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

Wednesday, June 1, 2011

Southwestern Steak Salad with Salsa-Spiked Dressing

Yields 4 servings
         Ingredients
1 lb. flank steak
½ tsp ground cinnamon
½ tsp mild chili powder
¼ tsp salt
Nonstick cooking spray
½ red onion, diced
½ lb. mixed greens (about 6 cups)
½ cup cilantro leaves, chopped
1 can (15-oz.) black beans, drained, well-rinsed
1 green or red bell pepper, seeded, diced
Dressing
½ cup tomato salsa
2 Tbsp fresh lime juice
1 Tbsp cumin powder
1 Tbsp olive oil
¼ tsp freshly ground pepper
    
      Directions
Preheat the oven to 400ºF. Sprinkle the flank steak with cinnamon, chili powder and salt. Heat a large skillet over high heat. Coat with a thin layer of cooking spray. Place the steak in the skillet and reduce the heat to medium. Cook 2 to 3 minutes, turning once until the steak is lightly browned on both sides. Transfer to the oven and cook 12 minutes for medium rare, 15 to 17 minutes for medium. Transfer to a cutting board.
Place the greens, black beans, pepper, onion and cilantro in a large bowl.
Prepare the dressing: Place the salsa, lime juice, cumin, olive oil and black pepper in a small bowl and whisk until combined. Drizzle over the greens and toss until the greens are coated. Transfer the salad to a large platter.
Thinly slice the steak and transfer to platter. Serve immediately.
Nutritional Facts (per servings): calories 330, fat
13 g (sat. fat 4 g), cholesterol 53 mg, protein 31
g, carbohydrates 26 g, fiber 8 g, sodium 620 mg,
sugars 48 g

This recipe is from www.guide2diabetes.com

Insulin Time

Last week, or maybe the week before, I went to my doctor for a physical needed for the adoption process. She checked my blood sugar. I had just eaten a granola bar. I didn't think with only 12 grams of sugar they would cause a problem with my blood sugar, wow was I wrong.
I admit I haven't checked my blood sugar in a long long time. I kept procrastinating ordering a new meter. I had finally ordered a new meter and supplies the week before I went to the doctor, and it arrived, thankfully, just a few days after my appointment. What I haven't told you yet is how high my blood sugar was at the doctor's office. My doctor asked her nurse to check my blood sugar with their meter and it was 264! My doctor also ordered blood tests. A few days later the nurse called to tell me my blood sugar was out of control and my doctor feels it is time for me to start insulin. INSULIN!
The nurse scheduled me for an appointment with the specialist, I go next week. I am still scared but I have been doing some research. (of course, I have!)
One of the most important things I learned was actually from a diabetes magazine I had brought home from the doctor's office. The magazine is called "Guide to Diabetes". The website is www.guide2diabetes.com. The article to which I am referring is a real life story "Insulin has been a blessing". One thing that helped me stop beating myself up about the granola bars is this quote "I thought taking insulin means you have failed, you didn't do a good job of managing diabetes, and it meant you were near the end". Further "As type 2 diabetes progresses over time, the pancreas produces less insulin even when you are doing everything right to control your sugar levels. Many people with type 2 diabetes will probably need some form of insulin replacement after eight to 10 years, says Luigi Meneghini, MD. MBA, director of the Eleanor and Joseph Kosow Diabetes Treatment Center at the Diabetes Research Institute in Miami".
I'm not pushing off the blame. I need to lose weight, and thanks to well I don't know which of the new medications I'm on that has caused my appetite to disappear, but I'm grateful. I'm watching my carbs especially. For instance, we had a Memorial Day barbecue. I had 1/2 a hamburger bun, a hamburger, and a bratwurst. I didn't eat any veg but I didn't eat any chips either. Tonight we went to Steak & Shake before our parenting class. Instead of a double steakburger with a full order of fries and a shake. I had a single steakburger, I cut the meat and bun in half and doubled the meat using just 1/2 the bun, ate 1/3 order of fries and had coke zero. Later for a snack I ate 1 chocolate chip cookie made with splenda and semisweet chocolate chips (and pecans), and a few raw carrot sticks. I am down 11 pounds so far! 11!! I admit I have been feeling a little weak and shaky, but this is possibly due to my blood sugar. A fasting blood sugar is still 130, way too high. I'm hoping once I start using insulin I will feel better and maybe even start walking the dog a little further each day again. Although June is not the time to start long walks in Florida!!! In the coming week I will receive a blood sugar / food journal in the mail from the manufacturer of my new glucose meter. I'm hoping to start keeping track of my meals, and sugar levels too.

Wednesday, August 11, 2010

50 Fabulous Food and Recipe Links For Diabetics

A reader named Bobbie sent me a link to this article. I haven't had time yet to really delve into it, but I thought I would share anyway, it looks like there is a wealth of information.


