Part 9: Kicking Sugar to the Curb

At the beginning of this series, I said that the two biggest components to reversing my diabetes was changing my diet and increasing my exercise. The last post covered exercise and this blog post is my simple attempt at describing how my diet changed everything!

GLUTEN
Back in the early 2000's it seemed like every other patient had a problem with something in the environment. One of the ailments that kept creeping up on the health history forms of my dental patients was something called: "gluten allergy/sensitivity."

If I'm being truthful, at the time I thought it was a bunch of hooey. Seriously people. Who has an allergy to grains? It's a staple food all over the world. Why is this not a pandemic issue? 

Enter my favorite podcast: Stuff You Should Know. I popped in the episode about gluten as I drove the family to Santa Cruz for our annual vacation. By the time I got to the coast, I was convinced and telling Kendra: "I think I have a gluten sensitivity." So I spent the entire week on vacation avoiding gluten and much to my surprise I discovered a few noticeable changes:

  • My joints stopped aching.
  • I was no longer bloated after a small meal.
  • I literally stopped burping and farting.
  • I slept better.
  • I was not foggy headed.

I did not need to get a blood test. The anecdotal evidence was in: Stay away from gluten and you will feel better!

REMEMBER IRON MAN
The liver issues I had caused me to reduce the amount of iron rich foods (Remember though, I was still treating the symptom, not the cause). I also discovered that a modified Atkin's diet helped to lower my liver enzymes and ferritin levels. I was not putting all the pieces together yet, but I was still learning.

It's important to note here: I had a wife who was on board with every dietary change that I brought home. I think it's because Kendra wanted me to stick around for a little while, so every health change brought dietary changes and she was helpful to do what it took to take care of me. Seriously, I cannot overstate how important this was. She was and continues to be my biggest cheerleader and top chef! The number one reason this series was written was because of her encouragement. We all need support and I could not do this without her.

GLUTEN-FREE, SUGAR-FREE, DAIRY-FREE
About this same time, my friend and functional medicine doctor got involved. He was encouraging me to start a gluten-free, dairy-free, and sugar-free diet. It seemed aggressive, but he had seen great results with his patients curing many issues by starting with controlling gut bacteria that was driven by sugar and dairy. He also knew (like my anecdotal results indicated) that gluten was a major player in inflammatory disease.

Let me pause one more time: our farming processes have changed. Our grains are different than they were when we grew up. The gluten we have in our food today is an inflammatory ingredient. If you are gassy, bloated, tired, groggy and have sore/stiff joints - just try super hard to give up gluten for 1 week. I promise you will just feel better.

The only problem was that his plan involved an entire system or a program to get things dialed in. I just wasn't there yet and wasn't willing to commit the time and effort to "following a plan." There was also the investment in all of the necessary blood test and supplements to get me on board. In retrospect it sounds good, but at the time it was going to take a lot more than just his advice to get me on board.

BOOZE FREE
I know, most of my loyal readers like to believe in the "Myth of Fletch." To some extent I probably help to propagate the myth. Folks, It's not all blenders, Fuzz Buzzes and Margarita Machine drinks around our house. At one point after my diabetes diagnosis I had chosen to go alcohol-free. The gluten in the beer bugged me and most wines would turn my ears bright red. The math was simple. Alcohol + Fletch = uncomfortable. So, I dropped the booze and chose to feel better. No judgment. No higher cause. I just like water and iced tea more than waking up in pain.

SHOCKED INTO REALITY
Let me remind you what was going on with my life at this point. I had descended into poor health: weight gain, hypertension, fatty liver disease, and type 2 diabetes. At the same time, I was stressed out and dealing with depression. I had started walking and exercising and began to see small changes in my life, but all the pieces were not coming together yet.

It took that final piece that I've already mentioned in a previous post.

After selling our home, I was finally able to see the light at the end of the tunnel and catch my breath. That's when I was shocked (literally) by my college neon Corona Beer sign. The electricity and subsequent muscle contractions led to a torn shoulder muscle. This led to a visit with an orthopedic surgeon which eventually led to a cortisone injection in my shoulder.

Cortisone and blood sugars don't play well together, so my testing numbers took off. It took a long time for me to bring them back under control. Funny enough, it was this little incident that pissed me off and made me realize it was time for me to understand my body chemistry.

