Sunday, November 27, 2016

Diabetes Awareness Month

Diabetes Awareness Month -

November is American Diabetes Month®.  The American Diabetes Association notes that 1 in 11 people have Type 2 Diabetes – 1.4 million people in the United States are diagnosed with diabetes annually.  In 2012, 29.1 million Americans had diabetes.  While more attention is focused on Type 2 Diabetes, the numbers are staggering, today’s focus will be on Type 1 – of the 29.1 million Americans, 1.25 million American children and adults had Type 1.  So what is Type 1 (insulin-dependent or juvenile) Diabetes?  Type 1 Diabetes can occur at any age, but most commonly is diagnosed from infancy to the late 30s.  In this type of diabetes, a person’s pancreas produces little or no insulin. 

The causes are not entirely known, but scientists believe the body’s own defense system (the immune system) attacks and destroys the insulin-producing cells in the pancreas.  People with type 1 diabetes must inject several times every day or continuously infuse with insulin through a pump. 

Symptoms – may occur suddenly, however, the process may have been going on for some years:

·         Extreme thirst

·         Frequent urination

·         Drowsiness, lethargy

·         Sugar in urine

·         Sudden vision changes

·         Increased appetite

·         Fruity, sweet, or wine-like odor on breath

·         Heavy, labored breathing

·         Stupor, unconsciousness

If you think that you or someone that you know has these symptoms, call a doctor immediately.  Drink fluids WITHOUT SUGAR, if able to swallow, to prevent dehydration.  (If there is not enough insulin to get glucose into the cells to use for energy, the body turns to an alternative source of energy, and burns fat.  Ketones are a waste product of the body using fat for energy and if ketone levels get high, this can lead to a serious medical situation call diabetic ketoacidosis (DKA).

There are an estimated 29 million Americans with diabetes; about 1.25 million have Type 1.  This smaller proportion of people with type 1 might be part of the reason that the condition is so misunderstood.

Here are a few common tales that will set the record straight and help gain a better understanding of Type 1 Diabetes:

Tale:  You must have OD’d on sugar to get type 1 diabetes.

Fact:  No one knows the exact cause of type 1 diabetes.  Researchers are still trying to get a clear picture about genetic and environmental factors that might play a role.  The one thing we DO know is that it’s NOT brought on by too much sugar.  Oh, and they CAN have desserts (more on that later).

Tale:  Could it come from getting a vaccine as a kid?

Fact:  Scientists have NOT found a link between vaccines and Type 1 Diabetes.

Tale:  You put on too much weight.  That’s what caused it.

Fact:  Weight is not to blame for this disease.  Obesity and inactivity are big risk factors for Type 2 Diabetes and many other health problems, but there’s no connection to Type 1.

Tale:  You have the “bad” kind of diabetes.

Fact:  This is often a common comment in my ‘Diabetes Made Simple’ class.  There is no “good” kind of diabetes, nor is it a matter of being better or worse.  Type 1 and Type 2 diabetes are different, and therefore have to be managed as such. 

Tale:  Do you really think you should be eating that?!

Fact:  People with type 1 diabetes can eat or drink anything they want as long as they take the right amount of insulin to balance out the carbohydrates.  Now as a dietitian I’m always teaching patients, type 1 or type 2, healthy, balanced eating.  It’s not a free for all when it comes to desserts.  However, people with type 1 diabetes should not be made to feel that there are foods that they shouldn’t eat.  They can and should.  I had a 7-year old child in my office recently diagnosed (spunky as all get out) ask me, “Can I have cake on my birthday?”  I promptly responded, “Of course you can!”  She then followed up with her spunkiness and told me that she had lots of friends and they have birthdays too.  Can she have cake on their birthdays?  I of course had to outwit this 7-year old and proceeded to ask how many friends did she have??  She wanted me to tell her she could have cake every day!!  I explained to her that cake is exactly that, meant for special occasions and she really shouldn’t be having sweets every day (and that other kids her age shouldn’t be either). 