As a nurse, you will definitely encounter patients with diabetes. In fact, according to the American Diabetes Association, over 23 million people in the United States have been diagnosed with diabetes. This doesn’t count all the people who haven’t been diagnosed or who are at risk for diabetes. Diabetics need special guidance when it comes to diet and nutrition. Luckily, the Internet has made it easy for diabetics to access healthy, delicious recipes as well as learn about their condition and the way they should eat. Here are 50 fabulous food and recipe links we’ve found around the ‘Net:
Diet and Nutrition Infromation
These websites provide general information on a proper diabetic diet. Learn about different types of diet plans that diabetics use to manage their sugar intake.
    1. Januvia : Merck’s Januvia website has good tips about healthy food for managing diabetes, as well as a recipe tool and favorite food analyzer. Free registration required to access some tools. 2. Simple Wins: Nutrition : The Bayer website has nutrition tips, healthy cooking videos, and other good resources for diabetics. 3. Tudiabetes.org : Tudiabetes.org is a great resource for anyone with diabetes, combining the wisdom of a large group of diabetics with excellent articles. 4. ADA: Food & Fitness : Learn about proper nutrition for diabetics on this website of the American Diabetes Association. 5. MedlinePlus: Diabetic Diet : Medline Plus’ website gives simple, easy-to-understand information about the proper diet for a diabetic person to follow. 6. X-Plain: Diabetic Meal Planning : The X-Plain interactive tutorial gives you tools and information on planning healthy meals. 7. Accu-Chek Connect : This page provides supportive information for diabetics who feel they need help with their eating habits. 8. MayoClinic.com: Reading Food Labels : This helpful article tell diabetics how they should read food labels in order to make the right choices. 9. Reader’s Digest: 10 Super Foods : This attractive slideshow features 10 foods that diabetics should incorporate into their daily diets. 10. BD: Fast Food Guide : BD Medical Supplies offers this extremely helpful guide to your favorite fast food restaurants from a nutritional perspective, so you can see just what you’re getting into. 11. Foodpicker.org : Foodpicker.org follows the guidelines of the American Diabetes Association in order to help diabetics make better food choices. 12. Buffet Tips For Diabetics : The National Institutes of Health offers this article to help people make the right choices when offers with a whole buffet of options. 13. Joslin Diabetes Center : The Joslin Diabetes Center offers great tips on keeping portions controlled, as well as other healthy eating strategies. 14. Joslin Diabetes Center: The ABC’s of Sugar Substitutes : With all the sugar substitutes available on the market, it’s easy to get confused. This article compares sugar alcohols and artificial sweeteners. 15. Mayo Clinic: Exchange Lists : Learn how diabetic food exchange lists work to help you stay on the right track with your eating plan. 16. Ready, Set, Start Counting! : An easy-to-read guide that teaches patients how to count carbohydrates in a healthy diabetic diet. 17. Diabetes Fact Sheet For Child Nutrition Professionals : This article provides guidelines for food service workers who work with children that may be diabetic. 18. MyFoodAdvisor : The American Diabetes Association provides this excellent website with tracking tools, recipe finders 19. WebMD: Diabetes Center : Learn all about the basics of a healthy diet for someone with diabetes. 20. The Exchange List System for Diabetic Meal Planning : The University of Arkansas Family and Consumer Sciences department provides this helpful guide to using exchanges for nutritional management of diabetes. 21. The Idaho Plate Method : The Idaho Plate Method is used to help teach diabetics about proper portion control and correct nutrition. 22. The DASH Plan : The DASH Plan is designed to help people who have hypertension, or high blood pressure. 23. Treatments For Hypoglycemia : This web page gives examples of foods and quantities of food you should eat if your blood sugars get too low. 24. Eating Healthy On A Budget : This page gives you simple strategies for planning your meals without spending too much money on food. 25. Fruits And Veggies Matter : The CDC’s website encourages people to eat their fruits and vegetables for better health.
Recipes For Diabetics
These links will give you access to thousands upon thousands of recipes for diabetics. Some websites rely on user-generated content, so the nutritional information may not be exact.
    26. Top 20 Diabetic Recipes : Allrecipes.com is the favorite website for millions of home cooks. On this page, view the 20 most popular diabetic-friendly recipes that have been submitted by home cooks. 27. Recipes From MyFoodAdvisor : This link features recipes searchable by calorie content, carbs, fat, and other nutritional data. 28. Diabetic Gourmet : Diabetic Gourmet Magazine has literally thousands of diabetes-inspired recipes in every category from appetizers to desserts–even breads! 29. MayoClinic.com Diabetes Meal Plan : Delicious recipes featured on the Mayo Clinic website included chipotle-spiced shrimp and almond-apricot biscotti. 30. dLife : dLife has a selection of hundreds of “diabetic-approved” recipes that you can search by carb content, main ingredient, course, and other options. 31. Type 2 Diabetes Guide on About.com : The Type 2 Diabetes Guide on About.com has links to several different recipes for your enjoyment. 32. Diabetic Living : Diabetic Living, part of the Better Homes and Gardens network, is a site that includes many tips for healthy eating and recipes that sacrifice added sugar without losing flavor. 33. Bob’s Diabetic Recipes By Category : Bob’s website may not be pretty, but it sure has a lot of diabetic recipes! 34. Dave’s Garden : Dave’s Garden is a recipe site that has 72 user-submitted diabetes-appropriate recipes. 35. Diabetic Recipes : Over 800 diabetic-friendly recipes are included on this website, including menus for special occasions and foods that kids will love. 36. Kraft Good Eating, Good Living : This free website from Kraft gives registered users access to recipes tested by Kraft nutrition experts as well as money-saving coupons and recipe videos. 37. Meals For You : Meals For You has been providing over 6,000 nutritionally based recipes online since 1996. You can search meals by several different categories and view nutrition data for each one. 38. NewWellness: Crock Pot Recipes : This website has many diabetic-friendly recipes that feature a slow cooker. This way you can start dinner in the morning and have it finished when you get home from work. 39. CookEatShare : CookEatShare has over 1000 recipes for people with diabetes. Watch cooking videos and share your favorites. 40. EatingWell : EatingWell emphasizes the fact that diabetics don’t have to exclude certain food and they don’t have to sacrifice taste. By eating fresh, wholesome ingredients, they can eat healthy and feel indulgent. 41. ADA: Recipes : Access many delicious recipes that are sure to keep you eating right on the ADA website. 42. Food.com : At Food.com, you can find over 9,000 recipes that have been tagged “diabetic” by users. These have not all been reviewed by a dietician, so they are not guaranteed to be low glycemic. 43. ChildrenWithDiabetes.com : Cooking for kids can be hard in and of itself, but when you have to please a diabetic child, it can be even more difficult. 44. RecipeSource : RecipeSource has a wide variety of recipes for diabetics, over 700, in fact. Search by keyword to find your favorites. 45. Easy Diabetic Recipes : This page has a lot of advertisements, but it also has links to many recipes for diabetics as well as photos of the food. 46. Tasty Recipes For People With Diabetes and Their Families : This 31-page free eBook from the National Institutes of Health is jam-packed with healthy recipes, many with a Latin flair. 47. Recipe Trove: Diabetic : Recipe Trove features three decadent desserts that diabetics can enjoy in moderation. 48. Cooks Recipes : Cooks Recipes features over 100 recipes for low-sugar and low-carb breads and muffins on their website. 49. Dreamfields Pasta : Dreamfields Pasta has resources for pasta dishes that diabetics can safely enjoy. 50. OpenSource Food: Diabetes Diet : This website features good links to diabetic recipes as well as tips for diabetics who are trying to eat healthier.

