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Topics - Andrea

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General Discussion / Confidence
« on: February 10, 2013, 11:18:09 PM »
I think self-confidence is a benefit of knowing that you have your eating under control whether you are at your goal weight or working your way there. 

I was laid off from my job on January 23rd and laughed with a few friends that at least I'm skinny for my interviewing.  It was a huge relief to have the decision taken out of my hands.  The job was very stressful and my headaches are totally gone now that I am out from under the job requirements.  I have consulting work lined up and look forward to finishing out my career this way.

Never for a moment did I worry that I couldn't make a good first impression.  This forum helped me figure out how to live the FTS way and keeps me on track now.  For that, I am incredibly grateful. 

General Discussion / The Church Ladies
« on: January 17, 2013, 03:11:23 PM »
I've just spent several days with very little control over what was available to eat.  Add to that the very sad circumstance of my brother's sudden death from a heart attack and I really didn't care what I ate.  The bottom line is that it was short-lived and I'm back to FTSing and it takes longer than 4 days to regain 88 pounds.  The clothes still fit so I'm back to normal.  (I don't use the scale anymore.)

In the grand scheme of things, we need to be healthy to help us deal with what life throws at us.

And, if you smoke - STOP IT!  I know it's a horrible addiction and it's hard but do it anyway!

General Discussion / 'Twas the Night Before Christmas
« on: December 19, 2012, 04:19:58 PM »
This was fun last year so I thought I'd repost it.  An FTS Forum tradition is born.

‘Twas the night before Christmas
And all through the manse
The elves were all happy
And doing a dance.

Santa was skinny!
Oh, my, what a joy.
He’d cut out the sugar,
Just look at that boy.

His robes were all flowing
Like loose fitting garb.
What on earth happened?
The man went LOW CARB.

A one-minute muffin,
Such a joy to behold.
Santa’s now skinny,
The world must be told.

The air, it was cold.
His breath showed a wisp.
What’s that in his hand.
Why it’s a BranCrisp.

His life will be longer,
His wife can relax.
He cut-out wheat flour.
Replaced it with flax.

While visions of sugar plums
Filled little kids’ minds,
He’d  lost sugar cravings
And snacked on pork rinds.

My thanks to the forum.
Keep up the good fight.
Happy Christmas to all,
And to all a good night.

General Discussion / 1000th post
« on: November 17, 2012, 10:33:42 AM »
This is my 1000th post.

I want to say thanks to all my FTS friends.  My participation in this forum made it much easier to adjust to all of the changes needed to succeed.  I love all the new parts of my life.  This year the Christmas card picture is going to be Nana and Papa with the grandkids.  I'm not camera shy anymore.

I avoided the scale for 3 months.  I was obsessing about those last 3 pounds and wanted to trust what I'd learned about myself and my relationship with food.

My ticker tells the tale.  I'm 3 pounds under my original goal weight and have lost 88 pounds since I went off carbs cold turkey on May 23rd, 2011.

Thanks to all of the forum participants for the encouragement and information.  I love being part of this community.  If you are on the sidelines, come join the fun.  I hope we are helping you achieve your goals but participating really helps you keep on track.

I'm off the scale again.  I have a couple of pairs of slacks that will provide an early warning if the carbs start creeping back.  For a numbers nut like me, this is a big adjustment. I didn't want to see the numbers when I was overweight so I'm sure I can live without them now.

Breads and Crackers / Devonshire Cream
« on: June 15, 2012, 09:08:27 AM »
I was at an afternoon tea recently and the hostess kept apologizing for how "fattening" this was.  It was very easily converted to FTS friendly.  Make Umpa's scones and enjoy!

Devonshire Cream
8 ounces cream cheese (softened)
1/4 cup heavy cream
1/4 cup sour cream
9 drops FTS Zero
1 tsp vanilla

Use a mixer or food processor to blend ingredients.  Refrigerate for 2 hours to let flavors blend.  Serve as a topping for scones or other baked goods.

General Discussion / What convinced you to try FTS?
« on: May 30, 2012, 01:32:35 PM »
It's a slow forum day so I'm asking this question because I was approached by a co-worker yesterday.  She is diabetic and over-weight.  I'm on my way to pick up a copy of Doug's book because I keep buying them and passing them on and don't have one at the moment.  She said she'll take a look.

What made you take the plunge?  What "argument" made a difference?

General Discussion / Have a safe holiday weekend
« on: May 25, 2012, 10:53:19 AM »
Everyone have a safe holiday weekend.  Plan ahead for any festivities.

