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    CHANGING4ME49   17,628
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Nutritionist Sets New Goals

Wednesday, May 01, 2013

Today began with a visit to my ENT. I have small ear canals so I need to have my ears cleaned out every 6 months which is always fun. emoticon This time I took along DH because I have been noticing he is not hearing too well. After 30+ years of marriage it could be just selective hearing on his part but I think it's more than that. So the doctor checked his ears and they are clear so he wants to do a hearing test but of course DH is in denial and has decided to put it off until whenever.

After lunch I went to my appointment with the nutritionist. Amanda is her name, and she is very nice and seems to know her stuff. We spoke for an hour. Of course the first thing she says to me is," Does your Creatinine level usually run a bit high?" I said no, but my doctor said it was just a little high and that he wasn't concerned. She said okay and that lots of things can cause it to run a bit high like for example dehydration. Though I don't think I was dehydrated the day of my labs because I drank 5 glasses of water an hour before to ward off dehydration so they wouldn't have to stick me a bijillion times. Nonetheless her asking about it only served to increase my concern especially since I only have 1 kidney. I lost the other when I was 8. However I can't allow this to stress me out and have to have faith my doctor knows what he's doing. If he isn't concern about it than I need to let it go. Like I said before I can't undo the harm I have already caused my body but my hope is that I can stall further damage at least for as long as I can.

Anyway, all and all it was a good visit. Amanda tweaked my meal plan for me a bit. Here are my NEW daily guidelines:
Calories: 1,300 - 1,500
Sodium: 2,000 mg or under
Protein: 84 - 90 g
Carbs: 45 g for breakfast, lunch and dinner and 15 g per snack

Breakfast, Lunch & Dinner must each have a protein source.
My morning and afternoon snack must consist of a 15 g carb and a protein.
Over the next four weeks she wants me to increase my walking to a mile and a half 5-6 days a week.

As for sodium, she said the new guidelines for EVERYONE is no more than 1500 mg per day. However that this is difficult to do, she said, when the food industry has yet to catch up with the new guidelines. So she has given me a 2,000 mg goal per day for now which I am currently obtaining for the most part except for days I eat out. For those times I do the best I can and make the wisest choices possible.

She has also instructed me to start taking a Calcium supplement with Vitamin D and Magnesium.

She weighed me at the hospital and the scale there read 236. emoticon That's 8 lbs heavier than my home scale. Yikes! Not sure which one I should follow? It's such a big difference.

She also has scheduled to see me again in 4 weeks. I was surprised by this as I thought this was a onetime only visit but according to her she will have on-going regular meetings with me. I wonder if this is the norm when it comes to nutritionists. I don't mind it as it will help keep me motivated and on track however DH is not pleased. To him it is just an added expense he feels I don't need. Nevertheless I will attend whatever meetings she sets up regardless of how he feels about it. I have spent way too many years doing what others want me to do. It's time I put me and my health first and foremost. This is a start in the right direction!


While I was waiting for DH to pick me up at the hospital today I walked around the very large parking lot - 30 minutes. Go ME! emoticon
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  Member Comments About This Blog Post:

HEALTHYSLIM2 5/8/2013 1:02AM

    You come first - stick to your guns and keep those appointments, as they are important Sallie-care!

Good for you that you chose to walk around the parking lot while you waited. BRAVO!!
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LINDA! 5/3/2013 2:34PM

    I have gone to a nutritionist due to heart disease. But it has been a few years since I saw her. They really know their stuff and make good suggestions. It is good that you will have regular appointments;

Glad to hear that you used your time to walk around the parking lot. emoticon

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BRENDABUNNY 5/1/2013 9:55PM

    Sallie I am so happy you got to see a nutritionist my Dr referred me back in January and I started seeing mine (her name is Kate)and she said most everything the same as yours except she was pretty firm on the no more then 1500 mg sodium a day and if I eat at home like I'm suppose to I can stay right under 1500 mg sodium.
She set my calorie range from 1200-1500 and the exact same thing with 45 carbs per meal ad 15 carbs per snack I tend to go a little higher on my carbs but since March 4th I have brought my fasting blood sugars from 170's down to 115-130.
A lot also lays in the exercise part Kate set mine at 3x a day I started at 10 and she increased me each week up 5 till I get to 30 minutes 3x a day.
I got stuck on 3x a day for 20 minutes for a bit now because the consistency of exercise actually started hurting my knee but I am ready now to move forward to the 25- 3x a day.
I have lost 20 pounds in 8 weeks and I was so stuck in a rut before getting her advice I would go up & down over and over.
And she likes to see me every 4 weeks too but I have made mine about 6 weeks apart now because I know what to do and it does hold me accountable I finally feel like I have someone who really wants to see me succeed and help me to do that.
My insurance covers all but 15 % of my visits because my Dr. put it in as a referral of diabetes so each visit cost me $34.04 and I feel I am worth that and so are you!
I started blogging the first week of every month in January with the results of how my program/life has changed.
I will be doing my May blog this Monday on the 6th.
My nutritionist strongest words every time she sees me is EXERCISE,EXERCISE,EXERCISE!...Lol
She says that and low sodium are what fixes the blood sugar and high blood pressure.
I am so excited to hear your future progress when you meet up with her again!
You can do this Sallie you are so worth it my friend! emoticon emoticon emoticon

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LKWQUILTER 5/1/2013 8:31PM

    Sounds like you had a really good meeting with the nutritionist Sallie. You clothes could have made a difference in your weight--did you keep your shoes on and maybe heavier clothes than you wear at home. I know about that big time. lol I usually weight more at the dr than I do at home cause of that too. Yeah for staying focused on taking care of Sallie!! You go girl!!

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