When Navy Veteran Giovanni “Johnny” Onorato learned that his scheduled knee replacement surgery at the Baltimore VA Medical Center had been canceled, it wasn’t just a medical setback—it was a wake-up call. His surgeon, Dr. Sumon Nandi, explained that the decision was based on serious health concerns: Onorato’s weight and blood sugar levels posed a significant risk for complications, including infections after surgery. For patients with a hemoglobin A1C above 8, the likelihood of post-operative infection increases dramatically, something Nandi emphasized must be avoided at all costs.

Onorato’s A1C had reached 8.5, and he weighed 255 pounds. The news was frustrating, but instead of giving in to disappointment, he channeled his frustration into determination. His story is a powerful example of how Veterans can take control of their health, even when faced with daunting challenges like type 2 diabetes and limited mobility. For those searching for guidance on how to lower A1C naturally, improve mobility with limited exercise options, or pursue weight loss for joint health, Onorato’s journey offers both insight and inspiration.

Taking proactive steps, Onorato asked for help and was soon connected with VA Licensed Dietitian Kerri Kimbrell-Silva. The two worked together to craft a personalized nutrition plan. With a focus on portion control, meal planning, and food plating strategies, Onorato began to make consistent changes. Kimbrell-Silva noted his proactive attitude, sharing that he often brought in his own research and ideas. The collaboration between patient and provider became a cornerstone of his progress.

Because of his knee pain, traditional weight-bearing exercises weren’t an option. Instead, Kimbrell-Silva introduced alternative forms of physical activity designed for individuals with limited mobility. These included chair exercises, water aerobics, and modified movements that improve strength, flexibility, and cardiovascular health without stressing the joints. These types of low-impact workouts can be essential tools for Veterans managing chronic pain or recovering from injury.

Over the course of a year, Onorato achieved remarkable results. He lost 56 pounds and brought his A1C down to normal levels, effectively reversing his diabetes. “I went from size 44 pants to a size 38, which was what I was wearing five years ago,” he said. His knee surgery is now back on the calendar, and he’s not stopping there. His target weight is 185 pounds, and he remains committed to reaching it.

Dr. Nandi praised Onorato’s efforts, describing him as a shining example of what can be accomplished with dedication and persistence. These are the same qualities that define so many Veterans, and Onorato’s story is a testament to the strength and resilience that often continues long after military service ends.

For Onorato, the benefits of his transformation go far beyond the numbers. “I look totally different now,” he reflected. “I tell anyone who asks, ‘Work the plan and the plan will work.’” His words highlight a key message for others facing similar challenges: success often begins with a decision to take control and follow through with consistent effort.

Many Veterans struggle with weight management, diabetes, or mobility limitations, and Onorato’s experience underscores the value of personalized support. The VA’s resources, including access to licensed dietitians and adaptive fitness programs, can play a vital role in improving health outcomes. These services are especially important for those who may feel limited by injury or chronic conditions but still want to make meaningful lifestyle changes.

I found it striking how Onorato’s story demonstrates the power of small, sustained changes. With the right support and a clear plan, even daunting goals like reversing diabetes or preparing for surgery can become achievable. His journey is a reminder that health transformations are possible at any age, and that setbacks can often be the starting point for real change.

For those wondering how to get started, reaching out to a VA care team can be the first step. Whether it’s learning about chair exercises, nutrition planning, or managing blood sugar, the tools are available. Onorato’s success wasn’t due to a miracle solution—it was the result of consistent effort, informed choices, and a willingness to ask for help.

As more Veterans look to improve their health, stories like this one serve as a source of encouragement and practical insight. With the right mindset and resources, long-term wellness is within reach.

Read more at news.va.gov