DALLAS, April 1 - Eating fish regularly reduced the risk of heart
disease in
diabetic women by as much as 64 percent, according to study reported in
today's rapid access issue of Circulation: Journal of the American
Heart
Association.
"We found that women with type 2 diabetes who ate more fish had
significantly lower risk of coronary heart disease and total death than
those who rarely ate fish," says Frank B. Hu, M.D., lead author and
associate professor of nutrition and epidemiology at the Harvard School
of
Public Health in Boston. "Previous studies have found that fish
consumption
reduces risk of heart disease in a largely healthy population. This is
the
first study to look at the relationship among diabetic patients, who
have
very high risk of heart disease."
The American Heart Association recommends that adults, except pregnant
women, eat two servings of fish a week. For those with, or at high risk
of
cardiovascular disease (CVD), supplementing fish in the diet with fish
oil
capsules may be advisable in consultation with a physician.
Also known as fish oil, omega-3 fatty acids from fish have been shown
to
reduce the risk of irregular heartbeats that can lead to sudden death,
decrease blood triglyceride levels, improve the functions of blood
vessels
and reduce blood clot formation. These effects are particularly
important
for reducing risk for CVD among diabetics.
Even so, little data were available to confirm that diabetics who ate
fish
would receive the same benefits as people without diabetes who ate
fish, Hu
says. In addition, there was concern that fish oil might worsen control
of
blood sugar (glucose) among diabetic patients.
Hu and colleagues analyzed data from women with diabetes participating
in
the Nurses' Health Study, which was established in 1976 when 121,700
female
registered nurses completed a questionnaire about their medical history
and
lifestyle. Every two years, follow-up questionnaires have been mailed
to
update information on risk factors and any new health problems. The
current
study includes 5,103 women who reported physician-diagnosed type 2
diabetes
on any questionnaire from 1976-94. Women with a history of heart
disease,
stroke or cancer reported on the 1980 questionnaire (when diet was
first
assessed) or before were excluded.
The women were divided into five categories according to how often they
ate
fish: less than once a month, one to three times a month, once a week,
two
to four times a week, and five or more times a week.
Between 1980-96, the researchers documented 362 cases of heart disease
(141
heart-related deaths and 221 nonfatal heart attacks). There were 468
deaths
overall. Diabetic women who ate fish at least once a month were older,
slightly heavier, typically didn't smoke, tended to have hypertension
and
high cholesterol, and took multivitamin and vitamin E supplements.
Those who
ate more fish also ate more fruits and vegetables but ate less red and
processed meats.
Compared with diabetic women who seldom ate fish (less than once a
month),
the risk of developing heart disease was reduced on average by 30
percent in
those who ate fish one to three times a month, 40 percent for those who
ate
it once a week, 36 percent in those who ate fish two to four times a
week,
and 64 percent in those who ate fish five or more times a week. Higher
fish
consumption was also associated with a significantly lower death rate.
Hu says that the association between higher fish consumption in
diabetic
women and better heart health can also be extended to diabetic men
based on
similar findings in studies of healthier men and women.
"One limitation of this study is that it is not a randomized clinical
trial," Hu says. "Thus, the benefits we observed for fish may be due to
other dietary and lifestyle factors related to fish intake." Even so,
Hu
says their findings are solid because of their "careful adjustment for
many
important cardiovascular risk factors.
"Regular fish consumption should be considered as part of a healthy
diet for
diabetes management," Hu says. "For individual patients, at least two
servings of fish per week is recommended."
Fatty fish such as mackerel, lake trout, herring, sardines, albacore
tuna
and salmon are high in omega-3 fatty acids.
An accompanying editorial by Scott M. Grundy, M.D., director of the
Center
for Human Nutrition at the University of Texas Southwestern Medical
Center
at Dallas, provides a review of the current status of research on
omega-3
fatty acids in fish, plants and supplements.
Grundy says Hu's research supports previous prospective epidemiological
studies that found omega-3 fatty acids offer protection against CVD.
However, he urges that clinical trials of omega-3 fatty acids after a
heart
attack be conducted to determine if they can reduce coronary deaths in
the
short term.
Hu's co-authors are Eunyoung Cho, Sc.D.; Kathryn M. Rexrode, M.D.;
Christine
M. Albert, M.D.; and JoAnn E. Manson, M.D. The study was partly funded
by
the National Institutes of Health and the American Heart Association.
