#WeekendCoffeeShare (October 25, 2020)

It’s already late Sunday evening. I was up real early today, but still didn’t get to blog so far. Today, I’m joining in with #WeekendCoffeeShare. We may still have some coffee, although our official evening coffee break has passed. Otherwise, I can offer you green tea or water. Let’s have a drink and let’s catch up.

If we were having coffee, I would share that last week, I bought a new Fitbit Inspire 2. It’s pretty cool to be able to track not just my steps and distance walked, but also my minutes in active heart rate zones. I got more than twice the required number of minutes this week.

That being said, I’m already looking at someday buying myself an Apple Watch. I discovered just a few days after I’d purchased the Fitbit, that there’s a new Apple Watch SE that’s significantly cheaper (or should I say less expensive?) than the regular one. I’m really hoping I’ll be able to buy that one someday.

If we were having coffee, I would share that I had a health check on Tuesday. Like I said, it showed that my blood pressure was somewhat high and of course I’m significantly overweight.

I did find out on Friday that my blood pressure is actually pretty normal when resting, ie. just after waking up. It was 115 over 75 then, but rose to 129 over 91 after I had showered and gotten dressed. I have no clue of the significance of this, but my staff E-mailed my GP about it, as the nurse from the health check-up had recommended.

If we were having coffee, I would tell you how frustrated I was when discussing my health check with my husband. He wanted me to go on a diet. I want that too, but it’s hard for me to follow through especially long-term and the staff refuse to enforce a healthy lifestyle.

After a sleepless night and some frustrated discussions with my staff, they talked to the behavior specialist. She recommended we make a food plan together, my staff and me. Then all of us know what I’m supposed to eat and not eat and the staff can redirect me when I want to overeat. So far, it’s going okay’ish. That is, the staff have still occasionally offered me food I’m not supposed to eat at that moment and then I struggled to refuse it. I did eventually talk to the staff about it and try to make up for my bad choices later on. I’ve not yet had a moment when I requested food I wasn’t supposed to eat, which according to my food plan would require the staff to tell me it’s not wise and to offer an alternative.

If we were having coffee, I would tell you that my husband came by for a quick visit today to take me on a walk. That was fun.

If we were having coffee, I’d tell you I finally updated my iPhone to iOS 14. I hadn’t expected iOS 14.1, which came out a few days ago, to solve any of the many accessibility bugs the original iOS 14 had come with. After all, the release notes didn’t mention VoiceOver at all. To be sure, I asked on a Dutch VoiceOver users group about it and got a reply from the most critical iPhone user on the list saying that the update had fixed most of the bugs. Practically all other list members had already updated, claiming that most bugs can be circumvened. I didn’t want to take the risk, but I do believe this particular member. So far, it’s all pretty good. I am having a play around with VoiceOver recognition, which describes images. It’s pretty cool so far.

What have you been up to?

Health Check

Yesterday, I had a physical health check-up at the mental health agency. Because of the risks psychiatric medications cause for your health, they are required to do this every year. Oh well, the nurse told me not to expect another check-up until sometime in 2022.

I had to have bloodwork done to check for vitamin levels, cholesterol, glucose, etc. Everything was within the normal range except for my white blood cell count, which was slightly elevated. That’s probably because I had a cold about four weeks ago. At first, I was tempted to say “No” when the nurse asked whether I’d had a cold because of the coronavirus scare that’d cause. It turned out it explained my high white blood cell count though.

There were also two things that were low, which might indicate anemia. My hemoglobin though was normal and I’m not very tired lately. This is probably nothing to worry about.

Thankfully, my cholesterol, blood sugar, etc. were all normal. I know I run a risk of developing type 2 diabetes because of my weight. The nurse didn’t make a big point about my being obese though. She did chehck my blood pressure. My diastolic blood pressure was 93, which is considered hypertensive. My systolic blood pressure was also a bit high, namely 132, but that wasn’t too worrisome.

The nurse recommended we measure my blood pressure a couple of times over the next few days. It was 126 over 99 this morning. The latter number really worried me.

Right now, I feel pretty awful. My husband is also worried. He asked me to really “lose weight and relax”. I told him that both is not likely possible, but I’d try to at least lose weight. He asked me what options the care facility has to force me to go on a diet. Not many, I think. In fact, the staff are less worried than I am. I am likely mostly myself responsible for restricting my diet.

