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Morbidly obese and Chronic illness - how to start?

112 replies

Valerrie · 07/12/2017 12:17

Hi, I'm looking for some advice please.

I'm morbidly obese with a BMI of about 46. I'm 5ft1 and I weigh 17.5 stone. I struggle with my weight due to eating crap, comfort eating, convenience eating due to disabilities and no exercise.

I have fibromyalgia and a spinal injury, osteoarthritis all over, cervical spondylosis, Peri-menopausal, celiac and ibs. I'm 35 Sad

I know I need to change my diet. Due to the fact that I'm in bed most of the time, I find it too hard to go downstairs, stand and make food. This means I'm eating sugary cereal for breakfast, a sandwich my husband leaves me with crisps and chocolate, a couple of pieces of food and then a takeaway or something that can be oven cooked quickly for tea like gf nuggets and chips, steak and mash, ready meals etc. My husband is ill himself and works full time so can't spend much time cooking.

I'm now finding it difficult to just move the minimal amount. If I go downstairs and walk back up I'm incredibly breathless and my heart races and pounds. Even walking to the bathroom leaves me breathless.

I really want to tackle my problems but I don't know how. I have severe health anxiety so can't see a GP because I can't leave the house. My blood pressure is fine. If I start moving around and I feel my pulse elevate I have panic attacks. I'm limited to what I can do because of neck and spine pain and knee pain.

I'm so, so miserable and scared. I can't seem to get a grip and make healthy food choices but then we never have healthy food here. My husband does the shopping and he's underweight so buys junk. DD eats healthily but is starting to notice my poor choices.

What can I do? I've spent the morning in a state of extreme panic because I walked up the stairs and I thought my heart was coming out of my chest.

OP posts:
RavingRoo · 08/12/2017 13:03

For people like yourself, liquid diets have known to help kick things off. Speak to your GP for a recommendation. After that you need to follow the NHS plan to lose weight - 1400 cals per day weight loss is designed for sedentary people who can’t exercise.

Valerrie · 08/12/2017 13:00

Thank you, he suggested I do an online shop to come tomorrow evening too. I'll see if there's a slot and set about planning what to buy.

I've just written a letter to my GP begging for some support to see if there's anything they can suggest. That's such a huge step for me I can't even explain.

OP posts:
timshortfforthalia · 08/12/2017 12:46

Remember to text your dh about lunch tomo. It doesn't have to be a meal, even just lots of healthy snacks. Nuts yogurt etc.

Or would your dad bring you an extra soup for lunch tomo?

Well done on washing the dog Wink

Valerrie · 08/12/2017 12:18

If I felt better and more healthy, I know I'd be more inclined to move more. If I could solve these sugar crashes or whatever they are and the anxiety of my heart beating so fast when I move that would be a huge start.

OP posts:
Valerrie · 08/12/2017 12:17

Thank you, I'll download My Fitness Pal now and it will help make me more aware of what I'm eating. They won't give me medication as I'm terrified of taking new tablets and they think they might make things worse. It took me months to take paracetamol! They have given me betablockers for an emergency but as one of my main fears is my heart (I constantly pulse check) there's no change I'll take them.

That's a great idea to start off like that in the bedroom. I'll feel less scared that I'm going to develop DVT or something if I'm moving every hour. I do try and move my legs and arms when I'm unable to get up.

OP posts:
purpleviolet1 · 08/12/2017 12:06

Meant to say, you can totally do this! Grin

Blackteadrinker77 · 08/12/2017 12:03

Have you heard of myfitnesspal? It's a free calorie counting app. Even if you can start eating at just under your maintenance level it will help you slowly lose weight.
Every hour get off the bed and walk the length of the room and back, next week walk that twice. The 3rd week walk down stairs and back up.
Small changes each week will help you get fitter.
I send you a hug, you can do this x

purpleviolet1 · 08/12/2017 12:00

5:2 Thread No. 71: O Come All Ye Fasters, Joyful and triumphant, O come ye, O come ye to our 5:2http://www.mumsnet.com/Talk/fasting_diet/3093290-5-2-Thread-No-71-O-Come-All-Ye-Fasters-Joyful-and-triumphant-O-come-ye-O-come-ye-to-our-5-2

purpleviolet1 · 08/12/2017 11:59

OP, don't despair. Posting on here and acknowledging the issues is a massive first step. Also well done on the food choices last night and this morn.

