- Jan 6, 2015
- 10,401
- 16,407
Ok, late to the game as well, but my experience...
First serious round of this was 18y ago in my mid-30's. Still eating like a 20yo and zero exercise allowed me to blow up = 5'9" at 243lbs (highest I've ever seen, probably was more, but refused to weigh myself). Diagnosed with pre-diabetes and it scared the hell our of me. 4 months of strict diet and steadily increasing exercise got me down to 193lbs, and blood sugars fell well in line. By 'strict diet' I was controlling my calories in (highly recommend the 'Lose It' app for those that care to track), keeping food on a 30% protein / 40% carbs / 30% (healthy) fats but restricting calories to about 1100/day. Exercise meant getting on the treadmill and building myself up from a half mile jog up to running 12.5 miles in 2h. It was flipping a switch, different lifestyle. I couldn't believe carrots were so sweet.
About then I felt like running that long/far was pointless AND I got a new job that had me living in a hotel for 2mo before the wife and kid could relocate to me. You would think that would allow me time to keep exercising and eat smart...instead, I went to fat again. Still, in my 30's I was able to lose 50lbs in 4mo with focus and will power. Then we turn the page on 2008.
2017 and I'm being told by my doc that my A1C is out of control. He loads me on meds and leaves it to me to follow through on lifestyle (diet & exercise) changes I keep talking about and not doing. I'm cruising around 222lbs most of the time, sometimes up to 228lbs, never below 220. This continues through to 2022, still no exercise and no diet. Now, I'm 53yo and the body ain't what it was. I've recently recovered from a broken ankle (kicking a stupid soccer ball at kids practice), and was trying to figure out why my rotator cuff hurt like hell to the point of a 'frozen (dead) arm'. I'm thinking there is no way I can exercise at this age. I go with diet changes. Reboot my 'Lose It' app (tracks meals in detail, but has additional features - mostly I wanted calorie count and protein/carb/fat counts).
For non-diabetics, they want your A1C under 6.0, and they consider 5.7-6.3 as 'pre-diabetic'. I'd been bouncing between 8.3 and 13.1 = very uncontrolled. For the mg/dl other measurement (from finger pricks) they want you under 120, and you are diabetic around 170 - I was bouncing between 200-300 with occasional meals shooting me to 400+. Doc offered a 'Continuous Glucose Monitor (CGM)' which you stick on the back of your arm and can get 24/7 data on sugar levels as opposed to pricking your finger 3-4 times a day for snapshots of glucose level. I refused, stubborn old me said 'I can do this' and subsequently failed to manage anything over those recent years. In January of this year I went ahead and got the CGM. For those wondering = absolutely worth it, I can't recommend it enough. Hurts like a finger prick, but it's once every 2w rather than 4x/day. Fears over it coming off (I slept with a shirt so it wouldn't get pulled off/out in my sleep) for the first month...but reality is they seem to have perfected the adhesive. Good for sweating, exercising, showering, all life as normal. When it IS time to swap out, you can peel it off like a band-aid. But, the knowledge of where my sugar is before/after meals/exercise, or waking (it rises naturally in the AM), is a godsend for an engineering geek like me. The finger pricks were part punishment on myself, and part 'gotta study for the exam' pressure to eat right. Now, I'm eating even better and I know EXACTLY what's going on in my body. Ok, sorry for the diabetes tangent, but it is key to my current situation.
January 2023, I get the CGM and work the diet only as I'm rehabbing the ankle/rotator cuff. In 4 months I've been able to get the avg mg/dl down to 135 (A1C around 6.7). The blood sugar was my goal/measuring stick, and I figured the weight would come off as a secondary bonus. It has. I'm now down to 202lbs. Near term goal is under 200 with no set time frame. Next milestones would be to break 193 (over 20y since I've known I was under that), and then 180, and eventually 165-170 as a final goal. I'm focused on the diet, going 40% protein / 20% carb / 40% (healthy) fats, with at least one meal a weak were I 'splurge'. That night sugars shoot to 200-250, but with an insulin shot I'm back in range by morning, and the weight trend continues downward.
Back to the diabetes for a moment - in addition to meds for cholesterol and diabetes, I was prescribed insulin shots at night. I ideally want to be off ALL of that, and should start dropping cholesterol meds next time I see the doc. But without the CGM I had no idea what the diabetes meds were doing or the insulin shots (enough? too much? who knows). Once I got the CGM it set off alarms on my phone in the middle of the night when my sugars went too low (under 60-70) due to too much insulin. I was endangering my health and wouldn't have known without the CGM. Now, I can accurately estimate how much insulin to use each night, if any. Most nights I don't use any at all now that I know what's going on, thanks to the CGM.
Anyways, my bottom line is diabetes (and weight loss secondarily) is on track through diet only. I'm holding off on exercise until the diet causes a plateau, then I can use exercise to break through it.
= = = = = =
Things I found that worked for me:
2008 effort:
Very restrictive amount of calories (1100-1200, with an offset accounting for exercise burn)
I'll start working that exercise into the 2023 plan, accounting for old man injuries, and no real interest in marathons, but it's good to know that 'extra' is in my back pocket when I'm ready and need it.
