While in the hospital for heart related problems my doctors found that I had the D word. I refuse to accept this as I have worked so hard to avoid having the D word. I was sent home with a monitor which I refuse to use (no fear of needles just using the monitor means acceptance). I am on Januvia 50 mg and Amaryl 1mg. My doctor told me to eat 3 meals a day plus a snack at bed time. I have lived by the Atkins diet and don't eat carbs and don't care for sweets. I cry all the time and feel life is no longer worth living. Today is my first day home from the hospital (I live by myself) I have had a Smart Balance peanut butter sandwich on 5 grain bread for breakfast, a small bowl of fresh fruit and 2 slices of cheese for lunch, and now here it is 8:30pm and I'm still not hungry. My doctor told me the Januvia would not work unless I ate...but I'm not hungry. I have CHF, A-FIB, CAD , biventricular pacemake, ICD (which was the reason for my 5 day hospital stay...my defibrilator fired 8 times in 40 minutes as my heart was out of control) Normally I am a happy person, look on the bright side type of person and have met my heart problems head on with no pity parties and a very positive outlook. But the D word is totally embarressing and I am so very ashamed of having this disgusting disease. Does anyone have any words of advice and could someone let me know if I am eating enough food. Sorry this was such a long question but my sick heart is broken over this latest development. Betina