Showing posts with label diabetes. Show all posts
Showing posts with label diabetes. Show all posts

Thursday, December 10, 2009

Slow day...post day...


You know work is slow when it's a double-post kinda day... : )



 Mari asked me a wonderful question about PCOS and what type of diet is best for women suffering from PCOS. Great question, Mari...I hope this is helpful!



Women with polycystic ovarian syndrome (PCOS) are at increased risk for heart disease and diabetes. Many women with PCOS have insulin resistance, causing the pancreas to secrete more and more insulin in order to transport glucose (sugar) out of the blood and into muscle, fat, and liver cells where it is converted to energy or stored as fat. Elevated insulin levels can cause polycystic ovaries, weight gain or difficult losing weight, increased risk of heart disease (elevated LDL-cholesterol and triglyceride levels and decreased HDL-cholesterol levels), and increased clotting factors. The risk of the developing diabetes in women with PCOS can be up to 40% by the age of 40. Most women (50-60%) with PCOS are obese (BMI greater than 30). Weight loss, even as little as 5% can lead to decreased insulin levels which is critical due to the fact that elevated insulin levels promote fat storage [1].


In researching how much carbohydrate a woman with PCOS should consume, I found varying recommendations. Before prescribing a standard 50-55% carbohydrate diet or a low (40% or less) carbohydrate diet, I would want to know a PCOS patient’s fasting blood sugar and HbA1c – a lab value indicating an average blood glucose reading representing 6-8 weeks. Agreeably, women with a higher BMI are statistically more likely to have insulin resistance, in which case a lower (less than 50-55%) carbohydrate diet is probably advisable.


I am of the opinion that to prevent diabetes, one should eat like a diabetic. For most women of normal to overweight size, this would include 30-45 grams of carbohydrates at meal times and 15-30 grams of carbohydrate + 1-2 ounces of protein before bedtime. Emphasis should be placed on complex, low-glycemic index carbohydrates, as well as a diet low in saturated (13 grams or less per day) and trans fat (none, preferably). For women with a BMI greater than 30, carbohydrate and energy needs go up – consult a Registered Dietitian for recommendations.


For example, a 180-pound (81.8 kilograms) female requires roughly 1230-1640 calories a day to lose weight (15-20 calories per kilogram of body weight. In order to find your weight in kilograms, divide your weight in pounds by 2.2). At minimum (30 grams of carbohydrate per meal with a 15-gram carbohydrate evening snack), carbohydrate comprises 26-34% of the daily intake. At maximum (45 grams of carbohydrate per meal with a 30-gram carbohydrate evening snack), carbohydrate comprises 40-54% of the daily energy intake. 
(Note: one gram of carbohydrate contains 4 calories – this is needed for calculations).


Other diet-related suggestions for women suffering from PCOS [1]:
-         Pair carbohydrate-rich foods and snacks with a lean protein or fat high in mono and/or polyunsaturated fatty acids.
-         Consume foods with a lower glycemic index – these foods are typically high in fiber
-         Space carbohydrates out throughout the day. Consuming consistent, moderate carbohydrate levels is best for blood sugar control
-         Consume plenty of decaffeinated, sugar-free beverages, especially water
-         Exercise on a regular basis -- aerobic and anerobic
-         Take a multi-vitamin mineral supplement daily


[1]. McKittrick, Martha. PCOS and Diet. OBGYN.net Publications.


The above information was provided by the above source. The author, Martha McKittrick is a Registered Dietitian and Certified Diabetes Educator. In other words, she is a wonderful resource!


Cookie Taste-Test Results!

The preferred cookie in yesterday's cookie taste testing was the Oatmeal Cranberry White Chocolate Chip Cookies. Hands down. There were only 2 votes NOT for the Oatmeal Cranberry White Chocolate Chip Cookies and they were for the Chocolate Peanut Butter Cookies and the Peppermint Cheesecake Brownies.



P.S. I had 2 late-comers who wanted in so the total participation was 18 employees!



Last night I made deer meat tacos for dinner!
My father-in-law is a bow hunter and provides us with deer meat. Yum!