I Must Love Me Too
If you have neglected yourself,
make a sincere apology to thee.
Gather the "love-me-not-petals" of your life
and start counting "I-must-love-me-too".
In no time at all you have
a beautiful flower blossom within you. ~ Dodinsky Writings
make a sincere apology to thee.
Gather the "love-me-not-petals" of your life
and start counting "I-must-love-me-too".
In no time at all you have
a beautiful flower blossom within you. ~ Dodinsky Writings
Sunday, August 2, 2009
Healthier Comfort Food
Avoiding Sugar Alcohols
I'm not low-carbing but I still think the sugar alcohols
should be avoided and apparently for good reason.
Should You Count Those "Net Carbs" or "Low Impact" Carbs
Every drugstore, supermarket, and department store in U.S. is filled
with snack products that claim to be perfect for low carb diet. The
labels on these products may list 24 grams of carbs but assure you that you
only have to count 2 or 3 of these grams in your daily carb allotment.
They may call these carbs "low impact carbs" or "net carbs" and display
them promenently on the front of the product, but the carb count on the
nutritional label--the only one that the FDA regulates will list a far
higher carb count.
If these disappearing "net carbs" make you suspicious, you may prefer
to buy products that list only a gram or two of carbs in their
nutritional information. But a look at their ingredient list may show that
mysterious substances like glycerine or polydextrose are major ingredients
of these bars, too--exact same substances reported on labels of bars
that claim "3 grams of Net Carbs" on the front of the package and list
20-something grams of carbs in their nutritional information panel.
What's Going on Here?
Most of these "low carb" products are sweetened with substances called
"sugar alcohols." Maltitol, lacitol, and sorbitol are some of names of
these sweeteners. Despite the name, these aren't sugars or alcohols.
They are hydrogenated starch molecules which are a byproduct of grain
processing. These sugar alcohols are manufactured by the three large
agribusiness companies: SPI Polyols, Roquette America, Inc. and Archer
Daniels Midland. Having saturated world with high fructose corn syrup, these
giant corn-producing companies have now turned to hydrogenated corn
starch molecules as yet another way to wring profits out of surplus corn.
Despite wrapper claims, these sugar alcohols are metabolized. Each gram
of a sugar alcohol turns into anywhere from less than 1 to as much as 3
calories. Erythritol comes in lowest, delivering less than one calorie
per gram. Maltitol--the sugar alcohol found in most "low carb" foods is
the highest, delivering 3 calories per gram. That is only a bit less
than 4 calories you find in regular sugar and starch.
It is because these sugar alcohols can be metabolized as carbohydrates
that US law requires that they be reported as carbohydrates on
nutritional labels and why their calories are included in calorie counts. But
though many food companies still mdo not report them in their label
nutritional information.
Several years ago, after the FDA fined Atkins Nutritionals for ignoring
the 20+ grams of glycerin found in their product in the nutritional
panel of their Advantage Bars, the company invented the "Net Carbs"
designation that it now places on the front of wrappers--but not on the
nutritional panel. This ruse was so successful, they went on to licensed use
of this phrase and Atkins "A" to other companies so that they too could
continue deluding customers about the carb content of their foods. .
Small print on back of these label explains that fiber and sugar
alcohols have a "negligible effect on blood sugar". This, they suggest means
that you can ignore them, and magically converts foods that have 24
grams of carbs--and the associated calories--into foods with a
diet-friendly 3 grams.
If it were true that these foods did not raise blood sugar, it would
make them ideal for the low carb diet. However, it is not always true.
Some lucky people can eat these low carb treats and still lose weight on
a low carb diet. But hundreds of people who have stopped by the
alt.support.diet.low-carb news group to ask why their weight loss has stopped
cold, discover that it is these sugar alcohol-laden low carb junk foods
that have caused their long-term stalls.
Lying Labels?
The reason for this, is quite simply, that sugar alcohols, particularly
Maltitol, the one that is most common in these products, can have a
very significant impact on blood sugar. This isn't speculation. It's a
fact. Many people with diabetes, who track any rise in their blood sugar
with a blood sugar meter, find that these products cause a significant
rise in their blood sugar, contrary to the label claims.
