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Fat

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I’m fat. Yes, I know this isn’t news to those of you who’ve met me in person or who follow me on Facebook. It isn’t really news to me, either, except…

Except that in my head I’ve already made the switch to being trim and fit. I work out every morning. I don’t eat junky snacks or brownies or white carbohydrates of any kind. I monitor my thoughts at all times to catch any automatic negative self-talk. When asked why I’m not having the aforementioned brownie, I say – both to myself and the person asking – that I’m choosing  not to because it’s better for my health. Not that I can’t have that because I’m on a diet and it’s a “bad” food. (You know there’s no such thing as “bad” or “good” foods, right? Please humor me and nod your heads now.)

I’m doing all of the right things and my blood sugar is in nearly perfect control – not just good, but perfect!, and I’ve lost some weight. So in my head, I’ve already made the switch and I must be magically not fat now.

And then a very nice colleague of my husband’s, at a volunteer function, congratulated us on the upcoming birth of our child while gesturing at my stomach, and a little part of me wanted nothing more than to simultaneously burst into tears while melting away and disappearing completely.

“I’m still so fat. This healthy lifestyle thing isn’t working. I need to go on a diet, pronto, and make this go away. I can’t eat “healthy” portions of normal foods, I need to weigh and measure everything. I can’t trust myself because I’m still fat.”

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funhouse by Jessi *AfterImage* via Flickr

That’s what swirled around in my head for the next hour or so after I escaped to the local shopping center to walk around while dealing with my thoughts. I posted something about the incident on my Facebook page about how I’d lost 25 pounds but it wasn’t enough to make me not fat. Friends began writing lovely messages, particularly one who’d just seen me the day before and told me how great I’d looked, but in my heart I knew it was all true: I’m so fat that I look like a pregnant girl. And then one friend – my dear,, wise friend Rosa – wrote something I’ll never forget. She told me to go to the grocery store, pull five 5-pound bags of sugar from the shelves, and see just how insignificant 25 pounds gone from my body really was.

And, just like that, the inside of my head snapped out of its funk and I could see clearly again. Yes, I’m still fat, but:

  • I’m no longer Morbidly Obese (just Obese)
  • My blood sugar readings are half what they used to be. (Yes, really – half!)
  • I workout every morning for 50 minutes at a time and I’m working my way up to the recommended 60 minutes a day
  • Most of my clothes and all of my undergarments no longer fit because I’ve lost so much weight from my waist and midsection
  • When my husband says, “Let’s walk to dinner,” I smile and tell him that sounds like a great idea instead of scowling and saying, “Yeah, right”
  • I’m confronting my depression every time it pops up – and it does so on an alarmingly regular basis – instead of letting it bring me down and ruin my happiness
  • I am happy, people! Deeply and unreservedly happy. Not the manic faux-happiness that is the flip side of my depression but real, quiet, deep-down-in-my-heart happiness

So I stopped ignoring the rumbling in my stomach after waiting too long for lunch, walked to a nearby restaurant, ordered food that sounded delicious in a portion size that I felt comfortable would be enough to get me to dinner but not enough to fill me up completely, and then sat and ate with enjoyment. By myself. Without worrying that others were judging me for what or how much I was eating.

Yes, I’m still fat, and that’s OK.

Ten year blogiversary and I’m buying one of YOU a gift!

A few weeks ago when I was writing a different entry, I realized with a shock that the tenth anniversary of my blog was coming up. I can’t believe it’s been ten years already. I really had no idea when I found Blogger and wrote my very first post that I’d still be at it ten years on and I surely hadn’t a clue how it would change my life, either.

Screen Shot 2013 03 31 at 12.50.44 PM 300x136 Ten year blogiversary and Im buying one of YOU a gift!

My original home

Through writing here (well, here and there, if we’re being literal), I gained so much confidence and made friends from far-flung places like Australia, Scotland, Iceland, and North Carolina. While I still battle with depression and diabetes, through my writing I know that I’m not alone even if I’m the only one in the room at the time. My blog gave me a sense of pride when pride was something I could only vaguely remember from before I started gaining weight. I have traveled to several blog conferences, learned more about how to hone my writing, and have picked back up the photography hobby I had forgotten about since I was 12. And now my blog is serving as my accountability partner, an integral part of Project Me, my one year quest to improve the quality of my life.

And it all started with a single blog post.

In honor of this auspicious occasion, I’m giving one lucky reader a Fitbit Zip activity tracker. If you’ve been around for a while, you’ll know how much I love my Fitbit activity tracker and Aria scale – they are both indispensable tools as I transform my body and my life, so it seems to me only fitting that I celebrate ten years of blogging by giving one of my readers the chance to transform their body, too, and perhaps their life as well.

