Simply that. For all of my younger years I was at odds with my "skinny fat" look and things like that. I grew up, did therapy, stopped being so hard on myself. Then last year I got diagnosed. And today as I was in pilates class (signed up a couple months ago) I was in front of the mirror and I remembered the times that, as a teenager, I thought of my image as "shar pei-like".
I don't want to be too hard on myself, or encourage self-loathing or anything like that. It's just not a great day today. My condition has worsened in the last three years or so and it's hard to accept.