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.