First serious round of this was 18y ago in my mid-30's. Still eating like a 20yo and zero exercise allowed me to blow up = 5'9" at 243lbs (highest I've ever seen, probably was more, but refused to weigh myself). Diagnosed with pre-diabetes and it scared the hell our of me. 4 months of strict diet and steadily increasing exercise got me down to 193lbs, and blood sugars fell well in line. By 'strict diet' I was controlling my calories in (highly recommend the 'Lose It' app for those that care to track), keeping food on a 30% protein / 40% carbs / 30% (healthy) fats but restricting calories to about 1100/day. Exercise meant getting on the treadmill and building myself up from a half mile jog up to running 12.5 miles in 2h. It was flipping a switch, different lifestyle. I couldn't believe carrots were so sweet.
About then I felt like running that long/far was pointless AND I got a new job that had me living in a hotel for 2mo before the wife and kid could relocate to me. You would think that would allow me time to keep exercising and eat smart...instead, I went to fat again. Still, in my 30's I was able to lose 50lbs in 4mo with focus and will power. Then we turn the page on 2008.
2017 and I'm being told by my doc that my A1C is out of control. He loads me on meds and leaves it to me to follow through on lifestyle (diet & exercise) changes I keep talking about and not doing. I'm cruising around 222lbs most of the time, sometimes up to 228lbs, never below 220. This continues through to 2022, still no exercise and no diet. Now, I'm 53yo and the body ain't what it was. I've recently recovered from a broken ankle (kicking a stupid soccer ball at kids practice), and was trying to figure out why my rotator cuff hurt like hell to the point of a 'frozen (dead) arm'. I'm thinking there is no way I can exercise at this age. I go with diet changes. Reboot my 'Lose It' app (tracks meals in detail, but has additional features - mostly I wanted calorie count and protein/carb/fat counts).
For non-diabetics, they want your A1C under 6.0, and they consider 5.7-6.3 as 'pre-diabetic'. I'd been bouncing between 8.3 and 13.1 = very uncontrolled. For the mg/dl other measurement (from finger pricks) they want you under 120, and you are diabetic around 170 - I was bouncing between 200-300 with occasional meals shooting me to 400+. Doc offered a 'Continuous Glucose Monitor (CGM)' which you stick on the back of your arm and can get 24/7 data on sugar levels as opposed to pricking your finger 3-4 times a day for snapshots of glucose level. I refused, stubborn old me said 'I can do this' and subsequently failed to manage anything over those recent years. In January of this year I went ahead and got the CGM. For those wondering = absolutely worth it, I can't recommend it enough. Hurts like a finger prick, but it's once every 2w rather than 4x/day. Fears over it coming off (I slept with a shirt so it wouldn't get pulled off/out in my sleep) for the first month...but reality is they seem to have perfected the adhesive. Good for sweating, exercising, showering, all life as normal. When it IS time to swap out, you can peel it off like a band-aid. But, the knowledge of where my sugar is before/after meals/exercise, or waking (it rises naturally in the AM), is a godsend for an engineering geek like me. The finger pricks were part punishment on myself, and part 'gotta study for the exam' pressure to eat right. Now, I'm eating even better and I know EXACTLY what's going on in my body. Ok, sorry for the diabetes tangent, but it is key to my current situation.
January 2023, I get the CGM and work the diet only as I'm rehabbing the ankle/rotator cuff. In 4 months I've been able to get the avg mg/dl down to 135 (A1C around 6.7). The blood sugar was my goal/measuring stick, and I figured the weight would come off as a secondary bonus. It has. I'm now down to 202lbs. Near term goal is under 200 with no set time frame. Next milestones would be to break 193 (over 20y since I've known I was under that), and then 180, and eventually 165-170 as a final goal. I'm focused on the diet, going 40% protein / 20% carb / 40% (healthy) fats, with at least one meal a weak were I 'splurge'. That night sugars shoot to 200-250, but with an insulin shot I'm back in range by morning, and the weight trend continues downward.
Back to the diabetes for a moment - in addition to meds for cholesterol and diabetes, I was prescribed insulin shots at night. I ideally want to be off ALL of that, and should start dropping cholesterol meds next time I see the doc. But without the CGM I had no idea what the diabetes meds were doing or the insulin shots (enough? too much? who knows). Once I got the CGM it set off alarms on my phone in the middle of the night when my sugars went too low (under 60-70) due to too much insulin. I was endangering my health and wouldn't have known without the CGM. Now, I can accurately estimate how much insulin to use each night, if any. Most nights I don't use any at all now that I know what's going on, thanks to the CGM.
Anyways, my bottom line is diabetes (and weight loss secondarily) is on track through diet only. I'm holding off on exercise until the diet causes a plateau, then I can use exercise to break through it.
= = = = = =
Things I found that worked for me:
2008 effort:
Very restrictive amount of calories (1100-1200, with an offset accounting for exercise burn)
- Lose It app for tracking every meal for calories/nutrition
- Weekly weigh in (not any more frequent, no discouragement if I gain or lose a lb, you can fluctuate 1-2lb any given day as it is...just watch for the steady trend).
- Not focus on any real 'measurement' of loss, just enjoy the surprise as we gain another notch tighter in the belt.
- alternate days of upper and lower weight routines, maybe 30-40min solid (get heart rate up)
- every other day treadmill 'High Intensity Interval Training (HIIT)' of a steadily increasing duration (grew 20min up to 40min) with steadily increasing sprints (30sec every 5min, grew to 2.5min of every 5min)
- Sunday run for distance/duration (how I got up to 12.5mi)
I'll start working that exercise into the 2023 plan, accounting for old man injuries, and no real interest in marathons, but it's good to know that 'extra' is in my back pocket when I'm ready and need it.