Crazy changes for Fletch's body!

Crazy changes for Fletch's body!

GOING KETO
I had begun to research how to reverse Type 2 Diabetes and the answer I kept returning to was the Ketogenic Diet. Funny enough, this was essentially the same diet my friend/doctor had recommended. So, I studied, researched and jumped in to this new way of eating with both feet. 

It was all me with my own handpicked vitamin/mineral supplements. I began to feel good immediately, but it took about 6 weeks before my blood sugars dropped to normal and my HbA1C gave me the results I mentioned in the Introduction to this blog series.

As the weight came off, people kept asking what this diet looks like on a day to day basis. That is partially why I am writing this blog series.

My best advice comes from the world of podcasts. If you really want to know more about keto eating, I want you to go over and listen to the 2 Keto Dudes podcast. Start at episode 01 and listen through the first twenty shows. They are short shows and these guys do a fantastic job of explaining the ketogenic lifestyle. They use just enough science to explain it to a doctor, but not too much to bore the audience.

Yes, it's a lot of listening, but if you are serious about wanting to change, this is a great start. Remember it is going to take commitment. It's also going to take others to support your choices. The Keto Dudes have created a great community and they are the best thing to help you get started and stay motivated.

This was the tipping point in changing my health. This eating plan was the number one reason I dropped weight and changed my blood numbers.

For those wanting the absolute basics, this is what it looks like for me:

Daily Carbs = 0-25g - Just what I get in green leafy vegetables (otherwise the number is ZERO).
Daily Protein = 1-1.5g protein/kg of lean body mass. For me, that is approximately 90g protein.
Daily Fat=  As much as I can eat to satiate me.

Yes, it's a high fat, low carb and low protein diet.

As I type this right now, I'm down nearly 50lbs from where I started. I'm rarely hungry and my energy level is sky high. My exercise level is never inhibited by my eating or lack of eating. I fast intermittently and really only eat when I'm hungry. Which causes many to ask where all my energy comes from?

FAT BURNER
When you switch to a ketogenic diet, you no longer rely upon glucose to burn for energy, so you no longer convert your unused glucose to fat storage. Since you don't have excess glucose, you don't need as much insulin to deal with the extra glucose in your blood. (If you have paid attention, this means your liver is also not stressed out and throwing high enzymes).

Here's what changes: Your body stops looking to glucose for energy and learns to burn your stored fat for energy. Remember all those years you were eating Krispy Kremes, pizza and slurping down beer? All the extra glucose in those foods was stored as fat for future energy. When you convert to ketogenic eating, all of that stored fat becomes your primary source for energy. 

The truth for me: I HAD A TON OF STORED ENERGY (which is the new politically correct way to say that I was FAT!)  I have an untapped source for energy and it's all the fat I've stored around my belly, my liver, my other abdominal organs. As the weight has come off, my fat stores are being depleted.

The before and after photo above says it all. The proof is in the picture. My story is done!

I cured my Type2 Diabetes by taking control of my life, diving into the dark corners, allowing others to help and support me, taking on an exercise routine that worked for me, changing my diet, and remembering that each day was a new day and I had to make changes. 

Thanks to everyone I've previously mentioned for helping me make so many positive changes in my health, but especially my wife Kendra (go read her stuff - she's brilliant), my friends/doctors (Blankenship, Beech), my cancer doctor at Stanford (Dr. Peter Whang), all of my friends at Mid-Aged Maniacs (especially Laura), and my dogs Betty and Rasta!

Thanks for reading along...but don't leave just yet!


Now is the time for you to make a decision.

Do you want or need to make a change? It took me a long time to get there. Maybe this blog series has pushed you over the edge? Maybe it's the other mid-aged maniacs you read about? Maybe it's your own blood tests? I don't know.

Do you want to join me?
Do you want my help?

I'm not running classes. Just helping friends who were stuck like me. I've seen the changes and I think you will see them as well. If you want help, click this button below. Let's do this!

Part 8: Get Out and Get Walking!

Living life large with my Pop!

Living life large with my Pop!

If you are anything like me in my 40's, than you know how hard it is to find the motivation to start exercising. What made me think that I was suddenly going to start working on my health from the perspective of better exercise? Here's what it took and what I finally did to change things.