Sunday, June 27, 2010

How to Cope with Sudden Illness or Disability by Martina Roe: Part 2 & 3 of 6

2. You are not alone – make most of all help and support groups
Sometimes I take a lady from the neighbourhood shopping with me. Like me she has health problems, some of them are similar to mine.I truly enjoy talking to her.
We can complain to each other about our problems, we can learn from each other how we deal with our ailments, what remedies alleviate our symptoms or which alternative therapies are helpful. We share a common problem and I know she will not be bored. We can put ourselves into each other’s shoes easily. But I know that the rest of the world including my family will not understand or be interested in what I am going through. I have therefore learnt not to bring up the subject of my illness in front of others.
This might be difficult because you might want to share your problems with your friends but you do not want to bore them with it. It’s therefore better to think of matters, which are more cheerful and positive. Or just listening to your friends will do the trick - people just love to talk and will appreciate that you listen. At the end of the day if you recount to people how hard life is treating you, they will only tell you how much harder their life is.
Rarely might you come across somebody who understands and will be willing to listen to you but apart from these rare individuals you have to find those who will like to share their own problems with you. I have a friend who has health problems but never mentioned them in front of me. As soon as I let her know that I became ill she suddenly flooded me with e-mails, how she herself was not well and how she coped with it. Her normal messages of a few lines suddenly turned into long pages. She knew I would understand and that I would not be bored.
I first thought that there was nobody else who had to suffer in the same way as I do. It was only when I got to know my friend with similar health problems, I realised, I was not alone. I learnt there were others who had to endure similar difficulties. Sometimes they manage to cope well; other times they find it harder to cope. But they can be there to support each other.
It is therefore only to your advantage to join support groups and be there for each other learning from your strength. I know of people who complain of such groups not seeing any point in them. They argue that at the end of the day they still have to come to their own homes, being unable to pay for all their bills and having to cope on their own. Support groups will naturally not solve all people’s problems, but they can help people overcome some of the unpleasant sides of life.
It is important to appreciate all the help of the professionals who organise these support groups and put people in contact. You can either ignore them or make most of them. The choice is yours. When I was coming to terms with my new situation I was given a contact of a woman’s group. When I looked at the details I could see that this group was intended for women with mental health problems. Even though I was depressed I was not suffering from long-term mental health problems. I therefore ignored this particular group. Your own family members might sometimes not approve of you joining such groups. They might feel that you will just become absorbed with your illness thinking of nothing else and making yourself even more ill by analysing what you suffer or not suffer from. Do not look for your relatives’ approval. Instead decide what works best for you. Like with everything else in life take the middle route, do not go into extremes. Enjoy the support of your like-minded friends but only to enrich your life. Do not get stuck in complaints about your misfortune.Surround yourself with people with whom you feel great, avoid people who are distracting you from achieving your goal.
Try to be yourself; do not listen to criticisms of other people. And do not compare yourself to celebrities who look ‘perfect’. They only look perfect in magazines but they have real problems of their own.
You are not on your own, there are others with similar problems you can join forces with
Use the support of others in similar position like yours to enrich each other’s lives
Use the middle route; it is OK to complain about your position in the short term, in the long-term concentrate on the positive.
Feeling sorry for yourself will take you nowhere.

3. Nurture yourself
I have a question for you to which I would like you to give me a sincere answer.
Who is the most precious person in your life, who do you value most? Give it a thought before you read on.
Your partner, your child or perhaps your parent? Was this your possible answer?
I am sure all these people mean a lot to you otherwise you would not be naming them. But there might be times when even they can let you down.The only person you can always trust is you.I know it sounds funny but you will always be in your own company. You can either cheer yourself up or make yourself miserable. But first of all you need to take care of yourself and make sure that you can keep yourself as healthy as possible.
Naturally you cannot cure your illness or disability but you can learn how to live your live to the best - that is how to relieve your symptoms in the best possible way.
There is so much you can do to help yourself feel better. We are all different and not every remedy or therapy will help everybody with the same health problem. Take for example allergies – they all work on the same principle when the body starts to defend itself against substances which are normally not harmful, yet the symptoms can be so different ranging from runny nose, itchy or weepy eyes, sneezing, rushes, eczema and digestive problems to name the few. It is therefore understandable that some remedies will work for some but not for others. A lot of people have said they tried so many remedies or therapies and nothing ever worked. Some therapies take longer to kick in and it is important to be patient and observe the changes, which are happening to your body. Often the most effective self-help techniques are the easiest ones. Think for example of the time when you try to imagine throwing all your negative thoughts and all your pain into the bin and getting rid of them. This is known as a visualisation technique and you can imagine almost anything you wish; you can let your imagination work. Imagine yourself being strong, as a leader, as someone who can make it to the top of the mountain. Or think of yourself lying on the beach, sunbathing and the sun’s energy travelling into each part of your body making you feel warm and energised. You might be amazed that by imagining it you can actually get all the benefits of it happening in real life. You could also consider autogenic training, where you will learn to relax and it might even help you go to sleep if you are experiencing problems with your sleep.
Try and find something that you enjoy, develop an interest or a hobby. You might enjoy a good story or just a cup of tea can be nicely spent just on your own. It is much easier to work hard at achieving something for which others will say well done. It is much harder accepting that because of your illness nobody will say well done for something you really wanted to achieve but could not. Nobody will praise you for coping with your illness so say it yourself each day.
“Well done for coping so well.”
Praise yourself for any little achievement of the day no matter how small. If it helps put your favourite poem on the wall or any positive quotes to remind you every time you pass that place?
Were you more positive today than yesterday? Then I would like to congratulate you. I send praise to all of you.
Learn how to exercise can help you. The problem with exercise when you are ill is that you do not feel like it because you experience too much pain, stiffness or lack of energy. But it is often exercising that helps to alleviate stiffness or muscular pain. It is important to find the right exercise for you, gentle exercise is more appropriate than anything vigorous and the rules are little and often. Be persistent; do not expect any immediate results immediately. Likewise it is important that you follow a healthy diet. You should certainly not be embarking on any drastic diets to lose weight. Some of the diets to lose weight can actually cause havoc to your health. Very often people who lose weight after dieting gain it back sooner or later. This is actually more dangerous to your health than maintaining the same weight at all times; the body has to deal with the skin constantly expanding and shrinking when people lose and gain weight too often. It is important to eat regularly. Small portions more often are healthier than big portions less frequently. It is crucial that all the food groups (carbohydrates, fats and proteins) are included in your diet.In this respect please note that diets, which only involve one of the food groups, can be very dangerous for your health. And naturally always consult your GP if you want to embark on any new diet plan.
It is important to realise that you are the person who matters most
Make yourself comfortable and do something you enjoy each day
Praise yourself for all your little achievements
Follow a healthy, well balanced diet and if possible try to do light exercise each day.