I'm one of them. My blood sugar rises almost as high when I eat a
maltitol-sweetened Russell Stover "No Sugar" candy as it does if I eat a
regular Russell Stover candy of same size. The only difference is that it
takes two hours for the blood sugar rise to occur when I eat the "no
sugar" candy compared to the one hour that it takes when I eat regular
candy. This blood sugar rise is followed by a period of low blood
sugar--the hallmark of an insulin response--and, for me, the trigger for
intense, diet-busting hunger. So much for "truth in labeling."
I am not only person who has found this to be true. Fran McCullough
warns readers of the very high blood sugar spikes reported by diabetics
after eating glycerine-containing Atkins bars in her book, Living Low
Carb.
A comprehensive review published by Canadian Journal of Diabetes gives
a very good overview of the scientific research into how sugar alcohols
affect both normal people and people with diabetes.
http://www.diabetes.ca/Files/SugarAlcohols--Wolever--CJDDecember2002.pdf.
Note the finding, on Page 5, that for normal people, research shows
that chocolate bars sweetened with maltitol raised the blood sugar of
normal people as high as did chocolate bars sweetened with sucrose--table
sugar.
Not for Everyone!
However, there are other people with diabetes who report that they
don't see a blood sugar rise when they eat foods containing these sugar
alcohols. They find these products give them a way to incorporate
legitimate treats into their diets and are grateful that they are now so
plentiful.
There are also a number of successful low carbers who report in diet
newsgroup that they have been able to lose significant amounts of weight
while including these "low carb" treats in their food plans on a daily
basis. You will often find them railing against "puritanism" of those
who warn new dieters against them.
So, clearly these products do not affect everyone in same way. For some
people they are a godsend. For others, they turn out to be "Stall in a
Box."
Why Do Sugar Alcohols Only Affect Some People?
Since it seems that only a subset of the population metabolizes sugar
alcohols as sugar, it is quite possible that some people lack some
enzyme(s) needed to digest them and turn them into blood sugar. Since those
people's bodies can't turn these sugar alcohols into glucose, they do
not experience a blood sugar rise when they eat them.
Lending some support to this idea is fact that some of the people who
report that they did not experience a blood sugar rise when they ate a
product with a sugar alcohol in it, add that they experienced intense
diarrhea or gas later on. These are classic symptoms of what happens when
starches pass undigested into lower gut where they may be fermented by
bacteria (causing gas) or suck water out of cells lining the colon
(causing diarrhea).
Many of us who do get blood sugar rise do not experience this diarrhea.
Our digestive enzymes appear to be able to break down these
hydrogenated starches into glucose--though given the time lag, this happens
slowly.
Diabetes expert Rick Mendosa has a very interesting web page
http://www.mendosa.com/netcarbs.htm that points out "If the sugar
alcohols had no impact on our blood glucose, they would have a glycemic
index of zero. With the the December 2003 publication of Geoffrey Livesey's
amazing review of sugar alcohols, we now know a lot more about them
than ever before. His article, "Health potential of polyols as sugar
replacers, with emphasis on low glycemic properties," is in Nutrition
Research Reviews 2003;16:163-91.
Mendosa goes on to say: "Only two of the sugar alcohols have a GI of
zero, according to Livesey's research. These are mannitol and erythritol.
Several others have a very low GI, but two maltitol syrups have a GI
greater than 50. This is a higher GI value than that of spaghetti, orange
juice, or carrots."
What about Glycerine?
Glycerine is another sweet additive that manufacturers add to low carb
bars. Here again, you'll find tha, because manufacturers claim
glycerine does not raise blood sugar they omit it in the carb section of the
label information or, if they do list it, they do not include it in
number of diet-counted "impact" carbs. ( Glycerine is sometimes spelled
Glycerin and is another name for glycerol.)
As Lee Rodgers, proprietor of The Low Carb Retreat explains that it is
only true that Glycerine does not raise blood sugar when people are not
low carbing. Rogers states:
When liver glycogen is full, glycerol is converted to fat.
When liver glycogen is empty, glycerol is converted to glucose.
And sometimes just goes right through without doing anything
In short, if you are in ketosis (having emptied your liver of glycogen,
its stored carbs) glycerine is likely to turn into blood sugar, and
then, of course, it raises insulin, defeating mechanism by which low carb
weight loss takes place.
