Sunday, January 14, 2018

That's A Keeper 8


I did a presentation yesterday for a running group in Broward.  They’re training for a half marathon in March and they’re starting to get to those long distances.  I can’t tell you how many people have the exercise portion down but haven’t yet mastered the food part of the equation.  There was a meal prep company there (don’t ask me the name, I honestly don’t remember) sampling food with all different food options to meet their individual needs.  I actually think it paired well with my topic.  So many times I forget that people don’t have the time to prepare healthy meals but yet want to eat healthy.  If this is something that helps steer people in the right direction and help ease the meal prepping, I’m all for it.  Just stay away from the “keto diet” options these companies are starting to put together – yes, I know there’s a demand for them (because people are eating this way) but we were talking to a running group.  Please, please don’t go keto and try to run a marathon.    

 
Blue Apron Meal #1 - Halloumi with Couscous & Roasted Vegetables

I was gifted by Santa this Christmas a gift coupon for Blue Apron.  This is a meal delivery system that brings the groceries to you with the recipes.  The meal takes ~30 minutes to prepare.  I have tried Hello Fresh in this past year and I will tell you that they do make cooking fun, easy, and enjoyable – you get to select the meals you want for the week.  They are a test in following directions (at times – maybe it’s just me who’s challenged?)  I’m the type of person who likes to find recipes online, go to the store and see new products, etc. so I wouldn’t say that this is something I need, but I do believe that this is the wave of the future – having groceries delivered to your front door or Amazon Locker?  I again am ALL for making meal prep made easy.  If you want a great summary of these meal delivery systems, checkout this post out by Sweet Phi – 6 home meal delivery systems.  Hereis my comparison.

Blue Apron Meal #2 - Stir-fry with Carrots, Bok Choy, and a "Fried" Egg


If you do have time to play around in the kitchen and cook, I have your latest round-up of keeper recipes.  Because the truth is no one has time to waste with #kitchenfail recipes.


Breakfast: Beet Berry Sauce

We had our first “cool/cold” front in Miami a couple of weeks back.  Another one just came through last night and that’s when I want to eat oatmeal.  Don’t get me wrong I eat oatmeal throughout the year, but I think it tastes better when it’s cold out.  Enter this recipe to add in to my oats, adding the flavor without all the added sugar most times oatmeal can come with.  It truthfully is just beets and berries, with some cinnamon and vanilla.  It’s just that simple.  I make some of this up for the week and add it in to my overnight oats (1/2 cup oats, ½ cup milk, 1 tbsp nut butter, 1 tbsp chia or hemp seeds).  I heat it up the next morning and I’m good to go!




I sent this recipe to a friend recently and they told me they didn’t like mushrooms.  First, let’s take a second to understand how someone doesn’t like mushrooms.  I mean who doesn’t like mushrooms??  I’m just kidding.  I know there are certain foods that might be a texture thing.  But here’s where this recipe is so amazing, it’s really two recipes in one!  The mushrooms by themselves are amazingly good.   The pesto “cream” is basically a dip for your crudité, just saying.  But if you do like mushrooms and do put all the components together, the pesto “cream” in the balsamic mushrooms and top it with homemade bread crumbs – can you say out of this world good?? 


Main Dish: Tortilla Soup
Still riding on the cool weather here in Miami (or just the cold AC inside the buildings) I have been rotating through a few soup recipes.  While I do not eat turkey or chicken, I have made this tortilla soup without and just added a few more beans.  This is so simple and so delicious, you’re going to want to add this in to your rotation.  And if you do eat chicken?  Roast a whole chicken for the week, and/or buy a rotisserie chicken at the store to help you with time.  For the added crunch, I used these crackers I mentioned in my Taste Test Tuesday last week, and they were phenomenal.

No picture of the soup, but trust me, it's good!

One of the number questions I get asked is, “What energy bar do you recommend?”  That’s always a tough question for me to answer because the truth of the matter is it depends on what you're looking for.  All food is energy, so are you looking for something pre-workout, post-workout, meal replacement because you’re on the go?  You see, it’s difficult to answer.  For me, I tend to simply grab a fruit and a handful of nuts.  Call me cheap, but it’s the easiest portable snack for me to have around.  But if I am in to making something to have for the week (and quite possibly share) this is my latest “Energy Bite” find.  Simply using the dates as a natural sweetener, I used this this week as a thing to have after my meal as my something sweet.  It does taste a little like fudge and because it has that hint of sweetness, it fit the bill for what I was looking for.  And if you don’t have a food processor, you’ll definitely want one for this recipe. 
“A 3-ingredient sauce that’s a game changer.” That’s the description given by the food blogger and I would agree.  Something so simple yet so tasty and good.  It almost looks like a vodka sauce because of the color, but it’s the cashews providing all the creaminess needed without actual cream.    I roasted a mix of vegetables to add in to this pasta dish as well as some  textured vegetable protein (TVP) to add in more protein and make it a balanced meal.   Easy meal to add in to the rotation.