**I want to note there is something I do that often helps me sleep. This may sound silly but if I am in pain and trying to sleep I tried to find a spot on my body that does not hurt , even if it's my knee or just my ear, and concentrate on thinking of that body part. I visualize it. Give it a try, what can it hurt? (pun intended)

Saturday, June 26, 2010

Sour Cream Blueberry Scones from Marlene Koch

I saw a picture of these and had to share, man do they look delicious!!!



Sour Cream Blueberry Biscuits
For a bit more fiber I make these you can replace 1 cup of the all purpose flour with white whole wheat flour or to make them extra light replace 1 cup of the all purpose flour with 1 cup plus 2 tablespoons cake flour. As with all biscuits it is important that once you add the milk to the flour mix that you do not overwork the dough or your biscuits will not be tender.
 
To make them quicker and eliminate re-rolling scraps of dough (as when making traditional round biscuits),  pat the dough into a 12x4-inch rectangle, cut in half vertically, and then across five times to make 12 2x2-inch biscuits. Bake as directed.
 
2 cups all-purpose flour
1 tablespoon baking powder
1/4 teaspoon baking soda
1/3 cup Splenda granulated (or sugar if you prefer)*
1 teaspoon orange zest (rind of 1 orange)
3 tablespoons shortening
1 cup fresh blueberries, rinsed and drained
½ cup light sour cream
3/4 cup 1% milk
 
1 large egg white, beaten
2 teaspoons granulated sugar
 
1. Preheat oven to 400 F. Coat a baking sheet with nonstick baking spray.
2. In a large mixing bowl combine the flours, baking powder, baking soda, Splenda and orange zest.
3. Cut in the shortening with your hands, the tines of a fork, or a pastry knife. It is well blended when the mixture is a crumbly cornmeal like consistency. In a small bowl combine sour cream and milk. Add to flour mixture. With a spatula or wooden spoon mix just until ingredients are just moistened and form into a ball (dough will be a bit sticky).
4. Dust counter top with flour. Gently press down on dough and roll out to a ½ inch thickness. Using a 2 1/2" round biscuit cutter cut 12 biscuits. Place biscuits on a baking sheet. Brush tops with egg white and sprinkle lightly with sugar.
5. Bake for 13 - 15 minutes until tops are shiny and golden brown. Transfer to a wire rack to cool slightly before serving.

Monday, June 21, 2010

Healthy Snacks for Diabetics

Choose low in fat, low in calories:

lowfat or no sugar ice cream or yogurt
lowfat low sugar pudding
sugar free popsicles
sugar free jello
fruit with cool whip
low fat cookies like vanilla wafers, graham crackers
baked chips
pickles
raw veggies, low fat dip, salsa, low fat cream cheese

Michele's favorite veggie dip

2 cups plain yogurt
1 package dry vegetable soup mix
2 tbsp mayonnaise

Mix well, let refrigerate overnight to rehydrate the vegetables in the soup mix.

Friday, June 18, 2010

Beef Satay with Peanut Dipping Sauce

I'm really excited to try this Indonesian favorite. Satay is usually served as an appetizer or main course both accompanied by a spicy peanut sauce.
If you freeze the steak slightly this will make slicing the meat easier. I use this trick a lot with bacon.
I think I will serve this with a jasmine or basmatic rice and a salad, if you have any other side dish ideas for this let me know.
Makes 8 skewers, 4 servings, and contains 9 carbs per serving.

Beef Satay with Peanut Dipping Sauce


Marinade:
3 tbsp rice wine vinegar
2 tbsp light soy sauce
1 tbsp fresh lime juice
1 tbsp grated onion
1 tbsp peanut oil
1 tsp dark sesame oil
1 tsp sugar
2 large cloves garlic, minced
1/2 tsp crushed red pepper flakes

4 large green onions with green tops, cut into 1" lengths.
1/3 c fat free evaporated milk
2 tbsp peanut butter
1/4 tsp crushed red pepper flakes (optional)
bamboo skewers

Cut the meat into 1/8 to 1/4 " strips (they should look like ribbons of beef). Place in a plastic bag. Combine all the marinade ingredients in a medium bowl. Add to the bag. Squeeze the air out of the bag and refrigerate 1 to 2 hours, flipping once. Soak bamboo skewers in cold water while  the meat is marinating.
Preheat the broiler. Drain the marinade into a small saoucepan. Thread the meat accordion style onto 8 skewers, althernating the meat strips with lengths of green onions. Broil 4 - 5 inches from the heat about 3 minutes per side, or just until the meat is no longer pink, turning once. While the meat is cooking add the milk, peanut butter, and additional pepper flakes to the reserved marinade. Simmer over low heat until thickened, stirring frequently; do not boil. Serve the peanut sauce in a small bowl for dipping the beef.

