Showing posts with label Diabetic. Show all posts
Showing posts with label Diabetic. Show all posts

October 14, 2012

Ending my sweet life the second part

Dear Bloggers,

I was asked a couple of times by fellow blog writers to make a part two on my sweet life is ending. It took me a while to produce a sequel on this story. I am now pretty experienced if it comes to my own case.. In the beginning it scared the hell out of me. And yes I probably will not get very old but that doesn’t bather me. I have it pretty much under control and my life is full of imperfections but I am not much of a cry baby and sit in a corner whining. I have a future to live for and I hope one day to play with my grandchildren. Both my my wife and me have health issues and climbing stairs is getting us into trouble. We decided to put our family home on the market and look for something with everything on ground level. My next move after this one will be in a wooden coffin. Let us hope that we have a couple of great years left with the kids at home and if they fly out that they come and see us frequently with their kids.



Once you know the facts, it is hard not to care about diabetes. In the Netherlands alone, 1 million people have diabetes. Approximately 71000 Dutch are diagnosed each year, and a third of all the people with diabetes are unaware they have it. WHO (World Health Organization) has declared that there is an epidemic of diabetes. Worldwide, there are 200 million diabetes patients, not including those who still do not know that they have it. In the next decade, the projected number of known diabetics is expected to reach over 250 million. Because of the small amount of attention that has been paid to the disease despite these alarming numbers, the rise in diabetes has often been called the “Silent Epidemic”. A possible cause for this epidemic has been attributed to changes in modern lifestyle:

• The type of food consumed contains higher numbers of calories and purified sugars;
• The typical meal size has increased; • People are not exercising adequately;
• Higher stress levels, and;
 • An increase in the elderly population.

What exactly is diabetes? There are several definitions of diabetes, but the most commonly agreed upon definition is that diabetes is a condition when a person's ability to metabolize carbohydrates (sugar) is impaired. Basically, blood sugar does not get burned inside the muscles and tissues, but rather stays in the blood. This results in high blood sugar levels. A person with a sugar level above 150 ml/dl in the blood in the morning is diagnosed as ‘diabetic'. Insulin allows the body to convert sugar in the blood into energy. It is secreted by ß (beta) cells in the pancreas. So, in a diabetic, either no insulin or inadequate levels of insulin are being produced. Furthermore, even if insulin is produced in a diabetic, it is highly unlikely that it will be properly utilized.



How can having high blood glucose affect me?
Diabetes is much more than just a relative lack of insulin. In one sense, it is a disease that affects the blood vessels, or capillaries. A high concentration of sugar in the blood from relative lack or sensitivity of insulin is still not completely understood. However, it has detrimental effects on the blood vessels and they gradually cease to function properly. Since every organ or tissue in the body depends upon capillary flow to transmit oxygen and glucose and remove waste products, this eventually leads to end-organ damage. Yes in the end we are all going to die.



As every cell is dependant to a large degree on glucose for its fuel, any impairment in its supply or being able to properly metabolize that glucose will lead to impairment in the function of those cells and organs. Consequently, the tissues that have the highest demand for proper blood flow and utilization are most susceptible to the damage of impaired flow or metabolism, e.g., the kidneys, heart, nerves, retina. A lack of blood flow and oxygen to the tissues can also result in many infections, and often the only treatment left is amputation. A high concentration of sugar can also cause increased fatigue and weight gain. It does not kill instantly, but causes long-term, permanent damage over many years with lethal complications. That is why we often take a lax attitude: slow and gradual but certain and fatal.



What related complications can result from diabetes?
Diabetes is not only the leading cause of kidney failure, but it is also the leading cause of blindness, particularly among patients between the ages of 25 and 70. It also increases the chance of having and dying from cardiovascular disease and stroke. The probability of dying from stroke and cardiovascular disease is increased by 400% in people with diabetes, and 2 out of 3 people with diabetes die from heart disease and stroke. Diabetes also damages the nervous system. Approximately 60%-70% of diabetics have some form of nervous system damage. This is especially a concern for diabetic males because they usually have trouble functioning sexually. Erections involve blood flow and nerves.