To enter, just use the giveaway widget below. The raffle will close at 12:00 am EDT next Friday, April 12, 2013. Good luck!

ETA: And the winner is…my sweet friend, Greta Funk. I’ve contacted Greta to find out which color Fitbit she’d like and where to send.

a Rafflecopter giveaway

Finally, I want to thank you – whether you’ve been reading here for years or if this is your first visit – because it’s knowing that you’re here that brings me to my keyboard to put my thoughts out into the world. Without you, there would be no blog or at least the blog wouldn’t be nearly as much fun.

Here’s to another ten or so years!

Doing my bit for Science

Having diabetes stinks. No really, it does. It’s not the dread Death Sentence some media outlets like to make it out to be but it definitely does stink.

(Did you know that insulin can make you gain weight? Insulin which most Type 2 diabetics will end up needing at some point in their lives? Basically, you need to lose weight to help control your blood sugar but the drug that you need to help you manage your blood sugar will make it tougher to lose weight. Just one of the special little gifts that come with your diabetes diagnosis – yay!)

Then you’ve got the stigma attached to being a person with Type 2 diabetes. Because one of the risk factors for Type 2 is being overweight, there’s a perception that we “deserve” this disease because we wouldn’t be here if we weren’t fat. Seriously, I’ve had people tell me that to my face. Whether that’s true or not, no one deserves diabetes and I wouldn’t wish it on my worst enemy. Three times yearly visits to the endocrinologist (diabetes doctor). Keeping track of what you eat versus your pre- and post-meal blood sugar readings so that you can try to figure out which foods don’t send your body into orbit with extra sugar. Finding it harder to lose weight even as your doctor tells you that you “really ought to” focus on losing some weight. Is it any wonder that so many diabetics also battle depression? And of course, depression can make getting out of bed a huge accomplishment, much less exercising and planning nutritious, low calorie meals. It’s all much easier with support from friends and family but the depression and shame can make it tough to reach out.

Enter Ginger.io, a company dedicated to using big data to help make new discoveries for treating chronic diseases like diabetes. I recently signed up for a pilot they are running to gather passive data about activity levels among Type 2 diabetics that can be used for several purposes.

sanofi landing page 122712 c 300x232 Doing my bit for Science

In essence, each of the participants downloads an application to their smart phone and then just goes about their daily business. Every day I receive a one-question survey about my mood the day prior, and once weekly I answer a survey about how I’m doing with my diabetes tasks and another about how my quality of life has been for the past week. Simple Simon. The application then tracks how active I’ve been – not with steps or calories burned or anything like that, but how many miles I’ve traveled, text messages I’ve sent, and phone calls I’ve made. Right now the application just gives me interesting tidbits about how my activity this week compares to what I did last week or today’s travels versus yesterday’s, but the plan is that in the future, if I specify people in my support circle, the application will track how I’m doing and alert those that I specify when my activity drops and my survey results show I’m not doing well.

Imagine that: I’m dealing with depression and struggling with my diabetes, and then TCB will just know as if by magic that I need help. Wow.

In addition to the selfish part of this exercise, the application is also gathering important behavioral information about a group of folks with Type II diabetes that can then be used to help create new methods for treating diabetes and those suffering from the disease.

If you or someone you know has been diagnosed with Type II diabetes and this program sounds like something you’d like to hear more about, click here to find out more or to sign up for the on-going pilot today.

…and then I had a completely crazy thought

Updates since last time:

  • Went to the gym all seven days last week
  • Tracked every morsel of food that went into my mouth using MyFitnessPal
  • Made it through a mild episode of depression without turning to food. I wanted to eat, I thought a lot about eating, but instead of eating I tried to figure out what it was that I really wanted and how to get there without food. Very interesting
  • I tested my blood sugar seven times in less than a week including my pre-breakfast blood sugars every day. I haven’t tested my blood sugar since I started on insulin injections and the readings were so high that they upset me, so I put my meter away. I committed to my Making Peace With Food group – all Type 1 and Type 2 diabetics – that I would test at least once before our next class, and then when the number wasn’t too bad, I just kept going. I’m treating it like an experiment: “if it’s this number now, what will it look like right after I finish on the treadmill?” or “I wonder what my blood sugar is this morning after I had more carbs for dinner than usual?”
129419999 1947747739 ...and then I had a completely crazy thought

Peonies by Linda N. via Flickr

So many good things are going on in my life right now and it’s wonderful but also scary. Scary because I remember what it feels like when it all goes sideways, so I’m putting in the effort now, while it’s all good, to learn how to be OK with not being 100% perfect all the time – basically learning to fail and bounce back.

