Starting My Weight Loss Journey Again (And This Time for Real)

Posted on by Astrid

In the first week of my being in the care facility, I got weighed in. I hadn’t been weighed since sometime in like February. Not surprisingly, I had gained about 2-3kg in these nine months. I didn’t immediately take action though, as I felt I’d had to get used to being in the facility first and see how my weight would progress. Two weeks ago, I got weighed in and had gained about 500 grams again. This isn’t huge and could be due to the time of day I was being weighed in, but I decided it was time for action anyway. I’ve been in the facility for two months now and need to make sure I don’t gain any weight and ultimately lose some.

As regular readers of this blog know, I’m short-statured at only 1.53m. The upper border of healthy weight, as such, is 58.5kg. The border between overweight and obesity is 70.2kg. I weighed 74.9kg two weeks ago. This means I’ll have to lose at least 5kg. I have no intention of getting to a healthy weight, but I really want to cross the border back from obese to overweight. I also know I can do this, as I did this about 18 months ago too. Now though, once I reach overweight status, I have no intention of crossing the border back to obese.

I discussed my eating habits with my husband. He said that, if I skip just the cookie at morning coffee break and don’t change anything else, I’ll have lost those 5kg in a year or two. I want to go faster though. For this reason, I’ve also changed from chocolate spread to peanut butter on my breakfast bread. I know, peanut butter still isn’t low-calorie, but it’s a lot healthier than chocolate spread. At lunchtime, I still got two slices of bread which were heavily topped with butter and sweet toppings, one with peanut butter and the other usually with chocolate spread or chocolate flakes. There’s a mealtime assistant who prepares our lunch and I didn’t want to have a huge list of demands of her, given that I already have quite a few likes and dislikes on my list. Like, I can’t stand ham or cheese (unless toasted). I basically only eat what are called sweet toppings and don’t even like all of those. As such, I initially didn’t want to say that I don’t want butter and don’t want my bread too heavily topped. After discussing it with the staff, we agreed to put this on my list of lunchtime menu requests anyway.

My husband advised me for the millionth time to drink more water. At first, I was like, how do I remember to drink enough water? He told me to put reminders in my iPhone. At first, I thought that would be weird or annoying and indeed it’s a hassle to put reminders in my phone via the default reminders app. I however remembered a friend recommending an app that reminds you to drink water and where you can log your water intake. I searched for it. The first one I found cost like €8,99/week and hardly had any free features. I mean seriously?! Who would pay almost €40 a month for an app to remind you to drink water? I doubted my friend meant this app. Turned out there’s another app by a similar name that’s free and €9,99 once for paid features. I got that one and love it! I had some trouble setting it up at first, but now it reminds me each hour between 9AM and 9PM to drink water. Its sound is really catchy. I reached my recommended water intake goal for the past three or four days and almost reached it for the entire week that I’ve been using the app.

I finally made my Fitbit activity tracker work again this past week too. It had been lying around ever since I came here because its battery was empty and I couldn’t find the charger. Then when I finally found it, the app had somehow locked me out. I got in again after an app update. I notice that, though overall I manage fewer daily steps than before I moved here, my active hours are better. This means I get over 250 steps most hours during the day. Today, I didn’t do that well in this department, but I did manage nearly 8000 steps throughout the day.

I was pretty conscious of my eating habits all through the week, making sure I eat my veggies if there’s even the slightest chance I may be able to like them. Before this, I’d not even try a lot of them. I made sure to eat enough fruit. Not that I had much trouble with that before, but fruit usually meant bananas. These are relatively high in calories and very sugary. Thankfully, we had grapes, kiwifruit and clementines too, as well as of course apples and sometimes pears.

Over the week-end, I stayed at the facility. When discussing my weight loss plans with my husband, I mentioned that we get chips on week-ends. However, this week-end, we also got pancakes for lunch and a lot of other treats. I didn’t really like the result this would have on my weight, but also found it hard to resist them.

My staff wasn’t particularly motivating either. Some literally told me to wait for January to start my healthier lifestyle routine, as I’d not make it in December anyway. I mean, yes, we celebrate St. Nicholas with a fries and snacks stand on Thursday and get a lot of extra treats this holiday season. Does that mean I don’t need to eat in moderation? Someone asked an overeaters’ support group a few weeks back and was encouraged to follow through now in spite of the holidays. Now I don’t really like the abstinence-focused mindset of Overeaters Anonymous and the like, but I have always felt that you can always start on a healthier lifestyle journey right now.

Yesterday, I decided to get weighed in. I wanted to know how bad the result really was and how much I’d have to lose once I’d start my journey for real. Well, guess what? I weighed 73.8kg. This truly motivates me.

On Thursday, I fully intend to not stuff myself full of fries and snacks even though I can. Tomorrow, my support coordinator has an evening shift and I’ll be asking her to ask her colleagues for help on my weight loss journey. I realized this past week-end that some make me really uncomfortable with how often they offer me food. I mean, my husband was annoyed at my former support worker for allowing me (not encouraging me!) to buy binge food when she took me to the store on Thursdays. I didn’t realize and probably didn’t want to admit that, in some respects, my current staff are worse. I mean, I haven’t had a binge since buying liquorice with my mother-in-law three weeks ago and the staff definitely discouraged that, but weight gain isn’t about an occasional binge. It’s about what you eat everyday.