Dessert: Dark Chocolate Fudge Pomegranate Tart
For Thanksgiving we have our traditional recipes that we make:  pumpkin pie (or a pumpkin something), apple pie (crumb, tart), or sweet potato pie.  Those are ones that we always have as our go to.  But for Christmas?  We don’t have a traditional dessert that we always make.  But we do now!!  This tart is super easy to make and is taken to the next level by the pomegranate syrup.  It makes a lot of extra syrup, but don’t be afraid to add more than what’s shown in my picture.  Believe me, I did once we started eating. 

So there you have it.   My latest round-up of recipes that have made it to “keeper” status.  I’ve found the more and more that I trial recipes the pickier I become.  I think that’s a good thing – for all my readers out there, you’re only getting the best of the best!  If you try some of these recipes, let me know.  I hope they make it to “keeper” status for you too!

Thursday, December 28, 2017

2017 Best Nine

Instagram automatically collates your most liked snaps of the past year.  Mine are featured above.  It's interesting to look back at the year and reflect.  It's that time of the year, as the year is winding down, people make resolutions for the new year.  I wouldn't say this was the best year (chapter) of my life and I wouldn't say it was the worst year either.  There were lots of extreme highs and extreme lows.  I always look to this quote -

"You gotta look for the good in the bad, the happy in your sad, the gain in your pain, and what makes you grateful not hateful."  

Here's my year in review and instead of resolutions, my intentions for the new year:

26.freaking2 - you read that right.  I completed my first full marathon.  And if anyone wants to tell you it's easy, it's not, hence the freaking.  I wrote a whole blog that you can read about my journey.  The race was in January and what a way to start the year - am I right?!  Never in a million years did I think I would run 26.2 miles.  Half marathons are easy and full marathons are not meant for the human body. It was on my bucket list of things to accomplish and I only did so with my friend Marcela's help.  The marathon forever changed me.
Runner's High the WHOLE race!
After the marathon I decided to take a period of rest.  Little did I know how much injuries would plague me throughout the year and how I'd be forced to rest - from a cracked rib, to a broken toe, and now currently dealing with a heel issue.  I think back and wonder if the marathon forever changed my ability to run.  I've been through injuries - broken foot 5 years ago - so I know this is my body's way of telling me to slow down.  Slow down I will and look for alternative exercises I can do.  I tried my first pilates class last week and I know I'll be doing lots of yoga.  As I said extremes highs and lows this year.  Finding peace with being where I am currently.

Job Transition - In April I had decided it was finally time to start looking for a new job.  While I am forever grateful for my time at the DRI - I learned SO much, earned my CDE - I found myself not loving what I was doing day in and day out and that was effecting me personally.  I also wrote that in many a blog if you care to peruse.  I applied to one job and one job only.  It fit the description of what I wanted to do to a tee.  Too good to be true?  I think timing plays a big role in the job search and I do believe that all the stars were aligned with this one.  I was offered the position with Baptist and started in early July (after taking a well deserved week off).  I'm still learning the ropes in my position, but I can tell you this - I am working on a lot of different projects where I'm gaining  experience and learning a lot!  Not a day goes by that I'm bored.  Not to mention, I'm working with great people and in an organization that values that their employees are happy.  Excited for all that's to come in this next year.
#PineappleProud
Bread - during my week off in-between jobs I had time.  I had started trying to bake homemade bread as a way to de-stress some (from the old job), but I truthfully didn't have the time to focus and not rush the time the dough needed to rise.  May sound silly, but sometimes I wouldn't let the dough rise enough and was too set on the time it said it needed versus letting the dough do what it needed to do and sometimes that meant two hours instead of just one hour.  More recently I started a sourdough starter - another item on my bucket list.  Challenging myself one recipe at a time in the quest to make all things homemade.  Sure I could use yeast from the store, but what an accomplishment to have started my own and take bread from literal start to finish.  I think my bread journey is just beginning and am excited to make this the year that I buy as little bread as possible.  Lucky for me bread freezes.
Sourdough Starter aka Flor


It Was The Best of Times, It Was The Worst Of Times - While I won't go into too much detail (as it is quite personal), suffice it to say that when others are stressed you are stressed.  There were moments that literally required me to just stop and breathe because I almost couldn't catch my breath.  Yes, it was that bad.  I don't know if these trials and tribulations are preparing me for what could come at some point in time, but what I do know is that you must really truly live in the moment.  Yes, I know we hear this all the time.  But how many times are we truly present?  Taking one day at a time?  Listening to what others have to say? You have to truly appreciate the times you have as you may not know when you'll have those moments again.  Not trying to put a damper on the blog here, but this is my year in review.  There were times that were horrible and that I never want to relive.  Honest truth.  All that I know is that we only have today.  If you have a loved one you haven't spoken to in a long time, reach out (same for a friend).  If there is something that you've been meaning to do, go for it.  There is light at the end of the tunnel, and there's always a rainbow after the rain, you just have to look for it.


