That’s it! Enough already!

Hear ye! Hear ye! Public Announcement!

It really is enough now.  Exactly what is ‘it’ and what is enough already? Weight. Hypertension. Blood Glucose (and the edible kind). Fatigue. Insomnia. Indifference. Oh grief, I could go on and on.. and on …

It’s what my dietician called ‘the slippery slop’. Perhaps I should pen that as ‘The Slippery Slope’. Because it really, really is a Slippery Slope people. Actually, no, scratch that completely. It’s the Slippery Gorge. And do please check out the synonym verbs for Gorge hereunder!

The infamous and notorious (there is a difference) Odyssey takes to the road again tomorrow morning. Let’s be clear on this, tomorrow 19 August 2013 at 07h00 my Odyssey takes to the highway again.  I am mortified to admit here on this horribly public forum that I tested FBG and BP this morning and both are notably elevated. Elevated from my usual readings that is – which were last done on 23rd June. That is the mortifying part – the interval between these routine checks. Won’t be permitted to happen again.  I am not mortified about the readings themselves, they are simply proof of severe self neglect. My excuses for this severe self neglect will become clear as I continue to bore you all in the days and weeks to come 🙂

Gorge (per the ubiquitous Google)

Noun
A narrow valley between hills or mountains, typically with steep rocky walls and a stream running through it.
Verb
Eat a large amount greedily; fill oneself with food: “we used to go to all the little restaurants and gorge ourselves”.
Synonyms
noun. ravine – throat – gully – gullet
verb. gormandize – gobble – devour – guzzle – cram

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ODYSSEY: All psyched up & nowhere to go!

Yeah well no fine. There I was – on Saturday morning all fired up, fasted and keen to get my latest lot of bloods done.

Tootled along in the new Yaris (now named Ruby btw!) to the lab we now use.. only to find they do not open on Saturdays…. Sh*t… not impressed. I was on my way to pick up my granddaughter to take her to a birthday party so could not shoot through to Milnerton where the Pathcare lab does open on Saturdays. I was planning to go on Friday am but decided on Saturday as Fridays would cut into my working day….. hhhmmm. Will have to go to Pathcare lab tomorrow am.

The regular blood tests have now become even more important in my life as I made some quite momentous decisions recently.

Quite momentous in that I have been battling to curb a backslide in my weight loss progress since all the ‘snot en trane’ of the last half year or so. I need all the help and motivation I can get but I have nonetheless resigned from Weigh-Less.  I will miss the lovely pamphlets they produce and I will miss some of the people I met while there in 2009/2010. I will be glad to have R125 a month more to spend on good, quality food. But for the rest – well quite frankly I truly believe that I can teach most of them a thing or two. Some GL’s are tremendous and others just do not have ‘it’ I am afraid.

I have come to the realisation that I went about my weight loss in completely the wrong way. How can a 25kg weight loss not be a raging success story?  You may well ask! I did the right things for me (I thought) – low GI eating plan mainly of my own creation; using nutrition software to keep track of intake; some increase in physical activity >>>>> and therein lies the crunch!

I have realised that far more than what that damn scale says, it is in fact body fat % that has to be monitored and brought down to within the normal  range. At a 25kg weight loss, I looked pretty darn good if I say so myself and I still get compliments about my June 2010 birthday photo used on most websites I frequent. BUT BUT BUT I was a skinny(ish!) fat person!

If body fat % is right, then the weight will be right too… I think… any comments greatly appreciated here!

Lack of robust physical exercise during my weight loss journey resulted in far too much of that 25kg loss being lean muscle. I can feel that and see that in myself. To rectify the matter will not be a simple undertaking but I plan to give it a go. The low GI eating is resuming (for me the only way to go) and the nutrition software has been ‘re-booted’!  The CRUNCH is going to be the physical exercise – aerobic; stretching; light weights; core;  – dear heaven this is not going to be easy at all!!

Anyone know when I can buy reasonably priced skinfold calipers? I am serious! Can order from the USA for +- $20 BUT the freight costs are very high.  www.chponline.com.

While we are mentioning websites here, check out the new diabetes website www.mydiablog.com. Had a long chat with the founder this evening – a German named Wolf. What a great guy.

Blue Tuesday coming up – had a great weekend out & about in the sunshine so not looking forward to my desk again early tomorrow morning.

Have a great week everyone.

BP – as in blood pressure, not petrol!

My valued readers may remember my post about ‘a bit of’.  A ‘bit of weight’; a ‘bit of cholesterol’; a ‘bit of diabetes; and so on. Looking back at older posts, I see that I wrote that post on 8th March.