Diabetes Food Pyramid

I found this food pyramid for diabetics. I am not sure how people are really supposed to eat this much food in a day, but this is what is recommended thus I will share.

Breads, grains, other starches: contains high content of carbs, B vitamins, fiber, minerals. Ie: bread, pasta, cereal, corn, beans, peas     5-8 servings per day

Vegetables: 1/2 cup cooked or 1 cup raw = 1 serving. Contains: vitamins, minerals, very little carbs. Ie: broccoli, spinach, tomatoes, salad greens.     2-5 servings a day

Fruit: 3 - 4 ounce portions, or up to 5 grams of carbohydrates per serving. Contains: vitamins, minerals, small amount of carbs. Ie: apples, oranges, peaches, pears, melons. 2-4 servings per day

Dairy: 8 ounce servings. Contains carbs (lactose, milk sugar), calcium, minerals, vitamin D, protein.Ie: milk, soy milk, yogurt, ice cream. 2-3 servings a day

Meat: 1 ounce servings. Protein, iron, vitamins, minerals. Ie: beef, poultry, pork, fish, cheese. 8-12 ounces a day

Fats, oils, sweets: contains fats. Ie: butter, vegetable oil, sour cream. Use sparingly.

Diabetes Food Pyramid

Thursday, June 17, 2010

Mushroom & Bacon Risotto Recipe

Before I share this recipe I want to remind you of something I am learning myself. Risotto for us diabetics should be a side dish served with protein and vegetables. I like to pair it with a leafy salad and some lean center cut pork chops simply sautéed in olive oil with salt and pepper.

2 1/4 C low sodium chicken broth
1 c chopped mushrooms (I like the gourmet mushroom blend available at Publix, or baby bella mushrooms, but you can also use regular mushrooms)
3-4 slices pancetta or regular bacon, chopped and browned
1 tbsp olive oil
1 clove garlic, minced
3/4 c uncooked arborrio rice
1/4 c dry white wine (optional)
1/2 c freshly grated parmesan cheese
1/2 c heavy cream

Heat oil in a large skillet over medium heat. Saute the onion & garlic until tender, about 5 mins. Add the wine & simmer until absorbed by the rice. Add the broth 1/2 c at a time, maintaining a simmer so the rice absorbs the broth slowly. After 15 mins add the bacon and mushrooms. Cook another 5 minutes or until rice is tender. Add cream and parmesan, stir and heat through.

Wednesday, June 16, 2010

Cucumber, Sweet Onion, and Pomegranate Salad

A few years ago I was lucky enough to attend a luncheon cooked by the fabulous Food Network star Cat Cora. I have made this salad a few times, or just the dressing alone with my own salad blend (I tend to favor fruit and nuts in my salads), and everyone always loves it.


Cucumber, Sweet Onion, and Pomegranate Salad
1 large cucumber, cut into 1/4 inch slices
1 small Vidalia sweet onion, peeled, halved, and sliced thinly into half moons
2 tbsp torn mint leaves
2 tbsp pomegranate seeds
1/2 c pomegranate vinaigrette (see recipe below)

To prepare the salad toss all the ingredients together in a large bowl and drizzle with the vinaigrette. Toss once more and serve.
Cat's recipe doesn't call for lettuce of any kind but I use a spring salad mix with this.

Pomegranate Vinaigrette
1 C pomegranate juice (I use POM brand, you can make some with the leftover pomegranate seeds if you are ambitious, put them in the blender, then strain)
1/2 c olive oil
1/2 c red wine vinegar
1 shallot, minced
1 tsp salt
1 tsp sugar
1 tsp fresh squeezed lemon juice

Whisk together all ingredients in a medium blowl and refrigerate until ready to use. 

Carb Counting

Last week I started to see a new doctor here in Largo (by the way we moved!). The first thing she did was order blood tests to check my blood sugar and thyroid levels, when the results came back my glucose was high, 139 fasting! A rate which should ideally be 99. Now you probably think I've been sitting here eating a pint of Ben & Jerry's every night or a bag of bite size snickers, I wish! No what I have been doing is eating a lot of carbs. Let's face it, moving cost around $2500 which leaves us flat broke. When you are broke what is the first thing that gets cut from the grocery list? The fresh veggies. Potatoes are a heck of a lot cheaper, I know, I'm Irish! Just kidding for you other Irish peoples who may find that offensive, but really I am, Irish, sort of, I think, well that's a conversation for a whole different time. My husband is also a meat and potatoes man. I prefer chicken breast while he prefers beef and pork. I do admit he has been expanding his range lately, and losing about 30 lbs. I'd like to digress further to tell you how jealous I am that he has done nothing to lose this weight, not worked out one second of one day, just eating what I cook him instead of fast food or truck stop junk. I am very proud him for one, trying new things, two liking new foods, and losing the weight. He now weighs the least he has since I have known him. Granted. I have lost about 25 lbs myself but it has taken a few years and I bounce up and down.
Back to the blood sugar / carb problem. I have decided to do carb counting. Today I checked out cookbooks for diabetics at my local library.
Carb counting is a meal planning approach that can offer a lot of flexibility. This approach is based on the main influencer of blood glucose - grams of carbohydrate in foods. 
Carbohydrates are found in starches and sugars. Foods that contain carbs include:

