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Medical Forum / Diseases and Disorders / Diabetes / October 2005

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Peter G. (Bigbird) - 07 Oct 2005 15:34 GMT
Well, had a checkup yesterday....

Lost another 26 lbs, total 166 lbs. lost since December 03

A1c - 5.4  This makes it over a year under 6.0........ yesss!!!

Lipids ok, LDL needs some work at 152, Trig/HDL = 2.14

Kidney/Liver function, electrolytes all fine.

Doc is happy, will let me go after the LDL with diet for now. I may add
Pantethine to my supplements.

There it is boys and girls..... if I can do it, so can you.

Approach? Reduced carb & metformin 500mg x 3. Starting to tolerate more
exercise..... like it.

Peter G.
The Bigbird
Susan - 07 Oct 2005 15:38 GMT
> Well, had a checkup yesterday....
>
> Lost another 26 lbs, total 166 lbs. lost since December 03
>
> A1c - 5.4  This makes it over a year under 6.0........ yesss!!!

WOW, congrats!

> Lipids ok, LDL needs some work at 152, Trig/HDL = 2.14

Excellent!

> Kidney/Liver function, electrolytes all fine.
>
> Doc is happy, will let me go after the LDL with diet for now. I may add
> Pantethine to my supplements.

If you add the pantethine, please report back.  When I used it 450mg
twice per day for 3 mos, I had exactly 70 pts. drop from my LDL.  I'd
like feedback from others who've tried it.

> There it is boys and girls..... if I can do it, so can you.
>
> Approach? Reduced carb & metformin 500mg x 3. Starting to tolerate more
> exercise..... like it.

You da man.  :-)

Susan
Tiger Lily - 07 Oct 2005 18:08 GMT
woo hoo
snoopy happy dance
with those statistics, you have a lot to be proud
of

kate
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> Well, had a checkup yesterday....
>
[quoted text clipped - 16 lines]
> Peter G.
> The Bigbird
Chris J. - 07 Oct 2005 18:54 GMT
On Fri, 7 Oct 2005 07:34:07 -0700, "Peter G. \(Bigbird\)" <unknown at
whoknows dot us> wrote:

>Well, had a checkup yesterday....
>
>Lost another 26 lbs, total 166 lbs. lost since December 03

166 POUNDS!!!!!!!!!!!!! That is truly mind-blowing... And an utterly
awesome accomplishment!!!

That's like losing an entire PERSON!

>A1c - 5.4  This makes it over a year under 6.0........ yesss!!!

>Lipids ok, LDL needs some work at 152, Trig/HDL = 2.14
>
[quoted text clipped - 4 lines]
>
>There it is boys and girls..... if I can do it, so can you.

I'll bet your Doc is thrilled with you! As well he should be!  

>Peter G.
>The Bigbird

Ahhem! Peter, I think you need to retire that sig, because, like your
clothes, it no longer fits. :-)
How about;

Peter G.
The Slimbird

Or

Peter G.
The NotBigBird

Congratulations, Peter, on your awesome (and very inspirational!)
progress.
Peter G. (Bigbird) - 07 Oct 2005 19:38 GMT
> On Fri, 7 Oct 2005 07:34:07 -0700, "Peter G. \(Bigbird\)" <unknown at
> whoknows dot us> wrote:

<<SNIP>>
>>Peter G.
>>The Bigbird
[quoted text clipped - 13 lines]
> Congratulations, Peter, on your awesome (and very inspirational!)
> progress.

Thanks all for the kind words and Chris... I especially appreciate the
sentiment. However the nic came from a very esoteric source that would be
kind of hard to explain and from some people I respect.... so I feel
obligated to keep it. Someday I might explain.  ;-))

Peter G.
Loretta Eisenberg - 07 Oct 2005 19:18 GMT
Peter how fabulous you are doing,  you certainly deserve my respect and
admiration.  166 pounds and 5.4 ,  

Loretta

--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.
Nicky - 07 Oct 2005 20:25 GMT
> Well, had a checkup yesterday....

<wolf whistle> Man! I'm impressed!

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Cheri - 07 Oct 2005 20:42 GMT
Vaboooooooom. You must be so proud of yourself, and well you should be.
Congratulations.