I had 1 deer meat taco, a dollop of fat-free refried beans, and a bed of shredded lettuce with deer meat, salsa, corn, and homemade guacamole. Mmmm!


 Nutritional comparison of deer/venison vs. ground beef
(values represent a 1 ounce, raw portion)


- deer meat is 40 calories versus the 72 in ground beef*
- deer meat contains 0.8 grams of fat compared to 5.7 grams in ground beef*
- deer meat contains 7.6 grams of protein compared to 4.9 grams in ground beef


*this is standard 70-80% lean (does not specify)


Question: Have you tried deer meat? Did you like it? Did it taste "game-y" to you?

"You know you could kill someone, right?"

That is what my husband said to me over the dinner table last night.

At my job (wish I gushingly adore, yes!), dietitians can change insulin dosing. This our policy and a great one, if I do say so myself! As most of you know, I work with diabetics the vast majority of my days and I am working towards obtaining my Certified Diabetes Educator (CDE) credential (as of yesterday I have 25% of the hours I need!).

Over dinner last night, husband was asking me about my job and my span of care -- i.e. can I change insulin regimens. When I explained our policy he said, "You know you could kill someone, right?". Awesome, husband...thanks for your vote of confidence! (Side note: this is a very, very, very slim possibility at the rate at which insulin dosing is increased).

My co-worker, very much so unlike myself, would rather leave all dosing changes to the provider. Whaaaa? Aren't dietitians working towards autonomy in the medical world? We are important! We are well-educated! We are RESOURCES that ought not to be underutilized! 

Disclaimer: The above in red sounds narcissistic, but for those out there who are RD's or know the history of the battle for Medical Nutrition Therapy reimbursement, it hits very close to home. 


Don't get me wrong, I very much so know my place on the totem pole and would never abuse or over-use the "power" I have in my role. However, I think that our policy is a huge pat on the back and vote of confidence in the corner of RD's!

For those of you who are familiar with prescriptions and span of practice policies -- how do you feel about this? You can be honest, it won't hurt my feelings : )

Wednesday, November 18, 2009

Lazy potatoes, delicious soup, and a diabetes update

I've been in the kitchen ALL day. We had a holiday party for our patients (party one of two...next one Friday), and I was responsible for making chicken skewers and turkey meat balls -- both of which were delicious! I'll post the recipes with pictures on Friday. After my extensive morning meatball and skewer prep, I refused to dirty another pot and my stand mixer in order to make mashed potatoes! Heretofore, I made them in the microwave. Yep, that's right, microwave mashed potatoes. I realize this makes me lazy lazy lazy, HOWEVER...they were good! Secret ingredient: 1% buttermilk! After cooking my new potatoes (skins on!) in the microwave, I mixed them (with a hand mixer...whisks easily go into the dishwasher!) with Smart Balance Light, 1% buttermilk, an abundance of crushed garlic, and a sprinkling of salt and pepper. Mmmm!


Dinner was salmon with lemon pepper and fresh lemon juice and mashed potatoes (that portion looks HUGE...but it's about 1 cup!)


Also for dinner, I made a new recipe -- Spicy Senegalese Sweet Potato & Peanut Soup. I got this recipe from the National Peanut Board, which called for peanut oil and peanut flour. And being the lucky girl that I am, the National Peanut Board had mailed me these ingredients to try and recommend to patients.


 Thank you, National Peanut Board!! <3


 fresh ginger = a favorite!


 IF YOU WEAR CONTACTS...WEAR GLOVES WHEN CUTTING JALAPENOS!!!!!
Call me slow, but I learned the hard way...owwwwwwww!! And the hotness stays on your hands for DAYS!
Anyone else find this out the hard way? :-/

  
I have to say...
peanut oil + onion + garlic + ginger + jalapeno = Uhhhhhhhmazing scent! 
My house still smells so good!


+ sweet potatoes = SUPER Uhhhmazing!!!

 
Mmmmm!!

Oh, and the soup..the soup was delicious as well! Husband agreed that it was completely unique and had a very "gourmet" in flavor.

