In honor of National Nutrition Month, I thought I’d give you a few thoughts on how to put your best fork forward this month (and every month)!

• Try a new recipe – some of my favorite recipe websites are from the American Heart Association or the American Diabetes Association. Trying out something new can add variety and keep eating from being boring!
• Work on enjoying natural flavors – Make a goal to decrease “extra flavors” like sugar, salt, and artificial flavors in order to really enjoy the full flavors of the foods, herbs, and spices you’re eating. Check out this post for more tips on flavor!
• Explore fresh new cuisines – most of us are familiar with Chinese, Italian, and Mexican foods, but how about Salvadoran, Ethiopian, Indian, or Vietnamese? There are over 190 countries in the world, each with amazing, flavorful, and unique dishes. Plus, different countries’ diets have different health benefits. You might discover a new favorite and expand the variety of foods you love! Bonus tip: make a quick Google search about the type of cuisine you’re trying before you go to a restaurant. That way, you can have some ideas of any unique customs (did you know that at most Ethiopian restaurants, patrons eat with their hands?) and what to order in case you can’t read the menu!
• Get rid of the “good” and the “bad” labels – We have a tendency to label foods as though they are good or bad, as if food and nourishment were totally black and white! All foods can belong in a healthful diet, and bodies are so, so individual! What may make one person feel terrible may be a great choice for someone else, and it is fairly rare that there is a reason to completely cut anything out entirely. Research has shown that this kind of labeling is detrimental to healthful diets and healthy relationships with food.¹ Learn to love and moderate all kinds of foods, and avoid villifying anything.

As a special bonus for National Nutrition Month, I’m offering 10% off an initial appointment! If you’ve been thinking about getting started with an empowered, healthful lifestyle, this is a great month to start! Click here to schedule an appointment!

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3779532/

You lucky readers! Today’s post is a guest post by my charming husband Charlie! He’ll be giving you the background on how he set his goals. So sit back, relax, and enjoy the read!

Charlie’s Assessment Results:

Charlie’s Story: About 5 years ago, I realized my health might actually be important! I was a truck
driver at the time – working 12+ hours a day, eating terribly, sleeping little and being quite inactive when I was not working. I started having back and knee issues – mostly due to sitting so often and being overweight. So I started working out – slowly at first, building endurance and strength, and increasing as I could. Eventually, I started using the P90x program and watching my food intake, which helped a lot! Once I completed that, I started weight training – heavy squats, deadlifts, bench presses, etc. – compound exercises, mostly. This fixed all my health issues!

Fast forward a few years – during which I began/achieved my quests to become a Firefighter/EMT and a husband – and my diligence in keeping my physical fitness at top level has dwindled. I still work out several times a week, but not with the intensity I used to. Added to that is the fact that I haven’t been regulating my diet in any way for a couple of years. Poor habit + poor habit = poor results. So, time to fix it!

Charlie’s Other Concerns: I have a history of knee surgeries and issues that I don’t want to exacerbate by ignoring my health. As stated above, I’ve had more issues/pain in my knees as my weight goes up, historically, than when I’m lighter or more active, so I need to keep my weight in check.

While my health is clearly important, equally so is my fitness for my career – and the folks I serve. I have a responsibility to the public to be capable of getting someone out of a burning building! Also, ever tried dragging a charged fire hose through a house? No picnic, that. And, while that, admittedly, is not a particularly frequent event, it’s a possibility. More often, though, I’m helping someone who has fallen and needs assistance or lifting gurneys with sick folks – and that takes strength, flexibility and conditioning, too.

And my pants are more snug than they used to be. That’s annoying. I like my pants. I don’t want to buy new ones.

Charlie’s End Game: My end game will essentially have me back in “fighting shape” – lighter on my feet, more flexible and with more practical strength than just weightlifting strength. I’ll be able to button my pants without thinking about shopping for a bigger size. And it involves me having more energy, because I’ve taken care of my body and am proactive about nutrition and fitness.

Charlie’s Goals: Of course, as a man, I want to absolutely crush my goals. And I instinctively want to set pretty high standards. So I’m going to do that. Here they are:

1. Lose 20 lbs (bringing me down to about 180 or so)
2. Increase my cardiovascular fitness from Excellent to Superior.
3. Improve my flexibility by doing more yoga!
4. Fit back into my wedding pants (they are too tight, now)

That covers my main goals. I’ll share my plan when it’s done! Thanks!

Check out the new practice website at www.impowerednf.com!

Don’t forget that my Goal Getter package is $20 off this month!