It's my one year FTS anniversary.  A year ago I walked out of my doctor's office and went low carb cold turkey.  In fact, my last non-FTS meal was a turkey sandwich.  It's a bit like remembering where you were when you heard about 9/11 or, if you are old enough, Kennedy's assasination.

Anyway, my sincere thanks to all who participate in this forum.  This place helped me realize FTS could be a lifestyle, not a diet.  I'm less than 4 pounds from my goal weight.

Here's a picture after 80 pounds lost! :o  ;D

General Discussion / You gotta love a clueless man!
« on: May 21, 2012, 10:40:00 AM »
On an elevator ride up to my 34th floor office last week, my companions were two coworkers, one male and one female.  The female says, "Doesn't she look great?"  The poor guy gave us a shrug and a little grunt.  Five minutes later he's in my office asking me what changed.  Really, he didn't notice the 80 pounds.  He thought maybe I'd dyed my hair.

I thanked him for not noticing.

General Discussion / Another notable quote
« on: May 15, 2012, 08:55:24 AM »
I hope you all caught this already.

From moose61:  "I like eating this way."

Kinda captures it all in 5 words, doesn't it?  It's a great response to the naysayers out there.

General Discussion / The Colbert Report
« on: May 11, 2012, 11:02:22 AM »
Did anyone else catch this:

Francis Collins, the director of the NIH, was on the Colbert Report talking about the horrible effects of excess SUGAR in the American diet.  There does seem to be an anti-sugar undercurrent coming out of the medical community.  I think the resistance is from the nutritional professionals and their organizations. 

General Discussion / Happy Mother's Day weekend to all
« on: May 11, 2012, 09:13:29 AM »
I hope you all have a wonderful time remembering your moms or sharing time with them. 

Being a mom is, hands-down, the most rewarding, frustrating, wonderful job I've ever had.  I am extremely blessed to have all 5 of my daughters withing yelling distance and we'll be together on Sunday afternoon.  They've promised me a few minutes to get those "after" pictures I'm finally ready for.

Happy Mother's Day!

General Discussion / Fuel for the fire - Type II Diabetes in Children
« on: April 30, 2012, 01:56:32 PM »
I saw a news report over the weekend about this finding:  more meds are needed to control childhood Type II diabetes.  What is most alarming to me is that the medical community has thrown up its hands, acknowleging that lifestyle changes would fix (my word) the situation but it's just culturally too difficult.  No one advocates for the changes.

Two Drugs Better Than 1 for Children With Diabetes

Daniel M. Keller, PhD

April 30, 2012 (Boston, Massachusetts) — A combination of metformin plus rosiglitazone is more effective in treating youth with type 2 diabetes than metformin alone. Adding an intensive lifestyle intervention to metformin is no more effective than metformin alone.

Philip Zeitler, MD, PhD, section head of endocrinology at Children's Hospital Colorado in Aurora and professor of pediatrics and clinical sciences at the University of Colorado School of Medicine in Denver, reported these findings here at the Pediatric Academic Societies 2012 Annual Meeting. They are also published online April 29 in the New England Journal of Medicine.

The Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study involved 699 youth 10 to 17 years of age diagnosed with type 2 diabetes within the previous 2 years, with a body mass index (BMI) in the 85th percentile or above, and without pancreatic autoimmunity. The average BMI of the study participants was in the 98th percentile.

During a 2- to 6-month run-in period, participants received standard diabetes education, were weaned off all other diabetes medications, received metformin at doses of 500 mg to 1000 mg twice daily as tolerated, and were evaluated for their ability to adhere to the protocol.

After the run-in period, they were randomly assigned to 1 of 3 treatment regimens: metformin alone, metformin plus rosiglitazone, or metformin plus a program of intensive lifestyle change aimed at weight loss and increasing physical activity. The primary end point was time to failure of glycemic control, defined as a glycated hemoglobin value of 8.0% or greater for at least 165 days or of 10.0% or greater at the end of the study. Participants were followed for 2 to 6 years.

More Than 1 Drug Needed to Control Blood Glucose

Over an average follow-up of 46 months, 51.7% of the children taking metformin alone experienced failure to control long-term blood glucose levels, with median time to failure of 11.8 months. Adding rosiglitazone reduced the failure rate to 38.6% — a reduction of 25% over metformin alone (P = .006) — with median time to failure of 10.3 months.

The failure rate for metformin plus lifestyle intervention was 46.6% (P = .17 vs metformin alone), with median time to failure of 12.0 months. The differences in time to failure were not significant.