Because diabetes causes nerve damage and affects blood flow, many males struggle with sexual dysfunction. The first question doctors ask when a patient complains of erectile dysfunction is, “Do you have diabetes?” According to statistics, more than half of sexual dysfunctions among males come from diabetes. In addition, diabetes is a major risk factor for heart attacks and amputations. Sixty percent of amputations occur among people with diabetes. This means that each year, 82,000 amputations are performed on people with diabetes.

Long John Silver did not loose a leg to diabetes

What is the relationship between diabetes and obesity?
Diabetes basically involves an inherent metabolism problem. Because of the inability to absorb and process blood sugar in the muscles, the muscles are constantly experiencing malnutrition. Insulin that has been produced may not be efficiently used. Coupled with lack of exercise, excess glucose eventually becomes fat. We also know that this abnormal blood sugar metabolism affects appetite. All of these lead to weight problems. Between 70%-80% of people with obesity have diabetes. Likewise, 70%-80% of diabetics have difficulty controlling their weight.



I don’t have diabetes, why should I be concerned?
Diabetes is the “silent killer”. Often people who have diabetes do not know it because they cannot feel it. People must take a direct measurement of their blood glucose levels to know if they have diabetes. Even more alarming, when a person is diagnosed with diabetes, the actual development of the disease actually started on the average of seven years prior. Once the active symptoms and complications are observed, diabetes has already entered the later stages. Early detection is good, but prevention is even better. A yearly blood test is essential, even if you feel healthy.



What is Pre-Diabetes?

Pre-diabetes is when a person has a higher than normal blood glucose levels (hyperglycemic) but the level is not high enough to be diagnosed as diabetic or they are unable to secrete enough extra insulin in response to a glucose challenge. This is a cause for concern, especially when 700000 people in the Netherlands have “Pre-diabetes”. At this point, long term damage to the body is already occurring and often leads to Type II diabetes. If the blood glucose is controlled at an early stage, the development into Type II diabetes can be prevented. Often, diabetes is referred to as the “Silent Killer” due to the unobvious symptoms of diabetes. People who have diabetes or are pre-diabetic initially do not feel pain or feel any symptoms. It is only when the diabetes has reached a serious stage when all the complications, pain and symptoms surface. As previously mentioned, according to statistics, once a person is diagnosed as diabetic, it is likely that the onset of the diabetes actually started seven years ago. On average, every 10 years afterward, there is a rise in blood sugar of 100 milligrams per deciliter. Diabetes is a progressive disease.




Treatment Goals
The main goal for diabetes management is good blood glucose control. Your doctor will recommend a desirable range for you. Keeping your blood glucose as close to your target range as possible will help keep you healthy. Other important health goals for people with diabetes are lowering high blood pressure and decreasing cholesterol and triglyceride (blood fat) levels. If these are high, you may be more at risk for heart disease and stroke. A big goal for anyone who smokes is to stop! Smoking accelerates all of the problems associated with diabetes, because it cuts blood flow and oxygen to the cells. Good Nutrition Matters Your food choices will affect your diabetes control. Foods that contain natural or added sugar or starch (carbohydrates) will affect your blood glucose more than foods that are mainly protein or fat. A registered dietitian can help you plan a healthy meal plan using a variety of your favorite foods. Controlling calories is important for diabetes control. A weight loss of just 10 to 20 pounds can make a big difference in your blood glucose and blood pressure control. Drinking plenty of water, eating higher fiber foods, and eating less fat will help. Watching your sodium intake is also helpful if you have high blood pressure. Limiting solid fats will help control your cholesterol level.

Eating less fat so next time eat only half of it.