Spicy Senegalese Sweet Potato & Peanut Soup

1 Tbsp peanut oil
2 cups onions, peeled, diced
2 cloves garlic, chopped
1 1/2 Tbsp ginger, chopped (I doubled this!)
1 jalapeno pepper, chopped
3 cups sweet potatoes, peeled, diced
1/2 cup peanut flour
1 1/2 quarts chicken stock (low-sodium if you prefer!)
1 Tbsp brown sugar (I used the Splenda brown sugar mix)
1 Tbsp peanuts, chopped
Salt and pepper to taste

Directions
1. Heat the oil in a large sauce pan over medium-high heat. Add onion, garlic, ginger, and jalapeno, saute 2 minutes until transleucent. Add the sweet potato and cook for 15 minutes. Add peanut flout, stir to coat.
2. Add the chicken stock and bring to a summer. Simmer 30 minutes or until the vegetables are tender.
3. Transfer the vegetables to a blender and puree until smooth. Season with salt, pepper, and brown sugar.
4. Serve sprinkled with chopped peanuts.

Nutrition Information (per serving): 198 calories, 7 grams fat (1 gram saturated, 4 grams MUFA, 1.5 grams PUFA), 8 grams protein, 26 grams carbohydrates, 3 grams fiber

 And in the news...
The World Health Organization (WHO) declares diabetes is reaching epidemic proportion worldwide.
Illinois has launched an online survey entitled, "Speak Out About Diabetes" which includes questions such as, "Have you ever seen a dietitian about how to manage your diabetes?"
Hallelujah!!! Yet again, I am feeling empowered and blessed to be working in diabetes and working towards my CDE.


Question: What ONE area of nutrition interests YOU the most? Either as a nutrition provider, patient, or nutrition advocate.
Weight loss/weight management? Diabetes? Renal? Pediatrics? Nutrition support? Geriatrics? Bariatric? All-natural/organic? Sports nutrition?

P.S. I know I went a bit carb-crazy with my mashed potatoes AND sweet potato soup for supper. Ohhhh well : )

Monday, November 16, 2009

Just another day in paradise...

I had an insanely productive morning this morning. In addition to the usual morning routine (dog duty, cappuccino-making, getting ready for work, and lunch-making), I also managed to unload the dishwasher, clean the kitchen, and get dinner in the crock pot. In the midst of my cleaning frenzy, I found husband's wedding band. He was already at work. Sans his wedding band, obviously. This happens ALL the time.
See photo below. THIS is what I put on a scrap piece of paper on my way out the door: directions for him to start the crock pot at noon...and to put on his #$*& wedding band. Mennnn....


...at least he was wearing it when I got home from work today? :-/

Last night we had a favorite "convenience" dinner. I'm not really into convenience foods, but I must say...Zatarains does Jambabaya right. The calories are low (130!)...but the sodium is a bit high (540 mg)...could be worse. There's only 1 gram of fat per serving, which is also great. I just wish it came in a whole grain, low-sodium version...then, it'd be perfect!

Anyways, I add to the mix a whole chopped onion, minced garlic, 1 can of low-sodium diced tomatoes, Tabasco sauce, and either shrimp, chicken, or turkey sausage. Last night, we opted for turkey sausage.



Boot camp tonight went...well. I will DEFINITELY be sore tomorrow.
Tonight we focused on triceps with lunges and squats thrown in there. Cardio, too...running, stairs, etc. I'm really enjoying it, though...and I love that the routine is different every night!

Yesterday, my teams won both our games (THAT'S rare - woot!)...AND I scored a goal! That's probably even MORE rare ; )

A HUGE THANKS to Kay's Naturals who sent me a wonderful array of products to sample and review today. Kay's Naturals carries gluten-free cereals, crackers, chips, and snack foods. Kay's products cater to the gluten-sensitive population, as well as diabetes and bariatric patients.

 

Today I tried the Lemon Herb Protein Chips and they were DELICIOUS! I ate them on my way home from work, before boot camp. There is an abundance of flavor and crunch, I highly recommend them, especially if you enjoy a lemony taste...mmmm!

Gluten allergies are becoming more and more common it seems. Similarly, the number of gluten-free products on the market is continually growing -- some being MUCH better than others. Most larger retailers offer gluten-free cereals, crackers, breakfast bars, pastas, and chips. Thank you, Kay's Naturals for supplying such wonderful tasting, gluten-free products! I look forward to sampling and reviewing more varieties!