"The failures rates in these children overall are much greater than we expected from adult literature," Dr. Zeitler told Medscape Medical News.

Children in the metformin and the metformin plus lifestyle intervention groups tended to lose weight over the course of the study, whereas those in the metformin plus rosiglitazone group gained about 1% at 6 and 24 months. The greatest reduction in weight occurred in the metformin plus lifestyle group — a decrease of about 5% at 24 months. However, the decreases did not result in any improvement in sustained glycemic control.

The differences in failure rates among the groups could not be accounted for by differences in treatment adherence, which were similar.

In prespecified subanalyses, differences in glycemic control failure rates emerged by sex and race/ethnicity. Boys experienced a higher rate of failure than girls (48.2% vs 44.3%). Non-Hispanic blacks had the highest failure rate (52.9%), followed by Hispanics (44.8%), Native Americans (39.0%), and non-Hispanic whites (36.9%).

Aggressive Therapy Needed From the Start

Because of evidence linking rosiglitazone, a thiazolidinedione, to an increased risk for heart attacks and strokes in adults, the US Food and Drug Administration restricted its use in September 2010. In examining the safety of all participants, the TODAY Data Safety and Monitoring Board recommended that the trial continue to test rosiglitazone.

Thiazolidinediones "made sense when we were designing the study in 2002," Dr. Zeitler told Medscape Medical News. "Since then, it's become clear that there are enough concerns about it that we're not going to give this as a recommendation.... We see this as an argument for a need to consider intensification of therapy in these kids."

He explained that it makes little sense to give them metformin and wait for the therapy to fail before initiating another drug, so he recommends "early combination therapy of some sort in most of these kids." One option may be early initiation of insulin, although weight gain and the management burden are concerns. "Or we need to start looking at all the other drug classes, although none of them are problem-free these days," Dr. Zeitler cautioned. "Somehow, we need to figure out how to prevent loss of beta cell function."

Session moderator Janet Silverstein, MD, professor and division chief of pediatric endocrinology at the University of Florida in Gainesville, told Medscape Medical News that "this is really the first trial in which we've had any of the glitazones used in type 2 diabetes in children. I think that understanding the role of rosiglitazone, or any of the glitazones for that matter, in the treatment of type 2 diabetes [in children] is important. It's just as important to understand the reason for failure — that's still coming."

She said it will be important to investigate the reasons for the different responses in the various ethnic groups, and suggested looking at the psychological aspects of the disease, including depression. "It's been shown to affect adherence in other conditions and type 1 diabetes," she said. "I think that we have to be more diligent about recognizing psychological issues and addressing them early.... Diabetes is a hard disease to deal with, and anything that affects lifestyle change is difficult."

Foster Lifestyle, Not Lifestyle Changes

Excess weight and obesity are leading to an epidemic of diabetes in adults and children. In an editorial accompanying the TODAY study, David Allen, MD, from the Department of Pediatrics at the University of Wisconsin School of Medicine and Public Health in Madison, writes that 50 years ago children did not need to make healthy choices to avoid obesity because "they simply lived in an environment that provided fewer calories and included more physical activity for all."

He says that "until a healthier 'eat less, move more' environment is created for today's children, lifestyle interventions like that in the TODAY study will fail."

Dr. Allen laments that "illness from childhood overnutrition is a societal and cultural problem that current medicines treat, but they cannot "stave off a lifetime of illness."

Children's willpower and ability to make healthy food choices are undermined by an "obesogenic" environment. In the grander scheme, Dr. Allen sees the solution to diabetes and its morbidity lying not in better treatments but in public-policy approaches that provide economic incentives to consume healthy foods and environments that require physical movement.

The TODAY study received donated study medication and supplies from Becton, Dickinson and Company, Bristol-Myers Squibb, Eli Lilly and Company, GlaxoSmithKline, LifeScan, Pfizer, and Sanofi-Aventis. Dr. Zeitler has disclosed no relevant financial relationships. Dr. Silverstein reports being an external consultant to the Data and Safety Monitoring Board of the TODAY trial, but did not participate in the trial.

Pediatric Academic Societies (PAS) 2012 Annual Meeting. Presented April 29, 2012.

Medscape Medical News © 2012 WebMD, LLC
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General Discussion / Quote of the day
« on: April 24, 2012, 11:07:13 PM »
I'm going to start a new post and y'all can make nominations but the first award goes to. . .

Waterlilly for her comments about GG Brancrisp.

"What doesn't kill you makes you thinner."

This is a virtual award, bragging rights only but bravo for a wonderful attitude and a great witticism.

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