BOB
Bob was a wonderful friend and dental patient of mine. I met Bob in Bible Study Fellowship and he was already in his 70's. He was a true gentleman. He was sharp, polite and always well put together. Bob was also in great shape for his age. I remember mentioning that to him at one of his dental appointments and he remarked how he had a real turn around in his 50's. 

Prior to that, he had been a smoker and a real Type-A personality who travelled the world for business. I forget what it was that motivated him, but at some point he decided to start running. On the first day, he put on some tennis shoes and tried to run around the block. He made it to the mail box about three houses away and walked back, but that did not dissuade him from going back out the next day. So, he threw out his cigarettes and quit smoking. By the end of the week, he was running down to the corner and walking back. By the end of the month, he was able to run around his block.

By the time I met Bob, he had run in the San Francisco, Los Angeles, New York and Boston Marathon races. Bob taught me that you are never too out of shape and you are never too old to do something big.

MID-AGE MANIACS
Speaking of doing something big, I joined a Facebook group called Mid-Age Maniacs that was started by a few friends. Here is the description from the page:

Do you recognize the need and benefit for men and women to be pushing physical limits into and past middle age? From physical benefits, to mental and emotional health benefits, to setting an active example for our kids and grandkids, middle age guys and gals need to spend less time on the couch and more time out there crushing it.
It doesn’t matter what you’re into: 5k’s or marathons, MMA or tai chi, Crossfit or yoga, trail running, mountain biking, rock climbing, 100 mile craziness, calf roping, or whatever. Just be into SOMETHING! And CRUSH it.

This group was full of stories of people in their 40's and beyond who were doing big and scary things. Some were taking on a marathon or a half-marathon, others running a 5K/10K, some walking, some hiking and others were just taking on a big task. I lurked, I read, and I got inspired by others stories.

LAURA'S STORY
One of those people who inspired me was a friend named Laura. She had started her transformation several years prior. Like Bob, Laura was also a dental patient. What makes the stories of my patients so interesting is the noticeable results based on the gaps of time between visits. When you only see someone every six months the changes are very evident.

At one point, Laura came in my office and the physical change in her body was clear. We asked her to share her story and she told us that she had lost 125 pounds using Weight Watchers. I was absolutely blown away. First, we calculated that she had technically lost the weight of my dental assistant. As if the physical changes were not dramatic enough, just recognizing that she had been lugging around another human being was incredible. Second, was the knowledge and understanding that Laura had been at it for several years. She was a picture of determination and her story was inspiring to me.

Laura's story and transformation pushed me over the edge. She was looking and more importantly feeling better. It was because of her that I was inspired to make small changes and wait for the results. She eventually joined the Mid-Age Maniacs and I still continue to be inspired by the things she knocks off her list of big scary things. She has gone from a non-walker to a bad-ass runner! Such an inspiration to me and I hope to you too!

ARTHUR'S STORY
One morning I was scanning Facebook and I came across a video. If you are on social media, I'm sure you have seen the same video about a guy named Arthur who discovered yoga. I will post it here. Watch it now!

Arthur's story continues to amaze me. He went from being injured to be an amazing practitioner of yoga. To say that his transformation encourage me was an understatement. I purchased the videos and began practicing DDP Yoga.

Did I see the same transformation? Not quite, but I did realize a few things. I was horribly out of shape and I did find small changes in my body. I was able to touch my toes and my flexibility improved.  It also proved to me that change was not going to happen over night. It took long term commitment and an element of sticking to it.

WALKING WALKING WALKING
All of these stories started fitting together at the same time that I was being hit by waves of depression and stress. I have posted about this before, but this is where my need to get out and walk took off. Taking the kids or the dogs on a walk really helped me battle my stress and depression. I would often drive to the local college and walk anywhere from 1 to 5 miles with my dogs or kids.  

Hitting the trail with my big sis!

Hitting the trail with my big sis!

One of the things that I began to notice was that walking causes you to slow down. You see more things, you smell more things and you experience all the things you miss when you speed by in a car. It was intoxicating. Suddenly, I wanted to walk more and more. I asked everyone I knew to join me. Cold, Rain, Heat or Fog. I found myself waking up at 5AM so I could get in a few miles before work. I planned long walks into my vacation time and kept pushing myself to get faster and walk farther.