Question 1: Do you know anyone personally with Celiac's disease or a gluten sensitivity?



Question 2: Going back to my husband-who-forgets-his-wedding-band-all-the-time rant...what does YOUR significant other do that drives you absolutely insane?

Question 3: I'm traveling next week and looking for book suggestions...have you read any page-turners lately? Do share!


Saturday, November 7, 2009

80 degree Saturday mornings are not meant to be spent in Urgent Care!

My husband got me sick...finally. He's had bacterial bronchitis for the past 2 weeks and it's finally caught up with me. We live about 2 miles from an Urgent Care Clinic, so I headed over to get checked out this morning. Ends up, I'm a mess.


Apparently, I have a polyp in my NOSE which could explain my excessive snoring here lately (does anyone else snore?? Badly...?). I also have the standard cold with chest congestion pretty deep into my chest. For the first time, I got a cortisone shot and some beloved Z-Pack. Hopefully I'll be back to good here soon!


I thought I would take this opportunity to discuss cortisone shots as my initial thought was, "Ahh! Weight gain!" Cortisone is naturally produced by the body, so noted or adverse side effects are rare. The most common systemic side effects included elevated blood sugars (caution with diabetes), facial flushing, injection site soreness, and/or some generalized pain after injection. Doc said maybe some increased appetite, too.



Has anyone else received a cortisone shot for cold-like symptoms? 
It was my first shot I've ever received in my tushie!! 

My friend Andrea sent me this AWESOME article on loving your body and I wanted to share it with you all. Here it is:




How to end 'fat talk' and why you should love your body


So we all like working out to lose weight, maintain weight, look good and keep our tummies tight, but how many of us do it simply because it makes us feel good?

Sure it may be a happy side-effect… ya know, the endorphins and all that science that proves that exercise makes us feel better, but for most of us, it isn’t THE reason that we work out.

The more I started thinking about this, the more I realized…it SHOULD be! Why shouldn’t the main reason we work out be that it makes us feel better about ourselves? Let the fitness level and lowered body fat be the happy side-effect!

Once we start switching our focus to the positive energy that exercise brings, our increased fitness level and tighter body will come with it.

According to Heather Hausenblas, a University of Florida exercise psychologist, “people who don’t achieve workout milestones such as losing fat, gaining strength or boosting cardiovascular fitness feel just as good about their bodies as their more athletic counterparts.” Hausenblas study is published in the September issue of the Journal of Health Psychology.

“You would think that if you become more fit that you would experience greater improvements in terms of body image, but that’s not what we found,” she said. “It may be that the requirements to receive the psychological benefits of exercise, including those relating to body image, differ substantially from the physical benefits.”

The study analyzed all previous (from June 2008) studies on the wide-ranging effects of exercise on body image. From the 57 publications, the researchers found conclusively that exercise improved the way people see their bodies, regardless of the actual benefits.

“While the frequency of exercise mattered for boosting body perceptions, there were no differences for the duration, intensity, length or type of exercise, the study found.”

I find this study so interesting because it really does drive home the fact that exercise, if we allow it, will make us happy! So why is it that so many people make it such a negative thing? It’s their focus.

Too much focus on exercising to lose weight or “having to lose this last 5 pounds,” or “not wanting to be fat anymore,” or “being able to fit into skinny jeans.” Stop making it all about your looks! STOP the fat talk.

I invite you all to think about why you love your body and what makes it beautiful. Why are you thankful for your body?
START letting the reason you exercise be that you want to feel good about yourself. Not only will those endorphins start working for you, but before you know it you’ll have the body that better represents your mind-set: healthy, strong and beautiful.



Half-time is over. GO ILLINI! Resting up this afternoon...sad not to be out for a run, enjoying this GORGEOUS day! Have a wonderful Saturday!!

Friday, November 6, 2009

Morning Joe Delight!

I blame my coffee addiction on Italy.


