Dropping Those Extra Pounds

One of Mama Kat’s writing prompts this week asks us what’s sabotaging us in dropping those extra pounds. I remember about six years ago responding to a similar prompt on my old blog. At the time, the prompt asked us specifically about those first five pounds. That would be somewhat fitting for today too, as my weight currently is about five pounds into the obese range.

It hasn’t always been that way. Back in 2015, losing five pounds wouldn’t even get my BMI under 30. In 2017, I had a BMI close to 35. I managed to turn that around and lose almost 10kg or 20lbs in six months, crossing the line back to just plain overweight for the first time in many years.

Now I’ve been back within the obese range for several years already, but my weight has been more or less stable for about two years now. I would really like to lose those first five pounds, but something’s sabotaging me. And that something isn’t binge eating anymore.

In fact, back in 2015, I admitted that the problem wasn’t most likely my emotional overeating either. I’m not sure that’s true, as I considered it a win that I hadn’t had a binge in a few weeks. Now, I haven’t had one in months.

However, I was probably right that it was more my habitual snacking and lack of exercise. Currently, I do try to get in enough exercise at least with my walking, but I still eat just a little too many cookies and chips.

The fact that I get in enough walking, probably keeps me stable, but I could be doing so much better if I just resisted the urge to have a cookie or two with each coffee break. Like my husband once said, if I removed just one cookie from my diet and didn’t make it up with anything else, I would have lost those first five pounds within six months to a year.

Mama’s Losin’ It

July 2021 Health and Wellness Update

Today, I’m not feeling too inspired to write. However, I said last month that I wanted to make health and wellness updates a monthly occurrence. Here goes.

Last month, I was worried about my kidney function. My nurse practitioner was since able to reassure me it was within the acceptable range. I since have stopped using the Water Reminder app, as it was being a bit of a nuisance having to fill out my fluid intake each time. However, I still make sure to drink plenty of water.

The fact that my kidney function is acceptable means I have been able to start the topiramate too. Thankfully, like I’ve said, I don’t experience any side effects.

I also found out last month that I don’t have a UTI. The doctor still isn’t sure what is causing my bladder pain. I for a while took the max dose of paracetamol plus naproxen twice daily. Thankfully, I have since been able to get the naproxen back to an as-needed prescription.

As of last Tuesday, my magnesium, which I’ve been taking for constipation for a few months now, has been upped. I myself thought I suffered with diarrhea, but my GP was able to see that it was a result of constipation really. I am really hoping this will work.

To be honest, with respect to lifestyle, I’m not too satisfied with how I’ve been doing over the past month. I am still struggling to make healthier breakfast and lunch choices. This week, I started having crackers for lunch, which I like far better than slices of bread. However, we didn’t have those until Wednesday and yesterday, we already had a special grill lunch.

I did make sure to eat some fruit at lunchtime each day as well as some slices of cucumber. Overall, combined with my relatively healthy choices from the meal delivery service menu, I did meet my five servings of fruit and veg each day.

I got weighed in again yesterday and, sadly, had gained 400 grams compared to last month. I am still within the acceptable to me weight range, but I do need to make sure I really watch my diet more carefully over the next month.

Exercise-wise, I’m not doing as well as I’d like to. I would really like to make it to 10K steps more regularly again. I do know the weather hasn’t been great, but I still have the elliptical and can dance in my room. I would also really like to make weight training a part of my routine again. That might take some more time though, as, well, I want so many things.

Overall, I feel okay about the things I can’t control, like the fact that my kidney function is within the acceptable range after all. However, I could really do better on things I can control, such as eating a healthier diet and exercising more.

A Perfect Health Day

I can’t remember when or why I bought the book 1000 Journal Prompts That Will Transform Your Health by Sophia Ley, but today, I felt myself drawn to it. In it, one of the prompts asks us to describe a perfect health day. Here goes.

I get up at 8:30AM. I start my day with prayer. This may not be a direct physical health habit, but it certainly helps me get in the right mindset for focusing my day on what’s right. I then get showered if it’s a day I do this or else I get a quick wash.

After I get dressed, I eat breakfast. I eat yogurt with a little crunchy muesli. This may not be the healthiest food choice physically, but it is something I definitely love and don’t really feel I want to give up on. I also eat some fruit.

