3 Days In

In preparation for surgery (and the life I’ll have for several weeks after), I’ve survived 3 days of a mostly all-liquid diet. I am allowed to eat a couple of sugar-free Jello gelatin cups per day & sugar-free popsicles, and then the one true thing I can chew on is a special protein bar I can have 1 time per day, so I’ve been saving that as my “special treat” at night after my dinner shake. I thought it would be the best thing to do in order to help my sugars even out overnight, hopefully not allowing any weird crashes, and to also help stave off any possible over-the-top dawn phenomenon. The jury is still out on whether or not nighttime is the best time to have this so-called treat, that kind of tastes like flavored cardboard.

My Fitness Pal.

My Fitness Pal display of Nutrition for the day. Not too shabby.

A few notes and observations about this dramatic change in my eating habits:

  • I started using the My Fitness Pal app on my phone again to track what I’m eating, and assure I’m staying within the guidelines of calories, proteins, carbs, etc. I really like how it syncs up and works in tandem with my FitBit Flex. (Note: I am also taking a slew of special chewable bariatric vitamins – a multivitamin, Calcium, B12, a probiotic and iron. I will take these the rest of my life.)
  • In getting back into logging food and such, I realized I’ve gone from consuming between 100-150 carbs per day down to around 45-60 carbs per day these last 3 days. No wonder I could barely drag myself out of bed this morning.
  • I have not been exercising, and while I feel bad about that, I’d rather NOT exercise and NOT crash than to have to fall off the wagon and consume too much sugar trying to bring up a low blood sugar. The point of this liquid and reduced carb diet before surgery is to help my body go into ketosis (NOT ketoacidosis), and burn off some of the fat surrounding my liver so that laproscopic surgery on my stomach will be easier. Also, in preparation for having a similar low carb/higher protein diet post-surgery as well.
  • I miss coffee. I mean, I’ve been drinking some decaf here and there, but it’s just not the same. One day, in the far distant future, I’ll be able to drink it again, but only in small amounts. You don’t want caffeine to make you dehydrated, or interfere with vitamin/nutrient uptake.
  • Blood sugars have been…..weird. You’d think with the greatly reduced amount of carbs (and the ones I’m having aren’t the spikey ones) that I’d have perfectly straight Dexcom lines within range. NOT. After my morning shake breakfast, I will slowly creep up to the 150-180s, and stay there almost all day. When I eat lunch, and then dinner shakes, my sugars will briefly go down,
    FitBit Flex display

    The lack of exercise pains me, but check out the calories in versus out. I certainly should lose SOME weight before surgery, at this rate, assuming my body doesn’t go into starvation mode and shut down my metabolism.

    and might hang out in the 120s or 130s. Except for the 1st night on this diet (where I had a low in the 50s that I treated with 1 cup of 1% Lactaid milk. It barely kept me within the required amounts of sugar for the day), my overnight sugars have all been within range, 90-120 or so. Now, as this week wears on, maybe my body gets more “used” to it and will level things out? I’m afraid to change my basal rates on the pump, because I really think they are not the issue – I think it is my liver getting all riled up at not having as much sugar coming around, it thinks I’m starving (which, I do feel like that, occasionally), and it wants to spit out some to make itself feel better. Stupid liver.

While NOT getting to eat foods and things I’m used to eating is really, REALLY, tough sometimes (I almost swiped my daughter’s sausage out of her hand this morning. It smelled SO GOOD) I am OK. I just keep thinking of the end goal – losing weight, being healthier, and feeling better – and I can turn my head away, and go eat my sugar-free Jello gelatin in relative comfort. This is my new normal, at least for a few weeks. Once I am able to consume “normal” foods again post-surgery, I’m sure it will be a whole new ball game.

9 thoughts on “3 Days In

  1. Wow, that’s a lot to have to endure. Good for you keeping up with everything so well. Looking forward to your next report!

    • Thanks! I’m hoping to have time to write about all this at least once more before surgery. I probably won’t be able to blog from the hospital, but I’ll try to make the effort to at least post something on the Fifteen Wait Fifteen facebook page 🙂

  2. Wow. I’m just reading How We Get Fat (Taubes) and am so so so interested in all of this—how to get the fat tissue to release itself for use. It’s amazing. I’m floored that BG isn’t easier w the xxx-low carb diet.

    I look forward to hearing about you getting some delicious bites of things in the future. I hope it won’t be too long.

    • Actually, by the end of today, my sugars had leveled out A LOT and were in the good range for most all of today. I found a trick – making sure something was on my stomach throughout the day – whether it be a snack of sugar-free Jello, or dividing my 1 measly protein bar into several pieces and eating it in intervals over the day. My liver really is a sneaky fellow, and grows too suspicious when my stomach is empty – he just LOVES releasing sugar :-/

  3. You’re doing a great job and if you ever have any doubts, look at those wonderful Facebook photos of your daughter (and I suppose your husband also!). I know that you’ve had a hard time finding people with Type 1 who’ve had this surgery, so longterm your blog will be a huge help to others considering the path you’ve chosen. Thinking of you!!!

    • Thanks for the vote of confidence! Seriously, I have never done anything like this. I’ve dieted before, but this is hard core denial for me. I need to write about all the auto-pilot things around food I am starting to notice about myself. And how very strong everything smells. Ah, the smells! OK, off to have a sugar free jello 🙂

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  5. I’ll keep you in my prayers and pray that everything goes as planned. Sorry to hear about the “temptations” around (I understand the enhanced aroma of food we can’t have) but after a few weeks you’d be able to enjoy them again.

  6. Aww wow, so I am behind in reading and reading the most recent first so I might answer my own question as I keep reading, but how long are you doing this for?

    You are doing an awesome job! Oh and I have heard that if you don’t eat many carbs, that can make your blood sugar go higher, makes no sense but I think it has something to do with your liver feeling tricked or something medically technical haha.

    Yeah, looking forward to your next report!

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