Cookbook Addiction - at least it's a healthy one, right?  To say I've gone a little overboard with the cooking is an understatement.  I didn't start off at being good at this so called cooking thing.  But I'd say in the last couple of years I've stepped my game up.  Practice makes perfect.  I like to eat tasty food, what can I say?  My food tastes really good - no shame here - but in the last year or so I've started taking better pictures of my food - all my "2017BestNine" pictures are of food - no shock there.  I think we often times eat with our eyes.  So while my dad's birthday cake made the "2017BestNine" I think I've had a few others that actually have been better.  Stay tuned for my intentions in 2018.  Food is definitely a part!
Food Art
2017 Intentions
A few years back I wrote 5 things a day that I was grateful for.  I kept all the entries in my "Gratitude Jar".  In the last two years I haven't officially written anything down but do take time to reflect.  It's my intent to go back to writing/journaling things down that I am grateful for.  I am going to write one thing in the morning and one thing in the evening.  At the end of the year I will be able to read through all the things and really reflect on the year.  I think actually taking the time to write things down can help me put things in perspective - especially when I've maybe had a rough day, I can look back at the end of the day and always find the good in the bad.

Meditation
It's a little bit of irony, but ever since I've gotten my new job I haven't been meditating daily.  I'm not as stressed, which the meditation helped me take a moment to breathe, so maybe I think most days I don't need it?  That's not what meditation is meant to be, but I know that I used it as my time before I even walked into the building to center myself.  I also used it as one-minute increments throughout the day simply to catch my breath.  It's my intention in 2018 to go back and stay consistent with my meditation.  There are many studies that show the benefits of meditation and while it's not easy - my mind is always distracted - it is a literal bicep curl for the brain that I know will get stronger the more I do it.  I have used an app in the past, but I am going to try out a few different methods this time around.  I'll keep you posted on how it's going throughout the year.

Yoga - In my YTT a few years back I struggled with having a consistent practice with yoga.  I had a long commute and in my mind I wasn't able to have that hour/hour and a half practice because I had no time (or so I thought).  I knew there was more to yoga than just the asanas (poses) but I was frustrated and mad that I wasn't able to do the poses because of a lack of time - that freaking commute was literally draining my life!!  After YTT I learned that yoga simply meant showing up and taking time to be on the mat with whatever time I had, being present.   Yoga includes not only the physical poses, but also pranayama and meditation.  I know that I need to have a balance of all three.  The best practices for long-term health are those that create a balance between strength and surrender, challenge and comfort, effort and ease.  It's a great reminder that sometimes the most simple things can be the most powerful.  This January I'll be starting Yoga With Adriene.  On and off I've utilized on-line yoga to help with my practice.  Yoga with Adriene every January starts a challenge if you will for 30 days to help with consistency.  In the last year she also included mantras along with the daily practice.  I'm excited to see what she has in store for this January.  It will be a great start to getting back to what I've always struggled with, consistency.


Food Art - I've looked back over my pictures in the last year or two and seen how far my pictures have come.  I've been shooting all my food pictures with my Samsung Android (no I do not have an iPhone).  I think that my pictures look really great for just being shot with a phone camera.  But I finally have a real camera.  It's my intent to not only step up my food art but also my picture taking skills.  I've always loved photography.  I think this is a perfect mix of combining two things that I love, food and photography.  I intend to start using that camera more and maybe even buying a few food props.

Education - While I was at UM I always thought I'd pursue a masters (they would help with tuition reimbursement).  The only problem?  Time.  I worked really long hours and never was able to wrap my brain around how I would fit classes, let alone h.w. into the mix.  Hence that never happened.  But with my current job?  I have the time and flexibility.  The other day I started to look at programs online.  I found a few that sound like something I like to further my education in.  I have to be with Baptist for at least a year before I'm able to apply, but it's definitely something I'm starting to consider and be more open to - I have the time, why not further my education?

As 2017 comes to an end and 2018 begins, it's a great time to reflect.  I look back on the past so that my view going forward can be that much clearer.  Be present.  Breathe it all in.  Enjoy the ride.


Sunday, December 10, 2017

The Alternative Gift-Giving Guide


The Christmas decorations are up.  We had our first cool/cold front come through this weekend here in Miami - currently 54° - and I'm looking forward to going out and enjoying this fall almost winter weather.  As I sit here sipping my coffee a commercial comes on showing "the countdown to Christmas" and only "14 days left to shop, are you done yet?"  Not sure about you, but that alone can be overwhelming and stressful.  It's supposed to be the most wonderful time of the year - am I right? 
For the past two "Wellness Wednesdays" I've shared posts about alternative gifting during this time of year.  Here are my thoughts on gifting - no judgement if you're giving actual gifts to people, this is just what I've recently started trying to do.  Mind you I'm not opposed to giving an actual tangible gift as well, but most times now it has a meaning behind it or it allows for experiencing a moment with that person.  Call me sappy, call me what you will, hope this gives people a moment to think about buying that next gift - oh and if you're looking for the typical holiday post around this time of year, "Eating Healthy For The Holidays" - here's the link to an older post.

Avoiding the Sales - Black Friday and Cyber Monday may have already passed this year, but keep in mind it really is best to steer clear.  These days are geared towards the sale items and making the consumer think they're getting a good deal - retailers and advertisers know this. The sales are designed to take advantage of our desire to consume more, so much so some stores are even opening up earlier and earlier, some even on Thanksgiving.   Use this time instead of shopping and perusing online to start making your list of alternative gifts.  Creativity will be a must.

Your Time is a Gift - It's hard to put a price on your time.  But if I were asked "what one gift would I want to receive for Christmas?  My answer would simply be, "your time".  It sounds cliché but it's the simple truth.  The people I care about mean much more to me than having the latest gadget.  So the next time someone asks you to make a list, let them know that the best present is their presence.  