Part of my strategy is to not let the scale be the sole determinant of whether or not I’m “successful”. I need to lose a LOT of weight just to be considered “overweight” (as opposed to Morbidly Obese, my current designation based on BMI) but I can’t focus on that because it’s too overwhelming, so I’m staying focused on what’s really important – my blood sugar. Good things are happening on that front, friends, and it’s very exciting! When I took my blood sugar for the first time in months last week it was 171 mg/dL which was about 40 points less than my fasting test last time I saw my endocrinologist two months ago. Target ranges for diabetics with good control are between 70 and 130 mg/dl before meals, and less than 180 two hours after starting a meal, so I knew I was a little high but was heading in the right direction. And I’ll be darned if my reading this morning before breakfast wasn’t 131 mg/dL – down 40 points in less than a week!

I also lost seven pounds this week.

And I had this crazy thought about what I can use for my long-term motivation but that will have to wait until next time. In the meantime, though, tell me how you deal with the “all or nothing”/”must be perfect in all ways” syndrome of healthy eating and exercise? Am I the only one who feels like there’s a light switch somewhere that controls my desire to eat well and exercise every day???  

Project Me charter

Project Charter
Project me

This Charter formally authorizes a project to improve my health in 2013.

The purpose of Project Me is to improve my overall health and happiness by getting my blood sugar and triglycerides under control and losing at least 10% of my body weight.  This project meets my need for a more happy life by removing health issues that contribute to my depression and keep me from trying new things (like Zumba and kayaking).  The project deliverables shall include: fasting blood sugar reading below 130 mg/dL, triglycerides reading less than 150 mg/dL, body weight at or below 220 pounds and an improved quality of life as perceived by me.

I will be the Project Manager for this project and it will be my responsibility to communicate with all health care professionals, mental health specialists, and weight loss organizations, as required, to ensure successful and timely completion of the project.  I will also be responsible for developing the project plan, monitoring the schedule and scope of the project during implementation, and maintaining control over the project by measuring performance and taking corrective action.

A completed project plan will be developed and submitted to the readers of Do you have that in my size??? by January 6, 2013.  Work on the project will start immediately upon publication of the project plan.  Once the project commences, work on the project will be performed according to the plan and progress reports will be published to Do you have that in my size??? not less than three (3) times per week. Important milestones include attending Blissdom conference (March 21-23 – weight at or below 239 pounds), hosting San Diego County’s hospitality suite at the American Legion state convention (June 26-30 – weight at or below 233 pounds), my 46th birthday (October 12 – weight at or below 226 pounds), and New Year’s Eve (December 31 – weight at or below 220 pounds).

Insert clever post title here

So much for keeping up with the regular blogging, eh? I’m chalking it up to the terrible sadness that accompanied the end of Blogger Road Trip 2012 and leaving Shauna behind. Sniffle, sniffle. I’ll be alright eventually but I still hate that I can’t just say something silly to hear her laugh as we’re getting ready to go out.

I want to write something clever and insightful but I don’t think I have it in me right now. Since my return to the real world I’ve been consumed with work and my volunteer obligations, neither of which makes me feel in the slightest bit clever or insightful. Still I’m fairly certain this funk (code word for depression) will pass and I’ve been composing a post in my head about my joining Weight Watchers – which I did last Saturday morning – and why I have been binge eating as a result. Perhaps over the weekend it will make it from my head to this page.

Fabulously good news is that Lori is back to blogging at her original site. After meeting her in person I am even more convinced than before that her great writing and amazing design sense are an unbeatable combination and should be enjoyed by everyone, so do go over and give her a read (if you haven’t already).

Moving

We spent this weekend first driving to Davis (about 500 miles north of us) on Friday, then packing her things into Timmy the Prius, then bringing everything home. She’s coming home for a year to work and go to school while saving some money so that she can go back to the University of California at Davis without having to worry about paying her rent. It was a tough weekend for her, I think, because it felt a little like a failure instead of just a temporary retreat; I understand that feeling all too well.

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Road Trip! by -Snugg-, on Flickr

Anxiety and the obsession with perfection can lead us to think that anything less than the top spot on the podium – like the Olympic reference? I’m already starting on my withdrawals! – is failure. It’s all or nothing, literally. Those who have been reading my blog for a while will certainly recognize that theme since it’s been woven through nearly everything I’ve written since 2003. My treatment options since then, however, have been totally focused on my accompanying depression, which has certainly had a huge effect on my enjoyment of life, and it’s only been very recently that a new therapist started talking to me about the effect my anxiety and perfectionism on my life.