Tale:  It’s probably not a good idea to play sports.

Fact:  Jay Cutler, Ryan Reed, Gary Hall Jr – all athletes with Type 1 diabetes.  If you pay attention to how you feel and closely watch your blood sugar levels adjusting as you need to, you can stay safe and play any sport you want to.  Kids blood sugar levels during practice might react differently than during their actual game (adrenaline can make their blood sugars elevate), so I always tell my patients to know that they can actually have different reactions from practice versus game day – the key is to always be monitoring and aware.

Tale:  You were feeling so good last week.  Why are you having so much trouble this week?  Don’t you have it all figured out?

Fact:  Managing diabetes can change daily.  Many things, including stress, hormones, periods of growth, and illness, can cause your blood sugar levels to swing out of control.  These ups and downs don’t mean you’ve done anything wrong.  Even if you stick to your meal plan and follow the same schedule daily, these other factors can affect your blood sugar levels.  Again, managing diabetes is a daily job and it’s not something that can be forgotten about – it takes effort daily.

We teach a program four times a year called Mastering Your Diabetes – it’s an intensive course helping patients to understand their diagnosis, the mechanism of action of insulin (CHO counting, Insulin to CHO ratio, Insulin Sensitivity Factor, Insulin Adjustment Guidelines), Technology in DM, Exercise, and MORE!  Diabetes is a 24/7 job that requires attention and management – there are no days off – we help patients learn to manage it, but the truth is that there will be days with hyperglycemia and hypoglycemia – our hope is that they learn to “sugar surf” J

Tale:  When can you stop the insulin?  Shouldn’t you be cured by now?

Fact:  People with type 1 diabetes make NO insulin and taking insulin keeps them alive.  They must have it, but it doesn’t make the disease go away.  This is one of the biggest misunderstandings between type 1 and type 2.  Let me repeat, Type 1 DM requires insulin, it is their life line.  There is no cure, but there have been lots of advances.  And as the research continues, there have been advances in treatment of diabetes as well as technology – insulin pumps, continuous glucose monitors and, someday, maybe even an “artificial pancreas”. 

Diabetes can be a complicated disease as it can affect all areas of your life.  However, it shouldn’t keep you from doing anything you put your mind to.  You can eat what you want, play whatever sport you want, have a healthy pregnancy, and travel the world…you simply have to be aware of your blood sugar levels and begin to think like a pancreas.   I always tell my patients that while they self-manage their diabetes daily, it’s important to have a nurse educator, endocrinologist, and dietitian that can help support you.  We’re there to help interpret your numbers, help adjust basal rates, and remind you that you’re doing an amazing job!! I have been working at the DRI for almost 3 years now.  I can tell you that I’ve been forever changed from the kids (and adults) that I’ve met. 

Sunday, October 30, 2016

Nutrition in Marathon Training

It’s that time of year, when all the runners are out.  Whether you’re training for a 5-K, half-marathon, or marathon, special attention should be placed not only on training for your runs but also on your nutrition.    Maybe you’ve heard that you need to load up on your carbs, drink lots of water, and stay away from the fiber.  But the question is, are you doing the right thing?

The food that you choose to fuel you through your run can make a big impact on your performance.  Runners tend toward extremes:  overdoing food or drink, cutting back on foods that give them fuel, or eating/drinking foods that may cause digestive disaster (aka runner’s trots).  Here are some tips to not only help you avoid those common mistakes but also guide you in what to eat and drink.  Having the proper nutrition before, during, and after the race can help you perform at your best. 

At the end of each tip, I’ll share a few things that I’ve changed up or am consistently doing (trying to do) within my marathon training.  What works for me may not work for you, but that’s why there’s a training period – try it out and see if it works.  No surprises on race day.