Give the Gift of an Experience - I did a coupon book one year with my nephews.  When I went to visit them we cashed in every coupon I made - picnic at the park, making their favorite homemade desserts, and more.  Truly memorable.  Why?  Not only was I spending time with them, but we were making memories. Memories that I hope they'll remember for a lifetime.  Okay that might be asking too much, but then that just means we need to make more memories together - I know those are the stories that we'll talk about for years to come.  This year I gave them a few board games (I hope they're not reading my blog).  Yes it's a tangible gift, but my hope is that they'll have their friends over and have a game night - make memories or make it a monthly get together.  And when Aunt Amy comes to visit, game ON!



A few more ideas for giving experiences instead of gifts:  
-Tickets to a special event
-Home Cooked Meal
-Sunrise/Sunset Seeking
-Hiking
-Pass to a Museum/Zoo
-Magazine Subscription



Pass Your Gift On - 'Tis true, it is better to give than receive.  If people ask what you'd like to receive as a gift, (and they are insistent and won't take no for an answer) have a list ready of charities or non-profit organizations.  They can donate what money they'd use in giving you a gift and give to that organization instead.   Giving to others and truly making a difference to those that might not have as much as we do.  

Make A Gift - DIY - most years when it comes to my co-workers I give a homemade gift.  Last year I made homemade salad dressing and bottled it up.  I come from a family that food really is a sign of affection.  So what better way to give food but as a gift?  I've broadened my DIY abilities this year and made peppermint sugar scrub - coconut oil put to good use!  If my current co-workers are reading this blog, act surprised next Monday :)

It might be a difficult transition weaving minimalism into the holidays, from what people normally expect this time of year.  The truth is your experiences build and strengthen the bond between you and the people you care about.   They'll understand, even if it takes a little bit of time.  Happy Holidays!


Sunday, November 26, 2017

November In-Review

November is Diabetes Awareness Month.  My last blog was all about knowing your numbers.  You can read about it here.  I can't stress to you enough about knowing your numbers, it really is the first step in prevention.  Going to the doctor can be daunting, but it's more important to know where your numbers are at (for diabetes, heart disease, that's why they're called check-ups!) and concurrently make changes to improve your health.  I hear a lot of people that say, "I'm just going to eat what I want and enjoy life."  My response always to them is that the food I eat not only is healthy BUT also tastes good, why else would I be eating it? 

The truth is you need to start where you are at and implement one change at a time.  It really is that simple.  Make too many changes all at once?  Odds are you'll slip back into your old habits.  Our goal is to implement healthy habits for life.  

Thanksgiving was this past week.  The holidays are here and amongst us!  I helped contribute to an article for work about "Eating Healthy for the Holidays".  It's been thought that many people gain more weight than they really do over the holidays.  However, the weight that people do gain - between 1-2 pounds - is often times not lost.  So over the years gaining 1-2 pounds each year can really add up.  You can read more about my tips in the article here, about how to prevent this weight gain.  Keep in mind that the holidays are a time to spend with family and friends and while food is often times the focus, try finding alternative activities to do that aren't solely focused on food - pick a fun activity/exercise to do together - museum, park, play, beach (it is currently 81° here in the MIA).

The holidays can be stressful - lots of activities that require time management, financial stress, and it also involves spending time with loved ones, which let's be honest can be stressful, so exercise is helpful for staying active as well as having an outlet for stress.  It's a win win!    

The CDC released a report that stated that 1 in 10 Americans are eating the recommended amount of fruits and vegetables needed daily:  1 1/2 cups of fruit and 2-3 cups of vegetables (depending on age and gender).  1 in 10?  I'd like to think we're doing better as a country, but when they release studies like this it only validates my job that much more.  I believe there are a number of reasons why people are not getting the recommended amount and one is definitely lack of access (and affordability).  We have to do better and have kale on sale for "2 for $3" or else people are buying the chips that are the same price.  Additionally I believe people don't always know how to cook their vegetables and if people don't know how to cook them, then they definitely aren't eating them (don't get me started on how little restaurants offer them as well.  It's like a mission to get a salad with dinner without having to pay SO much extra!)  It's the common theme I keep repeating on the blog - start where you are at.  If you are eating little to no vegetables, start including a salad at meals.  It might be the simplest way to begin to include vegetables and it doesn't require cooking.  From there?  keep finding ways to try and experiment with a new vegetable.  Just whatever you do, don't start juicing or making smoothies - I need you to chew your food - juicing and smoothies might just be the worst trend ever.  Read about it here.
4 Salads 4 Different Ways - Change the nut, cheese, and fruit and you've got a different tasting salad!
I've shared about this before on the blog, but for those new to reading my blog I've challenged myself to make everything homemade (for the most part).  From homemade marshmallows to homemade pestos, I'm making everything homemade.  The one area though that still is not completely homemade - bread/crackers/pie crusts, etc.  I've dabbled in making bread before and it isn't too difficult (yes it takes time and patience) but it's definitely something that with more practice starts to come easier.  I knew I needed to get back into the swing of making more homemade breads (bread does freeze, so there's really no excuse)! 

