High-Risk Pregnancy

Always hitting a road block

(I posted this on health and fitness as well) 

I have been a member of TK, TN, and TB for quite a while but mostly lurk. Well, I either need advice or a kick in the ass.

I am 28, have high BP, diabetes, depression, and am overweight. I am on medication for the BP, diabetes (metformin), and depression. I eventually want to have kids but I know that currently I am in no shape to even try. I have had issues with my weight all my life but I wasn't diagnosed with diabetes until about 2 years ago. I have tried many diets, weight watchers, and all sorts of things. The problem, I believe, is that my anti-depressant makes me have the "I don't care" attitude towards most things, especially food. I will be very persistent about my diet for no more than two weeks, then I fall back into a rut of not caring. Lately I have just kinda given up because I know that I will try my hardest to stick to a diet then I will just fall off that path. I still try to eat the best I can but not close to what I should be doing. I also do Zumba twice a week so I am getting some exercise. 

I just feel like a failure and that I will never get this weight off so that I can have healthy babies. I'm going to the doctor tomorrow and talk to him and see what he says. I've also thought about gastric bypass but surgery scares the crap out of me and I had a friend die from lap band surgery several years ago. Do I just need a kick in the ass or counselling or what? TIA.

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Re: Always hitting a road block

  • Hey, there: Wow. You've got a lot going on in your life. I'd like to pass on advice I got from a nutritionist once: you can only make over so many parts of your life at once. (She said this as a blessing for me to take a break from weight loss while I was finishing my degree, getting a new job, and moving to a new city.) As you noted, addressing some parts of your life may have consequences for other parts. A counselor or therapist could certainly help you prioritize. Talking to your doctor is also a good idea. You mentioned a number of medical conditions. It might be worth asking whether any of them--or related conditions or medications--can make it hard for you to lose weight. After dealing with a bunch of other stuff in my life, I felt ready to tackle weight loss, dedicated myself to Weight Watchers and wasn't seeing results. That's when my doctor started wondering if I might have an underlying condition. I got tested, diagnosed, and learned that I need to eat a particular way (high protein, low carb).

    Be gentle with yourself.

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  • I believe that you can do amazing things if you TRULY set your mind to it. It's possible that losing weight may bring all your other medical issues in check. If you're o my dedicated for two weeks or so, then I guess you haven't made up your mind to do it yet.

    I don't want to be mean or snarky, but I'm kind of a hard-ass when it comes to these kinds of things. If you want to do something, you just do it- no matter what it takes. Usually people complaining that they "can't" stop smoking or lose weight simply means that they aren't willing to make the lifestyle changes necessary to make it happen. Unfortunately only you can get yourself to that point of really, really wanting it. 

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  • Hi, just a thought...

    I agree that you really have a lot on your plate, BUT I also think that the primary two issues are the weight and the depression because if those get better (particularly the weight) the BP and diabetes are likely to get better as well.  When I saw your post my first thought was wondering if your antidepressant is being managed by either a psychiatrist or a psychiatric nurse practitioner.  Lots of antidepressants can give you that I don't care feeling as well as make you feel so sleepy that you don't want to do anything.  Not to mention that lots of psych meds can cause you to gain weight in and of themselves.  Psychiatrists and PNPs know a lot about those kinds of side effects where as your primary care doctor probably doesn't.  I know seeing a specialist can cost a lot both in time and $$, but it sounds like for your situation it is an investment in your happiness and future, which are both PRICELESS.  (I also am a big fan of counselling, so I would recommend that as well.) 

    Good luck to you and I truly believe things can get better!

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