When I was a freshmen in college, I wanted to do it all....study, class, hockey, marathoning, partying, dating....everything. There just weren't enough hours in the day, so I cut back my sleep to nearly none and relied on coffee to fuel me through my days...every day. By second semester I had decided that PROBABLY wasn't a healthy way to live (duh)...so I cut the coffee cold turkey. 


Enter: worst headaches of my LIFE x 1 week. And I was still drinking diet soda to get a caffeine fix! Scary!


I remained "sober" (hehe) for YEARS...until I went to Italy with husband. My glorious 10 weeks in Italy reignited my love for coffee, particularly espresso and cappuccino! I've expanded my arsenal to most any form of coffee, just take a look at my kitchen...



My beloved Kitchen Aid espresso machine with frother for cappuccino. Yes, I have a mini Starbucks operation running over here!



And then I have my rinky-dinky Mr. Coffee coffee pot...which I opted for this morning.



Mmmm! And does everyone else have a favorite coffee mug? 
I am blessed to have a set of 6 so I never run out!


And how about coffee's healthfulness, huh? Let's consult WebMD for some truth...


Coffee is associated with a lower risk of developing type 2 diabetes, Parkinson's disease, and colon cancer. Coffee can lift your mood and treat headaches...and lower the risk of cavities
...and the more your drink the better!


Harvard researchers found that consuming 6 or more cups of coffee daily reduced mens' risk of type 2 diabetes by 54% and womens' by 30% compared to those who don't consume coffee [1].



The article states [1]:
"Consider this: At least six studies indicate that people who drink coffee on a regular basis are up to 80% less likely to develop Parkinson's, with three showing the more they drink, the lower the risk. Other research shows that compared to not drinking coffee, at least two cups daily can translate to a 25% reduced risk of colon cancer, an 80% drop in liver cirrhosis risk, and nearly half the risk of gallstones."
 
My take....
Drink in moderation. Too much caffeine can cause insomnia, nervousness, restlessness, stomach irritation, nausea, vomiting, an increased heart rate and respirations. Large doses of caffeine can cause headache, anxiety, agitation, chest pain, and ringing in the ears.
 
Question: Do you drink coffee?? Every day? How much? What's your FAVORITE coffee drink??
 
DON'T forget to enter into my Giving Back Giveaway...just scroll down and leave a comment to enter! Drawing will take place today at 6 pm Central Time. Thanks for your support!

 A HUGE THANKS to Lindsay with the National Peanut Board. I received a most exciting package this week containing this:

Peanut oil, peanut flour, a beautiful letter, recipe cards, and patient information 
(diabetes + peanut butter = heck yeah!!!)
Thank you!!!!!!!

TGIF...enjoy it, bloggies!

[1]. Kirchheimer, Sid. Coffee: The New Health Food? WebMD.


Sunday, November 1, 2009

Thirty-ONE Days of Diabetes

I decided not to be a cop-out and to complete the full month of diabetic meal pattern eating -- thirty-ONE days versus my proposed thirty days. So, my last day, Halloween...wasn't a complete bust for being what it was: Halloween. I ended the day with something like this...


Breakfast:
1/4 cup steel cut oats, uncooked (2 carbs)
1 Tbsp brown sugar Splenda (1 carb)
coffee with 2 Tbsp sugar-free International Delight (0 carbs)
1 kiwi (1 carb)
     Total: 4 carbs


Lunch:
1 servings of Terra Chips (1 1/2 carbs)
2 Nutridel cookies (1 1/2 carbs)
1 mini Butterfinger (1 carb)
     Total: 4 carbs


Evening (between 6 and 11pm):

fajitas - chicken and shrimp and all the veggies (0 carbs) - I didn't eat any tortillas!
1/2 cup beans (1 carb)
1/2 cup rice (1 carb)
1 cup salad and salsa (0 carbs)

handful of tortilla chips with salsa and a bit of queso (1 carb)
2 beers (1 1/2 carbs)
3 fun-size Kit Kats (2 carbs)
     Total: 6 1/2 carbs


TOO MUCH! AHHH! Darn candy! So my last day and meal was my worst day and meal of all 31 days. If it is any consolation for my actions, my stomach punished me for my sugary gluttony!!!