After breakfast, I take a little break for writing in my journal and Bible reading. Then I go on the elliptical for 20 minutes. I’m assuming it’s a weekday. If it isn’t, I can go for my first walk instead, as my one-on-one will be there. In that case, I’ll go on the elliptical during the afternoon.

When my day activities staff arrives at 10:15AM, I have coffee. I don’t have a cookie with my morning coffee.

Then I go for a walk of about 25 to 30 minutes. After this, I usually will have some time left to do some of my crafting before my staff goes to help prepare lunch.

For lunch, I have two crackers or slices of bread with peanut butter or jelly. Again, these aren’t the healthiest food choices I can imagine, but way healthier than my current choices of lunch food on most days. I also have some slices of cucumber or some cherry tomatoes and a serving of fruit. I will have another serving of fruit in the evening.

After lunch, I will spend some time doing weight training and resistance band exercises. Then, when my staff returns from their lunch break, I’ll go for another 25-minute walk. Then I’ll have another cup of coffee, again with no biscuit.

I will spend the rest of the afternoon on my hobbies, such as blogging or reading. In the evening, I will go on two more walks with my one-on-one. In total, I will reach my goal of 10K steps.

I will have my evening meal from the meal delivery service as usual. For dessert, I will have a small serving of fruit yogurt.

In the evening, I will drink green tea rather than coffee. Throughout the day, I will also make sure I drink at least two liters of water. This means I will have a glass of water after each walk and with each meal, as well as with each medication round. I will obviously take my medications as prescribed. When it’s a perfect health day, I hope I won’t need my painkillers anymore, but that seems to be beyond my control.

I will brush my teeth twice a day, morning and evening. At 9:30PM, I will start to unwind for bed. I will say a prayer. Then, I will diffuse a relaxing essential oil blend and start a soothing sound track on Spotify. I will go to bed at around 10PM. I will probably fall asleep within half an hour and have a good quality of sleep.

Looking over this, some of these things seem relatively easy to include into my day. Some are harder. Of course, I didn’t take into account the possibility of a severely rainy day when I can hardly go for walks. I’ll have to think of alternative ways of getting active then.

June 2021 Health and Wellness Update

I am feeling kind of worried about my health lately. To get myself a more realistic picture of how I’m doing, I thought I’d do a health and wellness check-in. I am hoping I can make this a monthly habit.

Firstly, the reason I am worried is one abnormal result on the annual bloodwork I had done last week. I get an annual blood test for fasting glucose, cholesterol and other indicators of metabolic syndrome. This is because I take psychiatric medications that can influence this. Last year, my mental health agency ordered it, but this year, my care facility’s physician did. This means I could see my results in the patient portal for my GP surgery that same evening.

The good news is my fasting glucose, cholesterol and triglycerides were all within the normal range. The one thing that wasn’t, is an estimate of kidney function. It should be above 90 and was 81. Because it is an estimate, one abnormal blood test doesn’t say anything. I may need to be retested in a few months.

I looked up what to do about decreased kidney function, hoping to find that if I drank plenty of water, I could get it back to normal. I’m still not sure that’s the case. I mean, I try to drink at least two liters of fluid each day, but can’t figure out whether that should be enough. Other than that, I do try to watch my salt intake more closely. That’s pretty hard, of course – harder than drinking more water.

I do worry that I might not be able to tolerate the topiramate though, because if I remember correctly, that medication is eliminated through the kidneys. I’m not sure though and will leave this to the doctors to decide.

Like I said though, all my other results were within the normal range. My fasting blood glucose was 4.3. It should be between 4 and 6 and was 4.2 the last time, but I’m not drawing conclusions about it increasing as of yet.

Today, I did send off a urine sample for checking for a UTI, because I’ve been having lower abdominal pain. It came back alright. My staff will likely call for an appointment for me to see the doctor, as the pain is still pretty intense.

As for some good news though, I stepped onto the scale this morning and am back at my average weight for the past six months or so. My weight usually goes up or down a few pounds. I’m now 72.1kg, which means 2kg to lose for a BMI under 30. I am unlikely to reach that goal, but it’s okay.

As my husband reminded me when I told him about the abnormal blood result, small steps go a long way. I am already trying to cut back on my snacking on the weekend. I also make sure to eat enough veg and fruit. I mean, the meal delivery company isn’t great on putting veg in its pasta and rice dishes, which I eat most days. However, I make sure to eat some cucumber, tomatoes or raw bell pepper with each lunch. For the upcoming month, I’ve also selected some potato dishes from the meal menu, since they usually are richer in veg.