CP Conference Last Saturday

Posted on by Astrid

So I attended the Netherlands’ national conference day on cerebral palsy on Saturday. Before I went, i was incredibly scared. Would I be able to connect to other people or would I be left on the sidelines all day? Would there be people willing to help me navigate the school building in which the conference was being organized? Would I arrive on time? But my main worry was related to my own diagnosis of cerebral palsy, or rather the lack thereof. You see, I was never told that I have CP by my parents and was too young to understand medical jargon by the time they stopped taking me to specialists. Maybe my parents didn’t even know, as doctors do not always clearly communicate and my parents were mostly looking for reassurance.

My GP also was a bit vague when I asked him last year, citing a probably relatively recent letter saying that I had acquired brain injury. Now I do happen to know that doctors disagree on whether brain injury acquired shortly after birth counts as ABI or a diagnosis of CP or the like should be made instead. So I’m a member of Facebook groups for both CP and ABI. However, ABI is a diagnosis regardless of symptoms and CP requires mobility impairments. I wonder therefore, are my mobility impairments severe enough to count?

I arrived at the school forty minutes before the doors were officially open, but someone took me to a chair anyway and gave me a cup of coffee. Soon, a man I’d been talking to via Facebook messenger arrived too and we sat and chatted some.

Gradually, other people arrived and it was soon time for the official opening speech. This was partly about Steptember, a movement challenge to collect money for research on CP.

Then, a neuropsychology professor spoke about the effects of movement and mental or physical effort on cognition in people with and without CP. It turns out that effort, whether that be mental or physical, strengthens brain connections to the frontal and parietal cortex, which are responsible for higher-order cognitive functions such as planning, organizing and impulse control. He also briefly touched on the effects of music, which can also help strengthen these connections. In short, moving and exerting ourselves as much as we can within the limits of our CP helps our cognitive functions. Of course, past age 30, these brain areas no longer grow and actually decline, but still exerting yourself enables you to learn more effectively regardless of your age.

After this, you could choose to follow a workshop session. The one I followed was on overload. This was a bit of a chaotic workshop, as the presenter allowed for questions while presenting. I am quite familiar with overload, as a person with autism, but I loved to explore it from a CP perspective. I mean, physically I do have some more limitations than those without CP. As a result, walking may give me energy, but it also costs me energy more so than it does non-disabled people. This was rather interesting, because I often tend to sometimes give everything and more of myself physically and other times I tend not to bother. Something the presenter said that really struck a chord was that mental overload can be counteracted by physical activity and vice versa.

In the afternoon, we could also pick a workshop to follow. The one I chose was on nutrition. A registered dietitian had developed nutritional guidelines for children and adults with CP. Topics that were discussed included underweight and overweight. The presenter said that, as a general rule, people with CP need fewer calories than those without CP. The reason is that, even though our movement costs more energy and hence burns more calories, we tend not to move as much.

Another topic that was discussed was swallowing difficulties. Did you know that up to 99% of people with CP, even those with mild CP, have swallowing issues? I didn’t. This was so validating, because I happen to have some rather significant swallowing issues.

Other topics of discussion included reflux, constipation and bone development. There is little research into these, as particularly constipation and osteoporosis are common within the general population anyway.

Overall, I loved this day. It was also very validating. Not only did no-one say I don’t look like someone with CP, but I actually met several people who are at least as mildly affecte as I am.

Confessions of a New Mummy

CP Day

Posted on by Astrid

Yesterday, I heard about an event on November 3 that I was immediately interested in. It’s the Dutch national CP day organized by BOSK, the country’s charity for people with physical disabilities.

For those not aware, CP is an abbreviation of cerebral palsy. Cerebral palsy is a movement disorder caused by brain damage sustained in utero, during birth or in a child’s first year of life. In my own case, I had a brain bleed shortly after birth.

The thing is though, I was never told that I have CP. My parents just told me I’m clumsy. I did get adaptations early in life, such as a large tricycle. I also had lots of physical therapy. When I was around nine though, my parent discontinued my specialist appointments. Even when I developed scoliosis in adolescence, they didn’t tell me. Scoliosis is a common consequence of hemiplegic (affecting one side of the body only) CP.

Last year, I asked my GP about it and was told I have acquired brain injury. Usually though, when someone acquires their brain injury in the first year of life, it doesn’t “count” as ABI. Instead, diagnoses are then made based on symptoms, such as CP in the case of movement difficulties.

CP is classified in five levels of severity. Obviously, since I don’t even know whether I was diagnosed with CP as a child, I’m not sure of my level either. I would have to guess I’m probably level 1 or 2, which are the mildest levels.

CP is not progressive and yet in some ways, it is. The brain damage that causes it doesn’t get worse, but adults can experience worsening pain, muscle stiffness and symptoms related to overuse and overcompensation.

On the CP event, there’ll be various workshops for adults with CP and parents of CP children. The morning workshop that most appealed to me, is about overload. I’d love to explore this from an a CP perspective rather than an autism perspective.

In the afternoon, the workshop I’m wanting to attend is on nutrition. A dietitian will speak about nutritional guidelines for people with CP. While CP affects movement in the limbs mostly, it can also impact on one’s gastrointestinal tract, because after all these are muscles too. I suffer with both constipation and reflux, which will be discussed.

Obviously, I still feel a little self-conscious about going due to my uncertainty about my diagnosis. Because I am sure I had a brain bleed in infancy, my main concern in thsi respect is that I’m not “bad enough”. My parents at one point tried to get me into a school for the physically impaired and were told (or so ‘ve heard) that I wasn’t disabled enough. Now of course I don’t mind not being that disabled, but then of course I shouldn’t be going to an event like this.