 1st. I was all pumped up to working back into walking for exercise and not just rehab, and then I slipped on the bottom tile floor at the base of my stairs and landed in a crazy hurdlers stretch with my left leg/ankle/foot folded under my left hip.

I’ve not had an ankle sprain that bad in my entire life. I do acknowledge that I’ve never been 52 years old and fallen like that either, so there’s that. I ended up with an inner and outter ankle sprain, pain and discoloration on top of my foot, and pain in my knee, and up into my hip flexors. My foot and cankle were all bruised up, my left knee had some swelling, my hip was sore, and I ended up back to using my cane for almost a week.

To say I was frustrated and discouraged is to put the emotions I was feeling mildly. I was angry that I slipped, angry that my progress back to normal activity and my own physical wellness was abruptly halted. And true to my usual “just push-through-it” self, I automatically shifted to what I could do, and started chair exercises. But that hurt my hip as well so my chair exercise career was short-lived.

I did have it in my mind to let my ankle heal. I stayed off it as much as I could, ice, Tylenol, etc. But 3 weeks later there was still swelling in my ankle and knee and my hip was still sore. So I brought it up to my orthopedic surgeon at my 16-week follow-up last week.

He looked at my x-rays and saw that my new hip was perfectly fine. No damage done there, and what I was feeling was inflammation from some soft tissue damage (sprains and strains). He felt the best course of action was to put me back on Meloxicam for 6 weeks to bring down the inflammation so I could get back to normal. I was bummed when I heard his suggestion. I was on Meloxicam since 2016 to manage the pain in my left hip before replacement. It felt good to come off of it before my surgery in October and know I wouldn’t need it anymore. So this felt like a big set-back. I kept telling myself that it was a short-term course of medication treatment and it was moving me towards full healing. But I still didn’t like it and it weighed heavily on my mind and affected my mood.

I do have to say that I’ve been on it for 6 days, and the swelling and pain in my ankle and knee are much lower. I was able to take my dogs for a walk 2 days this week and the ankle and knee felt good. So that’s a plus. But I’m feeling side effects of the Meloxicam this time around….I have felt tired since last Friday, 7 days now. Even with plenty of sleep, I feel tired. And my stomach is upset for most of the day, which impacts my appetite and what I feel like eating.

Meloxicam is the type of medication where it takes about 2 weeks to build up in your body and reach optimum therapeutic levels. So I have another week to go and I’m hoping I will be used to it and the side effects will go away. I enjoy feeling like moving. I’m able to take the stairs at work without twinges of pain in my ankle and knee and that feels really good. My sister sent me a link to a stretching video and that helped me feel good physically as well.

Sooooooo….I am hoping to write more to help process all this stuff. It’s hard. It’s frustrating. And I’m still learning how to identify what I’m feeling instead of covering it up with positivity or being busy doing stuff. There’s something in all this that is serving as a learning experience for me, about me. My higher power wants me to be healthy and well, physically, spiritually and mentally. Maybe if I’m still enough and don’t fight it, whatever I am to learn about myself will come to me.

No More Excuses

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I’ll be honest. I am an awesome, one of the best really, “excuse-makers”.

I can find a reason (read: excuse) for anything. I believe I honed this skill in my early college years where I earned a plethora of “W” (withdraw) and “I” (Incomplete) grades that still show on all my transcripts. I’ve used this skill to account for slacking on schoolwork, graduate papers, studying, housework, balancing my checkbook, sewing, beading, doctor’s visits (such as my annual mammogram), eating healthy, and working out. I’ve gotten by because I can usually pull something together at the last minute. I know my life is much simpler when I force myself out of my excuse-making tendencies, but that doesn’t keep me from making excuses consistently in order to enable my mindset. 🙂

This is a wellness blog. Yet my blogging is sporadic because I’ve come up with some of the best excuses for either not blogging consistently, or not practicing wellness habits consistently. Some of them were very valid at the time….I’ve had good honest reasons why I’ve fallen off the wellness wagon time and time again. But once those reasons or issues have been addressed and I still am not back on the wagon again…then they become an excuse.

So…in an effort to be brutally honest with myself….here are my best “reasons” for the past few years for not feeling like I was capable of practicing healthy habits. 2012 I remember as my last best year for wellness….I was running 5K races consistently and I felt great about myself. So let’s start there.