You would think that life out in the country would make walking fun. Nope! There is something about roaming dogs in the country that takes all the fun out of a walk in the orchards. Instead, I got to know the neighborhoods around my office and found myself walking everyday at lunch too.

I also took up hiking and found myself driving out to the local river where I could hike for miles at a time. The kids came regularly and the dogs loved being free to run in and out of the river. Everytime someone came to visit I invited them out for a walk in the trails and rivers of eastern Stanislaus county.

I don't want to miss one other result of all this walking. I remember reading the biography of Steve Jobs where he mentioned taking walks to work through ideas and creative projects at Apple. When people came to visit him, he would ask them to take a walk.  Friends, co-workers, family members, ministry partners were asked to join me. It works! Don't believe me? Give it a go.

CH...CH...CH...CHANGES
I'm not sure what exactly changed in me, but I did begin to recognize that people were asking me if I had lost weight. Talk about motivation! That was like pure gasoline in my tank of motivation.

The patients were the first to notice. Again, 6 months makes a difference in the way someone looks. Eventually it was friends and then family members who noticed that my clothes looked and fit my body differently. It seemed that everyone wanted to know what I had done. Thanks to Bob, Arthur and Laura I was able to share the truth: Slow and Steady Wins the Race! There is no fast solution to reversing 45 years of bad habits.

I started a hashtag on Instagram and Twitter: #walkingawaymyType2 so I could go back and chronicle my efforts. Follow the links to see what I am talking about! 

There was only one problem with all of this: My blood sugars were still not dropping. There was one final change I needed to make. In my next post, I'll share the biggest component that helped me turn the corner in my transformation: an entire new way of eating!

Quietly making noise,
Fletch

 

READ THE WHOLE SERIES
Introduction
PART 1: Middle Age Status
PART 2: Fatty Liver Disease
PART 3: Ironman Is Here
PART 4: Hypertension
PART 5: Bloody Noses and a Tumor
PART 6: Stress and Depression
PART 7: Diagnosis: Diabetes!
PART 8: Get Out and Get Walking!
PART 9: Kicking Sugar to the Curb!

Part 7: Diagnosis: Diabetes!

Thanks for hanging in there with me. It has taken me a while to get to this post, but I'm finally to the place where I write about the culmination of my health issues and what led to my diagnosis of Type 2 Diabetes. My goal is to follow this post up with two final installments in this series where I share the details of changing my diet and exercise and how that finally beat diabetes and other health issues into submission. I encourage you to read along and get inspired.

FISHING AND DRINKING WITH MIGHTYJOE
In the summer of 2016, I thought I was starting to feel a little better. My blood pressure was under control with medication. The tumor in my sinuses had been removed. I was walking and hiking quite a bit. There were only two major things I was still dealing with daily. The first was the stress we experienced having the rug pulled out from under us every time we showed our unsold home to potential buyers. The second was the stress of parenting a large family, including two weddings and the daily management of a busy little brain-injured boy we like to call Mighty Joe.

People often ask us about Mighty Joe. I always say: "He's a busy little guy." Kendra follows up with: "There is no off-switch with Joe."  At the end of last summer, I surprised him with his first fishing trip to the the CA Sierras. We spent eight hours fishing together and at the end of the day I suddenly got super thirsty. We ran into a little general store in the mountain town near the river and I quickly finished a large bottle of gatorade and an additional liter of water. Both of those did not satisfy my thirst at all. So, I was back in for more water. On the drive back to town, I stopped two more times for drinks. My thirst was insatiable. 

theMT_Fishing.jpg

I knew exactly what was going on. I had noticed and ignored a few other symptoms in prior months: The unquenchable thirst, the middle of the night trips to the bathroom to empty my bladder, and the multiple times I got shaky in the late afternoon. These are all the glowing neon signs of diabetes. On the way down the hill with Joe, I called my doctor and asked for a blood test. The next day I was sitting in the lab getting blood drawn. (At this point in the story, believe me when I say that I'm totally fine with needles and blood - it seems like every other week I'm getting poked for blood).

