Sunday morning, before breakfast

Weight moves by a kilo or more from day to day with fluid alone. That is why this asks once a week, always on the same day, and why the line matters rather than any single number.

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Sunday mornings

What the twelve weeks show

• A steady line, not a drop and a returnThe largest weekly change was 0.7 kg. Nothing here looks like a crash diet, which is what makes it likely to hold.
• The two weeks that went up carry their reason12 October: holiday week, ate out four times. 9 November: a cold, no movement for six days. Both written by her at the time, not reconstructed afterwards.
• Movement and weight move togetherIn the four weeks she reported five days or more of movement, the weight fell every time.

What it means for the next visit

• HbA1c is worth repeatingIt was 5.9 % in May at 85.8 kg. Three and a half kilos down is within the range where the value moves.
• Blood pressure may followHer mean was 136/86 in September. Weight loss of this size often takes a few mmHg with it, so measure before changing the ramipril dose again.

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