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January 2017 Goals – Getting on a Schedule

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Well I would like to firmly say that I accomplished my goal in October to start the new year off with a set of life affirming habits but not entirely. Between work and some lovely surgical side effects, I’ve been in maintenance mode, just focusing on getting through the day to day. When I looked back on that post in the process of setting my goals and resolutions for 2017, I realized that I have at least settled on the habits that I feel I need to either make a priority or get in place – things that I should be doing regularly, either on a daily, weekly or monthly basis

Which brings me to January.

This month my goals is simply to get my schedule under control, finding the time I need to do those habits that positively support my goals.

For health, the one thing that I really miss the most about my life since my Cushing’s diagnosis is running. Running every day just got painful as I got heavier and once I stopped my stamina took a nose dive. I picked up a slow start program off of the Runner’s World site that focuses on deliberate progression from walking to running in about 21 weeks. That combined with all of the other activities on my list should help me ease back into running without injury. I’d like to say that it’ll help me get the weight off but I don’t think I’m there yet, at least it’ll halt the gaining (I’m up about 18 pounds since my surgery in late September).

Relationships are a little more difficult to tie directly to a specific habit, I’m thinking that is really more pf a priority shift, spending more quality time with the folks’ I am closest to, making room for new activities and connections and taking time to make sure everyone in my life knows how much I appreciate them.

Creativity, I’m a little ashamed to say, has been put on the schedule. I know if I don’t make the time for it, it just isn’t going to happen. It’s not spontaneous at all but I am going for habits. I have a couple of nights a week to work the craft projects, regular time than I’ve blocked off to spend on writing and some ‘free’ blocks that I hope will turn into more focused expression times… where I can go with my mood or inspirations.

I used to be so tied to my calendar, if it didn’t make it on their it just didn’t get done, and was very disciplined about sticking to it. This last couple of months, I shifted over to just having a to do list and have found that I’m far more likely to put things off that way, or start procrastinating.

So, there you have it, my only real goal for January is to stick to my schedule with priorities in place should I have a conflict. Easy enough!

January Goals – Diet and Exercise

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Living with Cushings requires a significant amount of acceptance and patience; you don’t have much control over your body and every treatment is followed with a wait and see what happens. Last year I started off with quite a bit of optimism, what followed was frustrating – radiation and surgery without any significant changes. I ended the year with six month check up where instead of celebrating success, we talked about my options going forward.

It hasn’t been all bad news though – I have maintained my weight during the last year, my ACTH levels are steady, I’m not seeing any additional side effects from the extra weight, and my headaches and muscle aches are still infrequent. These are small wins but they are still wins.

This year my only resolution is to push harder. Regardless of the state of my disease in the coming months I want to work on my endurance, my strength and flexibility while preventing any further weight gain and hopefully keeping my blood pressure and blood sugar in check.

Alright, on to the specifics…

Diet

I’m happy with the 1800 calorie diet plan my nutritionist and I settled on last year, the only change I’m going to make is to reduce it to 1500 calories and effectively eliminating a cheat day – I do this because I find that cravings are progressively so much worse as that day comes around and I feel it’s better to maintain moderation than go crazy once a week.

Exercise

For endurance I’ve decided to work on progressively more challenging hikes, I really enjoy hiking and pushing myself while enjoying a new environment sounds like the perfect combination. I also really miss running but every attempt I’ve made in the last two years to get back into the routine has resulted in pain. This year I’m going to follow a program I found through Runner’s World that over twenty one weeks get’s you back into running four times a week.

Strength will be tackled through a combination of adding more weight to my current program as well as adding in a couple of mini workouts throughout the day – I’m going to try out 7 Minutes for the first month and see how that works for me.

Flexibility is all about getting my yoga routine back in force. Years ago my practice consisted of Sun Salutations every morning, a twenty minute flow midday, a restorative flow at night and three 90 minute classes every week at an Anusara studio. I’m positive I won’t be able to fit in the classes but I can certainly do the rest.

Meditation

About a month ago I joined Headspace, a site that helps train you in mindfulness meditation, trying to fit that in every day over the holidays proved difficult, something I’ll need to work on during the next month. I’m shooting for every morning but I’ll take 4-5 times a week as success.

 

I guess I’d have to say that the most important and perhaps more difficult resolution I need to make is to not get derailed by work, my volunteer commitments, feeling defeated by lack of improvement in my condition and the depression that can follow. Procrastination via responsibilities?! Well, balance hasn’t traditionally been my strongest skills, here’s hoping I can find the right mix this year.

Getting My Vibrant Back

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I have spent most of the last year in a holding pattern.  My health while outwardly (to most folks) you would assume was pretty good has not been so much; a few years ago I discovered that I was having a recurrence of Cushing’s Syndrome which for me is caused by tiny tumors on my pituitary gland. Briefly what happens with Cushing’s is your body is flooded with cortisol, creating a fight or flight condition where you store fat, a lot of it. It also causes headaches, increased bruising and healing times, acne, fatigue, muscle weakness, high blood pressure and blood sugar, and stretch marks (my personal favorite).  And to add a cherry to all of this you’re also susceptible to all the side effects that go along with being overweight.

Much of 2014 was focused on my treatments and less about addressing my weight or more accurately the intent to lose weight, instead my focus has been on not gaining more weight while on my doctors have worked to control of my disease.  Which was a good thing, in my opinion, my weight gain from in 2013 was +/- 40lbs compared to only 8lbs in 2014.

Recently, I have been given the good news that these tumors now no longer visible via imaging; they are still there, but are now reduced to the point where my body no longer overwhelmed with cortisol but is actually creating less and less of it every week. I’m not entirely out of the woods yet, there are other potential complications that could happen and there is always the possibility of another recurrence down the line. I am, though, finally in a place where I can start looking at getting this weight off of me.

So where do I start?! Well I have been, for last year, on a pretty straightforward diet and exercise plan, after working with a nutritionist last year, I do eat pretty healthy, give myself a cheat day once a week but stick around 1500 calories a day.  If you look at my nutritional stats I eat lots of fruits and veggies, very little fat and a very limited amount of carbs outside of fruit and vegetables – most of my splurges are in the form of wine.  On the exercise side I have stuck with a basic boot camp style strength program, Zumba or walking for cardio and a weekly hike to round things out.

With the reduction in cortisol, I should be able to make some minor tweaks and start seeing some good results but I am impatient. I’m switching to a more challenging boot camp, upping the Zumba as well as adding the elliptical, and adding an evening workout that will of alternate between power yoga and a walk/run program. I’ll also up the intensity of my hikes but that’ll be more progressive. This will completely encompass the next 90 days, monitored entirely by my trusty Fitbit.

On the diet side, for the first two weeks I’m going to continue on with my current diet then progressively decrease my calories down to 1200. I have a plethora of diet tools at my disposal; everything from spreadsheets to MyFitnessPal, weeding that down to one thing that works well for me may in fact be a bigger challenge than losing the actual weight.

Going forward I’m going to use Sunday progress posts as a way of keeping myself accountable, and only doing an occasional Thursday post when I find something interesting or decide to try something entirely new. Wish me luck!