“The food you eat can be the safest and most powerful form of medicine, or the slowest form of poison.”                                  – Ann Wigmore

Oftentimes I will have patients with diabetes whose blood sugars are high, and they think, logically, that if they eat very few (or no) carbohydrates, that will help. Unfortunately, they are working against themselves, and here’s why:

The body has what I like to refer to as a savings account of glucose in the liver. When the cells in the body aren’t getting the glucose they need for energy (like when someone skips a meal or when their cells are resistant to insulin), they start complaining all over the body trying to get someone to fix their problem. Word gets to the liver that the cells are starving and he wants to help. The trouble is, liver is a busy guy. He’s got many, many jobs. I often joke that managing this savings account is his “side gig.” He’s not particularly good at it.

In people with diabetes, liver sometimes starts dumping glucose from his savings account into the blood when he doesn’t really need to, and then once he has started…he doesn’t know when to stop. He just keeps pouring and pouring sugar into the blood and before you know it, this poor person who is trying their darnedest to avoid eating carbs in order to get their blood sugars down has a sky-high blood sugar because they haven’t eaten!

It’s the most frustrating thing in the world because it’s totally backwards to what we would naturally think.

Moral of the story: don’t skip meals, and don’t over-restrict carbohydrates! It’s just as important to eat enough as it is to not eat too much to manage blood sugars in diabetes (side note: that’s true for weight loss as well!).

Bonus sub-moral of the story: If you have something frustrating going on with your blood sugars or your weight that you can’t explain, seek out a Registered Dietitian or a Certified Diabetes Educator to help explain all the funky things that your body might be doing without your realizing it! You don’t have to be frustrated and helpless. You can be empowered to better understand your body!

I wrapped up carb counting yesterday, and I would be lying if I said I wasn’t relieved that I don’t have to poke my fingers anymore. I’m glad I did it – I got some good ideas for tips on how to make it hurt less (the side of the finger is the spot!). I did miss my insulin one day – I was on an overnight girls’ trip and thought I brought everything (got my meter, lancets, blood sugar log, and vitamin) but I somehow managed to leave my syringe behind. Phooey. There goes my perfect record.

As far as carb counting goes, it’s not awful. It gets tiresome and Halloween was definitely tough, but it wasn’t the hardest part. Getting the 30 minutes of activity 5 days per week was a challenge, but not the end of the world. Now, getting the 3 minutes of activity per every 30 of sitting – that was the sticker. Fortunately, the apps I discussed in this post made it easier. I’ll be writing a post reviewing the two apps soon! Even with the apps, it was downright impossible to do that every single thirty minutes. You know, I have 60-minute appointments and on girls’ day I drove for two hours there and two hours back. No exercise there. But I did the best I could and honestly, it really felt good to get up and get the blood flowing and joints moving on a regular basis.

As a special treat, my husband and I completed the #DiabetesDanceDare for Diabetes Awareness. Enjoy!

Check out this haul from my first grocery shopping trip for Carb Counting!

Yes, we drink a LOT of milk at our house.

I think I’m going to like this particular meal plan that I am using because it offers more flexibility than other meal plans I have used in the past. It gives lists of sample breakfasts, lunches/dinners, and snacks and allows me to pick and choose the ones I like, as well as repeat meals to use leftovers, which definitely helps with some of the issues I have with meal plans in general (which I described here).

So I thought I’d start out by describing what carb counting is all about. As described here, eating too many carbohydrates at one time can raise blood sugar too high for someone with diabetes. First thing’s first: which foods have significant amounts of carbohydrates?

• breads and grains like rice, pasta, and oats
• beans and legumes
• starchy vegetables like potatoes, peas, and corn
• milk and yogurt
• fruit and fruit juice
• sweeteners like sugar, brown sugar, agave, syrup, honey and sugary beverages like soda and sports drinks

These are the foods we primarily “count” as we count carbohydrates. The specific goal for carbohydrate intake varies between individuals based on height, weight, gender, activity levels, and blood sugar control goals. If you have diabetes and don’t know how many carbohydrates you should eat, find a Registered Dietitian who can help you find out.

For me, my goal is going to be 45-60 grams of carbohydrate per meal and 15 grams of carbohydrate per snack, as well as meeting the recommended activity goal of 30 minutes of moderate exercise 5 days per week (This can really help blood sugars!)

To help make carb counting easier, something called a “carbohydrate portion” or a “diabetes portion” was introduced. This is basically the amount of any carbohydrate food that contains 15 grams of carbohydrate.

As you can see by my carbohydrate counting goals, they are in multiples of 15 grams. So basically, at meals I can select 3-4 “carbohydrate portions” and at snacks I can choose 1. I can then fill in the gaps with non-carbohydrate foods like meat, eggs, cheese, vegetables, nuts, or seeds.

Carb counting can be tricky, but with some practice, awareness, and strategy, most people with diabetes find that they can live a relatively “normal” food life. I’ll see if I can make it happen in these three weeks and, if so, hopefully I can pass some useful info on to you!