The last couple years have been tough. Through my challenging time, I had a personal experience of how prediabetes symptoms feel – I don’t recommend it. For me, it was the wake-up call I needed to refocus on lifestyle.
One indicator of how life is going generally is my eating – for years I had it together, surfing life’s ups and downs while my relationship with food was stable and happy. It helped that I work at a yoga center famous for its healthful food, and that I’ve studied nutrition for almost 30 years (still fascinated!). Being an “expert” actually heightens the misery – I’m sure many of you know of what I speak.
Over the past two years, when I realized several of those big life fears (I watched the love of my life die, quick and gruesome…then…he came back to life! wait, wha?), the place that slipped was eating (of course!). In my despair, movement-related self-care was also just too hard to keep up. I moved a little but not enough – and I just could not find the joy I always felt with dance, movement and fitness.
Through this time, my A1c crept up. While I know in great detail how to address it (hello, moderating carbohydrates and moving more) it hasn’t been easy. My progress until now has been rather slow. One thing that I’ve experienced (I think) is how someone feels when their blood sugar is on what I call the blood sugar roller-coaster, giving you prediabetes symptoms. It is a profound feeling and impacted nearly every moment of my day, and has a set of unhelpful thoughts attached.
While many people with prediabetes do not have symptoms, here are a few that can happen.
Fatigue. First, you’re tired. Really tired and unmotivated. It’s hard to comprehend a reason to get up and out of bed, and why-botherism is right there, pretty much all the time. There are moments of light, but mostly grey. Tired and unmotivated.
Unwellness. Then, you feel sort of crummy. Most of the time. Low energy and achy deep inside for no real reason.
Increase Thirst & Urination. I’ve always been a water drinker and didn’t notice this one, but some folks do.
Weird things begin to happen physically – blurred vision, skin things, digestive things, that have never happened before and don’t help with moving forward.
Cravings. For me, eating my favorite comfort/trigger foods (starch for me – mashed potatoes) became a heightened experience. I got trapped in a familiar cycle of emotional eating – stress, think of mash potatoes – eat mashed potatoes, overeat mashed potatoes – wish I hadn’t eaten mashed potatoes as I feel over-full.
What to Do if You Have Prediabetes Symptoms
Get ye to your doctor. Have labs drawn. According to the Centers for Disease Control and Prevention (CDC), more than 1 in 3 Americans have prediabetes, and 90% of those that don’t know it.
Know that it’s action time.
Gather helpers. My counselor/therapist – weekly through the worst of it, gave me someone to get into the muck with – to go deep deep into my fears and feel them, honor them. I could never have moved on or begun to release my fears around losing my dude without her.
Find yourself a good dietitian. Every town has at least one excellent dietitian – that’s is the right fit for your personality and pocketbook. More dietitians take health insurance, and more dietitians also offer premium services like custom fitness routines, custom meal plans, and seriously regular meetings.
What is Prediabetes Anyway?
Prediabetes is when you begin to have problems with your blood sugar but you are not quite to the place of having a diagnosis of diabetes. It is action time, my friend.
Specifically, by the numbers, prediabetes is when:
- A1c (a measure of blood sugar over several months) between 5.7 -6.4%
- A fasting blood glucose of between 100-124 mg/dL
There are other indicators, like an oral glucose tolerance test, blood lipid levels that can also point to your risk of having prediabetes.
Here is a quiz on risk factors from the American Diabetes Association.
Why do I say it is action time? Because you can change it.
Update – My Story
At times, progress seemed a game of inches – sort of exasperating. It does, as you might imagine, heighten the excitement to also be an expert in the field. That’s where self-compassion comes in. Then, as I tried to show up for my own life, and my family’s life, over and over day after day, it began to slowly shift. I had a great leap forward – normal labs! Now, I’m feeling better, eating better. My mindset is better and I’m heading in the right direction. I just show up, over and over, and participate in my own life (I wasn’t for a while). Recovery is one step forward, one step back. Sometimes it’s two steps forward, one step back and I do my best to notice and celebrate that.
Everyone, when it comes to health and well-being, has both unique challenges and resources. I am not recovering without support and friends. I have support from the medical community – I live in the great state of MA – a place that attempts to provide care for all – and that care for me (and my husband) has been nothing less than life-saving. I have access to mental health and physical health care.