The Mistake:  Eating a box of pasta

Runners like to feast on carbs the night before a race.  And why not, right?  You’re going to burn through them the next day.  But overloading your system with more carbs than it can handle may only lead to digestive problems  (I’ve actually seen it happen during a race.  Believe me, it wasn’t pretty).  Running to the porta-potty every mile isn’t performing at your best.

The Fix:

The key is to consume moderate amounts – not huge portions all at once – of carbs several days prior.  And make sure before the actual race that you’re trying this out.  What works for one will not work for all, but the key is to train this way (no one wants any surprises on race day).  You can have oatmeal for breakfast, quinoa for lunch, and whole-wheat pasta for dinner.  Make sure you pay attention to your body’s cues – eat to fullness so that you’re not bothered by indigestion.

I always eat whole grains – it’s just been something I’ve been working on to improve my health overall.  So daily, I’m rotating my grains – whether it be homemade buckwheat pancakes in the morning, a brown rice bowl at lunch, and then whole wheat pasta at dinner – what’s been working for me is the consistency of having my complex carbs daily and in a sufficient amount.  There was a work luncheon the other day in the office – I opted out and ate my own food instead.  May sound odd to some, but it was a Friday before my 10 miler, I wanted to make sure I had the right amount of fuel (and those work lunches never have a balanced meal for me) – I had made the whole week count, I wasn’t going to mess it up less than 12 hours to my run.  Consistency has been the key for me – it’s crazy to think my 5 and 6 mile runs are a breeze, but they are.

The Mistake:  Drinking Gallons of H₂O

If you’re drinking too much water before the race it can leave you feeling bloated and can also dilute your electrolytes (those minerals responsible for muscle contraction).  Other side effects from diluting your electrolytes:  muscle weakness or cramping, and in extreme cases, can lead to hyponatremia (a life-threatening condition triggered by abnormally low sodium levels).

The Fix:

The key is to stay hydrated days leading up to your race.  Make sure you’re taking in enough water (refer to the color of your urine to let you know.  The darker, more concentrated in color means you are dehydrated.  Urine should be almost clear in color).  On the morning of the race, you can have ~16 ounces of water two to three hours before the start, allowing your body time to process this extra fluid; drink another one to two cups right before the start (and of course hydrate throughout the race).

I do drink water and plenty of it (my urine is almost always clear).  Here in Miami it is fall, but it has been quite humid even still.  The humidity always requires extra hydration.  Additionally I talk a lot for my job – that too is dehydrating.  I’m constantly taking in water and aiming to stay hydrated, with an ever watchful eye on my urine.  What I have been trying to work on is the fluid replacement during the run – with a balance of my fast-acting carbs (enter a link for jelly belly electrolytes) & then the fluid during – this has been what I’ve been working on, simply trying to have enough circulating glucose for energy but yet not too much to cause the ever loving GI distress.

The Mistake:  Loading up on Fiber

Eating healthy means including ~25-35 grams of fiber per day.  Fiber should be gradually included into one’s diet – otherwise uncomfortable gas & runner’s trots may ensue.  So if you’re used to having a high-fiber diet, all that roughage right before a race shouldn’t be a problem.  But if you’ve been living on pizza and burgers, now is not the time (a week before race-day) to try to have 25 grams of fiber in a day.  Mix the high-fiber foods with prerace jitters and well, accidents may occur.

The Fix: 

The truth is that one should be training with these foods during your practice runs and then you can see how your body reacts.  But if you think that fiber may be an issue cut back on those foods a few days before a major race.  If you’re racing every weekend, reduce your fiber intake only on race day to make sure you don’t cut all of the fiber out of your diet. (And if you’re doing races every weekend you really should be eating better).

Fiber is my middle name.  I’m a vegetarian and therefore eat plant-based meals.  Once when I checked my fiber intake I was taking in anywhere from 40-50g of fiber daily.  That’s my norm.  I’m use to the side effects.  I’d be honest in telling you that I don’t cut back on the fiber as it helps with my regularity – and I want that prior to my runs, otherwise that’s when I have a problem – during the run.  So fiber for me is the norm, not having enough fiber is actually what throws me for a loop.

