My mom’s final chapter
She had a stroke at age 70 and was diagnosed with resultant vascular dementia at age 71. The stage for all this was set at age 65 when she developed type 2 diabetes. She had a lifelong fight with obesity and it finally won. She suffered the stigmatizing shame of the fat. I blamed her. I thought, “You’re fat and sedentary, what do you expect?” when I heard about her diabetes. I’m a nurse, so I should have known better. But that’s what I was taught. Many, if not most, health care providers maintain this perspective (even the ones who are themselves fat!). It’s a mindset that is part of both our education and the societal shame process.
She died, disoriented, demented, and incontinent at age 71, having lost all the dignity that was so important to her.
Finding out I was pre-diabetic
Fast forward to my annual physical at age 53. My A1c was 5.8 which made me pre-diabetic. Oh, and despite working out 5 or more days a week and being on a “healthy” low-fat vegetarian diet, I was fat. Obese actually, weighing in at 215 pounds. I was ashamed I was so fat. Not to worry though, as my doctor, a lovely smart woman, said my A1c wasn’t so bad. “We don’t usually intervene until it reaches 6.” I apparently wasn’t pre-diabetic enough for treatment. I didn’t think that was a sound plan.
Testing what worked for me – reducing carbohydrates
Doing something to reverse my pre-diabetes seemed like a better idea. After hearing from my doctor that no intervention was recommended for me at this point, I realized I was going to have to save myself, and I did. I researched what to do because I couldn’t count on my doctor for guidance. I found that reducing my carbohydrate intake would be key to reversing my prediabetes. This is because carbohydrate is the main macronutrient which causes blood sugar to elevate. I decided to buy and use a glucometer to measure the effect of various foods on my blood glucose. Many of my “healthy” whole grains and fruits sent my blood glucose into the 150s, not an ideal level. I decided not to eat them, or any starch or sugar. Slowly I lowered carbohydrates until I reached the macro composition of a ketogenic diet.
Christie Barnett, APN – After 5+ years keto
After being on a ketogenic diet for 5+ years, my A1c is now a normal 5.1. I lost 50 pounds, without deprivation, tracking or hunger. My weight has been steady for 4 years. I now have an “off” switch with eating, something I never had before. No longer am I preoccupied with my next meal. I never get “hangry” as my body’s fuel is steady in both fed and fasted states. I don’t think I’ll develop diabetes. Hopefully, I’ll outlive my mother and help others avoid her fate and her shame. I hope I can integrate all I’ve learned into my nursing practice. Keto gave me hope.