Just to update.
I’ve seen an endocrinologist and a cardiologist.
Cardiologist: Stress test came out normal. Diagnosis: “You’re out of shape.” Treatment: Long walks. The cardiologist, like my GP, is a big advocate of bariatric surgery to lose weight. But everyone I know of who has done that has managed to regain the weight (except for the one who committed suicide). I’m not keen on surgery.
Endocrinologist: Has me testing my blood sugar twice daily, starting a week ago. Hate the pricking, but kind of having fun with the bluetooth link between my tester and my iPhone.
In one week, I’ve noticed that my blood sugar is high first thing in the morning, but within range the rest of the day. Will go back after a month and she says she thinks she will start me on medication, depending on what numbers I put up.
Weight loss: After consulting a few people, I went ahead and decided to try the intermittent fasting. So, I’m fasting for 16 hours straight daily, from 10 p.m. to 2 p.m. the next day.
I have lost a little bit of weight, but the biggest change—and my wife commented on this without prompting—is that I’m not completely dead tired in the evenings any more. I am not using the phentermine, but I’ve got it there as an option.
I’m struggling a little with the diet and exercise, but slowly making some improvements. I’m trying to cut out all sweet and starchy foods—including potatoes, rice, corn, etc. So basically trying to stick to meats (including poultry, fish, and seafood), cheese, eggs, and non-starchy vegetables. Looking at the educational materials I have, I am surprised by how many foods are high-carbohydrate that I didn’t expect—like yogurt and nuts.
I’ve never had a big sweet tooth, but I’ve had occasional huge cravings and slipped up and had a couple of minor binges on doughnuts or chocolate. It doesn’t help that my employer offers free unlimited sodas, chips, breakfast cereal, cookies, bars, etc., but on the vast majority of days, I manage to avoid the temptation, sticking to black coffee and ginger-lemon green tea.
Occasionally, the office break room also has fresh bananas, baby carrots, boiled eggs, or cheese, and I take advantage of those when I can. I’m having a lot less diet soda than I used to, replacing that with unsweetened seltzer.
I’m also sleeping on a more regular schedule, 11-7—not that this was a huge problem for me before.
As far as activity increase goes, so far I’m trying to work in more walking and stair-climbing into my daily activities. Work stress is definitely a factor, but I’m trying to figure out ways to deal with it. Although, the ultimate answer will have to be to find a new job.