All-in-all, diabetic dieting was not difficult...it simply required some planning and self-control at times (which I often times lacked). As a dietitian, those managing their diabetes through oral medications such Metformin, Glipizide, Actos, and Glyburide are at high risk for elevated blood sugars. While many patients want to avoid insulin at all costs, insulin therapy actually creates a greater degree of control for the patient. A sliding-scale insulin regimen allows for fluctuating carbohydrate intake (and quite a bit of it, at that!), while the oral meds are not so forgiving. This was a very rewarding experience, and also very humbling. I do feel like I have a better understanding of the difficulties of diabetic meal patterning and the effort it takes to balance meals and control portion sizes. Any clinician working with a diabetic population should consider putting themselves up to this challenge in order to better relate to their patients and provide them with the insight, empathy, and care that diabetes self-management requires.


It's been a few days since I graced the blog world with some research and I booked marked this interesting study earlier in the week. And all too appropriately, it's related to diabetes. A meta-analysis showed that meat intake is linked to diabetes. Specifically, high intake of processed meat may increase the risk of developing type-2 diabetes by get this...40%! This study was conducted in the US and Norway and included 12 cohort studies [1].

In addition to processed meats, red meat was linked to an increased risk of type-2 diabetes. And along the same lines, high intake of both processed and red meats increases one's risk of colorectal cancer up to 20% [1]. 

Since the outpouring of research against the safety of processed meats, we have drastically reduced and nearly eliminated our intake. While luncheon meat is inexpensive (relatively) and handy, the health risks is poses are not worth the convenience to me. Opt for all-natural peanut butter or almond butter sandwiches, tuna, chicken, or egg salad. Light on the mayonnaise, always! 
 
And...my team finally did it. GO ILLINI!!!!!!!!!!!!! While the season is obviously a wash, watching my team whomp yesterday gave me goosebumps of excitement! SO happy for them!


This morning in our living was a picture epitomizing fall (at least to me)....

Puppy laying on a warm bed in front of the fire...chewing on an old-fashioned oats container!


I used the last of the old-fashioned oats in making my new FAVORITE breakfast (ever?)...



YUMMMM!!!

Happy November 1st! Enjoy a beautiful Sunday. Lily and I are off to go crazy at the dog park! Ciao!

[1]. Daniells, Stephen. Meat Linked to Increased Diabetes Risk: Meta-Analysis. Food Navigator. October 28, 2009.

Friday, October 30, 2009

It's 5 o'clock somewhere!


I have a little routine on Friday afternoons after a busy work week: a beer.



MSNBC published an article on Tuesday entitled, "Is it beer-flavored water or water-flavored beer?" In recent years there have been efforts made in creating a lighter beer which is lighter in calories. Most standard beers have approximately 150 calories and are 5% alcohol by volume while domestic light beers contain approximately 100 calories and 4% alcohol by volume [1].


Miller came out with MGD 64 as of somewhat recently, a 64-calorie beer for a standard 12-ounce serving. And most recently, Anheuser-Busch InBev's Select 55 hit the market -- a 55-calorie beer for a standard 12-ounce serving. Both beers contain approximately 3% alcohol by volume [1].


While I have tried MGD 64, I am yet to try Select 55. MGD was acceptable, not great. Personally, I drink because I LOVE the taste of both beer and wine. So while producers are creating these low-calorie beers, I can't help but wonder, what population are they catering to?


Most people drinking beer are doing so for one of several reasons:
1. Because they like the taste of beer and probably will drink what they prefer, in which case they will probably prefer a beer with average to above average flavor.

2. To get a buzz or to get drunk, in which case a 3% alcohol beer by volume would not assist them in their goal.
3. To be social and have a drink with friends or family, in which case a lower-calorie and less flavorful beer would be acceptable. HOWEVER, those who are extremely health conscious or watching their weight would probably opt NOT to consume calories by means of alcohol.


What do you think? As the article goes on to explain, the population of consumers desiring lower calorie, lower alcohol content beer is marginal at best. Interesting, anyways. At least it's an option for consumers who would opt for a Select 55 or MGD 64 over a regular beer just because.

Yesterday's diabetic diet went like so...