I've seen so much recently about sourdough starters, I figured if I'm making things homemade, I might as well try to start literally from the ground up.  I wanted the challenge to see if I could really get a starter going.  The craziest part of it all?  It literally is just water and flour.  The fermentation happens all on it's own over time and with a little feeding.  Now for background knowledge, I do happen to kill all things green (plants), so I was a little worried that I'd be able to get the starter going and then it would just fizzle.  I've been reading Artisan Sourdough Made Simple by The Clever Carrot to help give me guidance and while I'm only into week 2, so far so good!  I should probably read a little more into her tips, but once I got the starter past week one and I made my first loaf I felt accomplished.  Into week two now and I have had an issue with "hooch" aka I need to feed my starter.  Again, I should read more of her tips.  I am not an expert, yet.  But it has inspired me to get a Dutch-oven - probably should've already had one at this point in my cooking career, but I opted to make a bread in a 9x5 pan this week.  I didn't realize the bigger the pot the more air there is for the bread to breathe, hence why my 1st loaf was quite small.  And if I'm investing, I should probably get a bread cutter, because if I'm baking bread I might as well have a cute design on the top.  You know I'm right.

While November is coming to a close, Diabetes Awareness Month isn't just the month of November.  I worked for 3 and a half years with an emphasis in diabetes.  Now more than ever we have to create awareness through education because the stats are staggering - it's estimated that 1 in 3 people by 2050 will have Type 2 diabetes.  Yes, awareness needs to be spread.   

Type 1 Diabetes does not always get as much attention as Type 2 Diabetes does as it doesn't effect as many people.  It is a chronic autoimmune condition characterized by a pancreas that is not able to produce insulin, a hormone that's necessary for vital life functions.   The condition is often misunderstood by many and those that have been given the diagnosis are left to deal with the diagnosis.  I've counseled many patients with Type 1 Diabetes on how to carb count, basal/bolus insulin therapy, CGMs, etc.  But the one thing I often felt at a loss in how to help - was in dealing with the diagnosis.  If you know someone that has recently been diagnosed with Type 1 Diabetes, have them read this article.  If you are someone living with Diabetes and have had a hard time dealing with the diagnosis, read this article.  And if you are someone that doesn't know anything about Type 1 Diabetes, read this article.  It will forever change your life.  I know it did mine.



Sunday, November 5, 2017

#ThisIsDiabetes

November is Diabetes Awareness Month®.  The theme this year from the American Diabetes Association is #ThisIsDiabetes - "Whether you're living with diabetes, caring for someone who is, or you're fighting to stop it, there's a hero in you.  One in 11 Americans has diabetes.  So put on your cape and take a stand."  It's a month to draw awareness to the disease as well as to call attention to those at risk.

I taught a class last week called "Dining Out and Diabetes" in Spanish, "Comer Afuera y la Diabetes".  Ironically no one in class had diabetes, so I shifted my focus of class to discuss what diabetes was and more so how to prevent it (what I prefer anyways).  One lady in class mentioned she was too scared to go in and have her levels checked.  She kept asking a lot of questions but yet didn't know what her numbers were.  Bottom line she's like so many others out there:

Approximately 84 million American adults - more than 1 out of 3 - have prediabetes.  Of those with prediabetes, 90% don't know they have it. 

To me that's a staggering statistic and the reason why we have National Diabetes Awareness Month®.  Experts say a "diabetes tsunami" is coming our way.  Why are the numbers SO high?  One of the main reasons is that  of adults (and  of children) are overweight or obese, not to mention we're couch potatoes - binge watching TV is the new norm, sadly.  Type 2 diabetes develops because the body is resistant to insulin.  Insulin acts like a key that allows sugar to enter the cells, where it can be burned for fuel or stored for later.  However, in some people, the key struggles to open the lock.
This puts the pancreas into overdrive - to compensate for this insulin resistance the beta cells have to pump out more insulin just to keep up.  Over the years the beta cells wear out.  When this occurs this is when the blood sugar levels fall into the "diabetes" range.  Americans are headed towards this breaking point because of a couple of reasons:  we're gaining weight at alarming rates (due to portion sizes, sugary beverages, and less exercise) and because of age.  Beta-cell failure occurs more rapidly with age.  

I read an article this week that discussed this issue - of needing to know your numbers, yet doctors are not communicating how important it is to make a change once you've been diagnosed with prediabetes.  "Prediabetes doesn't trigger much of a fuss in the doctor's office.  A lot of healthcare professionals see the numbers are in the prediabetic range and simply tell the patient that their numbers are high.  They should go home and exercise and eat less."  Many patients I saw (at my previous job that were referred by their primary care doctors) had NO idea what their numbers were and and/or why they were even being referred - many knew they needed to lose weight, but stated they had NO idea of their blood sugar levels.  Now in the doctors' defense the patients may have been told this, but in the education/prevention world we call this the "Charlie Brown effect".  They get their diagnosis and then all they heard was "whaa whaa whaa whaa".  The truth is you're going to have some doctors that are more proactive than others.  I encouraged all my patients to be their own advocates and one, know their numbers and what they mean, and two take preventative action with their nutrition.  One other good piece of advice is to see a specialist if your numbers are in the prediabetes range, an endocrinologist.  They specialize in endocrine disorders.  If you have heart disease you see a cardiologist - so why wouldn't you see an endocrinologist if you have prediabetes?  Back to the numbers and what they mean:
If you have a fasting blood sugar drawn (eight-hour fast) and the numbers fall in between 100 - 125 mg/dL this signals that you have an irregularity in your blood sugar levels, impaired glucose tolerance.  A diagnosis is not made from one blood sugar level, however, you should have your A1c level checked.  The A1c level is a 3-month average of your blood sugar levels.  This will give a better picture of what is going on (as well as the ability to diagnosis if your blood sugar levels are normal, prediabetic, or diabetic).  If the A1c level falls in between 5.7 - 6.4% this is considered prediabetes.  6.5% and higher is diabetes.  This is the first place I start with patients, in understanding their numbers.  Diabetes works on a continuum - it cannot be reversed (contrary to what people may say), however it can be controlled.  The first step is knowing your numbers and if they are in a range of concern, begin to make changes in order to offset/prevent developing diabetes.  

