I have some things going for me.
- I exercise regularly
- I am up to date on how to diet and how to manage my diabetes
- I have very good doctors
- I have a husband who doesn't like sweets (this is very big)
- My diabetes doctor says it's all in the portion size, BUT he also wants me to eat a balanced diet, take my insulin, and take the rest of my meds on schedule. He does not want me to skip meals. He wants my meals to be about the same size throughout the day.
- My heart doctor says it's all in "taking care of yourself" and gives me diuretics to help me lose water (the water my diabetes doctor and my exercise coaches say I need)
- My internist forgets to even notice that I've lost weight - no encouragement there
My meal-time insulin must be calculated on my blood-sugar level at the moment, plus what I intend to eat. If I don't calculate correctly, I'm going to have to make some corrections. (That means more sticks or feeling bad.)
These calculations mean that I have to know what I'm eating. I am a conscientious reader of labels. I hope they are telling me the truth. I hate TV dinners (I like to eat them actually) because I eat them without the sauce, without the dessert, without the gravy. So, how many calories were in that gravy that I didn't eat? Does that mean I should eat a little more or what?
Exercise changes what I need to eat. It changes the way the insulin works. It changes how many calories I need to eat. It helps me make good use of my insulin and the small amounts of sugar I eat. Exercise is good for me, but it's not so simple as just walking out the door.
After I exercise I need something to eat. Do I need insulin with that? Or is it covered by the exercise?
I love oranges, but I should eat the orange not orange juice - except, of course, if I have very low blood sugars and need to get it up quickly.
Do you hear me saying "I need to eat"? When you hear that term, take it seriously. The person who says it means exactly that.
You see what I mean? It's just not simple. It's hard. I don't like to be a "special" person with special needs. I like to be like every one else. I feel like a juggler.
In spite of the problems I am losing weight. I don't know how I'm doing it or why. I just know I'm accomplishing it slowly, but steadily. I'm grateful for small things.