Susan is a 34 year old female who was first seen in our clinic on November 2007 at the age of 28.
This is her story, a story of slow carb success, a story of a hard earned paradigm shift. A story that took years to play out, but proves that life is a process and we should never give up on ourselves.
Problem list circa 2012:
- Polycystic Ovarian Syndrome
- Diabetes Mellitus Type II with an A1C of 10.3
- Generalized Fatigue
- Chronic Allergic Rhinitis
- Celexa 20 mg daily
- Wellbutrin SR 150 mg daily
- Metformin 1000 mg twice daily
- Amaryl 2mg once daily
- Lexapro 10 mg once daily
- Lisnopril 10 mg once daily
- Calcium and Vitamin D3
The History of a Pathology
The following is a timeline of office visits dating from September 2007 through April 2013:
Seen for a chief complaint of chest pain. After workup initial diagnosis was diabetes mellitus with a fasting blood sugar of 286, hypertension and atypical chest pain. Her weight was 179 lbs. she was placed on Metformin 850 mg daily and Lisinopril 5 mg tabs.
Seen for a chief complaint of chronic daily headaches. Given a diagnosis of stress related tension headaches, started on muscle relaxants and anti-inflammatory medications. Weight now 183 lbs.
Diagnosed with carpel tunnel syndrome and worsening diabetes mellitus. Her A1c was 9.o, she had gained 2 more pounds, continued to have frequent headaches and chronic fatigue. She had been placed on Glyburide and Actos by a different physician. Her fasting blood sugars were now worse and she developed diabetic nephropathy (kidney disease).
Two weeks later she followed up, with better glucose control and a weight of 186 pounds. She was having response to bilateral wrist braces used for carpel tunnel.
Seen for a mild case of bacterial conjunctivitis (pink eye) weight 184 lbs.
Seen for upper respiratory tract infection, weight 183 lbs.
Chief complaint of headaches and stress, weight 182 lbs.
Hirsutism, dizziness. tentative diagnosis of PCOS. Diagnosed on that day with influenza.
Anxiety, diabetes mellitus, chest pain again. This time she was started on Ativan as needed for anxiety.
Two weeks later in February still with chest pain, sent to cardiology for evaluation and had normal workup, weight 177 lbs.
Anxiety, depression, PCOS, suicidal ideations, diabetes mellitus. Weight 176 lbs., medications Amayrl 2 mg daily, Metformin 1000 mg twice daily, lisinopril 5mg daily, prn Ativan.
Ativan refill, in office counseling, crisis line was given as precaution to suicidaltiy, weight 173 lbs. started on Wellbutrin.
Discontinued Wellbutrin, doing better with new counselor, weight 180 lbs.
Susan became more involved with counseling. Started on Celexa 20 mg daily for depression, sent for more labs.
New diagnosis of hyperlipidemia, DM, PCOS, HTN.
The Slow Carb Manifesto
I saw Susan and despite her initial reluctance we initiated the Slow Carb Diet. Her weight was 170lbs. She had worsening diabetes. We had 30 minutes of in office counseling. Blood pressure on meds 134/90.
June 12 2012
Just one month on the slow carb diet and her weight was now 164 lbs. Her resting blood pressure was 102/70. We discontinued her Amaryl and for several reasons I placed the patient back on Wellbutrin SR at a dose of 150 mg daily. She continued twice daily Metformin.
October 31 2012
After 6 months on the slow carb diet her weight was now 136 lbs. Her resting blood pressure was 120/80. Her diabetes was now diet controlled with no oral meds, she was off all her BP medications and the Wellbutrin.
April 1, 2013
BP 102/66, weight 128 lbs, BMI 25 off all meds, fasting blood sugar 89, A1C 5. 9, Cholesterol is perfect!
What Secret The Pharmaceutical Company Hasn’t told You
You are perfect the way you are.
The healthy that many of us seek is locked up inside an ailing body. Let your healthy out, believe that you can make a change today, find a support system and somebody who is willing to work with you and believe in you. Believe in yourself and most of all… The road is often long and bumpy, but please don’t give up.
When I walked into the exam room on April 1′st I may have seen Susan for the last time, but I left with a new hope of where we may be headed, if we take the time to change our process. And as medical providers, if we take the time to believe in our patients.
The slow carb diet may not be the answer for everyone, but it has changed my practice of medicine and had a direct impact on countless lives.
The fact that this came from a lifestyle hacking guru from Silicon Valley who just published a book on how to kill and skin game, give a 15 minute orgasm and how to live a 4 Hour Workweek…. Priceless!!!