Take it one meal at a time.

I also suggest getting a multivitamin and vit d3 as pp suggested.

Would you be interested in the 5:2 diet? Read the OP , there's lots of useful information. BigChocFrenzy who runs the thread has a wealth of knowledge, great advice and always very supportive. The other posters on the thread are great too and so you won't feel alone as such.

I'll link the thread.

Also would it be worth asking for a telephone appt for anxiety meds? If it's really bad they could really help curb it.

Perhaps start with getting dressed every morning and going downstairs.

I don't think you need to worry about exercise so much yet, focus on diet and moving around in the house and then getting out.

Valerrie · 08/12/2017 11:53

Thank you, I have lean ham, cucumber and gf crackerbreads for lunch and apple. I hope that will fill me up but I do have pistachios and yogurts to snack on.
My dad made a slimming world stew yesterday and is bringing me a bowl for tea.

Tomorrow is difficult as my son has a club from 10-1 and my husband won't be here so I'll have to make lunch. I usually fail and binge because I go too long without food and feel ill. I'll have to ask DH to pick something up tonight that I can have ready for lunch tomorrow.

What mindfulness videos would you suggest? I'm recovering from a three week flare up at the moment so I'm taking things slowly but have managed to wash the dog this morning which is something! It's utterly wiped me out though. I have the afternoon free to work on mindfulness.

Thank you so so much for all your support and kind comments. I feel like such a failure because I used to be so strong and independent, healthy and busy and a professional. It's a big hit to go from that to being so completely useless. I need to change things and though I know I can't change my illness, perhaps if I was healthier I'd be able to do more at home and help DH who is very down.

OP posts:
timshortfforthalia · 08/12/2017 11:25

Well done on yesterday. That's really impressive. Just concentrate on today. Do you have enough healthy food to get you through today?

Is there anything else you can do today - mindfulness videos as suggested by pp?

I use hypnosis a lot. Really recommend the apps by Andrew Johnson. It's my go to lazy choice of moving to end goals Wink I've tried lots of different hypnosis, but his stuff is amazing.

Is there anything you can do now to help you eat right tomorrow? Then maybe choos a couple of baby steps to do before relaxing on your phone/iPad. Maybe 25 minutes min housework, hypnosis/mindfulness then crash with iPad.

Good luck for today

JaneEyre70 · 08/12/2017 11:14

Giving sugar up won't make you ill, it will only improve your health dramatically. Our bodies have no use for it. Well done for a positive start.

CMOTDibbler · 08/12/2017 11:06

Well done on making those choices with your food yesterday! Thats a great start Smile It's all about small steps and keeping them going.

If you've checked your blood sugar, its really unlikely there is a problem with it, and that it may be anxiety related so you can apply mindfulness to that feeling like the feeling when you move and your heart rate raises.

How do you feel about watching some mindfulness videos today?

Valerrie · 08/12/2017 10:58

Thank you so much everyone. I can't get blood tests. I need hormone ones, thyroid ones and sugar ones but I can't leave my house, let alone go to a hospital. Anything medical I have a severe phobia of. The GP knows this and said I need to have some CBT before I even think about trying to have blood tests, although the waiting lists are so long.

I've checked my own blood sugar first thing in the morning and it was fine. I haven't got any test strips left now.

I need to try and give up sugar but won't that cause me to be ill?

Yesterday I had plain chicken, low fat air fried chips and spinach for tea, yogurt for a snack instead of chocolate and I've had gluten free oats and a banana this morning.

OP posts:
JaneEyre70 · 08/12/2017 08:49

From what you've said about crashes if you've not eaten, I'd get your blood checked for diabetes. It's highly likely given your lifestyle/weight and believe me, medication will make a huge difference if it is diabetes. I've lost nearly 4 stone since being on Metformin to stimulate my pancreas and I don't get the crazy never ending food binges where you are never full. It's changed my life OP, but whatever you do, stop eating sugar. It's killing you.

timshortfforthalia · 08/12/2017 08:44

Good luck op, you can do it. You are already taking first steps by posting here.