BLOOD LIKE SYRUP
This led to another time that I got a personal call from a doctor at home. He had the results from my blood tests. He said that my blood sugars were so high that if I cut myself I would see either caramel or maple syrup leaving my veins. Not only was it a great visual, but I was tempted to taste it and find out.

As I mentioned in the last post, I had begun to walk everywhere with my dogs and started to lose some weight. My blood test showed that the regular blood donations, exercise and weight loss had helped my liver numbers. All my high liver enzymes were well within normal levels again. My blood sugar was an entirely different story. Diabetes is diagnosed when your fasting blood glucose is above 100mg/dl and my blood test put me in the running for the president of the Undiagnosed Diabetes Club. (Note: The UCC is not a real club, but if there was one, I'd run the meetings and bang the gavel).

Blood Sugars Through The Roof!

Blood Sugars Through The Roof!

The HbA1c is also listed and is another blood test that is used to determine how well you are controlling your blood sugars by taking a 3-month average. It is a better gauge than a single fasting blood glucose test. Once again, my high numbers indicated I was uncontrolled and I had been for a few months.

Look at the results, my levels were very high and out of control. In typical Fletch fashion, I was super nonchalant about my test results. Type 2 Diabetes? Psshaw! My parents had Type 2 diabetes. It seems like every other person I know has Type 2 diabetes. Afterall, I thought, it's not like I was diagnosed with Type 1. That's the bad diabetes. Type 2 was like Diabetes Jr. or Diabetes Lite. I compared Type 2 to Type 1 like I compared having the sniffles to lung cancer. All I had to do was eat a few less tacos, skip a soda now and then. If I could just make a few changes, I'd be back on the road to health in no time.

DIABETES 101
For those who don't really get it, I think this is a good place to pause and actually describe the differences between Type 1 and Type 2 diabetes. I'm going to make it simple

Again, diabetes is a disease of elevated and uncontrolled blood sugar. In a healthy body, every cell needs energy. Typically that energy comes when the food we eat is converted to sugar (glucose). The glucose then cruises around the blood stream and tries to get into every cell. But there is a problem! In order for the glucose in the blood to enter the cells of the body, it needs help. That help comes from a hormone called Insulin. Insulin is released by your pancreas and one of the things it does is to unlock the door to the cells, allowing glucose to go in and provide energy to the cell. 

That was easy, right?

Now, if you have more sugar in your body than what it needs for energy (read: Krispy Kreme, Coke in a Bottle), then the body says: "Let's save this fuel for later when we might need energy!" Insulin kicks in again by converting the excess sugar in your liver as fat. Now the energy is saved in nice little fat molecules and that fat storage can be used later to release glucose back into the body whenever it needs it. So, insulin helps balance out blood sugar levels and keeps them in a normal range. Basically, as blood sugar levels rise, the pancreas secretes more insulin.

Type 1 Diabetes occurs when the pancreas stops making insulin altogether. Type 1 diabetics have NO INSULIN and they must inject themselves with insulin to help maintain their blood sugar and help the glucose get into the cells of the body.

Type 2 Diabetes occurs when the insulin being made by the pancreas STOPS working. The pancreas keeps making insulin, but the receptors on your cells become resistant to the insulin. So, your pancreas makes more insulin. For a while that works, but eventually your pancreas says enough is enough and the insulin is ineffective.

To review: Type 1: NO INSULIN, Type 2: INEFFECTIVE INSULIN.

Now, when you have too much glucose in the blood, it starts to thicken up (like caramel). Thick blood does not do well in tight spaces or small blood vessels. FYI, the really small blood vessels are found in the kidneys, the eyes, and the peripheral fingers and toes. That's why uncontrolled diabetics end up having kidney disease, blindness and the loss of toes, fingers and feet.

My point with all of this? We need to realize that ALL DIABETES sucks! Type 1 and Type 2 are both a result of a broken system. They can both lead to a shortened life span and further complications if you don't pay attention.

LIFE WITH A LITTLE PRICK
Back to my doctor. He added a few new items to my health care strategy: First, I left his office with a new prescription (500mg Metformin 2x/day). I also was the proud owner of a brand new blood glucose monitor with enough test strips and tiny needles to test my blood twice a day. Metformin (or glucophage) has been used to control diabetes for many years. It seems like every other patient I meet is taking this medication. I willingly took the medication and just assumed this was my new normal.