How can we lower the risk of developing type 2 diabetes?  How can we help control type 2 diabetes if one already has it?  There was a whole study focused solely on preventing type 2 diabetes - Diabetes Prevention Program.  Here's what the findings said along with other helpful tips to help prevent diabetes:

-The best way to dodge diabetes is to lose weight (or not gain) extra pounds.  Losing 7-10% of your current weight can cut your chances of developing type 2 diabetes in half.

-Do at least 30 minutes of brisk walking or other aerobic exercise every day.  Include strength training two or three times a week as well.  Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose.  Limit the time you spend sitting at work, at home, or in between.  

-Limit sweets, especially sugar-sweetened drinks.  The sugar you sip may add flab more than the sugar you chew.  Liquid calories don’t seem to lead to satiety and it’s easy to take in a large amount, easily.  Think your drink! 

-Fill up half your plate with vegetables and only a quarter with (preferably whole) grains.  Whole grains don’t have a magical nutrient that fights diabetes and improves health.  It’s the entire package – elements intact and working together – that’s important.  The bran and fiber in whole grains make it more difficult for digestive enzymes to break down the starches into glucose.  This leads to lower, slower increases in blood sugar and insulin.  As a result, they stress the body’s insulin-making machinery less, and may help prevent type 2 diabetes. 

I also wrote a whole blog post last time about how to choose healthier carbohydrates - they're not all created equal.  Read about it here.

-Replace saturated fat and trans fats with unsaturated fats to lower the risk of heart disease.  The unsaturated fats found in liquid vegetable oils, nuts, and seeds can help ward off type 2 diabetes.  Trans fats do just the opposite.  Trans fats are found in many margarines, packaged baked goods, fried foods in fast-food restaurants, and any product that lists “partially hydrogenated vegetable oil” on the label. 

Baptist Health South Florida, my current employer, is finishing up a year-long program that implemented the Diabetes Prevention Program - education, support, changing lifestyle habits - all in an effort to prevent Type 2 diabetes.  We'll be starting another program in January.  If you or someone you know has prediabetes and is looking for help and support and is ready to implement change, comment below so I can refer you to get signed up for the program!  You must live in Miami.  A year might sound like a long time, but it takes time to implement change and undo habits that you've had for a lifetime, all in an effort to help prevent diabetes.  It'll literally be a life-changing program.

The bottom line and the good news about diabetes:  you're not destined to get diabetes if you practice prevention.  Keep your weight - and especially your waist - under control, and spend more time on your feet than on your seat!

The key to healthy eating is balancing your plate - protein/carbohydrate/healthy fats - and aiming to include LOTS of non-starchy veggies to fill you up with fiber!  Delish, healthy food!









Sunday, October 22, 2017

Carbs and Cravings


Carbohydrates aka carbs - Most people LOVE them.  Maybe they love them too much, it is what most plates are filled with these days.  Just take a look around and you'll see people overeating carbs.  So why would one remove them from their plate completely?  If the promise of weight loss was there would it be worth it?  Low-carb diets are and have been popular throughout the years for this very reason...weight loss.  Is this the right way to go?  Will this help curb one's craving for these carbs?

Truth bomb - low-fat and low-carb in the long-run show little success.  So, what is successful?  Cutting back on the processed, refined carbs that are creating the crave for why we want them in the first place.  I've said this a repeated number of times on this blog, but it bears repeating again.  NOT ALL CARBS ARE CREATED EQUAL.  I apologize for the all caps (screaming), but I think people need to understand that there is a different physiological response when we eat certain carbs.  When people say they feel that they are addicted to sugar, you better believe them.  It's a literal feel good response when you eat certain foods and all of that correlates to your blood sugar response.  The unfortunate?  Sometimes you don't always feel so good and your body emits symptoms to let you know it's not responding as well as it should - that poor pancreas can't keep up.

So before you stop reading my article, hear me out.  There is nothing wrong with eating a pasta meal.  I have Italian blood in me, I eat pasta.  What's the problem most times with pasta?  I said it earlier and it is one of the problems with carbs in general, not only are we eating the unhealthy carbs but we are also eating them EXCESSIVELY.  While I'm picking on my pasta, think of any culture and it tends to be carb-laden.  Here in Miami we have a mix of many Hispanic cultures.  When I used to get diet recalls, many times it was black beans, white rice, yuca, plantains, and meat.  Carb/protein, carb, carb, carb, and protein.  Carb-bomb waiting to go off.  And virtually no non-starchy vegetables thrown into the mix, unless you want to count Iceberg lettuce and we're not playing that game.
It's easy to overeat carbs...

