The Acceptance Factor

I was recently diagnosed as Diabetic. I’m still processing that news. I guess at some point in everyone’s life, bad news about one’s health is inevitable. After all, no one lives forever.

My surprise came at the fact that I do not fit the profile of a Type-2 diabetic; I’m not overweight (5’10”, 147 lbs. a BMI of 21.1 – smack dab in the middle of “normal”), I don’t drink alcohol, sugary beverages, smoke, dine at fast-food restaurants, am relatively active, and feel great! But there it was: blood tests showed my hemoglobin A1C (HbA1c, also referred to simply as A1C) level at 13.

According to WebMD, a normal A1C reading is below 5.6. 5.7 to 6.4 suggests a pre-diabetes condition, and anything over is 100% diabetic. My test at 13 showed I had over twice the level of glycolated hemoglobin.

HbA1c Readings

So, in the face of immediate denial, I thought back on my behaviors over the past year. Sure, I don’t drink soda pop or eat greasy fast food, but I have been gorging on Starburst candies, Reese’s Peanut Butter Cups, and lots of ice cream. Add pasta, rice and potato dishes more often than not, and there was certainly a recipe for disaster!

Starburst Candies
Reese’s Peanut Butter Cups. The “mini” size

A wake-up call, for sure! Here I am, a former marathon runner, getting old, sedentary and careless about my diet. My second thought, post-denial, is that diabetes is one condition that is managed by self-care. There are some, like Joel Fuhrman, MD, who believe that Type-2 diabetes is completely reversible! This is accomplished by adopting a new way of eating — a “nutritarian” approach, that focuses not on macronutrients (fat, protein, carbohydrates), but on food that are dense with nutrients, phytochemicals, vitamins, etc. He has a simple formula: H = N / C, where H is health, N is nutrients and C is calories. Focusing on macronutrients means counting calories. Focusing on micronutrients automatically reduces calorie intake and feeds (literally) the body what it needs.

There’s a lot of (often contradictory) information and advice online. While I’ve been researching, I’ve also started building a healthcare “team.” I now have a primary care physician, a Certified Diabetes Educator (CDE), an endocrinologist, and a dietician. In addition, I include my dentist, eyecare doctor and dermatologist. I will likely add a podiatrist to the list. But the “boss” of my health care is ME.

As in running, this battle will not be a sprint, but a marathon. I may experience setbacks, but I’m determined to lick this condition!

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