Today was my third visit to the Diabetes Clinic I am going to instead of Weight Watchers. It's basically to weigh in every week, check my blood pressure and get general weight loss/diabetes advice. The clinic also does weight loss surgery and the doctors there really, really push it. There are a group of doctors and a group of educators and I don't always see the same ones.
Last week I saw both an educator and a doctor who made me question if I even wanted to go back. They were both very condescending. The doctor actually told me that I had zero chance of getting to my goal weight and staying there, the only way would be with bariatric surgery. I told her that I knew several people who had succeeded with diet and exercise and had kept weight off for over 5 years and some over 10 and she said they would eventually gain their weight back. I found her to be so discouraging and so negative that it took all my resolve to not get up and walk out. Today was to be my test of if I was going to stay with the program or not.
Today I saw the doctor that runs both clinics (he was the first doctor I met with) and he was wonderful. The first visit I told him I wasn't interested in bariatric surgery right now and he did tell me the risks and benefits and said if I changed my mind to let him know. He didn't mention it again today and he was pleased with my 4 lb loss in two weeks on my own (i.e. not following their program yet as I just received my caloric goals today).
Based on my lifestyle, age, RMR test and maybe the colour of the sky today, they want me to aim for 1500 calories a day based on 55% carbs, 25% protein and 20% fat.
On my own the last two weeks I've been 1100-1300 calories, 40% carbs, 30% protein and 30% fat so it's not far off. I haven't done anything drastic. The biggest change was cutting out diet pop and ensuring I avoid wheat and sugar. He did want me to increase my calories by having 2 snacks a day but I am honestly not hungry when I eat this way. Unless I let sugar tempt me - I don't need to eat every 2-3 hours. Every 5-6 is fine. I will try and increase my meals a bit to get closer to 1500 and see how it goes, but I know from past experience, I lose better around 1200 calories average/day.
He said that as long as I keep losing and my bloodwork comes back ok, there's no reason to change what I've been doing. Even the educator was so encouraging and helpful. Hopefully if I get last week's doctor again I can just clench my teeth and let her ramble and ignore her.
It's an OHIP run clinic and program so I can't pick and choose which doctors I want to see for this program but I am guaranteed to see today's doctor at least once a month as he's the head of the program.
Today's doctor also said that getting to a goal weight is not his goal for me. It's to get to a weight that is healthy and sustainable for the rest of my life and he said that may be 10 - 15 lbs over my ideal weight but that is better than 70 lbs over my ideal weight if I can sustain it rather than get to 130 and then go back up to 200 in six months. He said the statistics are that most people regain their weight in within 5 years, with 75% gaining back all they lost and more, in the first 24 months. He was encouraging though that I didn't have to be one of those people and that he was determined that he do all he can to help me be the successful statistic.
They also have classes and seminars about nutrition and cooking which look interesting and I may go because I always believe that being informed is a good thing.
I mostly signed up for the program because I just can't afford Weight Watchers while I am unemployed and really I do best when I can weigh in each week, this has the added bonus of them monitoring my blood work and my meds as well so I don't need to go into Toronto every three months to see my endocrinologist unless there is a problem or a major change is needed.
As well today was a beautiful day, weather wise. No wind!!! It was cold for sure, but no wind which makes a huge difference and bright blue skies and sunshine. I walked several blocks instead of waiting for the bus and then walked a few more just because it felt so good to be outside and not be chilled to the bone.
I think I'll do a weekly recap here on my blog just to keep track.
Keep in mind, the 'weeks' aren't always full weeks and sometimes are more than week.
Visit 1 - January 29 - Weight: 216.6 BP 120/78
Visit 2 - February 7 - Weight 215.2 BP 122/80
Visit 3 - February 12 - Weight 212.6 \BP - Not taken.
Visit 4 - Scheduled for Feb 19.
Oh if you're on MyFitnessPal, I'm downwardtrenz - friend me!!!