Most people find that eating the same amount of food at about the same time each day helps them control their blood glucose. Skipping meals is a bad idea, especially if you take diabetes medicine. Missing a meal also makes you more likely to overeat later. 2 You do not need to buy special food for your diabetes. The diabetic meal plan is good for both you and your family. Getting Active Is Important Blood glucose and weight control are very difficult to achieve without regular physical activity. Activity may include merely moving around more during the day, driving less, taking the stairs more often, doing yard work, or walking the dog, all of which increase caloric use.


Regularly scheduled exercise is also good. For weight loss, exercise that gets the heart rate up helps the most. Good choices are brisk walking, swimming laps, water aerobics, and biking. If you have not exercised regularly lately, have a doctor’s exam before you start. The results of this checkup will help you choose the activity that is best for you. The main goal is to do more of something you enjoy. You should exercise 5 to 7 days a week. Exercising with a partner or group may help you better stick to your program. Exercising at the same time each day may make your blood glucose levels more predictable.


Blood Glucose Monitoring is the only way to tell how well you have your diabetes under control. Your medical team will tell you how often to check. These blood glucose readings will help you see patterns in your diabetes control. If you have three values at the same time each day that are above or below your target range, you may need to change your eating, exercise, or medication habits. Recording your blood glucose readings, what you ate, what you did that day, and how much medicine you took will help you see those patterns. There are many monitors available. A diabetes educator or a pharmacist can help you decide which one is best for you. Always take your monitor and blood glucose records with you when you see your medical team. They can test to be sure your monitor is working correctly and that you are checking it properly.

Obese and diabetic a deadly combination

Medication Choices
New medicines for diabetes seem to appear every day. Your doctor will decide which medication is right for you. Some people with type 2 diabetes may only require better eating habits and more physical activity to control their diabetes. Medication needs often change over time, so you may switch diabetes medicines or add medicine more than once. Blood glucose monitoring is essential in deciding the correct amount of diabetes medicine for you. Diabetes pills work in different ways. They are not insulin. Some pills cause your pancreas to produce more insulin. Some make your liver produce less blood glucose after meals. Others slow the absorption of carbohydrate. Another type makes you more sensitive to insulin. You may need one or more of these medicines to control your diabetes. You may need insulin shots. Some people need insulin along with diabetes pills. How often you take insulin depends on how much insulin your body still produces and how closely your doctor wants to control your diabetes. Different types of insulin last different amounts of time. Your medical team will tell you how much of each kind you need to take and how often.

 In the beginning your overwhelmed by all the information and medication

Don’t Be Overwhelmed
Diabetes is a complex disease, and it takes time to develop the skills needed to control it. A certified diabetes educator can help. Ask your doctor to refer you to an educator for diabetes education. A diabetes support group may also help.
  

You will be surprised how much you will learn and how much easier it is to adjust your diabetes care so that it fits your lifestyle.

The Old Sailor,

January 16, 2012

Diabetes the silent killer

Dear Bloggers,

I am familiar for a while now with the diagnoses diabetes but no one is telling you about the risk that you might possibly die of this bloody disease in the Netherlands about 40 of a 1000 men will die due to being overweight, high bloodpressure, kidney faillure or vascular problems. So it is really time to take more care of me and find a different way to care about the rest of my family. Otherwise I might get into really big trouble. Complications will sneak in sooner or later.


Some practical things that you can do to help during this time include the following:
Learn as much as possible about your disease. At times, ignorance or a lack of understanding is your worst enemy. Arm yourself with information in order to lessen frustration. Do not hesitate to ask questions about your disease. You may wish to keep a notebook with all of the medical records and information about your diagnosis; sometimes, you can be too numb or too upset at the hospital and realize later that you forgot everything the physician had said. Further you should stick to your diet and stay in shape as it is your body and your life.



Keep a journal of your feelings about your disease and the impact on your life. As time goes on, you may be able to look back and see that things are improving.
Learn about your health benefits so that you understand what expenses will be covered by insurance.