--
Cheri

Peter G. (Bigbird) > wrote in message
<5YadnSDn3un8GtveRVn-rA@comcast.com>...
>Well, had a checkup yesterday....
>
>Lost another 26 lbs, total 166 lbs. lost since December 03
>
>A1c - 5.4  This makes it over a year under 6.0........ yesss!!!
Quentin Grady - 07 Oct 2005 21:29 GMT
This post not CC'd by email
On Fri, 7 Oct 2005 07:34:07 -0700, "Peter G. \(Bigbird\)" <unknown at
whoknows dot us> wrote:

>Well, had a checkup yesterday....
>
[quoted text clipped - 16 lines]
>Peter G.
>The Bigbird

G'day G'day Peter,

"if I can do it, so can you." sums up a totally impressive
performance rather well.  

How about a name change? It seems like it might be time to retain
something of the old while changing the associated inferences.  
A lot of dealing with T2 is about making ecological changes.

How about SoaringEagle or EagleHawk?  It retains the bird image but
transforms it to one of strength and power over one's dominion.
If you search your psyche you will find such a name or rather it will
find you.

Best wishes,

Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Peter G. (Bigbird) - 09 Oct 2005 22:45 GMT
> This post not CC'd by email
> On Fri, 7 Oct 2005 07:34:07 -0700, "Peter G. \(Bigbird\)" <unknown at
[quoted text clipped - 36 lines]
>
> Best wishes,

Thanks for your support and I don't fault you for your suggestion at all.
The nic actually was given me by some people I respect quite a bit. The
occasion was one where I was being recognized for long term service to a
historical re-creation group I'm in. The symbol for the award is a pelican
in it's piety. After the ceremony someone made the comment I was probably
the biggest "bird" in the society. I was then challenged to adopt the
"Bigbird" as my personal badge. I've done so as I see it as a mark of
respect and believe in that context, so do others. So........ I think I'll
keep it. <G>

Peter G.
Bigbird
Quentin Grady - 15 Oct 2005 02:32 GMT
This post not CC'd by email
On Sun, 9 Oct 2005 14:45:54 -0700, "Peter G. \(Bigbird\)" <unknown at
whoknows dot us> wrote:

>Thanks for your support and I don't fault you for your suggestion at all.
>The nic actually was given me by some people I respect quite a bit. The
[quoted text clipped - 5 lines]
>respect and believe in that context, so do others. So........ I think I'll
>keep it. <G>

G'day G'day Peter,

Thank you for the explanation.

What is means to you is what's all important and whether is remains
consistent with your new persona.

OK, so its a badge of respect ... we can live with that.

Best wishes,
Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Michael - 08 Oct 2005 03:26 GMT
Woo Hoo!!!

> Well, had a checkup yesterday....
>
[quoted text clipped - 16 lines]
> Peter G.
> The Bigbird
Chris J. - 08 Oct 2005 03:47 GMT
On Fri, 7 Oct 2005 07:34:07 -0700, "Peter G. \(Bigbird\)" <unknown at
whoknows dot us> wrote:

>Well, had a checkup yesterday....
>
>Lost another 26 lbs, total 166 lbs. lost since December 03

Peter, I've got to ask (and if that doesn't work, I'll beg!) about
your weight loss, and how you have done it? Please share your methods
and insights...

I had a vastly easier task than you faced (I needed to lose around 35
pounds) and even that small amount has been a struggle for me. I'm now
within 10 pounds of it, but it's slowed to a crawl.

How long did it take you to lose the recent 26 pounds?
Pete - 08 Oct 2005 06:12 GMT
Way to go, Peter G!

Peter J.
Peter G. (Bigbird) - 09 Oct 2005 23:37 GMT
> On Fri, 7 Oct 2005 07:34:07 -0700, "Peter G. \(Bigbird\)" <unknown at
> whoknows dot us> wrote:
[quoted text clipped - 12 lines]
>
> How long did it take you to lose the recent 26 pounds?

Hi Chris,

To preface, it's never been about weight. I don't even own a scale. I
focused on finding a lifestyle I could live with as a T2. I was reasonably
sure the weight would come down as a byproduct. ;-))

This last period was about 180 days so that's just over 1 lb. a week. Before
then I was targeting 5-8 lbs. a month. However, the doc was convinced that
the side effects I attributed to Lovastatin were actually caused be the
weight loss. So I started eating more (mostly veggies) to slow the loss
rate. It baffles me how weight loss can aggravate tinnitus...... (sigh)

I started at dx May 2004 by deciding that low/reduced carb was what I was
going to try. My starting goal was 50-60g carb and >1200 calories a day. I
ate a lot of protein in the beginning. Slowly I experimented with various
veggies, continuously adding proven (by testing) low-impact things like
greenbeans, broccoli, cauliflower, cabbage.... you know the list.

While on the Lovastatin I basically ignored watching fats. That's now being
changed. I'm now trying to control lipids with diet and supplements. So I've
shifted to low fat cottage cheese and yogurt, drastically reduced sausage
meat, and trim fat from meats before cooking.