Breakfast:
2 whole wheat waffles (2 carbs)
2 Tbsp peanut butter (0 carbs)
1 banana (2 carbs)
     Total: 4 carbs


Lunch:
tuna salad wrap in a spinach tortilla with tomatoes and lettuce (2 carbs)
1 serving baby carrots (0 carbs)
cucumber slices (0 carbs)
6 ounce fat-free Greek yogurt (1 carb)
     Total: 3 carbs


Dinner:
1 cup spaghetti squash (2 carbs)
2 Tbsp pine nuts (0 carbs)
1/2 cup marinara (1 carb)
4 ounces of broiled tilapia (0 carbs)
     Total: 3 carbs


Snack:
1 cup skim milk (1 carb)
1 sheet of graham crackers (1 carb)
     Total: 2 carbs

No real plans for the weekend. Husband is headed out of town so it's just the puppy and I. I'm planning to get in a few good workouts and catch up on sleep...as much as the puppy will allow, anyways. Have a wonderful start to your weekend!



[1]. Associated Press. Is It Beer-Flavored Water or Water-Flavored Beer? MSNBC. October 27, 2009.

Wednesday, October 28, 2009

Butternut Squash Sauce...B12 & Weight Loss...Dental Health and Halloween...National Peanut Board

Happy Hump Day! I can't decide what I want to blog about today, so I am blogging about 4 completely unrelated things: Butternut Squash Sauce, B12 and weight loss, the best Halloween candy to consume to preserve your dental health, and blog post recognition from the National Peanut Board. And of course, my diabetic diet from yesterday (2 days to go!). So, here we go...


Last night I decided to make a modified version of a Butternut Squash Sauce recipe I ran across while perusing the Weight Watchers recipe board.




First I peeled and seeded one large butternut squash. I cubed the squash and simmered it for about 30 minutes in 1 1/2 cups low-sodium chicken stock with 6 cloves of crushed garlic, fresh ground pepper, and 1/4 cup white balsamic vinegar. I added about 2/3 cup fresh chopped basil leaves about 20 minutes into the cooking process.





 
While my squash was simmering, I enjoyed a DELICIOUS (best beer ever??) Southampton Pumpkin Ale. YUMMMYYY!!!



 
Once my squash was nice and tender, I blended it into a thick paste.



I added the Butternut Squash Sauce to some whole wheat tube noodles. I topped the dish off with goat cheese crumbles and pine nuts (not pictured).


Question: Does this sound or look appetizing to you? My dear, dear husband ate this creation, Lord love him. The taste and flavors were WONDERFUL, but the consistency was that of baby food. What should I do differently next time?


In other news...B12 injections and weight loss. I feel the need to address this because I see SO many patients who hear that B12 injections will induce weight loss. This is COMPLETELY FALSE. Here's what Mayo Clinic has to say about B12 and weight loss...

Question: Vitamin B-12 injections for weight loss: Do they work?

Answer from Katherine Zeratsky, R.D., L.D.

There's no evidence that vitamin B-12 in any form — including vitamin B-12 injections — enhances weight loss. One study published in 2005 suggested that people who took a number of different supplements, including vitamin B-12, gained weight more slowly over a 10-year period than did those who took no supplements. However, many factors must be considered when interpreting the study results, including the fact that people who take dietary supplements tend to be more health conscious — which may contribute to better weight management. 

If you're hoping to lose weight, resist the lure of quick and easy solutions. What counts is a healthy lifestyle. Enjoy healthier foods and include physical activity in your daily routine.

Verdict from this RD: "If it sounds too good to be true, chances are it is!"

And...dental health for Halloween candy?

As an avid Julie Deardorff reader, I was happy to see this article in the Chicago Tribune today featuring the best and worst candy for your TEETH! New research is showing that the first line of defense in preventing cavities is xylitol-containing candies and gums. So, the low down on candy....

BAD ENOUGH
(Examples: Pixy Stix, Sweet Tarts)
Trick: Yes, Pixy Stix are a sack of sugar. But if poured directly on the tongue, it won’t touch teeth, leaving nothing for cavity-causing bacteria to feed on. Powdery candy also dissolves quickly, before bacteria can cause damage.

Why this scares dentists: There is no such thing as “best” candy for teeth.