Continue doing your usual, daily activities. You will still have grocery shopping, laundry, and going through the mail to do on a daily or weekly basis. Having some of these "regular" activities will help you cope and feel more in control.
Take care of your family relationships. Although your primary focus is on your diabetes, it is important to also spend time as you normally would with your family, friends, and spouse. It is healthy to have fun together. Relieving stress and strengthening family relationships will allow you to cope better with your disease.



Utilize the support groups in the area, as well as national support groups and their resources. Find out about supportive services available at the hospital or doctors post to help you cope, such as the availability of social workers and/or meetings with other families. Do not be afraid to ask for help. Each family's need for support is unique. Friends and family members will often ask, "Is there anything I can do to help?" Consider saying "yes" to this question and ask them to pick up your groceries, help with the laundry or housecleaning, pick up your children from their extracurricular activities, or make dinner. "Assigning" a friend or family member something to do to help you will also help them feel like they are contributing.


Avoid emotionally draining situations. Sometimes, well-meaning friends and family members will say the worst possible thing at the time of a diabetes diagnosis especially on the bad news stories. They truly want to help or be supportive, but sometimes do not know how to respond. Their words may hurt you or disappoint you, even though that was not their intention. You must realize that people will not know what your needs are unless you tell them. Sometimes, it is simply easier to be forthright and tell someone "I would just like you to sit quietly with me and keep me company" or "I need to spend some time alone right now." Do not be afraid to express your needs during this time.

Other people may want to talk to you about their experiences with diabetes. They may believe that they are being helpful to you, but instead may be making your situation feel even more overwhelming. It is important for you to avoid these discussions if they are not helping you. It is healthy to be "selfish" and ask for what you need, as well as what you do not need during this time.
Share what you have learned. You will have important knowledge and skills that you learn as you experience your illness. You could help others and their families by sharing your experiences.



And how to explain your kids in my case:
School-aged children (6 to 12 years of age):
They need repeated reassurance that he/she is not responsible for the diabetes 
teaching that sadness, anger, and guilt are normal feelings 
allowing your child to keep feelings private, if that is preferred 
suggesting personal recording of thoughts, feelings through writing, drawing 
arranging for physical activity, when possible 
providing explanations for your child so it can understand about your diabetes and the treatment plan. 
answering all questions honestly and in understandable language, including, "Are you going to die?" (talk with diabetes care team about how to answer) 
listening for unasked questions 
facilitating communication with siblings, friends, and classmates, if desired 
teaching about normal feelings of fear, anxiety, sadness, or anger 
encouraging sibling to communicate feelings; suggesting sibling write, telephone, send drawings or taped message to patient 
explaining that parents' distress, sadness, or crying is okay




Adolescents (13 to 18 years of age and older):
giving information on normal emotional reactions to a diabetes diagnosis
encouraging expression of feelings to someone: parents, family, or classmates
tolerating any reluctance to communicate thoughts and feelings
encouraging journal keeping
providing repeated reassurance that they are not responsible for causing the diabetes
being included in all discussions with parents about diagnosis and treatment planning
being encouraged to ask questions (parents should listen for unasked questions)
addressing spiritual concerns about "Why?"
offering assurance that parents and family members will be able to manage crisis
encouraging sharing news of diagnosis with friends, and classmates
arranging for visits of friends
reassuring that diabetes is not contagious
offering assurance that nothing they did or said caused the diabetes
providing detailed information on diagnosis and treatment plan
answering all questions honestly
encouraging expression of feelings
arranging for management of daily life at home
providing assurance that family will be able to handle crisis
informing teachers and coaches of family situation
encouraging usual involvement in school and other activities


Diabetes in the Family - Talking to Kids about Diabetes
Few things impact a family more than a diagnosis of diabetes. Every member of the family and every aspect of your life will be affected such as relationships, money, time and energy. Parents diagnosed with diabetes must not only face their own fears and uncertainty, they must also help their children cope with this life-altering reality.
Communication is key throughout the diabetes journey. Understanding children’s developmental stages can help parents understand the way their child views illness. You should also take into account the individual child’s temperament. It is important to remember that children are more resilient than you might anticipate.