So essentially, I eliminated baked goods, pasta, white potato, white rice,
all convenience foods and fast food and went to basic unprocessed foods.
Nothing fancy here. I am a reasonably good cook and experiment with spices a
lot to keep things interesting. Currently I'm trying for around 85-100g
carbs and >1500 calories per day.

Exercise has been too challenging up till now but that's slowly changing.
I've been very active most of my life and look foreword to doing some of the
things I used to like off-road motorcycling, bicycling and swimming.

There you have it. I figure I still have another 175 lbs to go so will just
keep at it till I get there. For now I find I don't feel too deprived. There
are a few things I miss and will probably allow my self an occasional treat
once and a while. I recently figured out that I could probably tolerate a
taco salad if I forego the tortilla bowl..... and will.

Cheers,
Peter G.
Chris J. - 11 Oct 2005 08:12 GMT
On Sun, 9 Oct 2005 15:37:31 -0700, "Peter G. \(Bigbird\)" <unknown at
whoknows dot us> wrote:

>Hi Chris,
>
>To preface, it's never been about weight. I don't even own a scale. I
>focused on finding a lifestyle I could live with as a T2. I was reasonably
>sure the weight would come down as a byproduct. ;-))

It certainly has worked for you!!
I do own a scale, but had to break myself of the habit of weighing
myself daily. My weight would fluctuate up and down (the scale is not
perfectly accurate anyway) and it would drive me nuts.

>This last period was about 180 days so that's just over 1 lb. a week. Before
>then I was targeting 5-8 lbs. a month. However, the doc was convinced that
>the side effects I attributed to Lovastatin were actually caused be the
>weight loss. So I started eating more (mostly veggies) to slow the loss
>rate. It baffles me how weight loss can aggravate tinnitus...... (sigh)

I'd never heard that... Did slowing your weight loss help?

In the last few weeks I've slowed down to about one pound a week.
Before then it was several pounds a week. However, it seems to be
getting harder and harder to closer I get to a lean weight.  

>While on the Lovastatin I basically ignored watching fats. That's now being
>changed. I'm now trying to control lipids with diet and supplements. So I've
>shifted to low fat cottage cheese and yogurt, drastically reduced sausage
>meat, and trim fat from meats before cooking.

>So essentially, I eliminated baked goods, pasta, white potato, white rice,
>all convenience foods and fast food and went to basic unprocessed foods.
>Nothing fancy here. I am a reasonably good cook and experiment with spices a
>lot to keep things interesting. Currently I'm trying for around 85-100g
>carbs and >1500 calories per day.

Wow, that's a lot of carbs. I doubt I could handle eating anywhere
near that. I've found that even when carbs don't make my BG go up,
they do make me hungry later. So, I stick to about 35.

I'm also avoiding Cholesterol as best I can, trying to stay under 50%
of the RDA. One reason is I've seen it mentioned a few places that it
can increase IR.

I'm at 1800 calories per day, but it varies. If I do a long hike (5
miles or more) I consume more than that. If I have a day with little
exercise, I reduce calories.

I try and do a minimum of five miles a day (including lots of hills)
but with my job (real estate) I often rack up that much before my
daily hike.

>Exercise has been too challenging up till now but that's slowly changing.
>I've been very active most of my life and look foreword to doing some of the
>things I used to like off-road motorcycling, bicycling and swimming.

That's an excellent plan IMHO. I doubt I could stick to exercise if it
was all gym type, as I find that intensely boring.

Thanks for the info, and congratulations again on your awesome
progress.
Hi_Therre - 11 Oct 2005 12:11 GMT
>On Sun, 9 Oct 2005 15:37:31 -0700, "Peter G. \(Bigbird\)" <unknown at
>whoknows dot us> wrote:
[quoted text clipped - 9 lines]
>myself daily. My weight would fluctuate up and down (the scale is not
>perfectly accurate anyway) and it would drive me nuts.

Hey Chris
My GP uses a balanced beam scale at their clinic.  It is as accurate
as anything I know of.  Two weeks ago I weighed myself on our $20
walmart bought scale just before we left for my appointment.  It was
within a 1/2 pound of the balanced beam scale weight.  The modern
digital output scale is very accurate.  I often wondered about the
accuracy of the typical bathroom scale.
Chris J. - 11 Oct 2005 17:53 GMT
>>On Sun, 9 Oct 2005 15:37:31 -0700, "Peter G. \(Bigbird\)" <unknown at
>>whoknows dot us> wrote:
[quoted text clipped - 17 lines]
>digital output scale is very accurate.  I often wondered about the
>accuracy of the typical bathroom scale.