  • breads, crackers, and cereals
  • pasta, rice, and grains
  • vegetables
  • milk and yogurt
  • fruit and juice
  • sugar, honey, syrup, and molasses
ALL SUGARS ARE CARBS. Plain and simple. I find it important to notate that I eat a lot of plain yogurt. When I look at the Nutrition Facts label sugar is listed. This sugar is in the lactose from the milk the yogurt is made with. This does not matter because ALL carbohydrates turn into blood glucose sooner or later. The sources of the carbs are less important than the total amount of carbs. 
In my meal planning I am going to follow the example I found in a cookbook called 1,001 Delicious Recipes for People with Diabetes until I can see a dietitian this fall who will tailor this specifically to my needs.
My example:
Breakfast: 60 gm carbs, 
A.M. Snack: 15 gm carbs
Lunch: 45 gm carbs
P.M. Snack: 15 gm carbs
Dinner: 55 gm carbs
Bedtime: 15 gm carbs


I see several problems to overcome. First, I don't eat that much. About two months ago when all the drama happened with the neurologist my Aunt pointed out to me that I do not eat enough, which shuts down the metabolism. I made every attempt to change this. I ate 5 times a day, even if a "meal" was plain yogurt with berries. What I am going to say next sounds extremely lame.... it was a lot of work to eat that often!! I felt like I was ALWAYS eating! Needless to say I didn't stick with it and went back to my old non eating ways. To top it off I cut veggies from the grocery list to save money. This past week we went to the grocery store and spent almost $100. I bought $8 in shrimp, no other meat (I bought plenty on sale the previous week), no soda (Coke Zero), and no pet food. Mostly, fresh veggies and some fruit. 
I'm hoping someone will start this carb counting journey with me, so if you are out there and want to join me on this venture email me!
Off now for a "bedtime snack" of plain yogurt and fresh berries with splenda. 


Here is an excellent carb counting website. www.carb-counter.net

Tuesday, April 6, 2010

St Lucia

I have to tell you the Sandals Regency in St Lucia was amazing. The resort parts of the island, and the water beautiful. The Diamond Waterfall, gorgeous.
Wednesday we left home before the crack of dawn. Our flight departed at 7:15 to Miami and we were required to be at the airport 2 hours before the flight. We were glad we complied when we saw the long line not only at security, but to check our bags also. Luckily we didn't have to pay any of the ridiculous checked bag fees going internationally. My best friend and cousin Kim were happy I came through with my promise to make my sugar free banana nut muffins.
We arrived at the resort mid afternoon to be ushered into an office type room. They gave us each a glass of this really bad champagne, and explained a few things to us. One weird thing is you can not pay for items in the gift shops at the resort with cash or credit only charge to your room. And, you have to put a credit card on file on which they keep a $600 deposit on for incidentals.Deb and I went to our room, unpacked, and showered to go for dinner. We got dressed up and went to the italian restaurant called Armando's. They had a terrific antipasto bar with a wonderful basil pesto salad dressing that I must figure out how to make.Deb had the pork which came with a squash risotto, and I had the steak which came with gnocchi. Her pork and my gnocchi were terrible, pork was sliced then grilled so it was dried out. Her risotto and my steak were wonderful. I was full on just the salad and steak alone. We ordered panacotta which was supposed to come in a strawberry margarita soup, but did not. The panacotta itself was about the size and shape of 1/2 an egg, with spots of rubbery strawberry gel on the plate. We also ordered the cannoli which had a chocolate filling. The filling was very yummy, but the cannoli shell itself was a little chewy instead of crunchy like we have here. After dinner we met my cousin's and their friends at The Cricketeer Pub for the separate bachelor and bachelorette parties.
that's me!!

At the Cricketeer we discovered a drink called "The Dirty Banana" which was delicious, Deb and I drank a few a day our entire time there! For the bachelorette party we decided to forgo clubbing, due to the long day and to instead hang out downstairs and listen to the live band. We all told embarrassing stories about Mindy, and played a great game of "I never". Everyone loved the gift bags, and prizes I made. I think Deb and I were asleep by 11.
Thursday Debbie and I woke early, had breakfast at The Pavillion then laid by the pool.I had fresh mango at The Pavillion with a petite croissant for breakfast every morning, the mango was fantastic, I couldn't get enough! In fact for lunch I had more if there was, with a salad and vinagrette dressing, YUM. Let me tell you, my best friend is a skinny girl, dang she can eat! Deb is hungry every few hours, I have little appetite. Don't ask me how I gained almost 10 lbs on the trip, I was sure I actually lost weight until I got on the scale. Thursday afternoon I napped then Deb and I were off to the wedding. The wedding was on the beach and so beautiful!!! Mindy was a gorgeous bride, and her new husband very handsome. The reception was on the lawn overlooking the beach. They even had a calypso band! The bartenders and servers kept us completely entertained. I took my chocolate dessert back to the room after the reception and checked my blood sugar level before eating it. The dessert had a vanilla bottom and a chocolate mousse top (about the size of a large marshmallow). I didn't care for the bottom and didn't want that much sugar anyway so I just ate the mousse which was delicious.

Mindy & Jared                                 Me, Mindy, & Deb                                               my cousins, Kim & Mindy