  1. Hip Osteoarthritis – this was a biggie. The OA diagnosis and the inevitable total hip replacement was huge. Mentally and emotionally it was tough…having to face the prospect on never shawl dancing again or running again. Then the actual hip pain made it hard to workout, and even harder to want to work out.
  2. Depression – this stemmed from the OA diagnosis, the unknown of total hip replacement surgery, not finding a good coping mechanism besides running, surgery recovery, marital issues, a pre-diabetes diagnosis, and job dissatisfaction. I often felt alone and lonely in my depression, which made motivation scarce and just about non-existent.
  3. Career Change – I wanted to get out of community health administration, and out of the 100 mile round-trip daily commute, and go back into clinical social work at a local agency. I needed to job search, study for my licensure exam, and get out of my comfort zone to follow my passion. That was all extremely stressful and daunting and I didn’t know if I could do it.

Those are the major ones. Every single one of them I allowed to take precious time away from me and what I wanted to do take care of me and my family. I was able to find a million excuses for not treating my body and my spirit well out of all of those 3 big categories. All 3 categories all fed off each other as well and just made things seem bigger and bigger and bigger, until I was overwhelmed on the regular.

So here is where I’m at now and where the excuses end.

  1. Hip OA – I’ve had one hip replaced and know exactly what to expect with my 2nd surgery. My recover was, upon reflection, fairly easy due to my age and my physical strength prior to surgery. My right hip has no more pain and normal range of motion. I got clearance to begin training to shawl dance last June, and I actually danced in a fancy shawl special at KU powwow last month. My left hip is still bad but I know with weight loss and supplements, and possibly a cortisone shot, I can put off surgery for another year or so. My arches hurt from the excess weight, but I have good shoes with arch supports for work and working out.
  2. Depression – I’ve been managing the symptoms with anti-depressant meds. I feel much more positive and self-sufficient than last year at this time. I am getting ready to start tapering off my meds now that things that overwhelmed me have settled down. We got a dog and he is the best thing for mental health. He is awesome and brings so much joy to us. My marriage is much better due to praying together daily. I am finding walking very enjoyable, especially with my big puppy. My sleep has improved and I don’t feel the food cravings often associated with a depressed mood. I went on a social media fast and that was an eye-opener…how the negativity on social media can permeate your brain and your mood. My now-elevated mood helps me feel motivated. I downloaded “The Secret Daily Teachings” app on my phone and it always has good positive words that I read every morning.
  3. Career Change – I successfully passed my master social worker licensure exam. I found an awesome job as a therapist at a local community mental health center. I work in a middle school so I work school hours. My job is 3.5 miles from my home. I love this work…the kids are awesome and so are the staff here. I worked through any internal difficulties I was having at my old job and I was able to leave on good terms….which felt amazing.

Yesterday was Mother’s Day and my husband and kids gave me gifts all designed to get me healthy and strong again….new runners, new running tops, phone armband. I can’t use time as an excuse because I am home shortly after my kids get home. So I have time to cook earlier, time to get housework done, and time to walk or do something with my kids. I truly have no more excuses. I’m sure I can find some, since I’ve gotten so good at it over the years. I need to use my powers for good and not idleness. Lol. I should turn it around and make excuses TO BE HEALTHY for once.


So TODAY is the day of “No More Excuses”. It’s Day 1. I got my baseline info for Day 1 in the form of weighing myself and taking a picture. 🙂 I overslept this morning and ALMOST caved and said “Day 1 can start tomorrow.” Hahahaha. But I didn’t. That’s a good sign. See, I could have easily used that as an excuse to delay Day 1 but I did not.

I made myself take a few minutes for breakfast instead of running out the door since I was running late. My vanilla strawberry smoothie with cashew milk, vanilla Weight Watchers smoothie mix and 1 cup of fresh strawberries was only 1 carbohydrate serving.  My plan today is either to walk Mickey or ride the new bike my dad got me for my birthday (lack of a bike was a prior excuse to not exercise when my joints were hurting). I have a place to workout at the Sports Pavilion if the weather is bad. They have a nice indoor track and good cardio equipment.

I need to make myself accountable, so I will do my best to jot something here each day. I want to document this new journey. This is more for me than for you, but if you get something positive out of it as well, then that’s a bonus.