The Mistake:  Skipping Breakfast

There are many reasons that runners skip breakfast before a race:  too nervous or worried about feeling full, don’t wake up early enough, and as is my case, burping ensues the whole way.  Without it, you’re likely to tank in any race.  Why?  Studies show that a prerace meal keeps your blood sugar steady and provides energy to power you through.  If you skip breakfast there’s no way to get enough fuel midrace. 

The Fix:

If you know you get too nervous to eat before a race, try waking up a few hours before the start.  This will allow you to eat slow, letting each bite settle before taking another.   Remember, most times the race is quite early morning and there will be some transit time to get to the race.  During your training mimic the same schedule – wake up early and wait that time before going for a run - you might lose some sleep, but the key is always to simulate and train to see what works. 

Prior to runs these days I’ve been rotating different energy bars/balls.  My go to one (because it’s so simple to make) are these Peanut butter balls by Paula Deen.  I just don’t roll them in all that extra stuff she does at the end.  I wake up and have 1 or 2 (depends on the length of my long run) and then head to my friend’s house to run.  That 20-30 minutes in between has been working well.  The other thing that I’ve been trialing out is a shot of expresso.  I’m not doing it for the possible energy boost it may give, rather I’m doing it to avoid the caffeine withdrawal headache.  I know I’m going to be running for a LONG time.  I know I’ll get a headache if I don’t have some caffeine.  The other reason why I’m testing this out now is to see if/when the laxative effect kicks in.  You all know your body.  In some people caffeine does exactly that (if caffeine doesn’t do this to you, consider yourself lucky?)  Regardless I’m trialing it out so there won’t be any surprises of sorts mid-way through the run.  Since it’s not much volume, it’s just a black expresso, it’s worked to help avoid the headache and not cause any GI motility issues.    

The Mistake:  Trying Something New

If you’ve never had a spicy tuna roll, don’t order it the night before your race.  You won’t know how a food affects you until you’ve tried.  Last minute experimentation could send you straight to the bathroom and might even leave you dehydrated.

The Fix:

Stick with what you know a week before the race.  You can also check the race website to see which drinks and gels (if any) will be offered along the course.  Test them out in advance.  Don’t be afraid to skip the prerace dinner or hotel breakfast.  Remember if you’re not used to it, stick with something you know. For my race in January it’s here local in Miami.  Regardless when I’ve been traveling for races, I always travel with food, just in case. 

Call me a creature of habit, but I have the same dinner every Friday night.  This training season it’s all about the spaghetti – maybe the obvious choice, but it’s the tried and true.  When I walked my previous marathon back in 2008 I had pasta the same way.  Since my race was in San Diego I figured I could find the same spaghetti sauce out that way (previous issues with GERD, finally found a sauce that didn’t cause said GERD, not traveling with the sauce GERD ensued).  I’m just glad the race is local this time around.  Traveling can sometimes create limitations.  When I was in Puerto Rico it was actually hard to find pasta.  I could have used rice and beans, but let’s be real, beans can be quite gassy.  I hadn’t trained with it, so it was definitely not the time to start (the night before the race). 

Eat better

If you can find time to train hard, you can also find the time to fuel-up right!  Competitive athletes that don’t show up for meals might as well not show up for training.  You’ll lose your edge with hit or miss fueling.  Make sure to fuel-up with good nutrition – you’ll always win!

I’ve always eaten well – I’m a dietitian, it’s in my blood J But as I’ve been training for the marathon here’s a few things I’ve done differently – added, changed, or taken away.  My work schedule is always depending on what patients show up – that determines what time I’ll get lunch as well as what time I head home for dinner.  So for meals I’ve been taking each day as it comes and plan accordingly – I typically have three main meals and 1-2 snacks – again I play it by ear, but I definitely don’t go too long without eating – where before I’d just keep going and not eat.  It’s best the patients don’t see me hangry! 