Yet it is important to tell your children about your situation. You can say something like, “diabetes is a serious, but treatable disease.” As far as treatment, children should be told that the doctors are working to make you better. They should also know what will happen in the next few days or weeks and also about how long treatment will take.



Do I talk about the possibility of my dying?
You may be worried about dying and so might your children. In general, if your physician is optimistic about your chances for recovery, you do not need to tell your children you could die. Be honest and encourage your children to share their fears and worries with you. Your children may ask you if you could die. Carefully consider your response. Balance honesty with the emotional impact of such news and leave the door open for future questions. Take into account the child’s developmental age and understanding of time when answering this question.

What if they ask questions I have already answered?
Asking the same question repeatedly is normal for children. Absorbing the reality of a diabetes diagnosis is difficult for everyone. Forgetting information is common for both children and adults in times of great stress. Do not feel like a failure if it seems your children do not understand your explanations. By answering your children’s questions over and over again, you are helping to ease their worries. Sometimes children may test you to see if your answers stay the same. Try a different approach to answer your child’s questions each time they ask.


Should I tell others about my diabetes? Teachers? Friends?
People vary in the length of time it takes to feel comfortable talking about diabetes. It can be a strain for children to feel as if they need to keep your diabetes secret. Chances are the news will leak out anyway. Consider who the important people in your child’s life are. Often it is their teachers, coaches, scout leaders, music instructors and the parent’s of their friends. Sharing the news with these people allows them to interact with your children in helpful ways. It will help teachers make sense of any behavior changes. 


The Old Sailor,

August 15, 2011

A day on the lake

Dear Bloggers,


Last friday I had a day off and the neighbors of my inlaws asked if we would join them on a boat trip on the Frisian lakes and watch the final of Skûtsjesilen on the lake (Sneekermeer). Of course as an old sailor I said yes that would be great eventhough the weather forecast predicted rainshowers, my wife was panicking a bit as our youngest daughter should wear a lifejacket. I did not see any problem there as she has her swimming diploma A and the waters are quite shallow in this area.

A skûtsje (pronounced 'skootshuh') is a Frisian sailing boat of the tjalk type, originally an ordinary cargo boat, but today a prized ship and one of the icons of Frisia (Friesland, or Fryslân in Frisian). Skûtsjes were built from the 18th century until about 1930, 12 to 20 m long and on average 3.5 m wide, with a maximum of 4 m (based on the standard dimensions of Frisian bridges and locks).


Skûtsjesilen
Originally an old tradition between cargo skippers, skûtsjesilen has now become a sport. Every Summer the skûtsjes meet to race each other, and much store is set by winning, as the victor will be famous all over Fryslân. Many skûtsjes are supported by villages or municipalities (financially as well, for this is not a cheap hobby!) and sail for the honour of their home town.

The regatta season was opened this year, on one of the smaller Frisian lakes. More to find in Dutch on http://www.skutsjesilen.nl/ Eventhough it was not that gorgeous weather loads of rain and pretty strong wind gusts – during the contest some of the days had to be cancelled. Some were to windy others whitout any wind at all. The race on the Sneekermeer promised a good game as the winds were shifting all the time and a windforce 3 to 5 was there. Although some wished for stronger winds - a splendid time was what we had by all. Neighbor Klaas explained a lot about wind and how you should sail in thes circumstances to my oldest daughter. (she really learned a lot and found the game even more interesting than before.) His wife Jeltje served coffee, soup and breadrolls, we had a very relaxed day.