Did I mention how wonderful the staff was at the resort? Thursday morning when Deb and I were at the pool I asked a worker where the nearest market was so I could buy some coke zero. He said "we have diet coke". I explained something in diet coke causes me to throw up, and I can't drink regular coke because I am diabetic. He asked for our room number and said he'd find me some, no problem. True to his word a few hours later he knocked on our door with 5 or 6 bottles of coke zero in his hands. I thanked him and he said no problem, he just ran into Castries to the supermarket. I tried to pay him for them, but he wouldn't take my money. All I can say is "Thank you Dexter!!!!".
Friday morning Deb and I met our group at The Pavillion for breakfast before all heading off on The Soufriere Adventure Cruise. A van picked us up at 8:30 a.m. and took us to the marina. The crew was fantastic. We enjoyed a leisurely cruise around the island. We took another van in tour of the island itself to The Diamond Waterfall. The waterfall and short, 15 minute hike, was beautiful. I twisted my knee somehow on the boat, I think, and didn't think I was going to make the hike but I took it slow and just made it. I knew my knee was done though so when we got to the volcano I chose to stay in the van rather than walking back down the mountain with everyone else. After the volcano we went to lunch. I ate some salad with clear dressing, but was afraid of trying anything else. I am allergic to black pepper so I had to be very careful. Finally the van took us back to the marina where we went back on the catamaran. Once back on board and out to sea we stopped for some snorkeling, which I absolutely fell in love with! That night the resort held a street parade which included a steel drum band and lots of food. Deb tried the oxtail but I stuck to shrimp cocktail and tossed salad.
Saturday, we met our crew at Armando's for breakfast were I broke my tradition and had a slice of french toast and a slice of ham. It was yummy!!! We took a taxi van into Castries to the 100 year old Castries market. The market was terrific. My knee was killing me, I was in tears a few times from the pain, but I ignored it. Stupid, I know but it was the last day of a once in a lifetime vacation, I didn't want to miss out.Most of the booths at the market had the same things in them, similar prices. You can get baskets of fresh spices at good prices, button up Hawaiian style men's shirts for about $15 each, beautiful women's wraps that can be worn as dresses, and cheap t-shirts. Anything wood carved was more expensive, and not necessarily made in St Lucia! I was about to buy a wooden motorcycle for my husband when I noticed the box (with a picture of the motorcycle on it) said "Made in China", so I cancelled my purchase. The gang all had lunch at The Pavillion again, then back to the pool for the rest of the afternoon. That night Deb and I went back to Armando's. She had penne puttanesca with chicken, I had the steak again, but this time requested the squash risotto.
I'd like to be able to say all my worries were for naught, but they weren't. But, I planned, I brought wraps, and braces. I planned rest periods. I came home with 2 swollen ankles, a swollen knee, and back of thigh, 2 swollen hands, and a terrible flare, but damn, it was worth it!

Tuesday, March 30, 2010

Vacation Planning

I'm a planner, frankly I'm a little obsessive, especially when it comes to vacations. For example, when I went to New York with my friend, Aleta, we made a list of where we wanted to go and mapped it out. That way we could see things that were in the same area on the same day.And, yes, we had a time schedule, a rough one, how else to fit everything we wanted to see in such a short amount of time? Makes sense, right? My husband is the opposite, he doesn't understand why I can't go with the flow.
As usual, I digress. I am leaving in approximately 24 hours to go to St. Lucia for my cousin's wedding. I can honestly say I do not have everything timed out. I have a rough idea of what we are doing. Arrive Wednesday afternoon, hopefully nap, then dinner, and then the bachelorette party.
My biggest worry with this trip has been a flare. Wednesday alone we leave at 4:30 a.m. for the airport, international flight = arrive 2 hours before the flight, right? We arrive St. Lucia at 1:30 their time. Grab our bags, hopefully don't get questioned by the customs agent for the fur lined cuffs or edible panties in my suitcase (gag gifts for the party, I SWEAR). Then find the Sandals desk and take a hour and a half ride to the resort. I'm guessing that should put us to our resort by 3:30. Hopefully this will mean time for a short nap, as my best friend has to take a quiz for school online at 7:00 p.m. Then, like I said dinner, and bachelorette party. What I'm trying to say is, it's going to be an extremely long day.
I've been trying to prepare ahead of time so I will be less stressed at the last minute. My suitcase, and I mean this truly, has been packed for a month. Hey, I bought some new clothes and felt it was the safest place to avoid pet hair :). I have one entire suitcase of stuff for the party, gift bags, prizes, etc etc. Today I whipped some of my sugar free banana nut muffins together for the girls. Two of my cousins will be on the same flight as my best friend and I so I promised them all homemade banana nut muffins for the early morning flight. If you haven't tried my muffin recipe yet, you ought to. Seriously it's the easiest thing to make. I have a kitchen aid stand mixer. I dump the ingredients in it one at a time and it does the rest. Therefore, it's incredibly easy, and not taxing on me at all.
I think the most important things you can do to help yourself if you have a chronic illness and are going on a trip is planning.

  1. Make a list of what to pack. If you aren't going to wear it between now and the trip. Put it in your bag and check it off your list. 
  2. Once you have a list of what to pack, you can make a second list of things you need. For instance, I needed batteries, pantyhose, travel size containers.
  3. Make up your containers, and mark them. Put them in a ditty bag or a ziplock bag. 
  4. A week before check all of your prescriptions. Make sure you have enough, if not call for refills. If you have new bottles of medications then, and don't need them until the trip, pack them in your carry on.
  5. Make your carry on easy. I am checking my bags, except for a backpack with wheels. The backpack carries my medications, my cameras, my snacks, and even my purse.
  6. Pack some healthy snacks, especially if you are diabetic. Unless you have been to the location before you really won't know what you will encounter food wise. I have some trail mix packed, and my best friend is bringing almonds. Both low fat, low sugar, low carb treats. 
  7. Plan rest. I know I have to nap on Wednesday when we arrive, it's imperative. I know Thursday the wedding is at 4 which gives me all day to sleep and lay by the pool. Friday is a tour. Saturday is another part rest, part fun day.
  8. Enjoy yourself. You now you are going to be overdoing it. Seriously, it may as well be worth it!