Additionally what I’ve been adding into my diet is seafood.  I think of myself as a vegetarian and will have fish when eating out (as many restaurants don’t always offer the best available vegetarian options).  But eating out is rare, so again I default and most times say I’m vegetarian, even though technically I’m a pescatarian.  Training so far has increased my total nutrient needs – carbohydrate, protein, and fat – and while carbs are easy to get, protein from a plant source has been hard for me to get a sufficient amount (I don’t use supplements and already eat nuts in enough creative ways).  So I’d say this is one area that I’ve changed in that I’m making salmon, tuna, and/or another white fish (mahi mahi/grouper/sea bass) a staple 3-4x/week – whereas before it was only utilized sparingly.  I know that this helps me not to worry about whether or not I’m getting enough protein.  I’m already using nuts 2-3x/day – whether in a whole form, nut butter, or a “cheese” of some sort, but that alone wasn’t hitting the mark (in addition to a glass or two of milk, some cheese, and/or eggs).  The addition of seafood I believe has helped me to ensure I’m getting an adequate amount of protein. 

I have omitted all alcohol.  I did have some alcohol a few weeks back (for my birthday weekend celebration), however, since then I haven’t had any.  I’ve never been too heavy a drinker, but I know that when I do drink it takes away from my eating – when I drink I can’t eat and if I eat I can’t drink.  May sound weird, but that’s the way I’ve always been.  So, again, I’d rather eat and not alter the amount of food I’m consuming.  I’ll make sure to celebrate after finishing the marathon! 

I’m getting ready to enter week 7 of 20 of marathon training.  My runs so far haven’t been too difficult – we’ll talk after the 18 and 20 miler!  What I know is this:  when the right foods are eaten, at the right time, recovery time is reduced, energy is sustained, and the muscles work better.  You might have your running training down, but if nutrition is the missing link, definitely take some time to put things in motion.  Make the time to eat wisely and well – your body will thank you.

Sunday, October 9, 2016

What I've Learned Along The Way

What I’ve learned along the way

I’m getting ready to hit one of those “milestone” birthdays in a couple of days, which got me thinking and reflecting.  Age has always been just a number to me – I truly do believe that what you think you become and if you think you’re too old to do something then you probably won’t.  I’ve seen many people old (by the number) that appear WAY younger than they really are.  And by no means am I saying to dress inappropriately for your age just because you feel younger than you really are. Ha!  But I do believe that our mind is a powerful thing and if you think you’re old, well, I think it can play a role in the aging process.  So, yes, I’m hitting the big 4-0, a number that some people have a hard time saying.  Someone even asked me the other day if I was going to be “one of those women” who freaks out when it actually happens.  And to that I replied, “no”.  As with any birthday I do sit and reflect on the past, present, and future, sort of the mark of my new year, my new chapter in life.   Here are a few things I’ve learned along the way in no particular order…

Surround yourself with positive people.  There really isn’t enough time for the negativity. 

Handpick your tribe – have people around you that you know you can count on and will be there for you when you need them the most!  It’s not the quantity of friends but the quality.

No running in the rain in flip flops!    Say what?  Where did that come from you ask?  I broke my foot running in the rain in flip flops four years ago.  No I didn’t get to my car any faster and no, I would not have gotten any less wet had I walked vs run.   The truth is breaking my foot taught me a lot of things - A few things I learned from breaking my foot, but if I had to pick just one thing, it was patience.   I move really fast ALL the time and breaking my foot taught me to slow down (literally).   I had lots of time to sit, think, and elevate (my foot) and between the crutches and the boot I wasn’t moving quickly at all.  Little did I know that this breaking my foot and learning patience thing was paving the road to learning how to be patient to wait for the right job.  Ahh, it’s all interconnected.