This past issue of Rick Mendosa's Diabetes Update Discusses in more
detail why FDA insists that glycerine must be treated as a carbohydrate on
product labels.
What about Fiber?
Perhaps the most confusing part of new "net carbs" designation is that
it combines sugar alcohols and fiber in the same designation. This is
unfortunate.
Fiber, unlike sugar alcohols, is not metabolized into a significant
amount of calories and does not turn into blood sugar. Therefore it can
usually be deducted from a food's total carb count.
But even here, a little caution is required. That's because labeling
laws outside United States often treat fiber differently. In many
European countries, fiber is already deducted from the label's total carb
count. For example, imported Scandinavian bran crackers that list 3 grams
of carbohydrate and 3 grams of fiber do not contain zero grams of
carbohydrate. If they followed U.S. labeling conventions, their labels would
show 6 grams of carbohydrate and 3 grams of fiber, since the European
labels have already deducted the fiber from the total. This is also true
of many imported chocolates.
To make it even more confusing, many U.S. nut labels also deduct fiber
from total counts, too--walnuts in particular. Despite fact that Walnut
labels usually say "3 grams total carbohydrate, 3 grams fiber" walnuts
are not a zero carb treat! They contain about 2 grams of carbohydrate
per ounce.
Net Carbs and Restaurant Food
Where "net carb" designation becomes truly dangerous is in restaurants
because new "low carb" restaurant menus do not giveyou complete
nutritional data or any hint of an item's ingredients, only the "net carb"
count.
So for all you know, that "3 gram net carbs" cheese cake may contain 40
grams of maltitol, which is the equivalent of 30 grams of sugar. Nor
can you distinguish between a food that contains 10 grams of fiber and
one that contains 10 grams of a lacitol, the sugar alcohol many dieters
have found causes profound diarrhea. All you know when you see that "net
carbs" designation is that the carb count of the food you are about to
eat is much higher than what restaurant would have to report were it
giving you legal carb counts. You can hope that the additional carbs are
fiber, but you may very well be wrong.
So What Does This Mean for You?
If you are just starting out low carbing, you would be well advised to
treat with caution any supposedly "low carb" product that cites net
carbs rather than total carbs. If you are one of people who do metabolize
sugar alcohols, these "low impact carbs" will turn into regular, old,
high-impact glucose, and eating a couple of these treats each day can
easily derail your low carb diet by adding another 20 to 40 grams of
carbohydrate to your intake.
That's why you might be wise to try low carbing without any of these
suspect foods for the first few weeks of your diet until you have become
accustomed to how your body feels when your blood sugar has stabilized
on a truly low carb regimen. If you crave a sweet treat during these
first few weeks, try one of truly low carb treats and snacks whose
recipes have been posted on web. You can find these recipes using Google
Groups Advanced Search scanning the alt.support.diet.low-carb newsgroup for
term "REC." You'll find hundreds of recipes containing no "hidden
carbs" at all. Do this until you've gotten the hang of what low carbing
feels like to your body.
Once you've gotten into a steady low carb regimen and are losing weight
steadily, you can test these commercial "low carb" products to see what
effect they have on you. If you keep losing weight after introducing
them, you can relax. You are one of lucky ones who can, in fact, treat
them as having "low impact" carbs. If you don't, well, for you there's no
free lunch. Continue making your own truly low carb treats--and losing
weight.
If you are diabetic, you don't have to guess about how sugar alcohols
affect you. You can turn to your trusty blood sugar meter to see what
they do to your blood sugar. But if you test, test products containing
sugar alcohols 2 and 3 hours after eating. Testing only at one hour after
eating may be too early and you may miss blood sugar spikes they cause.
With the new "low carb" pastas, you may have to test as many as 5 hours
after eating and you should also look at your fasting blood sugar the
next morning. Several people have reported that while they didn't spike
on the low carb pastas, their fasting blood sugars were significantly
elevated the next morning.
Watch Out for Increased Hunger
No matter what you see on your scale or observe on a blood sugar meter,
be alert for an increase in your hunger level when you eat these "net
carbs" foods. My own experience and that of some other low carb dieters
who have reported this on the newsgroup is that some of "low carb"
products made with sugar alcohols cause an increase in hunger that is out
of proportion to the blood sugar readings they produce. I have found
this especially noticeable with foods containing lacitol.