Here we go. Day 1. I’ll write later how it goes. #Letsdoodis

 

8-Week Wellness Challenge

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First of all, I want to say right off the bat that I have succeeded at losing 17 lbs since my highest weight post-total hip replacement surgery!! That means I lost the 15 lbs I gained post-surgery, plus an additional 2 lbs. I have 5 more lbs to go to hit my 1st major goal. My youngest told me today, “Mom, you’re getting skinny.” Lol. Even though “skinny” isn’t my goal, regaining my health is, it was still nice to hear that someone noticed some progress.

My eating and workouts kind of went up and down over the summer, as those who powwow understand the disruption of routines, driving for hours, dancing all weekend, not always having access to the healthiest of foods, packing a cooler, etc. The healthy habits could have been better, they could have been much worse. I concentrated this summer on not beating myself up over slip-ups and just trying to get back on as soon as I can.

My sister got me in the habit of walking for 45 minutes every morning at work. When she isn’t at work, she texts me to ask me if I went out for my walk yet. Lol. That got me going on the consistent activity. But today I want to write about a wellness challenge that has really motivated me.

Tracy is a woman I went to graduate school with and we both earned our MSWs at the same time. Our kids go to the same school, have played on the same teams, and she is friends with one of my nieces. She encouraged me after learning about my hip osteoarthritis back in 2012 to take her cycling class (which, by the way, was a killer workout) to give my joints a break from running, and she has conquered her own health challenges and surgeries. She is inspiring.

My sister-in-law invited me to participate in an 8-week wellness challenge that Tracy was organizing. She had participated the 1st time Tracy did the challenge and encouraged me and my sister to join. The details of the challenge and the structure really intrigued me, which are explained below.

For 8-weeks, each person can earn a point per day in the following areas: 1) Journaling/tracking food intake and following a safe, healthy and nutritious eating plan of our choice, 2) drinking half your body weight in ounces of water, 3) exercising (and she leaves it to us to determine what we think is a workout, there is no minimum number of minutes required to earn this point) – and with exercise one can only earn a maximum of 5 points per week to encourage rest days, 4) getting at least 7 hours of sleep per night. We all took a picture of our scale with our starting weight and sent it to Tracy, and at the end of the 8 weeks we will take a picture of our scale with our ending weight. We can earn 1 point for each percentage of total body weight we lose. For example, if someone starts out weighing 200 lbs, they would earn 1 point for every 2 lbs they lost by the end of the challenge. We have sheets were we can record our points daily. One can earn a maximum of 26 points each week, and then additional points at the end with our final weigh-in. The people who did this challenge the first time don’t mess around. The previous winner didn’t miss ANY of their weekly points and lost weight. There is a $25 buy-in which is given to the winners at the end of 8 weeks. And she set up a FaceBook page for the members of the challenge so we always get little reminders, or encouragement, or ideas for meals and snacks.

I am used to keeping a food journal, and when properly motivated I can exercise 5 days per week. I was really intrigued with the sleep requirement. My sleep routine has been non-existent for almost a year and I’ve never given it much deliberate thought. I go to bed early when I am exhausted or I push myself and don’t get rest. There is no consistency.

We just finished up Week 2 of the challenge. I think I’ve missed only 1 sleep point each week so far when my schedule was a little off on that day. I have been tracking my food faithfully and paying attention to my calorie goals. I even track my “free days” or free meals. There is nothing like seeing that you ate a DQ Blizzard, or 4 slices of pizza from Rudy’s to make you more conscious of your food choices. I make my water intake daily. I’ve earned 5 exercise points per week. I started using MapMyWalk and synched it to my MyFitnessPal so it automatically posts my workouts and calorie expenditure to my food log. Although I began the challenge intending to do the Metabolism Miracle, my actual eating has turned into more of a carb counting routine. I keep my breakfasts and lunches to anywhere between 5-15 grams of carbs or less, I eat many vegetables, take my vitamins, and if I feel like eating some popcorn or a small handful of chips, or 2 soft tortillas in the evenings, I do it. I usually keep dinners to 2 carb servings or less. And guess what…..my weight seems to be just dropping off!! I believe it’s because the structure of this challenge encourages several healthy habits, not just food and exercise. I think it’s the sleep requirement that’s made the difference with me as well as being mindful of my carb intake and not restricting myself as much as before. My energy is evening out more each day…I don’t have as many dips and my energy lasts longer. And I feel smaller already.