Yoga is more than just the asanas (poses).  I broke my foot shortly after attending yoga teacher training.  I entered training with the thought to not only deepen my practice, but who knew maybe even leave my job and teach yoga –wishful thinking, right?   Little did I know how much I’d learn at the training and shortly thereafter.  I try to get on the mat every day.  It helps me to ground myself, to be present and just breathe.  Some days it’s 5 minutes and some days it’s 50 minutes.  The amount of time isn’t what matters, it’s being present in that moment that matters. 

Balance – breaking your foot can teach you balance, right?  Literally it shows you how much you rely on one side when you’re not able to rely on the other.  But truth be told I’ve been working on work-life balance for a while –aren’t we all?  Balance has to be there.  You can work hard, but you must play harder. 
Local waterfall in Puerto Rico - pretty sure it wasn't mean to slide down.  Yep that's me - "just lean forward, you'll be fine!"
Minimize – I’ve been going room by room and ridding myself of clutter over the last few months.  It’s freeing only keeping what you need.   It’s hard to get rid of a few sentimental items, but the truth is my memories are inside of me, they’re not the things that I buy to help me remember.  Now my memory is bad at times, so I do take pictures.  This helps me remember and helps paint the picture of the memory for me.

Disconnect to Connect – Each day I take time to meditate.  I never used to, but breathing and connecting has been my way to disconnect from all that is around me.  My mind is a busy bee, always thinking and at times has stressed me out – even to the point of sickness.  Thanks to those that knew me in my 20s and tolerated me back then.  I’ve come a long way and still have more to go.  But meditating and breathing has calmed me down and taught me how to just be, present and in the moment. 
Snake Road - 20 miles to the Reservation - On my last week I stopped to take a few pictures.  Absolutely breathtaking when I stopped to enjoy.,
Health is everything.  I work in the area of prevention and unfortunately there’s isn’t much emphasis on prevention, it’s more a reaction to illness and that’s when people are willing to make changes.  Health is wealth – go get your yearly check-ups, “pay now or you’ll pay later”, invest in yourself, your health IS everything.

Food IS Medicine - Healthy Food CAN taste good!
Be passionate about what you love.  I’ve been told once or twice (okay maybe 100 times) I’m too passionate about nutrition.  I don’t even know what that means.  I just know that I went through a time where I switched careers and even when I wasn’t doing dietetics’ work I was always incorporating nutrition somehow.  Apparently I did know what I was passionate about and just needed some time away.   I will always be passionate about improving people’s health, it’s just in my nature and in my being.  And if being called passionate is wrong, I don’t want to be right.

Be humble.  There’s always room for humility – you are not better than someone else because you have money or power or fame.  We are all VIP and should be treated as such.  (I get a lot of VIP clients – some I know, some I don’t know).  Some are humble and some are not.  Truth be told I don’t care if you are VIP or not, everyone is treated just the same.  My belief is that everyone is VIP and everyone deserves to be treated as such!  I’m a patient advocate and the person that needs the most help sometimes doesn’t know how to ask for that help!  I’m there to make sure they’re getting the help they need.

Travel.  It’s the best education you’ll ever get.  “Nothing will teach you more than exploring the world and accumulating experiences.”  I recently booked a trip for my 40th birthday.  I’ve always wanted to go to Italy.  My grandmother’s maiden name is Lombardo and while I don’t have a memory of her telling me stories about Italy, for some reason I’ve always felt connected and wanted to visit Italy.  So call it an odyssey of sorts, but I can’t wait to explore Italy and for all the adventures that await!

Puerto Rico - ~ 1 1/2 after breaking my foot I ran a 1/2 marathon - Living life and loving life!

I don’t have it all figured out.  By no means am I trying to force my views or opinions on you and telling you how you should live your life.  What works for me, may not work for you.  And the truth is, I’m still trying to figure it all out – because some days it works and some days it doesn’t, even for me!