Likewise, I learned to poke my finger 2x/day with a tiny needle device. It took me a week or so to get used to the snapping mechanism I used to prick myself. It's still a bit weird, but if you are reading this blog and wondering about this. It is NO BIG DEAL. 

Here's what I didn't know. Many times, Metformin is only the beginning. If blood sugars are not controlled, you are prescribed more and more medication and finally you begin taking insulin injections. It's a downward slope and if I wasn't careful I was ready to wax my skis and head straight down to the lodge.

HIGH NUMBERS AND A NEW ROUTINE
So, off I went popping pills and checking my blood daily. It was disappointing how erratic my numbers were and I could never really get them in the range of "normal." Each time I poked and checked I would get depressed as the numbers climbed. I began asking every type 2 diabetic dental patient about their numbers, I quizzed them about medication and testing. Everyone was all over the map. Either they were very concerned or they were horribly inconsistent. Some took oral meds, some took insulin, and a few were doing neither and just controlling it with diet and exercise.

It wasn't until a conversation with my friend Eric that I began to understand the whole blood sugar process much better. His son has Type 1 diabetes and he shared what he had learned from his son's diabetes education. His encouragement to get serious and his instructions on how and when to test my blood sugar were really the key to turning everything around for me.

Simultaneously, I received a gift from a patient named Judi. She is also a Type 1 and she gave me a book called, The Born Again Diabetic. It is a fantastic book written by a diabetes educator. It was this book where I learned to test my blood sugars multiple times/day and figure out how my body responded to the food I ate. So I began to test 6x/day and track the effect food had on my blood glucose. It became like a science experiment and I logged everything.

SHOCK AND STEROIDS
In regards to the stress I blogged about in an earlier post, one of the best things to happen last year was the sale of our home and our move over the holiday season. On the night before our big move, I paused to show Kendra my cool Corona Extra beer sign I had kept since college. As I plugged in the neon sign and grabbed the transformer, I discovered there was an electrical short. The electricity caused me to clamped down and I could not let go as the electric shock surged through my body. Kendra stood back and I prepared myself to meet Jesus as I shook violently. Thankfully, my screaming and shaking caused me to break my grasp and I ended up with a quarter sized hole burned in one hand and achy shoulders from the muscle clamping that occurred during the shock.

Eight weeks later I was still having shoulder pain and the orthopedic surgeon I visited recommended a cortisone injection in my shoulder. I agreed. The cortisone provided a small amount of pain relief, but it also sent my blood sugars through the roof. No matter what I did, I could barely get my glucose numbers below 175-180. Here's my point, I knew all of this because I had become so good at testing my numbers regularly. If nothing else, I had the gift of consistency and follow-through.

THE QUEST BEGINS
When people ask what happened, what clicked and how did I reverse my diabetes, I point to a few things.

First, I was motivated internally. I just wasn't satisfied with my ability to control my blood sugar and by the time I learned that there were +1500 feet amputated each week in the US, I decided that I liked my feet. So, I hit a wall and decided enough was enough.

Second, with the advice of a functional medical practitioner, I dove into a huge lifestyle change. I overhauled my diet and lifestyle. I understood it was not going to be exercise alone. In fact, I had learned that the ratio was really closer to 80% diet and 20% exercise.

Third, I had the help from others. Kendra was my dietary and relational support and she quickly got behind me. I also had other middle aged maniacs making huge life changes. Actually, there is an entire Facebook group of support friends. (Thanks Scott, Amie and Laura for the motivation!).

In the next post, I will put hands and feet to the theory and explain how diet and exercise helped to revers many disease markers in my body!

Quietly making noise,
Fletch

READ THE WHOLE SERIES
Introduction
PART 1: Middle Age Status
PART 2: Fatty Liver Disease
PART 3: Ironman Is Here
PART 4: Hypertension
PART 5: Bloody Noses and a Tumor
PART 6: Stress and Depression
PART 7: Diagnosis: Diabetes!
PART 8: Get Out and Get Walking!
PART 9: Kicking Sugar to the Curb!