So if you haven’t guessed it at this point, Tracy is amazing!!! This was so needed at this point and time and I’m having fun AND improving my health. Thank you again for organizing this!!

Back To School Motivation

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My kids start school THIS WEDNESDAY!! Although they love summer vacation, they miss their friends. I miss having a routine. We’re all looking forward to the beginning of the school year.

I felt like I was in a good groove at the beginning of summer, but then I started on a new medication for an old condition and it zapped my energy. Although I didn’t overeat because it killed my appetite, it felt impossible to get a workout in, cook, or do anything productive. Not for lack of food, I just felt lethargic all the time. My motivation to improve my health went in the tank for a little while. Thank goodness again for my support team (family). They helped me along in so many different ways. I’m finally getting used to my meds and figuring out different ways to gain more energy, so my motivation has returned.

My sister got me in the habit of walking with her for 45 minutes (using my work’s wellness leave policy) as soon as we get to work. I really look forward to our walks everyday. It’s a nice way to start the day, visiting and cackling around with my sister, it wakes me up and gives me energy, and I feel really good knowing I’m doing something that is making me stronger everyday and helping me battle pre-diabetes. Research has shown that consistent activity is much more beneficial than intensity. Meaning that a person who walks 45 minutes on most days (5-6 days per week) will have greater health benefits over time than a person who runs 3-5 miles 2-3 times per week. I had developed a habit of bringing my workout clothes to work and then getting busy working and not working out. So getting it done first thing in the morning has been awesome. My sister and kids have been the big motivators for the August powwow dance challenge we signed up for. I don’t feel like doing it half the time, but they bug me and I do it, and then I am glad I did. Lol. I can’t wait for the day I’ll feel better to where I am the big motivator again.

I’ve been cooking at home consistently, so I guess I should give myself props for that. That is actually a good indicator of my motivation returning, that I have the energy and make the time to cook. I’ve tried out a new recipe and it turned out great and is so easy! I’ll share it later in another blog entry. My husband told me that they all missed my cooking so we’re all glad my energy to cook has returned.

And today I started an 8-week wellness challenge organized by a former social work colleague. My sister and I, and my sister-in-law are all doing the challenge. I always think these types of things are fun, beneficial, and we’re competitive so that’s fun as well. We are in it to win it!!! Lol.

I’ve learned that my day, and how I feel, and how productive I am, is all set within the first 5 minutes of waking up. I’m doing gratitude writing exercises on most days, and I give thanks as soon as I wake up for everything. I know that the little things I can do each day are all adding up to better health, improving my physical, spiritual, and mental health. And when I feel healthy in all those areas I can be more of service to others.

August Powwow Dance Challenge

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It’s been a busy and eventful summer. So I’m back with this short blog entry while I’m drafting a longer one.

I’ve been traditional dancing all summer and I’ve really enjoyed it! I didn’t think anything could come close to my love of shawl dancing, but I’ve discovered that as long as I’m in the arena and I can move, it’s a happy place. I’ve also developed a deep respect for traditional dancers because dancing this style is much harder than it looks. There is a whole technique involved that I had to learn, and I’m still learning. And those wool dresses are HOT!!

Although I miss shawl dancing, I am determined to get back to it safely, gradually building my strength and stamina. I will most likely dance traditional all fall, winter and spring (with the occasional participation in jingle dress), as I’ll need to be careful on what surfaces I shawl dance on when I first come back to it. No concrete floors until I the new hip becomes used to the high impact activity again.

With those plans in mind, yesterday evening marked my slow, gradual return to shawl dancing. The Swirlies and I and my sister are participating in Jr. Miss Indian Youth of Lawrence- Evelyn SpottedHorse’s August “Powwow Dance Challenge” where we dance for 30 minutes each day during the month of August. The girls were all excited to start and got me going as soon as I got home from work. We all went into our family room and put my iTunes on a bluetooth speaker and we all just danced. I did a mixture of jingle, traditional and fancy shawl. We all just kept moving for 30 minutes.Got a good little workout in, broke a sweat, and the new hip felt good with all the activity.

Such an awesome idea from this young lady. If you want to get in on the fun and fitness, here is the info to get started. We came in 2 days late due to our travels but we will catch up by this weekend.