Here’s wishing that my 40s will be as wonderful as my 20s but with added wisdom.  I am approaching my 40s with an open heart full of wonder and magic.

Sunday, September 18, 2016

Daily Self-Care

I wrote about self-care a few months ago.  While it’s not the normal topic for me to write about (I know eating healthy is a form of self-care), I tend to write about things that are current in my life.   And that’s what came to mind as a topic for today.

Yesterday after finishing my long run with my running buddy Marcela, I left to go and get my car serviced.  On the drive over to the car dealership I almost got in an accident.  I’ll be honest I’m not sure how I avoided the crash – an oncoming car was making a left-hand turn and stopped in the road as another car in my lane suddenly stopped – I either had to hit the car head on or swerve to the left (and there was a truck next to me).   In that split second I swerved to the left to avoid the head on crash and luckily the truck next to me switched lanes to let me come over.   Crash avoided.  This is actually the 2nd crash in the last two months that I’ve almost had (the other was on the freeway and again, am unsure how I avoided it).  I was rattled after the almost accident.  I did a few deep breaths and continued on to my destination.  But it got me thinking – was I lucky?  Am I a good driver?  Or am I present and ever aware of the road?  Let’s be honest – it’s a little of all mixed together.  I definitely feel that I was lucky yesterday.  The truck next to me luckily moved so that I’d have space to come over.  Thank goodness he too was aware.  I pride myself on thinking that I am a good driver.  Truth be told, Miami is one of THE worst places to drive.  So I’d like to think of myself as a step above most drivers in this city – so I guess that makes me a good driver?!   You have to be a defensive driver here, otherwise you will have an accident!  And lastly, I am present when I am driving.  One thing that I’ve committed to doing is not having my phone out while driving.  There are too many distractions on the road and while people might think that they can talk and drive, I’ve seen way too many that cannot.  I decided a few months ago to put my phone away.  There are times when I forget – it’s simple to do – and the minute I start getting messages I’ll throw it to the back seat so that I can concentrate on the road.   I used to have a long commute and it was easy to pass the time talking on the phone.  Now that my commute is short I know I can spend 15-20 minutes without the phone.   Back to self-care and how yesterday’s almost accident played a role.  I’ve really been trying to commit to making time daily for a routine of self-care.  Did that help me yesterday?  I’ll never really know the exact answer to that.  But what I do know is that self-care is important and often forgotten.  Committing part of my day to rest, rejuvenate, and relax has helped me in general feel less stressed and more present daily.  It’s an ever evolving process but one that I’m committed to work on for myself.  I wouldn’t say every day is perfect, but that’s just a lesson to myself to make sure I carve out some time to do something for myself.  Here are a few things I’ve recently been doing for myself:

Meditation – Every day, 10 minutes.  I wish I could say that I did more, but the truth is that meditation is HARD!  Taking 10 minutes just to breathe and think of nothing when thoughts try to flood your mind (because they WILL), yeah meditation is HARD!  But that’s why I’m committed to meditating.  Dan Harris has this quote where he says that meditation is like “exercise for your mind -  bicep curls for your brain.”  Each time is different than the last, but I know that committing to staying consistent with my meditation practice helps me and makes me stronger.  The moments when I know my mind is racing are even more important times to commit to meditating.  I’ve been guilty of this in the past when I get real busy with work and think that I don’t have time to meditate.  WRONG!  That’s when I need it the most and NEED to make time to meditate.  If you’ve never tried meditation, it’s simply breathing – no need to make it out to be some “out there” thing that people do.  Our minds are racing all day long and our minds are filled with thoughts all day, so taking time to just breathe and reset helps as moments of stress arise.  Just return to your breath.  And if you can’t do 10 minutes at the start?  Start with just a minute or two and build on that.  Another thing I’ve recently been doing is taking just a minute or two here and there during the day to reconnect and just breathe.  I’ve found this helpful when my day may not be going as planned and just need a moment.  I did this yesterday after the almost accident.  I took a moment to breathe and write down a few things I was grateful for.  Meditation is helping me to be more present and helps me to remember to breathe.