As it turns out, the perfectionism is just a coping mechanism or outlet for my extreme anxiety. Since learning this, I’ve been working at recognizing when I feel compelled to run around straightening my already-clean house up and then digging for what’s really going on; it’s been enlightening. Most of the time, it’s just me internalizing things that are totally unrelated to me or pinning motivations on other people’s actions – “they hate me” – that I have no justification for. Once I call myself out on that junk, the accompanying anxiety quickly dissipates.

We’re all adjusting to the new normal around here – the 20 year old trying to make all of her worldly possessions fit into her tiny bedroom, Mick & I breathing deeply and remembering that it’s going to take time for her to unpack everything – and it’s a great opportunity to flex my new (mental health) muscles. This, too, shall pass, and none of it is specifically directed at me. Sometimes, life is just complicated because it’s complicated, and we just need to breathe our way through it.

Depression: It’s sneaky

Sometimes I forget. I can go weeks or even months without experiencing a hint of depression. During those periods I sometimes allow myself to believe that it’s gone for good and that I’m “normal” again, whatever that means.

istock depression teenage 1 300x208 Depression: Its sneaky

Photo by daniiibby101 on Photobucket

And then something happens – some magical thing – and the craziness starts again. Black is white and white is black. Nothing makes sense to me even though I somehow sense, somewhere deep inside that is still in touch with reality, that it’s not external things that don’t make sense but rather my own thoughts that have slipped their moorings. Now is one of those times.

It started when I encountered a friend who is struggling with depression issues of his own, although I didn’t feel the beginnings of my own response until later. I listened to his delusional ramblings for hours, deflecting and debunking his misconceptions, outright challenging him when he was making statements about his life being worthless and over (he’s 21 years old), and crying with him as he talked about not having anywhere else to go or anything left to do. I told him that I would get the number for the County Mental Health Services crisis hotline and that he wouldn’t be alone.

As I drove home that night, I could feel my mood changing and all of my energy to do anything leaving my body. When my beautiful daughter and wonderful husband wanted to talk to me later that evening, I begged off citing the fact that I was “tired” – that’s my standard excuse, even to myself, for times when I can’t muster the energy to keep up appearances of normalcy.

Monday was Memorial Day and I participated in a remembrance ceremony with the husband and the daughter, standing dutifully at attention throughout and making small talk with acquaintances there and later at the post-ceremony reception that followed. Once the official part of the day was over and we were in private again, the darkness and fog descended, and I only wanted to curl up in a ball and be left alone.

Thank goodness I have a husband who understands the craziness and whom I trust so completely that I can see myself through his eyes and recognize what’s happening. That’s what happened on Monday night: Mick was being his usual helpful self, making dinner on the grill, and I suddenly just flipped out. I wanted to go out, we hadn’t explicitly talked about eating in, and I went from a zombie to straight up angry in about 2.5 seconds. I could see the confusion on his face, heard him asking me what was up and not taking “nothing” for an answer, and – after about 20 minutes – I realized what had happened. I apologized, I cried a little, then I went to him, buried my face in his chest, and told him I was sorry. He didn’t have to ask why I was sorry because he already knew what was going on.

Ever since that moment on Monday night, the darkness has been slowly receding. I wish it was something I could just decide to stop and then it would go away, but it’s not, at least not for me. Once I can see it and name it, though, I know that it’s on its way out of my head, and that makes life easier even as I still deal with its lingering effects.

What I’ve learned in the last year that I didn’t know before is how important it is to check in with reality, to find something that I know with 100% certainty is real and then hold on to it until the craziness starts to subside. For me on Sunday, that thing was my husband and I am so grateful – and lucky – to have him in my life.

If you, like me, suffer from depression, know that there’s help and you are never, ever as alone as you feel. There are caring people in your area – trained professionals – who are just waiting for your call. You can find their number in the front of your phone book (if you still have that object in your home) or by performing an Internet search for “mental health resources, county of xxx” where “xxx” should be replaced with the county where you live. Don’t suffer even a minute longer by yourself – help is out there and you’re worth it!

Caputuring a moment in time

hawmc Caputuring a moment in time

During April, I will be participating in the Health Activist Writer’s Month Challenge (HAWMC), sponsored by WEGO Health. As part of the challenge, I’ll write each day about the challenges I have in dealing with Type II diabetes. My hope is that my writing will help others who might be dealing with diabetes or another chronic disease to understand that they are not alone (and also work through some of my own issues at the same time). This post is in response to the provided prompt: Health Time Capsule. Pretend you’re making a time capsule of you & your health focus that won’t be opened until 2112. What’s in it? What would people think of it when they found it?