BAD BAD
(Examples: Hershey’s Kisses, M&M’s)
Trick: Chocolate, which won’t stick to teeth for long periods of time, contains calcium, which could help protect tooth enamel. Research shows dark chocolate with at least 65 percent cocoa content is a potent antioxidant. Still, moderation and timing are important. “It’s better to eat four chocolates at one time rather than having one chocolate every three to four hours,” said Dr. Girish Herekar, a dental expert for justanswer.com.

Why this scares dentists: At room temperature, chocolate clings to tooth enamel. When it melts, it sinks into the crevices of teeth. Try freezing it to make it better for your teeth.

AHHH! BAD BAD BAD BAD BAD!
(Examples: Snickers, Almond Joy, Twix)
Trick: Caramel, nougat and other fillings add sugar, which may erase chocolate’s benefits.

Why this scares dentists:  Candy with fruit or nuts is “sticky and can get caught in the pits and grooves of teeth, causing decay,” said Dr. Julie Barna, a spokeswoman for the Academy of General Dentistry.

DON'T DO IT!!!!!!!!!!!!!!
(Examples: jelly beans, candy corn, Dots, Tootsie Roll, Skittles)
Trick: It takes longer to eat, so you may eat less. But the higher the melting temperature something has, the worse it is for teeth.

Why this scares dentists: “If a 5-year-old ate an orange jelly bean and didn’t brush, I could look three hours later and still see orange in the grooves of his teeth,” Weinstein said. “Sticky, chewy candies linger there for hours and can create a higher acid content, which allows the bacteria to feast.”

 Question: What's YOUR favorite Halloween candy? I'm a Twix and Butterfinger fan. Almond Joy, too. Oops! Ironic - I scheduled my dentist appointment TODAY.


And lastly, I received an AWESOME email from the National Peanut Board today! The email read:


Dear Nicole,

I want to thank you for posting the Q&A on peanut butter. It’s always great to hear a dietitian’s point of view on the healthful benefits of peanuts and peanut butter. The charts you provided were also wonderful. I will keep them on hand for future reference. I enjoyed your post so much I posted the link on my company’s, the National Peanut Board, Facebook fan page. You can check it out here: http://www.facebook.com/pages/National-Peanut-Board/63476447613#/pages/National-Peanut-Board/63476447613

I would like to send you some nutritional information on peanuts and peanut butter and some peanut flour. Peanut flour is an emerging product from the peanut industry and is different from peanuts and peanut butter. In order to make the flour, fat must be removed during the process, making it a lower fat product that still contains all the protein and nutrients peanuts have. It can be used in many cooking applications from baking to soups, sauces, desserts and beverages. If you would like to try some please send me your address and I will ship it out to you.

Thank you again for the post!

All the best,
Lindsay Spencer  

Lindsay Spencer
Communications Coordinator | National Peanut Board

Tel | (678) 424-5753
Fax | (678) 424-5751
­­­­_______________________________________________

I, of course, happily responded with my address. What a cool email to receive, huh? I've also asked Jenny of PB & Jenny to write a guest post on peanut butter. We'll see what she comes up with for us! Check out her blog, it's fun!

As for my diabetic diet yesterday, it went something like this...


Breakfast:

1 serving mini shredded wheat (3 carbs)
1 cup skim milk (1 carb) 
     Total: 4 carbs


Lunch:
2 cups chicken noodle soup (1 carb)
6 ounces fat-free Greek yogurt (1 1/2 carbs)
1 small apple (1 carb)
     Total: 3 1/2 carbs

Dinner (it was totally a random meal...)

1 chicken enchilada with black beans, chicken, 2% shredded cheese, and enchilada sauce (2 carbs)
1/3 cup whole wheat pasta (1 carb)
3 Tbsp Butternut Squash Sauce (<1 carb)
     Total: 3.25 carbs


Snack: 
1 graham cracker (1 carb)
1 Tbsp peanut butter (0 carbs)


Side note: Today was taste test #6 or 7 at work -- Buffalo Chicken Lasagna and it was a HUGE hit! I had the most participants to date -- 15!!! :)


Long...post...sorry...!!!