Friday, April 15, 2011

Drs visit

So I finally had my appt with my Dr today to discuss surgery. We're still definitely sitting on the fence. She's not opposed to my pursuing it and will help me prove to the insurance company that it's a medical necessity IF I decide that's the course I want to pursue. So basically she agrees with me and my ob that I need to lose weight. However she agrees with me that maybe I haven't pursued all avenues on my own. It's been about three months since I joined WW and I'm not really working it. I have lost 0.8 pounds...so at least I haven't gained weight. I am using the food tracker about 3 days a week. So I definitely need to increase that to daily tracking. As a family we're working on moving more...we've bought a basketball and walk the couple blocks to the local elementary school and are working on teaching princess to dribble and shoot. We're also teaching her to ride her bike...so we're either walking with her or watching her ride up and down the block. If we stay in the yard to watch her we've started getting the ladder ball out and playing that while she practices pedaling. I need to find my pedometer and get back to wearing it and keep steadily increasing my steps. She also agrees with me that some counseling wouldn't hurt. I never was treated for my bulimia when I opted for binging/purging as a method to control my weight. And while I don't binge or purge anymore I still have the same thought processes that lead to that...So I will be looking into that. And I know if I can get my emotional eating under control it will have a drastic impact on my weight as well as my life... I don't want my eating habits to create problems for my daughter. She's healthy and happy now. I don't want to teach her to eat when she's sad, mad, happy, frustrated, ecstatic, etc. I want to be able to teach her proper coping mechanisms for life...so I must get this under control before it impacts her. My A1C was high, 7.9, but that doesn't surprise me. My kidney and liver function tests will be back on Monday. And I return in 6 months for a full blood work up...which will hopefully show improvement in the A1C. She said there are diet pills I can take if I want...but I can't risk getting pregnant if I take them so no thanks. Then she asked if I'd heard of Alli which is a class B for pregnancy, so relatively safe. And I'd quit taking it as soon as I found out I was pregnant so shouldn't be harmful. So I'll be looking into that as well...she warned me that if I have a high fat meal though it could be embarassing...it prevents the small intestine from absorbing as much fat so the grease will literally pass straight through. She also lectured me to be consistent with my metformin. This will help my A1C. It will also help control my PCOS. And could help me lose weight. She also recommended a program called Light for Life they have in the town to the west. It's $900 so cheaper than surgery but more expensive than WW. But it hooks you up with a counselor for one on one sessions and a tailored diet. They cut out all sugars though...and I don't want to give up chocolate or fruit...so it's an option and definitely something I would pursue before surgery. However I want to really give WW, where I can eat fruit and have small portions of chocolate when I want them, an honest try. I have to make more honest choices...I need to prep on the weekends for the upcoming week so we aren't taking whatever we can get our hands on but eating healthy as a family.