I remember when we were trying to figure out what to put in the Senior time capsule for the Class of ’85 at my high school. What really represented who we were and what was important to us? I recall a Madonna album (vinyl, of course) and day-glo jewelry going in but not much else comes to mind. Of course the idea that a few trinkets selected by the elite few in the popular clique could possibly represent over 900 individuals was ridiculous but we all played along and eventually it was buried in the flower bed outside the gym.

Trying to capture diabetes in 2012 presents a similar dilemma:  how on Earth could I possibly encapsulate the experiences of 16-30 million people currently living with diabetes in one post? Of course I can’t, but I can paint a picture of what it’s like for me to be diabetic in 2012 and those objects that enable me to live the life that I live.

With that, here’s the contents of my capsule:

1. A Victoza pen and needle. It was such a big deal to me for so long that I would never be able to give myself injections. Would do anything to avoid going on insulin because it was some kind of moral defect NOT to be able to control my blood sugar without medication, particularly insulin. I don’t know where I got that idea, but that was my belief. While at a diabetes conference last year, I realized that doing whatever I needed to in order to get my blood sugar under control wasn’t a sign of weak character but rather the act of someone strong enough to do what needed to be done. In other words, I put on my Big Girl Panties and just got on with it. I went to my endocrinologist, asked for a prescription, and the rest is history.

2. A photo collage of the diabetic friends I’ve made, both at work and through my Diabetes and Depression support group. Until last year, I never talked about being diabetic anywhere but here. I was ashamed of being diabetic because I truly believed that it was my punishment for letting myself become obese. I felt that if people knew I was diabetic that they’d judge me for being weak and lazy, and I couldn’t deal with that so instead I just kept everything inside and let it – literally – eat me alive. Fast forward a year and I have lots of friends with diabetes, and even some without, that I can share with about my disease. De-stigmatizing diabetes so that I could feel the support of others has been a critical piece of bringing me to a place of self-acceptance and even self-love.

3. A printout of the list of Twitter names for folks with diabetes who make up the DOC (Diabetes Online Community). I can’t remember how I came across the first diabetic blogger on Twitter, but since that time I’ve added about 20 people to my following list just because they write about diabetes and their experiences in such a way that they make my diabetic life better or at least a little easier to bear. There are weekly DSMA chats, too, at which time about 100 people all talk at once about what it’s like for them to live life as a diabetic or parent/significant other of a diabetic. Imagine being able to say your deepest, darkest, “no-one-will-like-me-if-they-know-who-I-really-am” secret out loud and then have more than one person immediately tweet back to say, in essence, “me, too”. It’s just incredibly powerful.

I hope that, one hundred years from now, if someone opens my virtual time capsule that they get a sense of the journey I’m on and the progress I’m making. I’m so far from perfect – I can’t even see it from here – but I’m still walking forward and I still know that better health is my destiny. Mostly, though, I hope that they wonder what the heck I’m making such a big deal about because diabetes no longer exists in their world. I KNOW that with enough money and research and time that we WILL cure diabetes!

Day by day

I was going to write about how boring my day was but then it struck me that boring isn’t actually a bad thing. It wasn’t sad, I wasn’t depressed at any point, it just wasn’t a laugh-riot, action-packed kind of day. But for someone with even mild manic depression, to have just a boring day – I think! – is a sign that you’re in remission. Let me see if I can make sense of this:

You’re probably all very familiar with the symptoms of depression: lack of appetite or eating too much (it’s different for different people), sleeping poorly or too much, lack of interest in any type of activity, deep, unrelenting sadness. Less familiar is the mania side of the equation, especially if it’s really mild like mine is, so here’s what it can look like: a feeling of elation, of being on top of the world, of wanting to do every single fun thing RIGHT NOW. The transition between the two (mania and depression) is really wretched and it leaves me feeling even worse when I realize – as I usually do pretty quickly now that I know to look for it – that I’m not actually feeling wonderful, it’s just the disease talking. Depression times two descends even more deeply as I realize how messed up things are in my head.

But for weeks now, I haven’t had the crazy swings. No super lows, no mild highs, just what I think might be normalcy. It’s hard for me to know what normal looks like because it’s been such a long time since I felt it = have I ever really felt it? – but I think having a plain, old boring day without feeling the darkness or the desire to overcompensate with the mania is a really, really good sign.

It’s OK to be bored or sad or frustrated. Maybe one day I’ll feel happy. Maybe not. For now I’ll take “normal”.