Meal Planning 101 for Diabetics

A new diagnosis of diabetes can be scary. Individuals often leave their doctors office knowing little to nothing about the disease, feeling completely overwhelmed, and provided only a few words along the lines of “your blood sugar is abnormally high so now you need to check it on a regular basis”. You may be experiencing crazy symptoms like excessive thirst and hunger, fatigue, frequent urination, and maybe even blurry vision. You might be told you need to improve your diet, exercise, and lose weight, but are not explained even the slightest how.

Who can relate to this? Over the years I have dealt with numerous patients who have stepped into my office knowing nothing about their disease or how to control it. Well today I am going to help solve that issue and discuss diabetes meal prep basics.

“What the heck can I eat?”

Whether you’re a new diabetic or have had diabetes for 30 years, it is important to understand how foods will affect your body and impact your blood sugar. Let me introduce you to the diabetes plate method. This is a way of helping you to control your portions of starchy, carbohydrate containing foods. It also will help you be more mindful of what you are putting on your plate.

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Got a Sweet Tooth?

If your holiday and end of year celebrations were anything like mine, they were probably overloaded with candies, cakes, your aunt’s delicious cookies, endless vino, and so forth. By the time New Year comes around I am exhausted, bloated, and feeling something like this:

This inspired me to complete 30 days of no sugar, no booze, no excuses. Since I started this past Monday, January 6, I have already lost count of the number of times I have been asked “….why?” Sugar has become so mainstream in our diet it has actually changed, for many, the ability to appreciate unsweetened foods. A perfect example of this is peanut butter. Many brands are loaded with high fructose corn syrup or cane sugar, and when individuals try clean, raw peanut butter with no additional ingredients, it tastes off. Sugar lights up the reward centers in our brain, similar as to cocaine for an addict. After going a period of time without it, as the body stars to rebalance, you start to crave them all over again.

Sugar is also a tremendous contributor to blood sugar dysregulation (another cause of sugar cravings). According to the Center for Disease Control, in 2015, an estimated 33.9% of US adults 18 years or older had prediabetes along with 48.3% of adults age 65 or older. An additional 9.4% (30.3 million) of the population has actual diabetes. My family has not been an exception, so preventative measures early on have been a priority of mine!

Chronically elevated blood sugar (BS) levels result in inflammation as high BS is damaging to our nerves and small blood vessels. High intake of refined sugar also results in the formation of AGEs, or advanced glycation end products, which are destructive molecules that trigger inflammation. Inflammation is thought to be the underlying cause of many chronic diseases.

If I have not yet convinced you that sugar is evil, this study demonstrated that ingestion of sugar can alter the function of phagocytes (cells that ingest harmful bacteria, particles and dead cells) for at least 5 hours. In other words, after eating a piece of chocolate cake, your immune system will become suppressed, leaving you more susceptible to catching a cold or flu. Not ideal this time of the year.

There are several steps I took to prepare for this little endeavor:

  1. Recruit a support system. Maintaining any type of lifestyle change is not only easier but can even be fun when you have a team that supports you, or even better, will do it with you! Two of my sisters and my fiancé have agreed to participate. This has been a gamechanger in maintaining my motivation.
  2. Prepare. Don’t start immediately. I took a couple days to get rid of any leftover holiday goodies and meal prep for the week ahead. My sisters also took time to read food labels and clear out any foods that would not be acceptable to avoid temptation. We also discussed healthy, sugar-free alternatives.
  3. Make specific goals. I wrote out a list of guidelines and ingredients that were to be avoided for the next 30 days including: all added sugar, artificial sugar, high fructose corn syrup, sucrose, agave nectar, cane juice, caramel, barley malt, and glucose to name a few.
  4. DO NOT say “I will try”. This is one phrase I always make a point to avoid saying, otherwise I might as well not waste my time. It indirectly gives me permission to fail, which I do not want as an option.

What healthy habits have you committed to this year? If you are interested in trying 30 days No Sugar. No Booze. No Excuses. the guidelines are as follows:

30 DAys no sugar. no booze. no excuses. guidelines

  1. No sugar or hidden sources of sugar (refer to chart below)
    • Beware of foods such a bread, peanut butter, ketchup, dried fruit, chips, milk alternatives, and pasta sauce that could unexpectedly have some form of added sugar (TIP: if it has a barcode, check the ingredients)
  2. No honey, agave nectar, coconut sugar, maple syrup or any other “healthy” form of sugar
  3. No alcohol (wine, liquor, beer, etc).
  4. Approved:
    • Fruit (beware of sugar added to store-bought smoothies or açaí bowls). Ideally no more that 2-3 servings per day. Berries are best as they are lower in sugar.
    • Stevia or monk fruit (0 calorie natural sweeteners) in small amounts