My husband also pointed out that I get enough physical activity. I could go on the elliptical more often, but my walking is pretty good already.

I did feel a little depressed when my husband told me that it’s obvious that I’m not as healthy as the average woman in her thirties. Then again, he reminded me that I turned the tide on my weight gain in 2018 and am healthier in some ways than I was before. Besides, a century ago I wouldn’t have lived past infancy. That put things into perspective.

Accomplishments for the Day (June 6, 2021)

Hi everyone! I was feeling a little low this morning after a restless sleep. This afternoon, I felt even lower after I misinterpreted a comment from my husband about my (lack of) Bible knowledge as criticism. It thankfully wasn’t meant that way. Right now though, I am feeling quite accomplished. Let me share what things I achieved today.

1. Got showered and brushed my teeth and hair. Personal hygiene is a struggle of late, so I am very proud that I got these things accomplished.

2. Got weighed in. I had gained a little over a pound over the past few weeks, but I’m okay with that. After all, my diet hasn’t been too healthy lately. It could also still be the fact that I literally stuffed myself full of fries yesterday.

3. Made relatively healthy food choices. I mean, I had three meals that weren’t too unhealthy. For lunch, I had a grilled cheese sandwich at a sandwich place, but I don’t think it was very unhealthy. I had mini rolls for breakfast and my care facility’s meal service’s meal for dinner. I did have chips this evening, but I kept to one serving.

4. Broke my daily step record. This is the one thing that helped me move from feeling low to feeling accomplished. My old record was 20.2K steps. Now, I have walked 20.5K steps today. Only 200 more to go and I’ll have reached 100K steps in the past week.

5. Read my Bible. I signed up for the Bible in a Year E-mail service earlier this week. Because I had selected the start-to-finish reading plan, I’m now only at Genesis 21-23. Discussing my progress with my husband got me a bit discouraged. He recommended I, being a Christian, read the New Testament first, then got to recommend that if I read the Old Testament now anyway, I could start with Daniel. So I decided to read Daniel.

To get myself acquainted with the story, I got the Immersion Bible Studies book for Daniel, because I like Immersion. That study though combined Ezekiel with Daniel and I’m not intending on reading Ezekiel anytime soon. So I got a little confused and this further discouraged me.

Then I texted my husband in a bit of frustration. He thankfully replied that he had just meant that Daniel might be a more interesting story than most of the rest of the Old Testament. He wasn’t meaning to question my faith.! That lifted my mood again and encouraged me to study the Bible some more.

What have you accomplished today?

My Hopes for 2021

Hi everyone and a happy new year! Last year was, well, quite eventful for most of us. I really hope this year brings some peace and quiet to all of you. Most of all though, I hope you all stay as healthy as can be.

Like I’ve done for a couple of years now, I’m going to share what I hope to achieve in the new year. I hate the word “resolution” and don’t really want to call them goals either, because that’d be pressuring myself too much. I’ve actually noticed that if I call them hopes, I somehow achieve more of the things I want to achieve. Here are my hopes for 2021.

1. Eat a somewhat healthier diet. I don’t really want to be eating just lettuce and carrots so to speak, but I do really want to make healthier food choices. Like, I want to eat 2-3 servings of fruit each day, like I did in the fall of 2020 too. I also want to choose healthir snacks and maybe I can really get into the habit of eating bread rather than cereal some days. Lastly, I really need to make sure I get in at least two liters of fluid each day. Ideally, these actions combined will lead to some weight loss. I’d like to lose about 5kg, but any weight loss is good.

2. Find other ways of exercising besides walking. COVID permitting, I’d still like to join a gym or go swimming again. I don’t need to get moving more, as I already get in my recommended 10K steps at least half of the time and I don’t think it’s realistic to want to reach the goal more often.

3. Keep up my blogging routine. I did really well over 2020 in writing regularly and really want to keep it this way for 2021.

4. Get stable mentally. In 2020, I experienced crises a lot due to a combination of factors related to my mental health and adjusting to living in a facility. Like I said on Wednesday, the extra care hours got approved for a year. Hopefully by the end of this year, we’ll be able to conclude that they’ve helped me become significantly more stable.

