Second session with the Dietitian
Saturday, October 13, 2018
I was supposed to meet with the RD at the beginning of August, but I was sick the entire month, and when I called to reschedule our appointment she said to just call when I felt better... hence the appointment ended up being delayed to the middle of October (and I ended up being sick again, but not quite so miserably ill, so I figured what the heck...I can't keep putting off appointments because I am sick, as I will never make any appointments if I do that!).
Anyways, she said I seem to be doing a better job of balancing nutrients and food groups, than at our first appointment. I had to increase my carbs a bit to help stabilize my glucose levels over the course of the day, but I didn't want to increase my calorie count by much, so protein levels seem to have suffered a little. She told me to aim for 75-93g of protein a day... which I definitely have not been reaching. She had some recommendations for increasing protein levels without increasing saturated fat intake, or trans fats. So, I guess I need to let go of that artificial, self-imposed calorie count number in my head that I tend to aim for and just try to meet my nutrient goals. (She especially recommended tuna and salmon... both of which I enjoy... especially the pre-flavored tuna pouches... those I could just eat plain.)
She also did the math on my water consumption, and based on my weight and average activity level she said that I should be drinking 12 cups of water a day... minimum. Which I have not been doing for the last 2 weeks. (I have averaging 10 cups a days.) So, she said I was probably mildly dehydrated at this point. While I was sick I was drinking approximately 3 liters of water a day (water alone, not counting any other beverages)... and she said even that may not have been enough considering how sick I was.
I have had a few hypoglycemic events in the last month or so, but they are fewer in number than before, and tend to respond more quickly to treatment. So, it seems to be working. It is definitely a balancing act though. And sometimes it can be so frustrating, and I want to say to heck with watching what I eat... but I have to weight the consequences with the immediate gratification of rebellion. Sometimes the consequences are worth it... lol. I just have to accept that I will have an event later, and be ready to deal with the result. Thankfully, my lowest number so far has been about 41... which is really, really low, but my endocrinologist said not to start to panic unless it drops into the 30s or lower. (She said if it hits 25 to call 911, or hitch a ride to the ER from a friend, but under NO circumstances am I supposed to drive if my glucose level is 70 or under, and especially not if it is lower.)
The weather is cold now. I don't mind at all. I actually enjoy the cooler weather, as does the Cooper-dog. but this morning it was 39F and raining... which neither of us enjoy very much. I would prefer snow to bone-chilling rain. It is supposed to 43F in the morning when I meet my brother to go out to my dad's for walking and breakfast, but partially sunny. Yay! It is good soup weather, so I have decided to make a big pot of chili tomorrow. Yummy! I like it pretty spicy (for a Yankee, lol), but I can't remember if I have any cayenne left, so I have to check that before I go out tomorrow, so I can pick some up if I am out.
The elevator in my apartment building is "temporarily" back in service. Which makes me cautious about using it except for hauling groceries up to my apartment. LOL I have a fear of being trapped in there (it has happened to other people), so I tend to take the stairs the majority of the time. Six flights of stairs, at least 4 times a day (on a slow day), gets old pretty fast. I guess I am spoiled by modern conveniences..