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.

Encourage, don’t discourage

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I am always happy to see others succeed in their quest for health, especially those who have been unhealthy for most of their adult lives. It’s gratifying and encouraging when our Native people (or any group of people who suffer from similar health disparities as American Indians) find the motivation to learn about nutrition, physical activity, and how to incorporate both into their daily lives. However, I take issue with those new to the health scene calling others down for their lack of knowledge or motivation. I am thinking of specific examples where I’ve read about people on social media sites bragging themselves up and simultaneously putting others down for not being “on their level”….whatever that means. And the same people bragging themselves up and putting others down have just recently discovered their own good health.

Those people who engage in that type of behavior don’t realize that we remember how unhealthy they were 5 minutes ago. They are not in a position to judge others and their efforts, or lack of efforts. I also take issue with those who make condescending remarks or belittle those who are trying to be health and/or active. People don’t realize how fortunate they are to have grown up with sports or active families…..or to have grown up with parents/caregivers who cooked all the time and had basic healthy eating knowledge, and access to healthy/whole foods. I see kids in my own community whose parents don’t feel that sports are important, or they don’t get out and engage in activity with their kids. Also people don’t realize how fortunate they are to have healthy, fully functioning bodies….bodies without arthritis, without chronic injuries or illness, bodies that don’t prevent them from doing anything they want to do.

I will admit to being a running snob towards one or two people that I didn’t care for back in the day….I remember thinking and making a couple of comments about someone I had seen running for a few years, that with all their running you would think they might be a little faster or look a little lighter….the epitome of a running snob. But since then I’ve seen that there is no excuse for that type of behavior and snobbishness. We don’t know by looking at someone what their story is, or what their challenges are. Maybe that person whom I saw running at a snails pace for years has managed to keep from gaining 50 pounds and prevented diabetes with that activity. Maybe that person has some health issues that keep their running from looking like what we believe to be a runner’s pace/gait/form/body. Maybe the person NOT running and just walking is a former runner who physically can’t run anymore. Maybe the person who expresses their pride in running 3 miles has just done something they never thought they were capable of.

We don’t need to put others down in order to elevate ourselves. And we are in no position to judge another’s journey towards health.

We, as Native people, need to encourage others in our quest for health. We need to model the behavior that we want others to emulate. We need to do this so the generations that follow will be healthy and ensure our continued presence on this planet. And the people most secure and sincere in their own quest for health are the ones who are most encouraging to others. Be that kind of person. We can’t have too many of those in our communities.

Weight Training Update

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I wanted to give an update on the strength training and the T25. 🙂 I have temporarily shelved the T25, but have plans to return to it once I get stronger. I found that although it didn’t bother my hip, it was starting to bother my knees….which I found strange. Again, I think it’s the strength issue. I think my joints need more muscular support from all the “helper muscles” to keep my joints stable when going through the T25 routines. Also the extra weight I am trying to lose is a factor in any joint pain from the lower back and hip on down. So for now it’s shelved but I will pick it back up again.

I did start lifting at work like I had planned. Kirmayer Fitness Center at KU Medical Center has an awesome weight area, two areas in fact. I headed for the machine area and I loved all of them. I had to overcome my inherent shyness because I picked the busiest day of the summer (when they were holding a student resources fair in Kirmayer) to begin my weight training and both areas were very busy. But I didn’t let it deter me and I felt good about making the effort.

Then my sister found a personal trainer here in town that used to work at Haskell as their certified trainer for their athletic department. She visited with him and discovered he was running an intro special on individual training sessions. He does Olympic-style weight lifting, something I didn’t have a clue about but was interested in. So Sharon set us up with an appointment last week and I’m heading into my 3rd session with Travis.

I was able to visit with him before we started our first session and I told him my health history and my goals. He did an excellent job of explaining how Olympic-style weight lifting will benefit me and my hip OA. He is very personable and very encouraging. You can tell immediately how knowledgeable he is about his work. From what he shared with me, Olympic-style weight lifting is all about learning how to do the “Clean and Jerk”, and I am fortunate that he is acquainted with a power lifter who has gone through total hip replacement surgery and still returned to lifting heavy

My sister and I are doing 2 individual training sessions per week with Travis. It’s fun working out with my sister again, so I am very grateful to her for finding this and encouraging me to try it. Right now we are all about learning technique and proper form. I really like how I can feel the different muscles in my back firing as well as the muscles that I know need to be strengthened around my hips and legs. We are learning at a good pace where I can tell later that day (or the next day) that I’ve put in some work, but I can still move around. My favorite thing about this is that it’s brand new to me….so it’s really interesting. I’m learning something new and it’s helped immensely at getting me motivated to lift again.