Processed = A Problem                                                                                                                      You've heard your doctor say eliminate all things "white".  He's referring to those processed carbs - white bread, cereal (sugary or regular - sorry not sorry - I cannot nor will not recommend a cereal to you to eat.  Worst.Food.Ever!), white rice, white pasta.  Why?  Again, our bodies are amazing machines if we fuel them the right way.  Give them this kind of fuel (because that is what carbs provide, fuel) - it will produce a rapid rise in blood sugar, wherein your pancreas has to respond and produce insulin in order to cover all that circulating glucose (sugar).  The pancreas cannot continue covering all our overeating.  It just can't.  Add in genetic risk factors, and this is why we're seeing a rise in prediabetes, and hence diabetes, not to mention metabolic syndrome and heart disease.   And here's the kicker of it all, the more processed, refined carbs you eat, the more you CRAVE.  That's right - you're on a roller coaster ride, literally.  You want that feel good rush, making it almost impossible to get off the ride (and oddly enough you don't want to - you crave it).  Remember what I said, our bodies are these amazing vessels.  They respond with what we give them.  It's our job to fuel up and fuel the right way.


One difference with refined versus whole grains is the fiber.  Fiber literally slows down digestion and thus the blood sugar response.  When you're eating a processed, refined carbohydrate, it is literally "fast-acting" energy, which is not much different than sugar (your body doesn't know the difference as it is breaking these down for energy for your cells).  White bread or any other processed carb will bread down into glucose very quickly which again raises blood sugar rapidly.  The opposite occurs with the slower-digesting carbs - beans, whole wheat bread, quinoa, etc. - the longer it takes to digest and break down into sugar, in part due to the fiber that they contain, the slower the response in blood sugar occurs.  See the picture below for a depiction of the breakdown.    The rapid spike from the processed carbs often leads to a crash or if you're like most people, you try to avoid that and you start the cycle all over again and eat.

Sugary drinks wreak havoc on blood sugar response

Insulin                                                                                                                                                      I believe there are many reasons why people say they have cravings - taste, PMS, stress, etc.  But when we look closer at carb cravings your body kicks in to try and restore your blood sugar, it senses the urgency and it responds.  But here's the problem.  Processed carbs cause more insulin secretion.  When you have this cycle:  eat processed carbs, blood sugar rises rapidly, insulin quickly follows (again the body is doing it's job), which directs incoming calories into the liver, muscle, and fat cells.  Here's the kicker, only fat cells have a limitless ability to store calories.  If after a short time of  eating your meal the glucose circulating is low (you're out of available fuel), this leads to hunger all too soon after you've just eaten.  Breaking this down - if fat cells get too much energy, there's not enough to fuel the brain.  The brain is constantly watching the calories in our body.  If/when it sees that the calories are low, it sends the message and triggers you to feel hungry and create those all too famous cravings.  This is a vicious cycle that goes on and on, ultimately leading to weight gain.


Kick the Crave                                                                                                                                      I'm not of the mindset of all or none, but I've heard people say that they've gone cold turkey with the processed carbs to help themselves with cravings.  Then they will add the healthy, complex, whole grains back into the mix.  I say the key is to minimize your intake of processed, refined carbs and have the majority of your intake be healthy, whole grains.  However you're able to do so, get going.  Here are a few helpful tips to remember:

Include WHOLE grains - brown rice, whole wheat pasta, quinoa, etc.  And while you're including whole grains, begin to monitor your portion size.  To give you perspective, 1 cup of pasta = 45g of carbs - that would be the amount an adult female could/should have at a meal.  Yes, 1 cup of pasta will seem like none, but remember it's not just the source of carbs that's the problem it's also the amount that we're eating.  We need to be more mindful when it comes to carbs.  When we've included the healthy carbs in a portion controlled amount this has the biggest impact on blood sugar - keeping it steady and in better control (no more crazy roller coaster ride) which in turn helps manage those so-called cravings.

I'd be honest in saying to avoid the sugary carbs in the beginning (again, I'm not an all or none person) but cakes, cookies, pies, candy, and any sugary beverages, yeah, I'd say eliminate at least for the first week - not only do they wreak havoc on blood sugars but they provide virtually no nutritional value.  Find a nice piece of dark chocolate or something that will in theory replace this but yet not be laden with sugar.

Include healthy plant-based fats at meals.  Fats take longer to digest which in turn helps stabilize blood sugar and cause less of a response  but they also help to keep you fuller longer.  Examples include nuts, nut butters, avocado, olives, oils, hummus, seeds, etc.  The key is to balance your meal - carbs, protein, and healthy fats, and not to be forgotten including non-starchy vegetables at as many meals as possible, i.e. kale, broccoli, spinach, tomatoes, carrots, cucumber, asparagus, and MORE.  They are what I like to call the fiber factor.  Fiber helps control blood sugar response (since you don't digest fiber it doesn't elicit a blood sugar response) but what it does do is help stabilize it as fats do and fiber also helps keep one fuller longer as well.  Get your fiber!