If you notice yourself suddenly getting hungry, or just plain eating
more food after you have introduced a new "low carb" treat into your
diet, back off for a few days and see what happens to your hunger level. If
it goes down, you'll need to treat these foods with caution. The whole
point of low carbing is to eliminate the hunger cravings that make
dieting so difficult.
Don't Forget the Extra Calories
Even if you can eat snack products containing sugar alcohols without
experiencing blood sugar spikes or hunger cravings, it's worth giving
some thought to the question of how good an idea it is to fill your diet
up with calorie-dense low carb junk food.
Though the best selling diet book authors make it sound as if low
carbing somehow magically "melts fat away" this is not true. Low carbing
evens out blood sugar which eliminates hunger and makes it very easy to
eat a lot less. But to achieve long term weight loss you must eat less
than you burn each day.
As you get closer to your weight goal, this becomes more and more
evident. The smaller you are, the less food your body burns. As a result,
most people find they cannot get last the 20 pounds off without watching
their calories closely and eating only 9 - 10 times their body weight
in calories. (i.e. if you weigh 140 lbs you may find you have to eat as
little as 1269 to 1400 calories a day to lose, depending on speed of
your metabolism and your activity level.)
With that in mind, you can see why, independent of the blood sugar
issue, that snack bar with its 240 calories that you eat every day between
meals may have serious repercussions for your diet--it is adding 1680
calories a week--over 1/2 pound's worth of calories--besides replacing
more nutritious foods like the high fiber, low carb vegetables that are
an important part of the diet of long-term successful low carb dieters.
Monday, July 27, 2009
After the Binge
AFTER THE BINGE
You ate -- and ate and ate. Now what?
It felt like you were doing so well. For days you had been in
control of your food and you had even started adding some physical
movement into your routine. Now you've gone and done this. Maybe you were all
alone and ate the entire tub of ice cream. Or you found
yourself in the kitchen consuming a jar of frosting and a tube of
un-baked cookie dough.
Whatever the circumstances, you indulged in a binge. Now you're
likely feeling a range of emotions: guilt for having eaten so much
food, anger for having lost control of your eating, and depressed over
feeling so uncomfortably full. You may feel hopeless and despairing
because of falling once again into an old, familiar pattern. Before
you sink into self-defeat, here's an encouraging scientific nutrition
fact: Even the biggest binge won't add fat to your body. Adding body
fat requires that you continue overeating over a period of time. An
isolated binge will not have an effect on your body fat stores.
With this thought in mind, here are some guidelines to putting a
binge behind you and getting back on track.
DON'T BEAT YOURSELF UP ABOUT WHAT JUST HAPPENED
Abusing yourself will NOT help pull you out of this. Instead take
the time to learn something from your experience. A binge may be
related to a variety of factors including:
Excessive dieting
Being in a semi-starved state
Skipped meals
Restricted intake (i.e. "good" food vs "bad" food)
Sense of deprivation
Low blood sugar levels
Too few vegetables and fruits (lack of fiber)
Inadequate protein intake
Excessive processed carbohydrates
Coping mechanism for stress (boredom, anger, sadness, etc.)
Depression
Explore the issues that triggered your binge. If binges are a
common experience, you might consider keeping a binge journal. In
this journal, gather information surrounding your binge. Ask
questions such as, "What am I feeling and thinking right now? Is this
hunger? What do I need to soothe myself? How can I help myself
through this?" Begin using your information to construct strategies on
how to stop a binge before it starts.
DEVELOP SOOTHING STRATEGIES
If your binges are a coping strategy for emotional stress, develop
several potential alternative soothing techniques. Have these
possible methods readily accessible. Consider the following
suggestions:
Acknowledge the strength to bear this moment is already with you.
You might find that a particular quote, passage from a book, painting, or
piece of music may soothe you.
Journal. Give voice to the thoughts and feelings inside of you. Read it out
loud. Allow yourself to listen to your true hunger.
Encourage yourself. When you're feeling good, get yourself a pack of index
cards. On these cards begin writing self-truths. Before a binge, read them over
and over: "I can stand this moment. Food will not help me feel better. This
feeling will pass. I'll live through this. I always do the best I can."
