Reply to Super morbidly obese. Where do I start?

Forum Index » Diet, Nutrition & Weight Loss

Reply to "Super morbidly obese. Where do I start?"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]You need to start with a doctor and a full blood workup. It's possible, even likely, based on what you describe that you may have Type 2 diabetes or are at least pre-diabetes. You almost certainly have metabolic syndrome and a fatty liver.

Once you have the blood work you can create targets. You'll want to get your sugar and A1C down if you have diabetes. You can do this through a combination of eating better, moving more and maybe medications like insulin or a GLP-1 like Ozempic.

I have lost 45 pounds since February since getting the diabetes diagnosis doing the above. What works for me:

-- Writing down everything I eat in an app. Every meal. No heating.
-- Aiming for under 125 carbs a day total. This isn't keto -- it's more reasonable than that. But forces you to be more mindful of what you're eating.
-- Along those lines, eating at least 30 grams of fiber.
-- More vegetables. Some fruits, although you have to be a little careful with fruit because it can spike your blood sugar. Like, don't eat a banana.
-- Keeping calories to between 1,500 and 1,800 a day.
-- No alcohol or sugar at all. At ALL.
-- Walking 4-6 miles per day. I usually do at least one 45-minute brisk walk.

You didn't get this way overnight. It will take months, if not years, to correct. Be good to yourself. But having reachable goals will help.  Mine was to get my A1C down from 9. I did that -- it was 6 at my last appointment.  My fasting glucose now most days is about 95-100. It's how I know I am maintaining.

I just started on Ozempic. The doc is taking me off the insulin. She says once that happens, the weight loss will accelerate.

BTW I started out at 285. My goal is 185.[/quote]

This seems like extremely fast weight loss. [/quote]

It was rapid at first and has slowed down. About a pound and half a week or so. In the beginning it was closer to 2-3 pounds a week. So maybe 15 in Feb and 12-15 in March and the rest since April.

The exercise generated a calorie deficit of around 1200-1,500 a day.  [/quote]

Do you consider that to be sustainable? It does not feel sustainable to me, but I’d like to hear what you think about it. [/quote]

Yes, it is sustainable. I have diabetes now — it HAS to be sustainable. It isn’t anything particularly radical. It’s a combination of being more mindful of what I eat and getting more exercise. The Ozempic also reduces appetite but I lost 40 before I started it. We will see what that does — only been on it three weeks but it very clearly send a signal to brain that you are full quickly. So you don’t overeat.

It takes some willpower to give up alcohol and sugar for sure. But I like seltzer and do fun things with tea. I was never a big sweets person so that isn’t a big deal.

Otherwise it is avoiding foods like pizza and pasta or finding alternatives (ie I use a low-carb lavash bread for a pizza crust and make my own at home and maybe twice a month… I just don’t eat pasta anymore). The key word here is being mindful about what you are eating.

In general I eat nearly everything at home. Travel is harder. When eating out substitute vegetables for potatoes, avoiding breads or just knowing the carb count and what is low-glycemic.

So, yes, it’s sustainable. It has to be.

[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics