Wednesday 31 December 2008

diagnosis...

I've been away from the blog for, oh, nearly a couple of months now. It wasn't deliberate, it was just that things were going so well that I didn't have much to say. Well, they still are. I haven't had a binge since September. I haven't even thought about a binge since September, except when saying things like "I haven't had a binge since September". Oh, I ate too much over Christmas, but it was just because there was too much there, and there was no compulsion. I'm still working on the plate-cleaning-even-though-full issue, but it's getting smaller.

I'm doing really, really well. I've even lost a little weight, for whatever that's worth.

Which is, of course, when the boom falls.

This morning I went to the doctor and was advised that (a) I have very high cholesterol, (b) I have Poly Cystic Ovarian Syndrome, and (c) my fasting blood glucose test was so high that it had to be retested because it was reading diabetic. So I may, in fact, BE diabetic. If the blood I gave this morning comes back all glucose-y, then no doubt I'll have to do whatever other tests they have, but diabetes is a definite possibility.

And I just.

What the hell?

The truth is, all this stuff (well, not the PCOS) runs in my family. My father is diabetic. My sister is a Type I diabetic. I should probably have expected this, sooner or later.

The truth is, the PCOS is probably what prompted my last major weight gain back in 2004, when I gained about sixty pounds, but hardly noticed it because I was used to gaining weight and blaming myself. This is also when my menstrual cycle went horribly wrong – the doctor says my androgen levels are so high that I couldn't even be ovulating at the moment.

The truth is, I'm suddenly terrified, and I'm struggling with the fact that I cannot, I cannot undo all the good work I've done this year, and yet I'm now in a situation in which not modifying my diet is pretty much out of the question, especially if I want to normalise my body enough to conceive next year.

So the big question for 2009 is going to be this: how do I maintain my hard-won sanity and yet improve my physical health in specifically dietary ways?

Happy New Year...