Listen to an educational, inspirational, or relaxation tape.
Call a friend, or learn to meditate.
HIDE YOUR SCALE
Resist the self-defeating urge to weigh yourself after a binge.
Decide in advance how often you wish to weigh yourself (if at all).
If weighing yourself once a week works, stick to that routine and
track the results.
VANQUISH THE BLOAT
Since you are most likely retaining water and feeling bloated, it's
time to shed some of that water. Carrying the excess water will only
make it easier to fall into the "I'm fat" trap. For today, pass up on
high-salt foods like frozen dinners, fast food, canned soups and other
canned foods, and many cereals. Drink lots of fresh water throughout
the day.
EAT REGULAR MEALS
A tendency after a binge is to restrict meals and food the next day.
This strategy is counter productive and may lead to yet another
binge. Eating regular meals will keep you from getting excessively
hungry. This will decrease the desire and tendency to binge. Decide
to eat at least three meals today. It's understandable that you may
not be hungry at breakfast time. If this is the case, you may decide
to hold off eating for a couple of hours. Drink a glass of low sodium
V8 to start your day off to a good start.
Include high quality protein sources with each of your meals. You
might experiment with about 20 to 30 grams of protein per meal (see
below for examples). Protein will help your body shed water. Also,
choose plenty of high fiber vegetables to keep you full, while
minimizing your calories.
PROTEIN SUGGESTIONS
Choose 20-30 grams of protein per meal from fish, poultry, tofu,
lean meat, eggs, or low-fat cheese. Eat at least three meals per
day.
3 egg whites (10 grams Pro) plus 1 cup of milk (10 grams Pro)
3 oz low sodium, water packed tuna (26 grams Pro)
2/3 cup or 5 ounces low-fat cottage cheese (20 grams Pro)
1 cup beans (14 grams Pro) plus 1 oz low fat cheddar cheese (7 grams Pro)
3 to 4 ounces of lean meat, fish or poultry (26 grams Pro)
5 ounce piece of firm tofu (20 grams Pro)
2 tablespoons peanut butter (9 grams Pro)
plus 1 cup yogurt (10 grams Pro)
1 Green Giant Harvest or Boca Brand burger (18 grams Pro)
SAMPLE DAY-AFTER MEAL PLAN
The following is an illustration of a higher protein, higher fiber,
lower sodium day after a binge meal plan. My suggestion is to use it
only as an guide to help develop your individualized "day-after the
binge" diet plan. Take some time and pre-plan a one day strategy to
help you regain control.
Breakfast:
If you're still stuffed from the night before,
try a glass of low-sodium V8
or concoct your own vegetable drink.
If you are hungry
(or a couple of hours after your V8):
1 cooked egg white
piece of whole fruit
1 cup cooked plain oatmeal cooked with skim milk
16 oz of water
Mid-morning snack:
1 cup plain non-fat yogurt
or high protein shake
8 oz water
Lunch:
1 to 2 cups dark green salad
add:
a variety of fresh vegetables
cup low-sodium canned beans
3 oz low-sodium water packed tuna
small amount of nuts or seeds
2 tablespoons non-fat salad dressing
16 oz water
Afternoon snack:
1 slice whole wheat bread
1 tablespoon peanut butter
8 oz water
Dinner:
3-4 oz lean fish, meat, poultry, of tofu
1 cup cooked broccoli
cup carrots
1 or 2 cookies
16 oz water
Evening Snack:
Piece of fruit
1 cup skim milk
Nutritional Analysis For The Day:
1524 Calories
114 grams protein
31 grams fat
196 grams carbohydrates
30 grams fiber
1600 mg sodium
POSITIVE NOTES
My worth as a person is not diminished in any way
by my eating patterns.
I am finished blaming others, situations, and myself for the way
I eat. I will take action immediately to re-establish
control of my eating patterns.
I will take care of my body as a loving mother takes care of her
child. I love myself unconditionally.
Submitted by Annette Colby, PhD, RD who can be reached by email at:
bodydr@ix.netcom.com or visited on the web at:
http://www.power-nutrition.com
Copyright 2000, Dr. Annette Colby, all rights reserved
You ate -- and ate and ate. Now what?