Travis has just created a website for those in my area that may be interested. Here is the link:
http://www.travisbarrett.com/

He also has a Facebook page, Barrett Sport Performance LLC.

I’ll update this later as I progress through this individual training program. I have another session today and I’m looking forward to it. 🙂

Some of the “Rules” I Go By

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I just came home from a trip to a powwow in Michigan. Drove all night to get there, danced all weekend, drove all night traveling home. I am exhausted. When I am this tired I have the most trouble trying to stick to my healthy eating and exercise. I have many many times that I don’t feel like working out, many times that I actually don’t. As for healthy eating 24/7….lol. That doesn’t happen in my house. But we try. And I have found a few things that help me push through the times that I feel like I’m failing at my healthy habits and doing healthy things for my family.

It feels like there are a million different “rules” that govern healthy eating and activity. Don’t eat this, make sure you eat that….etc. People tend to give up on any eating plan when they encounter difficulty sticking to the rules or guidelines of the plan. They get frustrated with having to start over, or wonder why they can’t stick to it 100% of the time. Same with working out. If they can’t get their workouts in everyday as planned they tend to give up. So here are two of my “Rules” that help me persist in my search for good health.

“80/20 Rule”:  I don’t remember the exact place where I read this rule, I did not come up with this on my own. It basically says to strive to adhere to your plan of eating and/or exercise 80% of the time. 80% shows consistency and persistence. It is much better than 0% and also far preferable to 50%. Strive to stay on-plan 80% of the time and then you have 20% for incidentals…such as a time crunch that leaves you little-to-no opportunity to get a health meal or workout, fatigue, stress-induced cravings or naps, or to just treat yourself. 80% is your goal and you can relax with the remaining 20%. This helps me feel accomplished on the days that I feel like I’m falling off of everything. If I can eat really good and healthy 80% out of my day or week, I feel ok about letting myself have a little indulgence for the 20% of the day/week.

“!5-Minute Rule”. Again, I don’t remember the exact place I read this, I know it was years ago. The 15-Minute Rule is put in use during times of procrastination…when you don’t feel like doing something you need to do. Such as workout, study for school, or write a new blog entry. 🙂 If I am feeling very tired but I have a run planned for after work, instead of heading for the couch (which is what I want more than anything at that moment), I tell myself, “If I start my run right NOW, I will only run for 15 minutes then I’ll stop.”  Or, “If I start to study/write this paper right NOW, I’ll only study/write for 15 minutes then I’ll stop.” See a pattern here?  The idea behind committing to 15 minutes immediately is this….once you get going on your run, studying, writing, 9 times out of 10 you will complete your task.

I’ve put the 15-Minute Rule into effect many, many times. Sometimes I do feel like quitting my run after 15 minutes. I’ll tell myself then, “Ok, I think I can do another 10 minutes.” Then ten minutes later if I’m still not feeling it, “Ok, I’ll try another 5 minutes.” I kept giving myself small increments of time to run and pretty soon I had completed my entire workout.

Now, here is the beauty of the Rule…sometimes you won’t be able to talk yourself past 15 minutes of anything…sometimes you are done. Fork stuck in…just D.O.N.E. If that is the case, then BE DONE. You told yourself you will stop after 15 minutes, so by all means, stop. Even if you stop, you still will have gotten in 15 minutes of activity, which is far preferable, and much more beneficial to your body then zero minutes of activity.

Both rules encourage and promote consistency. Research has shown that the workouts you do consistently, even if they are mild to moderate, are more beneficial to your health than a vigorous workout only done occasionally. Walking for 30 minutes 6 times a week will bring more health benefits than running 5 miles 1-2 times per week.

So now, even though I am still recovering from my travels and I just want to lay down on the couch, I just told the Swirlies I would take them for a short bike ride….a 15 minute bike ride and then we are coming home. We’ll see how far we end up going. 🙂