A Trend

I’m noticing a trend…and its a bad one.

Everytime I’m left to my own devices to eat, I choose poorly.

I did quite well this weekend, until last night.  Mr. G had a gig, and I went overboard with dinner.

Sigh.

Now that I’m conscious of it, I can work on it.

Onward, and downward.

A New, Better Day

I’m back on track, and aside from peeing every 15 minutes, things are going well.  I’ve started a food diary (again) and have tweaked it to fit my needs, so that I’m not only tracking my food, but also tracking my meds, the time I eat, and how I’m feeling when I eat.

I find when I’m accountable for what I eat, I make better choices.  And I’m eating once again in the right order – proteins first, carbs last. 

On a good note, I was having some really high sugar readings in the morning.  I was really frustrated over them, because on that front, I was doing exactly what the doctor suggested.  So, I told him about it when I saw him on Wednesday, and he suggested that I may be taking too much insulin.   He suggested if I had a high am reading again, it could be because I was going very low in the wee hours of the morning, and my body was overcompensating.  He suggested holding off on my morning short term insulin, and if I was still down at a normal level two hours after breakfast, to cut back on the insulin I took before bed.  Well, I tried that, and boom, all was ok.  I cut back my night time insulin by 5 units.  I’ve also cut out the morning insulin all together with no adverse affects.  My blood sugar is staying in the normal range with just the Levemir (long acting insulin) and the metformin.  I’ve also been able to cut back my mid-day insulin and my dinner insulin to less than 10 units at a time.  That’s down from 25 units with each meal.  Yay.

Three months to go.

Finally, an Update

I have been lax in updating.  Mea Culpa.  I’ve been struggling this month, and I think its time to put it down in writing and take some blame for this.  I fell off the wagon a bit over the 4th of July weekend, and have struggled getting back on.  I haven’t gained any weight, but I’ve stalled.  I know it is because I have gotten lazy.  I’ve cheated here and there, and I haven’t been measuring my food like I am supposed to.  I’ve gotten into some bad habits again.  Today, it stops.  I need to get back on track so I don’t jeapordize my surgery.

I don’t know why I sabotage myself like this, and its frustrating.  I think its because i’m eating for comfort, and I need to look other places to do that.

Anyway, here’s an updated to do list…

1.  I have to be a six month physician monitored weight loss plan – and I have to go in every month to get weighed.  I’ll make that call tomorrow.  I have the diet from the bariatric clinic and I only need to lose 10 to 15 pounds before surgery.  Three months down – three months to go. 

2.  Letter of medical necessity. – No problem.  I’ll get that from my primary care doctor.

3.  Cardiology consult with stress test.  I’ll call and get that scheduled.  Scheduled for June 29.  Scheduled for 9/9 and 9/14.

4.  Sleep Study.  Scheduled June 10th

5.  Lab Testing (I have my labwork – I’ll get that done next week)

6.  Psychiatric Evalution.  I have a list of doctors to chose from.  I’ll call and make an appointment.  appointment June 4.

7.  Gastroenterology Exam.  Scheduled July 31

8.  Pulmonary consult.  Scheduled July 22nd.  ABGs room on – Scheduled 8/24.

9.  Bilateral venous dopler study lower extremities – Scheduled July 8th

10.  Attend one support group for RNY patients – scheduled for May 12.

11.  Make out a will and a living will (this is my project for August)

12.  Sleep study #2 with CPAP – scheduled for 7/10/09.

I am also required to begin two journals – one is to specifically be about the weight loss surgery process, the other about my regular thoughts and feelings as a way to replace my usual stress go-to, food.  I also have to log my eating for a week along with my thoughts and feelings, and fax that to the behavioral specialist, all the while journaling my food and exercise

New Sleep Study and Updated To Do List

Had my 2nd sleep study last night.  Didn’t get much more sleep than I did the first time.  I just can’t sleep comfortably on my back.  And I felt like Darth Vadar with the sleep mask on.  To top it off, it held my teeth against my bottom lip and I was very uncomfortable.  But its out of the way now, and I’m on to the pulmonary consult on the 22nd.

1.  I have to be a six month physician monitored weight loss plan – and I have to go in every month to get weighed.  I’ll make that call tomorrow.  I have the diet from the bariatric clinic and I only need to lose 10 to 15 pounds before surgery.  Two months down – four months to go. 

2.  Letter of medical necessity. – No problem.  I’ll get that from my primary care doctor.

3.  Cardiology consult with stress test.  I’ll call and get that scheduled.  Scheduled for June 29.  Scheduled for 9/9 and 9/14.

4.  Sleep Study.  Scheduled June 10th

5.  Lab Testing (I have my labwork – I’ll get that done next week)

6.  Psychiatric Evalution.  I have a list of doctors to chose from.  I’ll call and make an appointment.  appointment June 4.

7.  Gastroenterology Exam.  Scheduled July 31

8.  Pulmonary consult.  Scheduled July 22nd

9.  Bilateral venous dopler study lower extremities – Scheduled July 8th

10.  Attend one support group for RNY patients – scheduled for May 12.

11.  Make out a will and a living will (this is my project for August)

12.  Sleep study #2 with CPAP – scheduled for 7/10/09.

I am also required to begin two journals – one is to specifically be about the weight loss surgery process, the other about my regular thoughts and feelings as a way to replace my usual stress go-to, food.  I also have to log my eating for a week along with my thoughts and feelings, and fax that to the behavioral specialist, all the while journaling my food and exercise

Updated To Do List

Here’s the udpated to do list:

1.  I have to be a six month physician monitored weight loss plan – and I have to go in every month to get weighed.  I’ll make that call tomorrow.  I have the diet from the bariatric clinic and I only need to lose 10 to 15 pounds before surgery.  Two months down – four months to go. 

2.  Letter of medical necessity. – No problem.  I’ll get that from my primary care doctor.

3.  Cardiology consult with stress test.  I’ll call and get that scheduled.  Scheduled for June 29.  Scheduled for 9/9 and 9/14.

4.  Sleep Study.  Scheduled June 10th

5.  Lab Testing (I have my labwork – I’ll get that done next week)

6.  Psychiatric Evalution.  I have a list of doctors to chose from.  I’ll call and make an appointment.  appointment June 4.

7.  Gastroenterology Exam.  Scheduled July 31

8.  Pulmonary consult.  Scheduled July 22nd

9.  Bilateral venous dopler study lower extremities – Scheduled July 8th

10.  Attend one support group for RNY patients – scheduled for May 12.

11.  Make out a will and a living will (this is my project for August)

12.  Sleep study #2 with CPAP – scheduled for 7/10/09.

I am also required to begin two journals – one is to specifically be about the weight loss surgery process, the other about my regular thoughts and feelings as a way to replace my usual stress go-to, food.  I also have to log my eating for a week along with my thoughts and feelings, and fax that to the behavioral specialist, all the while journaling my food and exercise

Weigh In and 300 Baby

Start Weight (4/12/09) – 321

Last updated weight – 6/24/09 – 301

Current weight – 7/2/09 – 300

Total loss (-21)

Yeah baby…one pound away from the 200s…and 5 pounds away from my wedding weight.  Yay!  Hopefully by next week I’ll be in twoerville…I really want to lose 10% of my body weight before my surgery…that means I have 3 months to get down to 289.

I can do it.  I know I can.  😀