You are quite right, the modern digital ones are very good. The
problem is that a variance of half a pound can be very misleading if
you are weighing yourself every day. Several times I stepped off the
scale, then stepped back on, to find I'd either gained or lost weight
in 30 seconds! :-)

But, once i stopped weighing daily and switched to weekly, I find the
digital ones just fine.
Nicky - 11 Oct 2005 12:54 GMT
> I'm also avoiding Cholesterol as best I can, trying to stay under 50%
> of the RDA. One reason is I've seen it mentioned a few places that it
> can increase IR.

I'm not convinced about this bit, Chris - I thought the liver produced most
of the trigs in your blood itself? And that's why higher cholesterol often
goes with the diabetes terrirory, and why the trigs/HDL ratio is a
reasonable measure of IR? I don't think dietary cholesterol has much to do
with it at all, it's that damnable liver working overtime again. Drinking
wine (and thereby keeping the liver busy) might work for cholesterol in the
same way it does for dumps?

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Chris J. - 12 Oct 2005 07:02 GMT
>> I'm also avoiding Cholesterol as best I can, trying to stay under 50%
>> of the RDA. One reason is I've seen it mentioned a few places that it
>> can increase IR.
>
>I'm not convinced about this bit, Chris -

Oh, I'm not convinced either. I'd just seen it mentioned in a few
places, such as Gretchin Becker's book.

>I thought the liver produced most
>of the trigs in your blood itself?

That's my understanding, but the operative word IMHO is "most".

>And that's why higher cholesterol often
>goes with the diabetes terrirory, and why the trigs/HDL ratio is a
[quoted text clipped - 3 lines]
>same way it does for dumps?
>Nicky.

That sounds quite reasonable to me. However, I looked at it this way:

Dietary cholesterol is reportedly responsible for up to 20% of LDL
levels, too, IMHO it might be bad. I have seen nothing to say it's
good. Therefor, I reduced it.  

I do agree about the wine. It does seem to help, and I do that several
times a week.
Nicky - 12 Oct 2005 09:37 GMT
> Dietary cholesterol is reportedly responsible for up to 20% of LDL
> levels, too, IMHO it might be bad. I have seen nothing to say it's
> good. Therefor, I reduced it.

I hear what you're saying - but check the percentage of your brain that's
made of fat, and the role cholesterol plays in brain function. Of course, if
your liver can supply all you need, dietary intake is not important.

Personally, I don't worry about it at all, but then my cholesterol levels
are bumping along the bottom of normal. I'm almost in the range where the
Japanese supplement cholesterol to prevent strokes...

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Chris J. - 12 Oct 2005 11:14 GMT
>> Dietary cholesterol is reportedly responsible for up to 20% of LDL
>> levels, too, IMHO it might be bad. I have seen nothing to say it's
>> good. Therefor, I reduced it.
>
>I hear what you're saying - but check the percentage of your brain that's
>made of fat,

111%? :-)

>and the role cholesterol plays in brain function. Of course, if
>your liver can supply all you need, dietary intake is not important.

Thanks.. I never thought of that. (pun unintended!). I know
cholesterol plays a role in nerve casings, etc, so I know some is
needed.

>Personally, I don't worry about it at all, but then my cholesterol levels
>are bumping along the bottom of normal. I'm almost in the range where the
>Japanese supplement cholesterol to prevent strokes...

I haven't had my post Dx lipids test yet, so I'm trying to play it
safe. If mine are in a good range then I'll definitely loosen up a
bit.
At Dx my HDL was low, and my LDL unknown due to my triglycerides being
over 400, so I figure it will take quite a while to come down.

On the other hand, I get most of my fats from mono saturated sources
(Extra virgin cold pressed olive oil, avocado oil, walnut oil,
hazelnut oil, flax oil, sesseme oil, etc.) so I'm probably doing
myself no harm.
None Given - 12 Oct 2005 20:38 GMT
> Personally, I don't worry about it at all, but then my cholesterol levels
> are bumping along the bottom of normal. I'm almost in the range where the
> Japanese supplement cholesterol to prevent strokes...

What do they supplement with?  Egg yolks?

Signature

No Husband Has Ever Been Shot While Doing The Dishes

Chris J. - 13 Oct 2005 01:32 GMT
>> Personally, I don't worry about it at all, but then my cholesterol levels
>> are bumping along the bottom of normal. I'm almost in the range where the
>> Japanese supplement cholesterol to prevent strokes...
>
>What do they supplement with?  Egg yolks?

