Denise Gets a Deadline
Denise wasn't sick enough to need insulin injections yet, so the nurse-practitioner offered a less alarming option. "I'll give you one month to get your blood sugar down with weight loss and exercise," she said. After prescribing a strict 1,800-calorie-a-day diet and no sweets, she studied Denise for a moment. The health care provider saw an overweight woman in a baggy sweat suit perched awkwardly on the paper-covered exam table, looking frightened and defeated. "Honestly, I don't think you'll be able to do it," the nurse added. "If anything, you'll probably gain weight and have to go on oral medication."Denise burst into tears. "So many emotions raced through my head -- shock, fear, denial, grief -- that I could hardly hear what the nurse was telling me. It was still sinking in that I had diabetes, just like my mother." Her mom had been on oral medication, but her blood sugar was always going up and down, and there were times when she had to go on insulin. And even that didn't really work, since she ended up with such awful complications. "I realized that I could lose my eyesight or my legs, and felt like my life was over," Denise says.
The nurse's grim assessment rang painfully true. "Even as a child, I was chunky," says Denise. "I'd tried lots of diets, but they never worked. I'd lose a few pounds, then gain them back -- plus a little extra." The problem was the unhealthy eating habits she'd learned from her parents, who were both seriously overweight. Her childhood meals had typically consisted of meat and fried potatoes, or pizza piled with extra cheese, followed by a rich dessert, patterns that persisted when Denise was an adult. "I don't know how many calories I was eating a day, but it was a lot. I'd have three big meals, drink four or five cans of Pepsi, and then snack on doughnut holes and Snickers bars," she says. Over the years, her weight soared to 255 pounds on her five-foot-nine frame.






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