LOW CARB DIETS EXPECTATIONS AND PREDNISONE
I am beginning to think this is going to be an uphill battle !!! After a month on a low carb diet (under 50 mg carbs a day) I have only lost a couple of kilos !! Like many women my age (almost 67) I have been on and off numerous diets over the years – you name it I’ve tried it – and similarly (like most women who did this) my weight has usually crept back to a fairly typical place for me on the scales. I have a BMI of usually between 26-27. While I realise this is not necessarily too drastic – placing me in the ‘overweight’ and not ‘obese’ category I have tried on and off to ensure I don’t have to get an entirely new lot of clothes to cover an expanding body and that i can keep fit enough to move around comfortably in our large garden and domestic orchard (which is pretty big by most standards). BUT recently in an effort to counteract some slow but steady weight gain over the last year or so and in response to having to take a higher dose of Pred for a couple of flares I realised I had to attempt to reduce a few kilos. I felt fine about doing this as at the outset of my GCA diagnosis I undertook a similar diet and pretty quickly (over 3 months) lost 11 kilos without what felt like much effort at all. This time has however been very different – like pulling teeth almost hardly any movement down on the scales and my waist a mere inch less – when usually this area reduces very fast for me. I am currently still at 15 mg of Pred after a period of having to go back up to 25 mg to get control of a flare and tapering back down again to here. I have never been able to get below 11.5 mg on this two and a half year journey so far. Given the duration is likely to be pretty much the same amount of time again for me before a remission and that my weight is going to obviously be more difficult to reduce than ever I am not feeling very optimistic today. Regardless I intend to persevere with piles of fresh (we have easy access to ‘organic’/herb and pesticide free) fruit and veg and our own fantastic bantam eggs. I also believe SOMETIMES it is OK to have a ‘treat’ but not too often. I am certainly feeling much better since i adopted this diet again – more energy and less fatigue so that is fantastic BUT I just WISH my scales (which are new and hopefully reliable) would register a small but regular reduction which would be so encouraging Best wishes to everyone Rimmy PS This pic is by an NZ artist Thomas Gulliver (1932) of the beautiful Pied Fantail – I love the very ‘Japanese’ stylisation of this image.