Thursday, March 25, 2010

Blood Sugar Log

I've been looking all night for a blood sugar log or program, something for my Sprint Samsung Instinct S30. I didn't find anything compatible let alone free. So I got some help with the typing and made one in Excel. Here is a snapshot:

On the side there is plenty of room to write notes about pain levels, exercise, whatever. My plan with this is to keep better track of not only my blood sugar, but how certain foods, meals affect my blood sugar. Plus, I can keep track of my pain levels. For instance, I wrote "drove to grocery store, pain in right hand". Today, and really the past few days I need to make a note about severe, premenstrual sciatic pain. This seems to be getting worse every month. Intense pain from my hip through my lower back, left buttock, down my leg, through my knee joint, through my ankle (which my ankle is seriously messed up on it's own), right down to my toes. Unfortunately I sent the ibuprofen to work with my husband. I have read somethings tonight that are a little concerning, it seems the biggest cause of this is endometriosis, when the sciatica coincides with a menstrual cycle. UGH this means a visit to the chick doctor, blah, lol. I'm a little worried about this bout of sciatica being just 6 days before my vacation. But, my point IS I will have it noted on my spreadsheet, a printable spread sheet that the doctor can see about what I eat, how my blood sugar levels are, and even where my pain levels are and what sets off the pain if anything. OF COURSE my columns are pink, but isn't that to be expected. Further, anything that sets off my blood sugar is highlighted yellow. You can see easily I had chicken breast with white rice, slivered almonds, and a spicy mango sauce (which is out of this world) and my blood sugar was up to around 186. I may try it again, but with brown rice, and a little less of the sauce, maybe some green onions. I love green onions, so did my Grandma. Whenever we went to a restaurant that had a salad bar she had us sneak her a few. I prefer mine cooked in things, most anything. My orzo recipe, stir fry, etc.

P.S. I have an appointment with a new doctor, recommended by my friends, sisters who have lived here in Lakeland all their lives. His name is Dr. Adam Parker. I am hopeful because there is a page on his website about inflammation, and a picture of a swollen foot.
http://www.trinityprimarycare.com/Inflammation.aspx 
Plus, and this may sound weird but he is a little young. The last doctor I saw who was that young was a pitbull. I still love her, she is the one who diagnosed my fibromyalgia, and she is not one to give up until she finds an answer. Her name is Dr. Maria Christina Pantaleon, she has offices in Palm Harbor and Clearwater, and when I move back to that area I will be ringing her number for sure so if you live in that area, check her out. Tell her Michele McNett Kellenbenz still thinks she is the best doctor 12 years later, and I have highly recommended her!

Wednesday, March 24, 2010

Doctor Plan

Do you think it's possible to treat an initial visit of a new doctor like a business interview? Maybe even use something similar to a business plan?
For instance, using a business plan format. A mission statement or vision statement, and objectives.

Main current concern:


My hands. I’ve had fibromyalgia for 15 years. It was tough, but I smiled and worked through it, sometimes 50 hrs a week, and went to school part-time. The FM is not what keeps me from working, or caused me to stop working, it’s my hands. I used to type 8-10 hours a day. Now I can’t type one page without having sharp pains in my hands. If I press further, I start having electric shock like pains in them. And, not just the right hand where the carpal tunnel is, BOTH hands.

Objectives:

  1. Confirm diagnosis (given the conflicting diagnoses over the SAME EMG test).
  2. What to do about the damage that has already been done. Can it be improved? If yes, how? 
  3. Is there an alternative to a CPAP machine for sleep apnea? I have chronic hayfever, and sinus problems, with moderate dryness. The air, even the CPAP with the humidifier, seriously increases this problem. 
  4. I need someone to teach me how to lose weight. A dietician or a nutritionist someone who can work with me on healthier alternatives, taking into consideration my health problems, and even my likes and dislikes. 
Full list of Symptoms: 

Inflammation hands
Pain in hands: aching, sharp pains (worse after for instance typing one page), next comes electric shock like pains
Pain in toes and feet, aching, rarely sharp
Inflammation in feet
Decreased feeling in hands and feet
Low grade fevers
Rash on scalp, back of head with low grade fever
Sensitivity to touch
General aching over entire body, worst left shoulder, down left arm, hands, feet, left chest
IBS
No BM for 3-4 days
Constant fatigue

5 Minute Microwave Chocolate Cake

this is surprisingly light, fluffy, and good
In a coffee mug:
mix:
4 tbsp self rising flour
4 tbsp sugar or splenda
2 tbsp baking cocoa powder, like Hersheys
add 1 egg, then mix again
add:
1/2 a cap full of vanilla extract
3 tbsp milk
3 tbsp vegetable oil
3 tbsp chocolate chips (optional) or nuts or both!
microwave on high for 3 mins, let rest for 2. Cake will rise to the top of the mug. Top with your favorite ice cream or whipped cream and enjoy!

Wednesday, February 24, 2010

NOT Neuropathy??

This time frustrated doesn't even begin to cover how I am currently feeling. Monday I went to a neurologist, hoping and praying to finally have some answers on how to help reduce the pain and inflammation in my hands. Seriously, I miss my job, and want to get back to my life!
Help, I got, but not what I was expecting. Last year my pain management doctor had a neurologist at Watson Clinic (an enormous medical center here) run an EMG test on my hands.The new neurologist told me the EMG tests showed NO neuropathy! WHAT???!!!! I knew the test showed some carpal tunnel in my right hand. I was told the CT was caused by the neuropathy and that it would just come back. After my thyroid surgery I was not ready to have anymore surgeries anyways. Plus the CT doesn't cause the type of pain I have, nor is it supposed to cause inflammation in the knuckles. Further, both the pain and inflammation are in BOTH hands and the CT is only in the right. 
I am so totally lost and frustrated. I will be calling my GP for an appointment on Friday to start this process all over again. They had previously ruled out rheumatoid arthritis as those test results were negative. This started over 2 1/2 years ago now. It took a year for the neuropathy diagnosis, and I thought we were getting somewhere then. Now I am back to square one and would like to crawl in a hole and bawl my eyes out. 
For all those idiots out there who still think there is nothing wrong, I may be able to fake pain, which I can assure you I am not, but I certainly can not fake the inflammation.
If anyone has had similar problems please let me know. Thanks! chele


p.s. I have the same problems in my feet.