Big Macs... Just one a year would do it... :-)
Nicky - 13 Oct 2005 09:02 GMT
>>> Personally, I don't worry about it at all, but then my cholesterol
>>> levels
[quoted text clipped - 5 lines]
>
> Big Macs... Just one a year would do it... :-)

ROFL! No idea, I'm afraid : )

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Nicky - 13 Oct 2005 10:29 GMT
>>>> Personally, I don't worry about it at all, but then my cholesterol
>>>> levels
[quoted text clipped - 7 lines]
>
> ROFL! No idea, I'm afraid : )

I did find this, though:
http://www.pslgroup.com/dg/fff8a.htm

and this:
http://www.second-opinions.co.uk/cholesterol_myth_4.html

and this.
http://msnbc.msn.com/id/9533067/

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Chris Malcolm - 08 Oct 2005 10:17 GMT
"Peter G. \(Bigbird\)" <unknown at whoknows dot us> wrote:
> Well, had a checkup yesterday....

> Lost another 26 lbs, total 166 lbs. lost since December 03

I was diagnosed about 18 months ago. Since then I've mostly been
losing weight slowly. Have now lost 13lbs which puts me at 138lbs,
which is the lightest I've been since about early 2003. That was a low
after a serious dieting effort to take off the weight I gained while
on prednisolone for polymyalgia rheumatica, which in turn was probably
triggered by adrenal insufficiency brought on by very heavy
prednisolone use to stop ulcerative colitis in its tracks some years
earlier. And of course all that pred (and weight gain) might have
pushed me in the direction of diabetes.

My wife thinks I'm mad because aesthetically speaking I'd look better
with a bit more weight. But I figure 50 years worrying what women
thought of my physical appearance is quite long enough :-)

I only have to lose several more pounds to be lighter than I have been
for decades :-) What an idiot I was ten years ago to throw out my
ancient 1960s Carnaby Street* suit on the grounds that it was horribly
unfashionable and I'd never again be able to get into the trousers!
Looks like both of those judgments are going to turn out wrong :-)

*Carnaby Street: the centre of hippy London fashion in the psychedelic
60s. The suit in question was dark blue with a narrow bright yellow
pin stripe and flared trousers, cut to emphasize narrow waist and
hips.

Signature

Chris Malcolm cam@infirmatics.ed.ac.uk +44 (0)131 651 3445 DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Peter G. (Bigbird) - 09 Oct 2005 23:45 GMT
> "Peter G. \(Bigbird\)" <unknown at whoknows dot us> wrote:
>> Well, had a checkup yesterday....
[quoted text clipped - 25 lines]
> pin stripe and flared trousers, cut to emphasize narrow waist and
> hips.

Hi Chris M,

Sounds to me like you're doing fine. If there's one thing I've learned it's
that you have to be comfortable with yourself above all else. Everything
else flows from that. What you can do is work out building some muscle mass.
I believe your wife might find that to her liking.

Peter G.
W. Baker - 08 Oct 2005 23:08 GMT
"Peter G. \(Bigbird\)" <unknown at whoknows dot us> wrote:
: Well, had a checkup yesterday....

: Lost another 26 lbs, total 166 lbs. lost since December 03

: A1c - 5.4  This makes it over a year under 6.0........ yesss!!!

: Lipids ok, LDL needs some work at 152, Trig/HDL = 2.14

: Kidney/Liver function, electrolytes all fine.

: Doc is happy, will let me go after the LDL with diet for now. I may add
: Pantethine to my supplements.

: There it is boys and girls..... if I can do it, so can you.

: Approach? Reduced carb & metformin 500mg x 3. Starting to tolerate more
: exercise..... like it.

: Peter G.
: The Bigbird

Oh Peter, this is just fabulous news.  YOu are the answer to all those who
think bariatric surgery is the only way!  I am just so impressed.!!!  
Keep up the good work.  YOu really are a great example for all of us and
for the scared newbies particularly.  

Wendy
Peter G. (Bigbird) - 09 Oct 2005 23:51 GMT
> "Peter G. \(Bigbird\)" <unknown at whoknows dot us> wrote:
> : Well, had a checkup yesterday....
[quoted text clipped - 24 lines]
>
> Wendy

Hi Wendy,

Thanks for the positive feedback, it does help much more that one would
think.  I did look into bariatric surgery, the VA even asked if I was
interested. I rejected it for two reasons. The risk was much too high for
me, I'm *not* a good gambler, knowingly. Also it didn't make sense to attack
the symptom instead of the root cause. It didn't sound like something I
could live with and not regret it the rest of my life.

Thanks for your kind words,
Peter G.
 
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