5. Find more enjoyable hobbies and activities. I don’t need to be able to do them independently. Like, I’d really like to explore crafting and beauty product making more, but I know I’ll need help with those. I guess my hope is that I’ll find joy in more activities even if I can’t do them all by myself.

6. Deepen my faith. I didn’t even mention having become a Christian in 2020 when I reviewed the year on Wednesday. I however really hope to strengthen my relationship with Jesus and my faith in God.

What do you hope to achieve this year?

Early November 2020 Health and Wellness Update

Like I said a couple of weeks ago, I had a physical health check-up at the mental health agency. That wasn’t good. That is, my blood pressure was high and so was my weight. Even though the nurse said I might not have gained any weight compared to the last time I stepped onto the scales, as each scale is different, I was pretty alarmed. So was my husband. He asked whether I could be put on a diet. Well, no-one can force me, but I did agree on a food plan with the staff.

Now we’re a little over two weeks on. I didn’t get my blood pressure taken today, as my GP recommended we wait three months and then check it everyday for a week. I did get weighed in though. And guess what? I lost 1kg compared to the last time I stepped onto this scale in early September and 3kg compared to the health check. Only two more kilograms to go and I’m no longer obese.

Overall, I’m doing okay sticking to the food plan. I eat bread rather than crunchy muesli for breakfast, make sure I eat enough veggies and fruit and drink at least 1.5 liters of water a day. That plus coffee, which contrary to common belief does hydrate the body to an extent, and occasionally green tea. I do usually eat a cookie with each coffee break, while my food plan says I can only have a cookie with my evening coffee. However, each day that I skip a cookie, I’m proud of myself for making a healthy food choice. Same each morning with breakfast, which is a real struggle, as I’m not a bread person.

I also make sure I get in enough physical activity. Last week, I felt really lazy, but, according to my Fitbit, still got more than the recommended 150 weekly minutes in active heartrate zones. This week, so far, I got 341. I broke my personal step count record yesterday by getting in over 16K steps. I don’t go on the elliptical as often as I’d like, but that’s because after walking two to three times a day, my legs are often tired.

In other health-related news, I talked to my CPN from mental health about sleep on Tuesday. I usually get enough sleep, but I have very vivid nightmares most nights. They aren’t your standard monster-chasing-me nightmares. In fact, most revolve around my sense of safety here at the care facility. My CPN may talk to my nurse practitioner about it. She said I might benefit from medication to help with this. Thankfully though, having discussed the issue has already calmed things down a bit.

#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.

Accomplishments for Today (August 25, 2020)

It’s been a few days since I last wrote a blog post. I just wasn’t inspired. I still am not. For this reason, I thought I’d revisit a type of blog post I did a few times before and share my accomplishments for the day. Here goes.

1. Stayed in bed all night. I’ve been struggling with keeping a proper circadian rhythm lately, sleeping a lot during the day and not at night. Though I didn’t have too restful a sleep last night, it was good enough and I managed to stay in bed all night. I went to bed at 9:30PM and got up at 8:30AM. I also only napped for about an hour this afternoon.

2. Ate three healthy meals. We had cheesecake with our coffee today because it was another client’s birthday, but other than that I ate quite healthily today. I had yogurt with crunchy muesli for breakfast, three slices of bread for lunch and carrots, potatoes and fish for dinner.

3. Brushed my teeth, hair and used deodorant. Personal hygiene has been a struggle again lately, so this is good.

4. Had a productive appointment with my community psychiatric nurse. We discussed some of the sources of my abandonment/separation anxiety and also went into my fear of being one giant attention-seeker.

5. Did 45 minutes of mindfulness. At the appt, my CPN suggested I try mindfulness more often. She said she used to do a 45-minute daily meditation and thought I might benefit from it too. She didn’t specify which meditation she used, but I selected a body scan off Insight Timer. I actually did pretty well doing it. Of course, I couldn’t keep still the whole time, as I just had to scratch a few times when I itched. That should get better though.

6. Read for an hour. This isn’t really an accomplishment lately, as I read most days, but it’s still good.

7. Went for two walks. This is more of an accomplishment now than it used to be, as I’m sometimes seeking excuses not to go for walks. I also used the stairs, which I’m not always doing of late.

8. Did some weight-lifting exercises. I just remembered to do these while writing this post and so took a break from writing to do them. I also did some hand strength exercises.

What is something you are proud of yourself for today?