Susan is a 34 year old female who was first seen in our clinic on November 2007 at the age of 28.<\/p>\n
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.<\/p>\n
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Problem list circa 2012:<\/strong><\/p>\n [\/column]<\/p>\n [column size=”1-2″ last=”1″ style=”0″]<\/p>\n Medication list:<\/strong><\/p>\n The following is a timeline of office visits dating from September 2007 through April 2013:<\/strong><\/span><\/p>\n September 2007<\/strong><\/p>\n 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<\/a> 850 mg daily and Lisinopril<\/a> 5 mg tabs.<\/p>\n November 2007 <\/strong><\/p>\n 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.<\/p>\n March 2008<\/strong><\/p>\n 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<\/a> and Actos<\/a> by a different physician. Her fasting blood sugars were now worse and she developed diabetic nephropathy (kidney disease).<\/p>\n 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.<\/p>\n Mach 2009<\/strong><\/p>\n Seen for a mild case of bacterial conjunctivitis (pink eye) weight 184 lbs.<\/p>\n April 2009<\/strong><\/p>\n Seen for upper respiratory tract infection, weight 183 lbs.<\/p>\n August 2009<\/strong><\/p>\n Chief complaint of headaches and stress, weight 182 lbs.<\/p>\n October 2009<\/strong><\/p>\n Hirsutism, dizziness. tentative diagnosis of PCOS. Diagnosed on that day with influenza.<\/p>\n Feb 2010<\/strong><\/p>\n Anxiety, diabetes mellitus, chest pain again. This time she was started on Ativan<\/a> as needed for anxiety.<\/p>\n Two weeks later in February still with chest pain, sent to cardiology for evaluation and had normal workup, weight 177 lbs.<\/p>\n May 2010 <\/strong><\/p>\n Anxiety, depression, PCOS, suicidal ideations, diabetes mellitus. Weight 176 lbs., medications Amayrl<\/a> 2 mg daily, Metformin 1000 mg twice daily, lisinopril 5mg daily, prn Ativan.<\/p>\n June 2010<\/strong><\/p>\n Ativan refill, in office counseling, crisis line was given as precaution to suicidaltiy, weight 173 lbs. started on Wellbutrin<\/a>.<\/p>\n November 2010 <\/strong><\/p>\n Discontinued Wellbutrin, doing better with new counselor, weight 180 lbs.<\/p>\n January 2011<\/strong><\/p>\n Susan became more involved with counseling. Started on Celexa<\/a> 20 mg daily for depression, sent for more labs.<\/p>\n April 2011<\/strong><\/p>\n Allergic rhinitis had become more sever she was placed on Allegra<\/a> 180 mg tabs daily and Iprotropium Bromide<\/a> nasal spray, weight 183 lbs.<\/p>\n January 2012<\/strong><\/p>\n New diagnosis of hyperlipidemia, DM, PCOS, HTN.<\/p>\n <\/p>\n May 2012<\/strong><\/p>\n I saw Susan and despite her initial reluctance we initiated the Slow Carb Diet<\/a>. Her weight was 170lbs. She had worsening diabetes. We had 30 minutes of in office counseling. Blood pressure on meds 134\/90.<\/p>\n June 12 2012<\/strong><\/p>\n 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.<\/p>\n October 31 2012<\/strong><\/p>\n 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. <\/span><\/p>\n April 1, 2013<\/strong><\/span><\/p>\n BP 102\/66, weight 128 lbs, BMI 25 off all meds, fasting blood sugar 89, A1C 5. 9, Cholesterol is perfect!<\/span><\/p>\n [note color=”#e2f2f8″]<\/p>\n [column size=”1-2″ last=”0″ style=”0″]<\/p>\n [\/column]<\/p>\n [column size=”1-2″ last=”1″ style=”0″]<\/p>\n [\/column][\/note]<\/p>\n <\/p>\n You are perfect the way you are.<\/p>\n 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.<\/p>\n 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.<\/p>\n 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.<\/p>\n\n
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The History of a Pathology<\/h2>\n
\nThe Slow Carb Manifesto<\/h2>\n
Problem List April 2013<\/h4>\n
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Her medication list April 2013:<\/h4>\n
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\nWhat Secret The Pharmaceutical Company Hasn’t told You<\/h2>\n