It felt like you were doing so well. For days you had been in
control of your food and you had even started adding some physical
movement into your routine. Now you've gone and done this. Maybe you were all
alone and ate the entire tub of ice cream. Or you found
yourself in the kitchen consuming a jar of frosting and a tube of
un-baked cookie dough.
Whatever the circumstances, you indulged in a binge. Now you're
likely feeling a range of emotions: guilt for having eaten so much
food, anger for having lost control of your eating, and depressed over
feeling so uncomfortably full. You may feel hopeless and despairing
because of falling once again into an old, familiar pattern. Before
you sink into self-defeat, here's an encouraging scientific nutrition
fact: Even the biggest binge won't add fat to your body. Adding body
fat requires that you continue overeating over a period of time. An
isolated binge will not have an effect on your body fat stores.
With this thought in mind, here are some guidelines to putting a
binge behind you and getting back on track.
DON'T BEAT YOURSELF UP ABOUT WHAT JUST HAPPENED
Abusing yourself will NOT help pull you out of this. Instead take
the time to learn something from your experience. A binge may be
related to a variety of factors including:
Excessive dieting
Being in a semi-starved state
Skipped meals
Restricted intake (i.e. "good" food vs "bad" food)
Sense of deprivation
Low blood sugar levels
Too few vegetables and fruits (lack of fiber)
Inadequate protein intake
Excessive processed carbohydrates
Coping mechanism for stress (boredom, anger, sadness, etc.)
Depression
Explore the issues that triggered your binge. If binges are a
common experience, you might consider keeping a binge journal. In
this journal, gather information surrounding your binge. Ask
questions such as, "What am I feeling and thinking right now? Is this
hunger? What do I need to soothe myself? How can I help myself
through this?" Begin using your information to construct strategies on
how to stop a binge before it starts.
DEVELOP SOOTHING STRATEGIES
If your binges are a coping strategy for emotional stress, develop
several potential alternative soothing techniques. Have these
possible methods readily accessible. Consider the following
suggestions:
Acknowledge the strength to bear this moment is already with you.
You might find that a particular quote, passage from a book, painting, or
piece of music may soothe you.
Journal. Give voice to the thoughts and feelings inside of you. Read it out
loud. Allow yourself to listen to your true hunger.
Encourage yourself. When you're feeling good, get yourself a pack of index
cards. On these cards begin writing self-truths. Before a binge, read them over
and over: "I can stand this moment. Food will not help me feel better. This
feeling will pass. I'll live through this. I always do the best I can."
Listen to an educational, inspirational, or relaxation tape.
Call a friend, or learn to meditate.
HIDE YOUR SCALE
Resist the self-defeating urge to weigh yourself after a binge.
Decide in advance how often you wish to weigh yourself (if at all).
If weighing yourself once a week works, stick to that routine and
track the results.
VANQUISH THE BLOAT
Since you are most likely retaining water and feeling bloated, it's
time to shed some of that water. Carrying the excess water will only
make it easier to fall into the "I'm fat" trap. For today, pass up on
high-salt foods like frozen dinners, fast food, canned soups and other
canned foods, and many cereals. Drink lots of fresh water throughout
the day.
EAT REGULAR MEALS
A tendency after a binge is to restrict meals and food the next day.
This strategy is counter productive and may lead to yet another
binge. Eating regular meals will keep you from getting excessively
hungry. This will decrease the desire and tendency to binge. Decide
to eat at least three meals today. It's understandable that you may
not be hungry at breakfast time. If this is the case, you may decide
to hold off eating for a couple of hours. Drink a glass of low sodium
V8 to start your day off to a good start.
Include high quality protein sources with each of your meals. You
might experiment with about 20 to 30 grams of protein per meal (see
below for examples). Protein will help your body shed water. Also,
choose plenty of high fiber vegetables to keep you full, while
minimizing your calories.
PROTEIN SUGGESTIONS
Choose 20-30 grams of protein per meal from fish, poultry, tofu,
lean meat, eggs, or low-fat cheese. Eat at least three meals per
day.