In summary, the goal is to include high-quality carbs - those that are minimally processed - at meals in portion-controlled amounts along-side protein, healthy plant-based fats, and non-starchy vegetables.  I've included pictures throughout to give examples.  Many times people will end up asking me at the end of it all, "what can I eat?"  There have been examples throughout to help you.  More importantly it's to show you that healthy can taste delicious, it all begins with a few small changes (and kicking some old habits maybe) to get you on the path of health and wellness and really put an end to those carb cravings.  You'll feel better.  Pinky promise.




Sunday, October 8, 2017

The Year Round Up


The Year Round Up

I turned 40 last year.  Call it a "milestone" birthday if you will, but the truth is that every birthday for me is a time to reflect and see what I can do better in the year to come - kind of like New Year's, only I think of each year as a new chapter, a new beginning.  So now that I am approaching 41 it's time to sit and reflect on the past, present, and future, the mark of my new year, my new chapter in life.  A lot has happened both personally and professionally - not sure how so much happened in just one year - but I'm here to tell you that I'm grateful and ever in awe of this so called life.  Here are a few things I learned/made a priority in this past year:

Self-care.  I know people say it's important but how many people are really practicing self-care?  I can't express to you how important it really is.  I'm not talking about a 4-hour day spa getaway once a month (although that would be nice), I'm talking about a simple 10-minutes to yourself each day (yes, I know that's hard for mothers of the world).  Make it a daily priority.  Yes, life is busy and at times it might seem like taking time for yourself is trivial when there is so much else to be done.  Well it's not.  It's actually one of the most important things you can do for yourself.  A few things I've been doing for self-care this past year (it depends on the day and how much time I have):  meditation, exercise, spending time in nature, manicures, & more.  As I said, it depends on the time I have, but minimally I've been meditating for 10 minutes to be able to sit still, center myself for the day before me, and remind myself to always come back to my breath.  My encouragement is to find a way to have your own self-care practice.  Giving back to yourself helps you give to others. (cliché but true).  
40 Roses for Each Year - Taking time to smell the Roses

Miami Marathon.  January 29, 2017 -- 5 hours 15 minutes in the cold, cold rain.  Weird weather day for Miami, but yes it was cold (in the 50s with rain is not pleasant).  My running partner Marcela and I had talked about running a marathon for years.  You can read about it here.   Little did I know how much the training was doing for me.  The thought of running for 26.2 miles straight can seem daunting.  But there is truth when people tell you that you get a runner's high.  All of my pictures from the marathon I have this ridiculous grin on my face.  It couldn't have been anything else other than a runner's high.   I think it was the culmination of all the training and there we were on that day and it was finally coming to fruition.  Talk about never being more proud of myself for having accomplished something.  I truly couldn't have done it without Marcela.  She pushed me to do something I didn't think I could ever do.  The training gives you the grit to know you can.  Beer on mile 22 might've helped just a little.   And knowing that you can overcome anything.   Training for this marathon forever changed me.  Whenever I think that I can't do something I remember back to all the hours I put into training.  Where there's a will there's a way.
Runner's High
After I completed my marathon in January I had a couple of back to back months with injuries (injured foot after the marathon, broken rib and then a broken toe because I'm just a clutz).  Add to that during this time period I was facing work stress without having the ability to workout.  I wasn't myself most days and I was walking around as if I was a different person.  I'm one of those people that will just keep things most times inside - I feel why share with others all this negativity?  My outlet normally is the exercise, so pair that with not being able to exercise, I was what you call a hot mess.  What turned it around for me?  The meditation helped some, but the bigger "elephant in the room" was that I had to take an inner look at what I wanted to do with my life (professionally).  I knew that what I was doing wasn't making a difference (most days) and I knew that I needed to be able to have a better work/life balance.  So I started looking for jobs.  That was one of the first things I knew I needed to do to improve the situation.  As hard as it is for change at times, making the decision to move on was what really turned it around for me.  

Doing What I Love and Loving What I Do

My job is going well.  Almost 3 months in and I'm loving what I do.  I've finally been able to find a better work/life balance.  I'm re-learning how to go and have fun.  Sounds silly maybe, but I had lost the ability to go and enjoy life.  I was always so tired I used my down time just to recuperate and get ready for the next week.  It's definitely been a transition, but one I'm welcoming.  I've already caught up with a few friends over dinner, enjoyed a concert, and even did yoga in the ballpark (something I've always wanted to do but never did).  I definitely work hard, but I'm learning that old saying, "work hard, play harder".  

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.
Travel.  It’s the best education you’ll ever get.  “Nothing will teach you more than exploring the world and accumulating experiences.”  Last year for my 40th I went to Italy - Rome, Florence, and Venice.  I'll have to do a blog post about that sometime.  That was the first vacation I had in almost 10 years.  Long overdue.  I've always said it's more important to have stories to tell than stuff to show.  True story - I brought back a few gifts for people from my trip, but every time I went to buy something for myself, I always hesitated.  So much so, I didn't end up buying anything for myself.  I have a ton of pictures and I wrote a journal to help myself remember all my adventures.  It was definitely a trip to remember.  Now I need to start planning where to next!

Looks fake, but it's as real as it comes!
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 (as each year passes) 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.