Take Your Next Step
As part of my healing and hopefully helping, I am now in private practice – both telehealth and face-to-face in Great Barrington, MA. Find out more about my personal lifestyle coaching.
What’s your story? What are the challenges and resources you have to heal your life? I want to know!
We are in the era of the nutritionist. There is so much confusion around food and nutrition, and so much wacky advice flying around. This while Americans are just not able to make it to the basics of healthful eating. Nutrition-related chronic diseases continue to be the primary health issues, and each of us has our own variation of health and disease.
Because we are in a time when so much that sounds like nutrition is actually marketing and bluster, and so many who call themselves experts are so far from it, confusion reigns. Enter RDNs (Registered Dietitian Nutritionists) and MNT (Medical Nutrition Therapy). If you know me, you know that I am a mind-body therapist – I use things like meditation and gentle yoga practice as tools to help us cultivate the best of ourselves, and soothe us as we gather our courage and strength to sing our song, to sing our note.
What is MNT?
There is a large body of evidence that tells us how to manage a range of health and medical conditions with food and nutrition. MNT, or medical nutrition therapy, uses that evidence and through a qualified therapist, translates that evidence into healing. While there is a range of nutritionists operating today, with various levels of education and experience, and I honestly believe there is room for everyone, I am partial to those who have a 4-year science degree and access to the Academy of Nutrition and Dietetics Knowledge Center for working with people with a medical condition. I am biased for sure, being one who sweated through all that nutritional biochemistry and worked in an ICU (intensive care unit of a hospital) writing TPN (total parenteral nutrition) orders to keep people alive until they could eat. Then I taught at Kripalu for nearly a decade, watching how mind-body used skillfully helped people with the will and knowledge transform. The combination of clinical skills and experiential practice are, in my opinion, the sweet spot when it comes to healing nutrition-related issues.
What conditions are we talking about?
There are guidelines for a range of medical conditions. Those I am well-versed in include:
- Weight gain – from adolescents to adults, and family-based, for any reason
- Eating Disorders, emotional eating and disordered eating
- Unexpected weight loss due to cancer, HIV/AIDS or other chronic condition
- Pre-diabetes and diabetes
- Cancer – prevention, management and prevention of recurrence
- Heart Disease – prevention, management
- High Blood Pressure
- High Cholesterol
- Digestive approaches to auto-immune conditions (Fibromyalgia, Rheumatoid Arthritis, and others)
- Digestive distress due to:
- Irritable Bowel
- Crohn’s Disease
- Food Intolerance (lactose-intolerance, gluten, and others), and Allergies
I use an individualized approach. That includes an initial assessment of nutrition-related symptoms and medical history, review of nutrition-related labs and reports, and development of a custom way of eating that you enjoy and that adheres to evidence-based practice.
We then co-create a plan to get there – your way. There is no such thing as failure, no such thing as relapse in this world – but there is learning, through loving self-compassion, how to navigate your life in its fullness. It’s a dance of mindful skillful effort, and surrender (that’s yoga!).
Within that list, do you specialize?
While I can help address any of these conditions, and they all have relating threads, I particularly like to work with weight, women in midlife, and digestive issues. I have also had a personal experience with cancer, so helping people with that interests me.
How much does it cost?
Depends. I am a licensed nutritionist in the state of Massachusetts. If you have a medical condition and live in the great state of Massachusetts, or another state that does not have state licensure, it is worth it to give your insurance company a call to see if our work together can be reimbursed. For this, you will likely need a referral from your primary care doctor.
If you are not insured, in another state with licensure or your insurance doesn’t cover, then you are what clinicians call private pay. It’s likely that our work together could be included in your health spending account if you have one.
Bottom line, if you value your energy level and lifestyle, it’s worth it to have a skilled coach to help you move forward.
My rates are $150/hr, and most people I work with do an initial assessment, then a half-hour twice monthly for 2 months, then monthly for 4 months.
Tell me about telehealth
I’ve partnered with a practice-management group called Healthie. They provide an interface for us to work through, including journaling, billing and video conferencing. So, we can meet face to face in the comfort of your own home! I think telehealth is part of the future of medicine, and I am excited to be part of it.Pinterest
Ready to make the change? Let’s do it – Make an appointment now .
Questions? I’m all ears.