Stop beating yourself up, you are carrying so much guilt and low self esteem. You can't change the past, you can't change the fact that you got to this point. You can change this moment right now. Concentrate on that. Don't worry about the big plans. What small action can you do now to help yourself?

Good luck, don't be so hard on yourself. You can do this Flowers

PringlesSmoothie · 07/12/2017 21:24

Can you get a foot cycling thing? They are fairly cheap. Can do it when sitting down.

Baby steps.

PostNotInHaste · 07/12/2017 21:21

That sounds like a tough place to be in Flowers Please pop over to the lose 100lbs thread when you have a minute and have a read. We're all at various stages now as the threads have been going for nearly a year now, you're very welcome to join us. We all understand that horrible feeling of looking at the scales and thinking how on earth am I ever going to lose all that.

It's not going to be easy but as someone said, chose your hard. Peri menopause is a steaming pile of shit but improving your diet will hopefully ease up some of the symptoms in time. Lower GI food will help and the one about a smaller plate and eating slowly does help. Don't try to change everything all at once and accept there will be moments when things don't go to plan. That's ok, the important thing is to keep at it, just take it one day at a time for now. If you have a tape measure take your measurements, good to look back at and helpful for the times the scales don't move but you lose inches.

Don't worry about exercise for the moment. Do what you feel able, for now food is the main issue and you can make a big difference through this. Success breeds success with this . Get one day under your belt then move onto the next, they add up - just like losing 'only' 1lb a week is about 4 stone a year . The great thing about the Internet is you don't need to do this on your own there are people to help you through it and you can do it. You said that you were scared of leaving your room but you have over come that which shows you can make a difference and do things.

Valerrie · 07/12/2017 17:49

My DH could put quick things in the slow cooker like a chicken or a ham.

I have not been outside for about two months. No, I don't take vitamin D - I'll have to get some.

Thanks I'll have a look at that group on Facebook! I did the free trial of Headspace and enjoyed it, but I can't afford to buy it at the moment unfortunately. Perhaps in the new year when I don't have to worry about Christmas presents :)

OP posts:
MrsZB · 07/12/2017 17:19

Hi OP check out rebelfit on Facebook. There are lots of us who are big but the chap who runs it really understands. There are daily workouts but they can all be done at home and they start v gradual.

He educates about nutrition too.

Also, have you tried mindfulness? The headspace app is very good.

lljkk · 07/12/2017 17:11

How use slow cooker if OP can barely get downstairs.

Do you ever go outside - has anyone checked your vitamin D levels or do you take a Vit. D supplement?

Valerrie · 07/12/2017 17:06

I do have a slow cooker, I need to try using it more. I like all fruit and veg so roasting etc is an idea, thanks.

I already crochet! I love it and it keeps me busy, only thing is it really sets off my neck and shoulder so I can't do it every day.

I am bored witless. On very bad pain days I mainly cry, feel sorry for myself and endlessly rotate between three social media apps.

On better days I crochet, paint, watch TV, read. I try and do as much housework as I can depending on how much pain I'm in. I can sometimes manage dusting, folding laundry, pairing socks. It's a miserable existence.

OP posts:
lljkk · 07/12/2017 16:57

What do you do all day, if you're almost bed-bound? How are you spending your time? You must be bored witless.

Tiddlywinks63 · 07/12/2017 16:56

Could you take up knitting or crochet to distract you from thinking about food?
Look at doing meal planning and easy recipes for DH - do you have a slow cooker (use cheaper cuts of meat or look up vegetarian meals) so that he could put it on in the morning with a stew and just cook vegetables / jacket potatoes when he gets home?
Fill up on vegetables like cabbage, cauliflower and broccoli, swede and sweet potatoes are great (you can bake sweet potatoes), or baketrays of peppers/tomatoes/courgette/onion/carrots 😋
If you get hungry between meals drink a pint of water and wait 30 minutes, if still hungry have an apple.

Patsypedalo · 07/12/2017 16:31

Can I recommend My Fitness Pal the website? You can do it at the same time as SW. you have to tell it everything that you eat, and just by doing that you become a bit more responsible with your diet.

You also pick up friends on the site who help to keep you on track (after the month when you say you normally give up).

There's a bunch of MNetters on there giving support as well!

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