The Eurokotter 9.50 picture used from http://www.vofhelfferich.nl/

When we got on board, I felt as if I’m the only one chartering an unknown destination. (Yeah, right.) With the cool breeze enveloping me, I close my eyes, grip the sides of the boat and wish that the destination is worth all the troubles that I have at the moment anyway. It is hard for me to except that I am from now on a diabetic and that I should lead a regular life. It is hard to change your life without any stress as everything in your life is turned upside down. I try to enjoy the boat trip as much as I can and after half an hour I start to relax and enjoy the unpredicted beauty of todays weather, nature is gorgeous anyway and the water is pretty calm.

By the time the boat reaches the calm portion of the lake, I thought a smooth ride would finally start. But then the engine starts to power up. The skipper hands the wheel to one of the people that never sailed before and teaches them how to manouvre on the lake between the other boats and what the rules are. Even my wife took the wheel on the return journey and sailed us back into calmer waters. Not all of them are skilled skippers. I felt pretty scared as we ran pretty close to the shore and I had no influence on the steering skills as i was not the skipper, but the reminder to relax gave me an assurance that the situation is under control.



After few adjustments of the skipper, it finally got better. My fear dissipated and I went back to closing my eyes and gripping the side of the boat. A few minutes later, I got a cup of coffee and a good conversation with the skippers wife, now I was sitting comfortably. My eyes were widely open and my hands were loosely positioned at the sides. I started to enjoy the ride. We talked about the boat as it is a lovely little ship with plenty of space. Klaas and his companion are building these ships themselves as it is his daytime job. To give an impression have a look on their website Eurokotter.nl If I had the money I absolutely would have bought one. Maybe in the near future when we have sold our house and I would have a more steady job I can do this. I totally fell in love with the steady sailing and the spacious envirnment of this ship.

I tried to do what the others do; I opened my eyes and loosen up a bit, but my mind is playing games with me. Relaxing is hard work at the moment. Then I saw the beautiful clear line that divides the muddy brown and dark bluish color. I started seeing other boats of different sizes manned by brave men or women. I saw on the shore a few fishing man who caught a big fish, the numerous fans that man the shores to watch the final day of the competition, all the other boats that are anchorred that we are passing by and the crashing of waves against the shoreside.



After an hour of rolling with the waves, we were finally closing in on the spot were we should anchor. The skipper gave me instruction to hold on as he will drop the anchor his wife mans the wheel and I have the lookout position for the other boats at our stern. The skipper has a lot of knowledge about the grounds underneath the ship when he drops the anchor it only takes a few minutes to put the boat in position. As we are only layin on one anchor point the boat drifts around on the wind. When our neighbors behind us run a few metres of extra anchor chain we have nothing that is in our way. After the Skutsjesilen is done we have another cup of coffee and get ready to go on our home journey, after an hour we arrive in the harbour and lay the boat in it’s dock. We say goodbye and thank them for the wonderful trip and drive home. I had a splendid day out and my kids enjoyed the sailing as well.

The Old Sailor,














July 26, 2011

My sweet life is ending

Dear Bloggers,

Yesterday morning I had to consult my doctor due to some earlier done bloodtests as my hands have been painful all day long for the last three months. When I phoned two weeks ago for the results the doctor’s assistant advised me to make an appointment after his holidays as there were some matters to discuss about my bloodtest. Today was the day that I made the step into his office, the results kind of overwhelmed me as many wheels had to be set in motion from today on.



My new hobby as I cannot eat them anymore

I was diagnosed as a diabetic type 2 and my cholesterol levels were to high as well. Unfortunately I was not that surprised as diabetics are quite common in my family and I knew that my chances were reasonable to become a diabetic. Still when the doctor tells you this it is a bitter pill. I need to lose weight to get a better Hemoglobin a1c count as this was far too high. F*** my day was spoiled but on the other hand there was an explaination for a lot of funny symptoms that I developped the last few months. This is what he told me and actually warned me for.

