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Re: [IP] Re: weight (long)

Thank you Kathy. Your saga sounds like mine.  My a1c does go up every time I
do more exercise.  I wish I could get my TDD down to 35!  I too hear "From
where" when I tell friends what the dr. has "ordered". It is better than his
original plan.  He wanted me to weigh what I weighed at 20 until he noticed
that was 105.   I am dreading my upcoming checkup!   I am eating around 1500
calories daily and my weight has been unchanged since pumping.  Most of my
weight gain came during MDI.  I feel like I am always chasing my tail.
----- Original Message -----
From: "Kathy Trondsen" <email @ redacted>
To: <email @ redacted>
Sent: Sunday, August 17, 2003 1:13 PM
Subject: RE: [IP] Re: weight (long)

> Hi, Sharon,
> I'm in the same boat -- only 5'4 and about 150 and my Dr. wants me down
> about 120-125.  I don't use a great deal of insulin (basal is 17 units)
> and my TDD is usually under 35.
> My problem with weight loss is that EVERYONE says, if you'd only
> exercise more, you'd lose weight.  Then the dieticians go ahead and tell
> me if I eat 1200 calories, I'll lose weight. 1500 is what they consider
> to be 'normal' maintenance calorie level.
> Well, it isn't that easy.  I don't lose weight unless I go well under
> 1000 calories a day.  And my normal (keeps me at the same weight)
> schedule involves about an hour (4 miles) of walking (for exercise) four
> or five times a week at noon.  So I add more walking and don't lose
> weight, and then people tell me that I shouldn't get discouraged because
> muscle weighs more than fat, so I'm really getting more fit.  But the
> Dr. still wants me to lose weight.
> Complicating this all is the fact that my blood sugars go up instead of
> down as a result of extra exercise, and unless I wait through the high,
> I crash from the correction bolus 2-3 hours later.  My response to
> exercise was documented with a CGM test, by the way -- until then people
> thought I was 'mistaken'.
> I wear size 14 slacks, and I'd like to get down to size 12, but it's a
> long hard struggle.  You have to test a lot, you have to adjust your
> basals (it helps if you can schedule your extra exercise about the same
> time most days -- maybe make one of the assignments for home school a
> journal of nature walks with mom?) and it helps if you can live with
> highs (like 200ish) until you know if they go down by themselves, so you
> don't end up doing the crash and eat thing, which defeats the whole
> purpose.
> I'm 49 and I haven't been 120 since I was 20, so I think that's an
> unrealistic goal.  If I tell people I'm supposed to be losing 30 lbs.,
> they often say From Where?  I am starting to think I have a liver made
> of lead or something :)
> All this is not to say you can't lose weight.  I think you'll do better
> if you set more moderate goals at a time (I do better if I tell myself
> I'll lose 5 lbs, and then reset my goal when I achieve it, rather than
> trying for the whole 30 lbs at once), and if you can accept the truth
> that your A1Cs may get worse instead of better while you try to adjust
> things.
> By the way, my current internist with a special interst in diabetes has
> been a better doctor match for me than some of the endocrinologists I've
> seen over the years -- you might want to check in your insurance list
> and see if there are other doctors with a good rep. re:diabetes who are
> not necessarily endocrinologists.
> Hang in there.  You are doing fine (in my opinion) keeping up with your
> life, and I think your endo needs to remember that your body is not his
> wife's (and Your Mileage May Vary!)
> Sorry this is so long.
> Kathy
> -----Original Message-----
> From: email @ redacted
> [mailto:email @ redacted] On Behalf Of Sharon
> Sent: Saturday, August 16, 2003 9:10 PM
> To: email @ redacted
> Subject: Re: [IP] Re: weight
> My endo is thin, very thin.  Keeps telling me what his wife does daily
> for
> her exercise.  meanwhile, here in the real world where I live, I home
> school
> my 2 youngest. children (3rd grade & 6th grade), don't have a maid, and
> help
> my husband in a business he owns.  The reason he wants me at that weight
> is
> because that's what I weighed at 30.  16 years ago. Two children ago..
> There is only one other endo in my area and my ins won't cover him. Last
> letter my endo sent after blood work, "You don't need more insulin just
> more
> walking!"  What to do?
> ----- Original Message -----
> From: "jhughey" <email @ redacted>
> To: <email @ redacted>
> Sent: Saturday, August 16, 2003 9:57 PM
> Subject: [IP] Re: weight
> > >>> My endo insists on my losing 25 -30 pounds but every time I try
> > to alter my eating habits and exercise more I suffer from lows and
> just
> feel
> > lousy.  I am 5'6" and weight 150 and use around 55 -60u of humalog
> daily.
> > >>>
> >
> > Pardon me while I ramble some thoughts:
> >
> > How much does the endo weigh?
> > There are people willing to go under the knife (gastric bypass
> surgery) to
> > look like you do now.
> > Losing 30# from 150# means you'd weigh 120#. At your height, why is
> that
> > necessary?
> > Perhaps ideal, but necessary?
> > What's the problem?
> > Do you have an extra pair of shoes you can give to your endo to walk
> in
> for
> > a week?????
> > Are we missing some info not shared?
> > There are other endos.
> >
> > Jan (64 y/o, dx'd T-1 11/5/50, pmpg 8/23/83) & Bluda Sue (MM507C 3/99)
> > Dialyzing since 7/8/02 http://maxpages.com/bludasue  AND
> > http://www.picturetrail.com/dmBASHpics (and EVOLUTION OF
> > INSULIN PUMPS with World's Youngest Pumper)
> >
> > A diet is a weigh of life.
> >
> > =
> > ----------------------------------------------------------
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> > HELP@insulin-pumpers.org
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