What I said on that day is something I would like to repeat today and I will probably return to the subject time and again as I try to hammer home the crucial core message:-

There is no such thing as ‘a bit of’. You either have it or you don’t!  The ‘bits of’ have already started their destructive paths in your body and will continue to do so unless you take charge of your choices right now!

In my observations and personal experience, we typically see these (lifestyle induced) patterns manifesting around our 40th birthday. Very sadly, we are also seeing more of these conditions emerging in much younger people. I seem to recall reading that 19-year old Americans in the Vietnam war already showed signs of arteries clogging up; the trend has been growing for decades. Just look, really look around you in a shopping mall; particularly in the food courts. Obese parents loading all sorts of junk food onto their plates and ordering the same for their plump, chubby or already obese kids. I feel sick at heart as I observe it all.

I recently watched a 40-something man sitting at a small restaurant table with his knees spread wider than the table. He could not close his knees because his stomach was resting on the chair seat between his legs. He was simultaneously reading the morning paper, while shovelling bacon, sausage, eggs, toast etc down his throat as if there would be no tomorrow. His two obese kids of primary school age sat at the table with him also shovelling down… guess what?  Neither he nor his children were actually paying much attention to what they were so avidly consuming. It was a mindless, well practised exercise in gluttony.

Do not get me wrong, there is nothing more ‘lekker’ than an ‘English breakfast’ of bacon, eggs etc as an occasional treat to be savoured and enjoyed. My W-L  group leader says that she loves to prepare her own lunchtime version of the ultimate sandwich, cut it into 4 triangles and then really look at it with pleasure and anticipation before eating it!

One of the many lifestyle induced health dragons we usually face is hypertension -high blood pressure. My spouse W & I have to take our blood pressure readings on a very regular basis. W because of ischaemic heart disease – he now has two coronary stents – and me because of diabetes and the other other dragons of Metabolic Syndrome.

While on holiday this month, we took BG (blood glucose) as well as BP readings every day; our children were not even aware that this was part of our daily routine even on holiday. All readings are recorded and then transcribed into Benutriwise as data for our GP, Dr Anna.

I recently upgraded our BP cuff – we now have the type that takes the readings at the press of a button and gives digital readouts. It also averages the readings for the previous 30 days; all of which is crucial information for the GP as well as the cardiologist.

We have HARTMANN brand BP cuffs (a German make) which Dr Anna tells me are about the best on the market. Taking info from their user manual, I quote hereunder:

“The World Health Organisation (WHO) and the International Society of Hypertension (ISH) have developed the following classifications for blood pressure values:”

Assessment Systolic pressure Diastolic pressure
Optimal up to 120 mmHg up to 80mmHg
Normal up to 130 mmHg up to 85 mmHg
Normal limit values 130 – 139 mmHg 85 – 89 mmHg
Grade 1 hypertension 140 – 150 mmHg 90 – 99 mmHg
Grade 2 hypertension 160 – 179 mmHg 100 – 109 mmHg
Grade 3 hypertension over 180 mmHg over 110mmHg
     

“ Established hypertension is defined as repeated measurement of a systolic value greater than 140 mmHg and/or a diastolic value greater than 90 mmHg. Please note that this classification of blood pressure values is independent of age. Optimal blood pressure values have health benefits for all people. There is no generally recognised definition of too low blood pressure (hypotension). Readings of less than 100mmHg systolic and less than 70 mmHg diastolic are considered too low. Please note that, unlike too-high blood pressure values, too-low blood pressure values are not usually expected to be associated with health risks. However, if you are always feeling unwell, you should check with your doctor. “

“ Constantly elevated blood pressure multiplies the risk for other health problems.

Also according to HARTMANN, high blood pressure elevates the risk for thickening and/or weakness of the heart muscle 7 times and the risk of stroke 8 times.

Constant hypertension also leads to vascular damage. Additional increased risks are quoted as follows: Heart attack 3 times; shrunken kidney/kidney problems/kidney failure 6 times; impaired blood flow 2 times; and arteriosclerosis (hardening of the arteries) 8 times.

When W was admitted to a cath lab for the first stent, he commented to the theatre sister that she must see a lot of heart disease in her line of work. She looked at him, sighed and said, “ Yes and the sad part of it is that it is all self inflicted.”

My cardiologist showed me very carefully where my heart muscle has thickened due to poorly controlled hypertension. It’s sobering stuff I can tell you.

Is this post meant to scare you? No, it is not. It is meant to present the facts about the serious consequences of uncontrolled or poorly controlled hypertension. It is also intended to encourage those not yet medicated and monitored by a doctor to most urgently monitor their BP over a period of time and take corrective action – be that drastic lifestyle modification and/or medication.