3 egg whites (10 grams Pro) plus 1 cup of milk (10 grams Pro)
3 oz low sodium, water packed tuna (26 grams Pro)
2/3 cup or 5 ounces low-fat cottage cheese (20 grams Pro)
1 cup beans (14 grams Pro) plus 1 oz low fat cheddar cheese (7 grams Pro)
3 to 4 ounces of lean meat, fish or poultry (26 grams Pro)
5 ounce piece of firm tofu (20 grams Pro)
2 tablespoons peanut butter (9 grams Pro)
plus 1 cup yogurt (10 grams Pro)
1 Green Giant Harvest or Boca Brand burger (18 grams Pro)
SAMPLE DAY-AFTER MEAL PLAN
The following is an illustration of a higher protein, higher fiber,
lower sodium day after a binge meal plan. My suggestion is to use it
only as an guide to help develop your individualized "day-after the
binge" diet plan. Take some time and pre-plan a one day strategy to
help you regain control.
Breakfast:
If you're still stuffed from the night before,
try a glass of low-sodium V8
or concoct your own vegetable drink.
If you are hungry
(or a couple of hours after your V8):
1 cooked egg white
piece of whole fruit
1 cup cooked plain oatmeal cooked with skim milk
16 oz of water
Mid-morning snack:
1 cup plain non-fat yogurt
or high protein shake
8 oz water
Lunch:
1 to 2 cups dark green salad
add:
a variety of fresh vegetables
cup low-sodium canned beans
3 oz low-sodium water packed tuna
small amount of nuts or seeds
2 tablespoons non-fat salad dressing
16 oz water
Afternoon snack:
1 slice whole wheat bread
1 tablespoon peanut butter
8 oz water
Dinner:
3-4 oz lean fish, meat, poultry, of tofu
1 cup cooked broccoli
cup carrots
1 or 2 cookies
16 oz water
Evening Snack:
Piece of fruit
1 cup skim milk
Nutritional Analysis For The Day:
1524 Calories
114 grams protein
31 grams fat
196 grams carbohydrates
30 grams fiber
1600 mg sodium
POSITIVE NOTES
My worth as a person is not diminished in any way
by my eating patterns.
I am finished blaming others, situations, and myself for the way
I eat. I will take action immediately to re-establish
control of my eating patterns.
I will take care of my body as a loving mother takes care of her
child. I love myself unconditionally.
Submitted by Annette Colby, PhD, RD who can be reached by email at:
bodydr@ix.netcom.com or visited on the web at:
http://www.power-nutrition.com
Copyright 2000, Dr. Annette Colby, all rights reserved
Flat Abs Without Crunches
I love this abs workout!!! I hate crunches anyway and this decompresses my spine (old injury) while helping me flatten the belly.
http://www.self.com/fitness/workouts/2006/09/ab-sculpting-without-crunches-video
http://www.self.com/fitness/workouts/2006/09/ab-sculpting-without-crunches-video
Sunday, July 26, 2009
Checking in
Hi friends,
I have been busy but managing to stay mostly on track. We went to Iowa City over the July 4th holiday for a jazz festival. I ate well, drank water as much as possible and danced several hours.
Last weekend we were in Seattle for a memorial service for my husband's uncle. I managed to eat well and went hiking quite a bit. Don't know what it is about flying that makes me bloat up something fierce but it sure happens.
I've been making an effort to have more vegetarian meals as we are both good at eating fruit but lacking in veggie consumption.
This week I've been doing a lot of work in the gardens so the inches are coming off and the scale is finally moving downward, instead of up. How about the rest of you???
I have been busy but managing to stay mostly on track. We went to Iowa City over the July 4th holiday for a jazz festival. I ate well, drank water as much as possible and danced several hours.
Last weekend we were in Seattle for a memorial service for my husband's uncle. I managed to eat well and went hiking quite a bit. Don't know what it is about flying that makes me bloat up something fierce but it sure happens.
I've been making an effort to have more vegetarian meals as we are both good at eating fruit but lacking in veggie consumption.
This week I've been doing a lot of work in the gardens so the inches are coming off and the scale is finally moving downward, instead of up. How about the rest of you???
Monday, July 6, 2009
New Mantra
I am committing once again to taking care of myself. I have a new mantra and will repeat it as often as necessary.
This is who I am; this is what I do.
As in, I am on my way to healthy, I am healthy, this is what I do to get/stay healthy.
I cannot afford to keep playing around with my health.
This is who I am; this is what I do.
As in, I am on my way to healthy, I am healthy, this is what I do to get/stay healthy.
I cannot afford to keep playing around with my health.
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