I love this poster!!
It inspires me every time I walk past it at my local shopping centre.
It’s actually an advertisement for HSBC insurance, somehow, but I love the thought that the effort I put in will absolutely bring results. It keeps me feeling like there is a point to what I’m doing, and that the goal isn’t so far away.
Okay, time to get serious.
Yesterday I had an appointment with a dietician. Yes, a dietician. To discuss my diet.
My GP was lucky. He did some blood tests and found some nutritional deficiencies. Quite a few actually!!
So all he needed to say was that he wanted the deficiencies corrected through diet rather than by adding yet more tablets to my current regimen, and referred me to a dietician on that basis. This is why he didn’t want to add more tablets, and this is just the morning!!
He escaped having to go through the process of telling me, ‘you’re fat”! Lucky him! Although we both knew that underneath the conversation that we were actually having was another silent conversation along the lines of “since we met 6 months ago you have gained a tonne of weight and you really have to do something about it, starting now!”
But coming at the subject from a less obvious angle made it a lot easier for him to bring it up, and for me to accept it. Clever!
I’ve seen a new side to being a health professional lately; the ‘getting patients to see things from your viewpoint without thinking they’re being forced there’ skill. It’s vital to successful relationships with patients, and to achieving the outcome that’s best for them. Even when they may not think so.
Kudos to the excellent health professionals that have cared for me over the last year! I respect and appreciate your negotiating and information-giving skills in hindsight, even if I was a difficult patient back when we met. Thank you!
So the dietician. A lovely softly spoken slim fit-looking girl who told me I was beautiful and had amazing eyes! Nice work!! Just like that she had me feeling flattered and accepting of everything she was about to say; well done. Seriously, I’m impressed! And I’m learning new skills in people-management.
So, what did she have to say? Nothing that I wasn’t expecting, to be honest. I knew the ‘what’ of the appointment, although maybe not quite the extent.
Here’s the facts:
1) On October 24th 2013 I weighed 77.65kg. I had spent 14 months from August 2012 to October 2013 losing weight, and had dropped 9kg which I was pretty proud of.
2) On May 23rd 2014 I weighed 95.4kg!! Nearly 18kg gained in 7 months!! Oh dear…
3) My cholesterol level has been borderline high since my first WorkSafe health check in 2010, at that point due to 4 years of chocolate bingeing. Unfortunately in the last 6 months it has gone from borderline high to do-something-now-before-you-have-a-heart-attack-or-stroke high!! At this point, it’s due to 8 years of chocolate bingeing!! My LDL cholesterol (so-called “bad” cholesterol) is 7.5, and the upper level of the range is 5.5! So, quite high!!
Question from the dietician: “do you want to live a long life with your husband?”. Me: “yes, of course!”. Dietician: “then you really have to do something about your cholesterol”!!
4) My vitamin D level is getting progressively lower. It was normal last year and at the start of this year and low a couple of years ago so I guess it fluctuates. Spending the last 3 months at home and not getting out much has not helped my incidental sunshine exposure! So back on supplements.
5) My iron storage level (ferritin) is low. This one puzzles me and everyone else because there’s no obvious cause. So diet, you need some change. More meat, but no more fat…interesting conundrum!!
6) My waist measurement is 100cm!! The safe upper limit of waist circumference to prevent heart disease in women is 80cm…quite a bit of work to do there! Oh, and I look like I’m 5 months pregnant!!
7) Most relevant fact: I now have 3 skirts left that fit (ish)and 90% of my wardrobe no longer fits!!! Or it squishes my waist into weird shapes and bulges, or clings to wide parts of me – not nice for anybody!!
So we know the what. Now for the why.
I know this one too.
Binge eating, comfort eating, boredom eating, drug-induced craving eating, habit eating…are there any other kinds? Oh yeah, guilt eating, shame eating etc.
Food has always been a weakness with me. I love it, I enjoy it but it has gotten to be a habit and comfort to me.
While I’ve been really sick it was one of the only things that I could still get enjoyment from when I’d lost interest in everything else. It was nice to be able to enjoy the flavour, texture, taste when everything else had lost it’s interest and enjoyment.
In times of severe depression when I have lost all my energy, motivation, and was tired, flat and struggling to do anything, I would eat sugar after sugar after sugar to try to get just a little scrap of energy so that I could do SOMETHING!! Sour straps, chocolate, licorice, berries, frozen yoghurt…the list goes on!
The rest of the time, just having the food near was enough reason to reach out and eat.
Did it work? Did it give me energy? No. But it made me feel good for a little bit. And I kept doing it, because I like it!
But then it would make me feel bad. Guilty, ashamed, embarrassed, feeling over-full and gross.
The dietician gave me a diagram that perfectly describes how I’ve found over-eating:
But it’s time to stop. Time to break the cycle, for once and for all.
I’m (hopefully!) past the worst mood swings and have a bit more energy and time to put into Project Danika. So here we are, Day ONE.
And here’s the plan.
My cholesterol is shocking so it’s the first thing to be addressed. I’m trying a radical new meal plan: eat breakfast, lunch and tea. That’s all.
Hmmm. It’s a long time since I’ve eaten 3 meals and nothing else in the day!! I’m allowed morning and afternoon tea but from today, no more mindless snacking, eating from boredom, for sugar hits, mood improvers or anything else along that line.
What I eat for my main meals is actually fine, no dietician amendments needed. It’s everything in between that needs to be eliminated. So here goes, no snacking!
A few things I learned yesterday: cravings last from 9 to 12 minutes therefore if I can keep my mind and body busy for 10 minutes whenever a craving hits I will be able to get through feeling the need for food to feeling satisfied for food. Such a great tip!! Now I feel like I have an active plan that I can work on to achieve my goals.
I now know the ‘how’ of the equation! I love it. I have strategies and goals and it feels achievable. I’ve been letting myself have a free run but no more. Time for the better me to have a go at life.
The next dietician strategy if I get as far as the fridge; start asking questions! Why am I eating? Will this snack make me feel healthy? Am I hungry? Should I have a glass of water instead?
And if I get as far as actually eating? Next lot of questions: am I enjoying this? can I stop? Did I really taste that?
Failing that, just finish what you’re eating, put it down to experience and try again from now on. I’m psyched!! Having someone give me all these plans and strategies makes the biggest difference to me. I guess it may seem obvious to others, but I really need to have it broken down for me.
So with a fruit bowl full of mandarins and kiwi fruit, some celery sticks and baked bean cans, and a new approach of not buying anything that has more than 2g of fat per serve, off I go. I’ll keep you posted along the way to the 3 week mark when I revisit the dietician.
Wish me luck!