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May 10, 2019 · Feeling full as a diabetic in Diabetes/Endocrine System

@bulgebattler Not sure if you are much of an information seeker, but if you are, research Leptin. It is our satiety hormone, telling our brain that we have enough fuel in our body. Most people equate being hungry to our stomach telling us it's time to eat. From what I can tell, that's not true. The issue that many people have is that they lose their leptin sensitivity. Just like insulin, there are ways to improve leptin sensitivity. If you have time and interest, there are a number of great YouTube videos on the subject.

Over the past year or so, I have completely changed what I eat and how I eat. I don't eat any added sugars or refined grains, essentially no processed food. I eat 2-3 meals/day and don't snack. The result has been that I'm never hungry, never full, HbA1c at 4.6, and I have never felt better. I never new such a world could exist. What I do won't work for everyone. We're all at various stages of aging with various conditions. But I can guarantee that eliminating sugar and refined carbs won't hurt anyone and can only help.

An idea for you to give leptin a chance to get to your brain is to eat slower. I've always been a fast eater, but not any more, and it's not really due to a concerted effort. Instead, the food I eat simply takes a long time to eat. Maybe sprinkle in 3-4 sticks of celrery or some fresh carrots with a meal. Or an apple. Things like that are both healthy and will slow you down, as they take a while to chew. Just a thought.

Apr 28, 2019 · It's not all about the MELD Score in Transplants

@contentandwell Yep, MELD one week prior to transplant was 14. And I was only on the transplant list for 1 month. I'm in Phoenix. My blood type is A+ and I'm 6'1", neither of which are horribly unique. I guess I'm just extremely fortunate.

One interesting thing is that I have never had a liver biopsy. In hindsight, I've wondered if my body was healing enough to not need the transplant, but based on the fact that I had 8.5 liters of ascites fluid the day before transplant (1 week's worth) and the surgeon's note that my liver was "shrunken and cirrhotic", transplant was the right thing to do.

Apr 27, 2019 · It's not all about the MELD Score in Transplants

@contentandwell I don't think MELD score necessarily correlates with level of cirrhosis. A little over 2 years ago, when I found out I had liver disease, my MELD was 40. My last blood test prior to transplant (10 months ago), my MELD was 14. But I was still getting 7-8 liters of ascites fluid drained per week, so obviously, my liver was still not good.

I think that the fact that creatinine is a factor in the MELD calculation is where some of the disconnect happens. To test my little theory, if my creatinine was at the same level today as it was when I was first diagnosed (over 8), and my sodium, bilirubin and INR were what they are today, my MELD score would be 21. As it is, with all 4 MELD factor in "normal" range and a new liver, my MELD score is 9.

Apr 21, 2019 · Dieting, Mayo Diet, Keto Diet, any suggestions? in Healthy Living

@user_chdb5e8ac Is your goal overall health or to lose weight?

Mar 9, 2019 · Post Liver transplant story in Transplants

@amyintucson My transplant @Banner was driven 100% by my insurance plan. That being said, I have nothing but great things to say about my care with that team, both pre and post transplant. I was in the hospital for 5 days.

Mar 2, 2019 · Post Liver transplant story in Transplants

@amyintucson Congratulation on the transplant. I was transplanted about 6 months before you in PHX as well (Banner, not Mayo). It's interesting to hear of others' incisions. Mine is around 10-12 inches just on the liver side, essentially a half chevron. And I never had stitches or staples, just glue. 3 weeks post-transplant, I had a hernia repair with about a 6 inch incision. Once again, no stitches or staples, just glue. I wonder why they use stitches/staples in some instances and glue in others.

Feb 27, 2019 · Hospital Food in Just Want to Talk

Hey @Scott. The point I was getting at is that hospitals are a place to treat ailments and improve health. But the food that's offered is actually unhealthy. It makes no sense at all. Hospitals should be leading the charge toward healthy eating. And as many have come to learn, healthy eating and great tasting are NOT mutually exclusive.

Feb 25, 2019 · Hospital Food in Just Want to Talk

I just spent a couple of days in the Hospital (not Mayo), and it really hit me just how unhealthy the food was. For a place that's all about getting people healthy, they completely ignore one of the most vital components of health. I'll admit I'm pretty weird in that I pay an inordinate amount of attention to nutrition. But you would think that hospitals would lead in this area.

I know of at least one hospital that has gone the healthy food path, but I'm guessing the vast majority do not. Does anyone else out there think this makes any sense at all?