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Monday, 30 May 2016

Diet & Exercise update - Week 13

A fairly good week, exceeding my daily step count target on all but one day last week. But in the first half of the week I had several days where I overate, which made my average daily calories too high overall. I had an a appointment with a specialist doctor on Friday, and the results of some recent blood tests strongly suggest I have Coeliac disease (yet to be confirmed by an upper GIT endoscopy and biopsy - a fun addition to my overdue 'colonoscopy day'). So I've been told to stop eating ANY wheat containing products and I will also need to avoid Rye and Barley gluten. Since I typically ate Weet-bix for breakfast, and wheat pasta for dinner, this will require making some changes to my diet (and a lot more careful reading of ingredient labels). On the plus side, perusing the labels of various confectionery products on the weekend I found that nearly all of them contain glucose from wheat, so I'll have to eliminate them completely (which I find easier to do that 'cutting back' a bit).

Apparently around 1 in 100 people have Coeliac disease, but around 75% of them are un-diagnosed (and they often have no obvious symptoms). I had heard of this condition before, but didn't think eliminating wheat was likely to help my eczema much, as I only have a 'low' allergy to wheat according to previous blood tests. However, it turns out that Coeliac disease is not an allergy to wheat per se, but an autoimmune disease. Coeliac disease is often thought to be associated with being underweight (as it causes malnutrition), but studies have found that a large proportion of undiagnosed patients are overweight or obsese at the time of diagnosis. One worrying finding was that ~80% of patients gained weight after a couple of years on a gluten-free diet. [I suspect that un-diagnosed Coeliac sufferers may naturally eat more calories in order to get adequate nutrition, and that once the gluten-free diet has allowed their small intestine to recover they will tend to put on weight if they continue to eat the same quantities of food as before -- so I'll have to be especially vigilant to avoid overeating once I'm on a gluten-free diet].

I went for a hike in the local national park with DS2 (with his cub scout group) on Saturday, and we did quite a bit of extra walking when we (I) got lost on the way back to our car (we had gotten off at the wrong bus stop). And on Sunday I did some walking in addition to the weekly squash session with DS1, so I'm feeling relatively fit and slim at the moment (although I'm still on the borderline betweem being merely 'overweight' and 'obese' according to my BMI -- so a long way still to go).

.             Fibre      Carbs    Fat     Protein    kCals     Wt       Steps
              g/dy       %        %       g/dy       /dy       kg       /dy
Week 10       31.3       59.6     24.1     98.4      2436      94.7     11,811
Week 11       39.2       65.6     18.4    102.9      2752      95.0     9,196
Week 12       38.6       65.2     17.1    106.5      2570      94.2     11,751
Week 13       25.6       64.5     18.8    102.5      2789      93.9     12,589


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