After I explained my and my husband’s concerns to my assigned staff, she did agree to E-mail the dietitian and behavior specialist to see if I can be put on a diet. Then again, if I nag for food, they say they’re more or less required to give in as I’m a voluntary admission. I don’t think that’s entirely true especially with the new Care and Force Act, but I think the staff feel less able to resist someone verbally pestering them for food versus someone who screams for it without actually asking, as they are non-verbal. After all, at least one of my fellow clients is on a diet and the staff flat out refuse to give her food she isn’t supposed to eat.

I feel really torn. On the one hand, I want to believe the nurse from the health check that losing weight shouldn’t be an absolute top priority, because, well, I don’t want to give up chips and sausages on week-ends. On the other hand, I absolutely don’t want to have to add yet another medication to my regimen. I originally said I wanted to avoid blood thinners at all cost. Then I found out blood thinners aren’t the same as blood pressure medication. Still, I want to avoid needing to add a blood pressure medication too, especially since, once on any medication, it’s hard to get off.

Of course, I want to avoid getting a heart attack or other cardiovascular disease for as long as possible. This means I really need to go on a diet. I’ll start with eating bread instead of cereal for breakfast. It’s hard, but I’m going to do it.

Diet and Exercise: A Healthy Lifestyle for Wellness #AtoZChallenge

Welcome to my letter D post in the #AtoZChallenge. Usually when looking for inspiration this year, I have looked to The More or Less Definitive Guide to Self-Care by Anna Borges. Today though, no “D” topic inspired me. Besides, I had basically already made up my mind that I was going to write about diet. Then I decided to add exercise to today’s discussion, as I already have an “E” topic in mind.

Having a healthy lifestyle can be hard for most people and it’s especially hard for those of us struggling with mental health issues. When I suffer with major depression, for example, all I feel like is sleeping and eating and I certainly don’t feel like moving. I’m not telling you that you should force yourself to have a healthy lifestyle all the time. That’s not possible for most people and, when you suffer with serious mental health issues, it’s often not a priority. If it takes all your effort to get out of bed, I’m not telling you to exercise.

But generally, it can really be helpful for your wellbeing to mind your diet and physical activity level. I, for one, need to lose weight to get to a healthy BMI. However, that number on a BMI chart or even on the scale isn’t the main reason I try to eat a relatively healthy diet. It makes me feel better mentally if I get enough healthy food in me and don’t overeat. Getting enough veggies is a struggle with the poor quality of food we get here at the care facility, but I do try to eat enough fruit.

Besides nutrition, hydration is important too. I try to make sure I drink at least two liters of fluids a day. This has been harder now that my days are less structured due to the day center being closed, but I really need to get my hydration habit back up. I use an app called Water Reminder, which is free (with a one-time in-app purchase to remove ads and add some additional features).

It also certainly helps me to get moving. Now I must say that I’ve not been majorly depressed in a long time, so moving comes relatively easily to me. I particularly love walking, as regular readers of this blog will know. I also try to go on the elliptical a few times a week.

Do you try to develop or maintain a healthy lifestyle? Does it help with your mental health?

#FOWC: Diet

Today’s Prompt for #FOWC is diet. I have no experience following any diet. Not even a “No-Diet” diet such as Slimming World. I know, I do need to lose weight. I do need to moderate my food intake. I do know that Slimming World, Weight Watchers and the like can help some stick to a habit of moderation where it comes to food. However, I’m not sure I’m ready to stick to the diet.

I really want to stick to a plan where it comes to food, but I don’t want it to become an obsession. And, honestly, food can quite easily become an obsession, because in my thoughts, it already is.

I think I need to allow others some control over my food intake. It may be best if I take full responsibility, but given how badly my overeating can get, I don’t believe that’s realistic right now.

I hope that, once I move into supported housing, I will have a more structured day where it comes to my meals and snacks. I really hope I’ll subsequently be able to eat less. After all, whichever diet you follow, that’s the real deal.

My husband and I were talking about a care facility that wants me, and he asked whether they have side-by-side bikes. I think they do. They certainly do have a stationary bike. We were discussing getting rid of my elliptical, because there’s not enough room in our new house to put it if I only use it on week-ends. I was thinking of taking it to the care facility. Maybe they can use it at the day center that’s near the living facility. That way, I’ll still be able to go on the elliptical.

I, after all, didn’t say I would never lose weight again. I do want to, but now is not the right time. Then when is, you ask? Well, like I said, I’m genuinely hoping that, once I go to the care facility, I will be able to stick to a diet and exercise plan with the help of my staff.