Eat to NourishI talk about this one all the time as a dietitian.  Some may call me extreme, but I simply call myself passionate.  I truly do enjoy making healthy food (that tastes good!)  Food can provide the nutrients our bodies need and help sustain us by providing us with the nourishment that we need.  I practice what I teach my patients and really do eat healthy day in and day out – it truly is all about variety, balance, and moderation (yes, I do eat sweets).  I know cooking is not everyone’s thing, I get it.  I’ve found myself recently in the kitchen more and more.  So while it started out for me just being a way to cook healthy food for me to have, it’s also been a help for me to have something to do (and not really have to think too much – although when there are recipe fails I have caught myself getting frustrated!)  But for the most part it’s been a way for me to wind down the day and again while some might not find it relaxing, it is definitely rewarding.   This past week I made a few bite size snacks to try before my long run as I train for the marathon –

– these are definitely tasty and a “keeper” recipe, but I knew the minute after I made them that the search was on for me to find another one to try – that’s when I knew that this cooking/being in the kitchen thing had more to it.  It’s really a win-win situation – making healthy food for myself and at the same time helping me to disconnect from the day. 

Disconnect To Connect– In this day and age, we are TOO connected – from our cell phones that receive emails from work to our smart watches that receive text messages (thanks Fitbit Surge, but no thanks).  Last November I made the decision to deactivate my Facebook account.  I haven’t posted since last November.  I chose to utilize Instagram and Twitter (because I’m the first to admit I still use social media).  Facebook started to become too time consuming – it literally would take at least 30 minutes to scroll through my feed and sometimes more than that!  I started to go for an evening walk scrolling through the feed, just to say in my mind that I’d looked through the feed for the day and also instead of sitting and scrolling I’d at least get some movement in.  Let’s not get started at how unhealthy that was – I wasn’t enjoying nature right before me and probably almost got hit by a car walking a couple of times.  So I made the decision to deactivate my account.  I do still use Instagram and Twitter as I mentioned, but I have some guidelines with that as well – I post normally in the morning or evening (sometimes at lunch, just depends on my day)) but then I give myself a certain amount of time to scroll through the feed.  And then that’s it.   I’m a little more selective with what I’m looking at and now with the new parameters on Instagram it doesn’t even scroll in order – so if I’m looking through my food bloggers, I’ll just go directly to their pages to see if they’ve posted.  All in all, this has helped me to focus on what really matters and still be able to use social media with purpose instead of feeling like it is taking up WAY too much of my time.  

Exercise – Running and Yoga – I am currently entering week 2 of training for the Miami Marathon – run or walk my running partner is determined to finish.  Training means adding in an extra day of running from my usual, so I run on Monday, Wednesday, Thursday and Saturday (5 am is my start time – you can always MAKE time for exercise – this is a MUST on the list of self-care for me, exercise).  On your other days you’re supposed to do strength training which will in turn help your running game.  I chose to focus on yoga.  And what I decided to do is to include a few minutes every day of yoga – on my run days I’m doing a little restorative yoga and on my non-run days I’ll incorporate a yoga sequence that I throw together or utilize a yoga sesh from Yoga with Adriene (stumbled across her website back in January):

A lot of people think that running messes up whatever good that yoga does.  I’m not sure what it is about yoga and running, but these are my go to forms of exercise.  This is me giving back to myself and taking care of myself – mind and body – and so far it’s worked.  I have 19 more weeks till the marathon, so I’ll keep you posted on my progress!

These are a just a few of the ways that I’m committing to daily self-care.  It is the truth that the more you give back to yourself, the more you’re able to give to others.  Take time daily for yourself.