6:08 PM on Jun. 30, 2008
I've now lost fifty pounds since being diagnosed six months ago. It will be another month or so until my next A1c test, so I don't know where I'm at with that, but my morning glucose readings have been around 119 the last few days. I got a monitor in April and the first few morning readings were 199, 142, 157, 186 so that looks like some progress, too.
I'm having a very difficult time remaining compliant on my medications, though. They cause me excruciating pain so I take them for a while and then I have to be able to go do things, like serve jury duty, so I stop taking them because it's the only way I can function. Then I feel bad about being non-compliant so I take them again until the next important thing I can't possibly miss comes up and I stop again so I can function. I'm sorely tempted to just stop altogether because when I'm on the medication I can't accomplish anything, not even housework. But so far I keep going back to them. I tried talking to my doctor about the excruciating pain but she kept repeating it back to me as "mild discomfort" so I finally gave up. I do know the difference. I gave birth to an eleven pound baby with no medication. I don't confuse stubbed toes and excruciating pain. But I guess my doctor is not used to people like me so she treats me like a petty whiner.
Come August, however, I'm probably going to be semi-permanently non-compliant on my meds because grad classes start and, well, I kind of have to be there every day. It is my deepest hope that all the weight I am losing will eventually trigger a reversal of my insulin resistance and the non-compliance will be rendered moot. I've got about 20 more pounds to lose in order to go from a BMI indicating obesity to one indicating overweight. Seeing as I started out in morbid obesity, I'd say I'm making good progress and am not too far in left field to hope that the weight loss will have a strong positive impact on my diabetes.
So for now I'm staying the course - very low fat (20g per day), whole foods, plenty of exercise, lots of clean drinking water, and prayer.