Type 2 diabetes is a condition where blood sugar levels are too high because the insulin producing pancreas tires and insulin can no longer effectively store sugars in the body. Persistently elevated blood sugars can result in numerous complications such as blindness, kidney disease and nerve damage. Studies have shown that there is a correlation between type 2 diabetes and obesity (that explains a lot to his royal fatness). The cornerstone of diabetic management is through dietary changes, exercise and weight reduction.


A specialized nurse will make report of my body skills

Chances are that if you have been diagnosed with diabetes, my doctor recommended that I should change my diet, exercise more and lose weight. A way to find out how many calories I need to meet in my weight loss goals I need to visit a specialised nurse who wil explain me what to do diet wise exercise and how to change my lifestyle and how to use the calorie calculator!

It sounds easy when you put it like that, but the truth is that weight loss is not easy and your complete rythm of life will be turned around. The benefits of losing weight are numerous and for the diabetic patient it means better glucose control and fewer diabetic complications. The good news is that even a modest reduction in weight can have significant effects on your sugar readings. While most patients do not need to be convinced of all the benefits of maintaining a healthy weight, it is sometimes difficult to find motivation and stick with a plan.


My diabetes will be monitored for several months after that I have to do it myself.

Many people become overwhelmed and simply want the learn ways to lose weight fast.

Weighing in on Weight Loss Gimmicks
Every patient has different weight loss goals but while the number of pounds that need to be lost may vary, most people agree that they want to know how to lose weight and how to lose belly fat. (my biggest enemy lives on my belly) Unfortunately, there are many different weight loss gimmick plans out there that prey on that very mindset.


This might be the scenario if we do not change my lifestyle
Many of these weight loss methods are expensive and require that you eat purchased foods or drinks. Some of these plans have elaborate ways of keeping track of foods and restricting what you can eat. Other diets sell you special concoctions that promise to help you lose weight while you eat whatever you want. The bad news is that most of these diets are great ways of thinning your wallet and not much more than that.

When I asked him what is the fastest way to lose weight, he answerred my answer isn’t always popular. The bad news is that most of these fast diets and weight loss methods are unreliable and do not keep the weight off for the long term. It’s not difficult because the best weight loss methods involve simple math!

The Secret to Weight Loss is Simple Math!


Weight Loss: Calories In < Calories Out

No Change: Calories In = Calories Out

Weight Gain: Calories In > Calories Out

Pretty straightforward right? It should be no secret that if you eat more calories than you burn, you will gain weight. The same goes for losing weight. Burn more calories than you take in! This doesn’t mean that you have to exercise constantly to burn 2000 calories because your body requires energy just to function.

Check out an online calculator to find out how many calories you burn without exercise. This information will help you to determine the proper amount of calories that you need. If you pay attention to this information and monitor your caloric intake, you will find that watching calories is a powerful weight loss tool.

One of the quickest ways to lose weight and keep it off is to seriously commit to changing your way of thinking about food and exercise. We live in a society that thrives on excess. The food on our plates is no exception. If you think that what is served to you at most restaurants is a serving, you’re sadly mistaken.

Looking for the quickest way to lose weight may sound appealing but the reality is that many of the latest dieting fads will send you on a rollercoaster ride. Losing 1-2 pounds per week is considered safe weight loss. Set small goals with realistic timelines and celebrate these achievements. And my biggest horror is quiting smoking as that means normally gaining weight. My doc said that this is something that is bad for me but I should do that in a later stadium when all the other things are in place and I have suitable rythm again.


My favourite thing to do eventhough it is deadly

For people living with diabetes, reducing your weight and improving your learning more about diabetic diets that work will greatly improve your sugars and hemoglobin a1c blood test. You will also notice an improvement in your blood pressure (that was surprisingly good) and cholesterol. These simple changes can have lasting effects and prevent the progression of complications of diabetes. So let us see what the future will bring.

From today this will be a sugar free blog and for the rest things will be the same as always.
 The Old Sailor,

When This Life Ends A New Life Begins

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