Saturday, December 19, 2009

My day at the RD...

was so awesome! I'm seeing Diane Keddy ( MS, RD, FAED, a registered dietitian and nutritionist who focuses on these things:

Anorexia nervosa, bulimia nervosa, binge eating disorder, and emotional eating
•Members of Overeaters Anonymous (OA)
•Children and teens with picky eating
•ADD, ADHD and Asperger's
•Depression, anxiety and bipolar disorder

•Weight loss
•Diabetes, pre-diabetes and Polycystic Ovarian Syndrome (PCOS)

•Menopause and mid-life weight gain
•Irritable bowel syndrome (IBS)
•Wellness and optimum health

•High cholesterol, high triglycerides and high blood pressure
•Heart disease prevention
•Cancer prevention

•Autoimmune illness
•Fibromyalgia, chronic fatigue syndrome and arthritis
•Interstitial cystitis
•Other medical concerns

She was so was thorough! Our appt was 1 1/2 hours. She asked me so many questions to get a good basis of where I am physically as well as emotionally. I brought my blood work in. She went over it, I'm healthy as a horse, except I have elevated testosterone and my glucose levels were in the high but normal range, therefore I'm not IR (Insulin resistant).

I have always struggled with poor body image. I started this at a very young age actually. My first memory is when I was about in third or fourth grade. I was kneeling and I remember telling my mom that I wish I could cut off part of my thigh. Was I over weight or fat? Far from it. But I was a minority where I went to school. My friends were of Asian, Hispanic, or Black decent, had small frames and were quite thin. I was tall, German, and had a larger body frame. Now, my husband says I look like a "Coke bottle." I guess that's a complement.

Come puberty, I began getting more "curvy," got acne, and had very irregular periods. After school in High School, my friends (who were size zero's) and I would go to Carl's Jr and get a famous star, criss-cut fries, and a Mr. Pib. They would stay skinny, I would get fat. I didn't get it. We were all active, hiking in the hills, skate boarding to get around. But I was the one always gaining weight.

When I was 17, I started paying attention to nutrition labels. I remember the shock about what was in soda... 44 grams of sugar and 150 calories. I quit drinking soda then. I really cleaned up my diet, but focused on calories, rather than quality of food.

In college I always took an exercise class, jogging, weight training, yoga, etc. I was still very diet conscience. I got skinnier... about 140 lbs on my 5'6" large framed body. I looked good.

The last two years of college, I worked at a gym. I ate super healthy, worked out like 5-6 days a week. I never met my goals. I still had cellulite on my rear and my "six pack" never developed. I was a personal trainer. I knew what to do, why couldn't I get there?

After years of always trying to get to my "ideal," years of being on a diet, years of trying the next best thing, I realized that maybe that would never happen. Maybe there were more important things to focus on.

Now I'm here. I still struggle with wanting the "perfect body," but now, wanting a baby more. Diane let me know that many PCOSr's struggle with this same thing. Because our bodies produce too much insulin, the excess get stored as fat, hence the difficulties in losing weight. She is going to be working with me on getting my body healthy as well as my mind. I need to have a better relationship with food and a better body image since I'm going to be a mom one day. Kids pick up eating disorder issues and poor body image issues as young as two years old. I need to show them how to eat dessert in a healthy way. I usually don't keep it in the house. Kids who grow up in Orange County are even at a greater risk (Anyone watch The real OC House Wives?).

Diane is going to be working with me every three weeks on these issues. She also says I will probably lose some weight because I will be controlling my insulin levels by eating a low glycemic diet. I was shocked to learn that sour dough bread (my favorite!), was a lower GI than whole wheat bread, and that cake was a low GI because of the fat! I really like this "diet!"

Here is what she is having me do to start:

1) Continue Prenatal Vitamin,
Metformin, Vitamin D, Calcium (Discontinue B-complex, baby asprin)

2) 3 odorless Fish oil cap's (1800 mg EPA/DHA)/day

3) Sleep 8 hours/night (I struggle with that during work week)

4) Skip the gym. Walk the dog 20 min. one day, 40 min the next. Yoga and light weights okay 2 days/week at home. (Any stress on the body tells it not to get PG).

5) Breathing exercises to reduce stress

6) A Low GI diet (she gave me a book with all the foods listed. Shocking!)

The IF Journey continues...

1 comment:

Kate said...

Thank you for this post! I learned so much, and it really reshaped some of my thinking. I'm glad you are working on your body image. You sound gorgeous.

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