Part 4: Hypertension

So far in this series, I've introduced you to my fatty liver and how it was stressed to the point of requiring me to have a monthly blood draw (or what I like to call a "medically induced period"). I have also tried to paint an accurate picture of my mid-40's lifestyle and how I wore my Myers-Briggs personality ENTP profile like a tailored Italian suit. In short, I was a happy go-lucky extrovert on the outside and a rational logic-loving thinker on the inside. I was constantly on the lookout for my next adventure and I filled my plate with new projects and activities to keep me from being bored. Kendra would say that I could easily bounce from responsibility to responsibility. My only problem was that I was carrying a bag of cheeseburgers and fries along the way.

"Something Bad Is Going To Happen"
I'm not sure when I first noticed this, but in the midst of my "easy-going" life, I began to develop a weird sensation. I told Kendra that I felt like something bad was on the horizon and later explained to my doctor that it felt like an overwhelming sense of dread.

None of this happened immediately, but I simultaneously began to notice a few puzzling things in my physical body. Initially it was the feeling of my heart beating in my chest. When I slowed down to read or prepare to sleep, I could actually feel my heart beating in my chest. This was new, but I thought it was just a weird physical response to caffeine or adrenalin in my busy life. What caught my attention was when the heart pump would also coincide with a feeling that something bad was going to happen. I wrote it off as middle-aged anxiety.

Then I began to "hear" my heart beat. In my temples and in my head, I could hear the blood pumping. This was now associated with an actual increased pulse. Once again, I had a feeling of darkness or dread accompanied with the symptoms. I still chose to ignore it.

The Pressure Goes Up
I mentioned in a previous post that I had to give blood regularly to control my iron levels. At the end of each blood-letting, I always scheduled my next 8-week appointment. I was great at setting a goal and staying on target.

At the beginning of every blood donation, they interview you thoroughly. They also run four simple tests: Pulse, Temperature, Blood Pressure and Hemoglobin. I still giggle when they prick my finger to test my hemoglobin levels. Remember, I have superhero blood. Temperature and pulse have always been normal (I'm the guy who can feel his pulse in his neck).

However, after one busy day at work, the phlebotomist testing my blood pressure said it was too high.  I explained that it had been a stressful day and the drive through traffic to get to the blood bank on time had also amped me up. I chose to sit and meditate for twenty minutes and had her test again. This time it was even higher. How high? I was testing at 200/120, which for me was super high. 

I also learned that when your blood pressure is too high, the blood bank won't let you donate and until my blood pressure was controlled, I could no longer give blood. If I could not give blood, I could not control my iron levels. If my iron levels continued to spike, my risk for cancer was exponentially higher.

I made it to my doctor in less than 24 hours, where he confirmed that my blood pressure was extremely high and probably the source of the pulses I felt in my body and possibly even the feeling of dread that I experienced. He recommended that I begin immediately to take high blood pressure medication and also recommended a stress-test on my heart.

TREADMILLS AND ULTRASOUNDS
It took a month to see the cardiologist, but thankfully his scheduling coordinator was my dental patient (and I have never hurt her!). Privilege pays! My appointment was expedited and I was bummed to discover that my blood pressure had barely dropped with the new meds. The doctor upped my dosage and sent me down the hall to plan for the stress test.

After getting a baseline measurement of my heart,  I jumped on the treadmill in khaki pants and hiking boots. It took no time to get my pulse where they wanted and then over to the exam table while they rescanned my stressed heart and I poured out sweat.

The results: my heart was structurally fine but I was horribly out of shape. For years I've joked that I was in good shape: round and soft are both shapes, right?!  This statement was beginning to not be so funny.

Here's my takeaway. My lifestyle was slowly disabling my body. I had slowly added weight, my liver was incased in fat and now all of my peripheral blood vessels were being squeezed by fatty tissue throughout my body. 

You would think I would wake up at this point but I had to descend a little further into the disease process. Maybe it would take a trip to Stanford Medical Center? Let's find out together in the next post: bloody noses and a tumor! 

Quietly making noise,
Fletch

READ THE WHOLE SERIES
Introduction
PART 1: Middle Age Status
PART 2: Fatty Liver Disease
PART 3: Ironman Is Here
PART 4: Hypertension
PART 5: Bloody Noses and a Tumor
PART 6: Stress and Depression
PART 7: Diagnosis: Diabetes!
PART 8: Get Out and Get Walking!
PART 9: Kicking Sugar to the Curb!