Tuesday, May 10, 2011

Food and Snacks Are Coming


But First, I Must Confess


I am a loyal, addicted fan of a certain soda pop, so I will be trying to kick
that habit, also.  The suggested alternative is Propel Zero, which tastes
really bad, especially after my favourite soda pop, but if you are terribly
determined, the taste of Propel grows on you.  The reason for this selection
is that it does not contain any of those harmful artificial sweeteners.  You
know the ones, like aspartame, which gives me a severe headache…  And
if you need any more convincing to give up the soda pop, just watch this
YouTube favourite of mine, Sugar: The Bitter Truth.


Warning: this YouTube video is 1½ hours in length, but worth viewing, if
you can find the time.

Propel Zero is a low sodium, nutrient enhanced, water beverage with zero
sugars, carbs, fat, calories, cholesterol, fiber, and protein, so it will work
well with most diets.

Disclaimer:  I have no vested interest in Propel, stock or company holdings
of any of the makers of Propel.  I have interest only in cutting the sugars and
avoiding artificial sweeteners in my beverage, and this is the best way to get
me to drink anything close to bottled water.




My First Diabetes Seminar


So, there was this diabetes seminar in town a couple of weeks ago, and
they gave out the usual book on exercise and activity (yes, I have another
one of those), one booklet on meal planning (actually, this one could be
very useful), another cute little blood sugar diary, and a lot of printed
material for me to read (diabetes awareness, recipes, and foot care).

Now, I am playing catch-up to get all of these read and, truthfully, have
not finished, yet.  But I have digested enough to come here and log a few
tips before I forget and get distracted.  First and foremost, two important
points to make on meal planning: bacon is no longer a protein with all the
other meats; it is now in the fat column.  And cottage cheese is no longer
in the dairy column, but is now a protein.

The most information I got out of this seminar was that everyone should
increase their fiber intake without increasing their carbohydrates, eating
fresh or frozen non-starchy vegetables and fresh fruits.  Non-starchy
vegetables?  Oh, you would not believe what all they consider starchy
vegetables.  And as far as fruit goes, there are very few that I can eat that
don’t instantly turn into sugar on me.  I also learned that my drastic and
desperate switch to beans and rice that I thought was heart healthy, was
not so diabetes diet healthy, at all.  My carrots and green lima beans were
out, but the beef wiener and baked potato were good to go.  The more they
told us, the more confused I got.  They do not make this stuff easy, and I
think everyone was somewhat frustrated by the time they pushed us on to
the exercise and activity part of the program.  The familiar phrase became:
for all additional information, you should see a diabetes dietitian, which
they didn’t have at the seminar, but they realized they needed, as most of
our questions could not be answered by anyone else.  At my next doctor’s
appointment, I made an appointment with the diabetes dietitian, because
the one thing they kept repeating at the seminar was that diabetes could be
controlled by diet and exercise.  And I want that to happen.  I do not want
to be dependent upon drugs and needles and pills and meters and all the
expense of being the usual, defeated, household variety diabetic.




My First Diabetic Dietitian


I went to my “half-hour diabetes teaching appointment” totally prepared,
possibly too prepared, to make sense of all that I was told, and understand
what I was doing wrong, and learn what I should be doing to correct my
misguided venture into this so misunderstood world of blood sugars and
insulin.  Packing my daily diary and labels from the usual foods that make
up my diet, I was met with the usual sheets of typed information and
booklets which I already had.

Seriously, you cannot just hand these pages of information to ordinary
people and expect overnight changes.  Even smart people are going to
look at these booklets and pages stabled together and resolve that we
will be better off eating the paper the information is typed upon, rather
than struggling to make sense of what they are trying to tell us without
uttering one syllable of comprehensible explanation.  Do not hand me
an 1800 calorie diet list of food groups, tell me to increase my proteins
and fiber and cut back my carbohydrates, eat three meals a day and a
snack before bedtime, and we’ll see how your blood sugars are in two
weeks???  What?!
No!  No!!  No!!!
Confuse and frustrate me and you will pay for it.  I’m a diabetic, for
God’s sake, I don’t think clearly on a good day!

My diabetic dietitian, I believe, now has a genuine understanding of a
diabetic who is not one of the usual cattle, drawn in the entrance, pushed
through the chute, and stamped with “bill Medicare” as we are shoved
out the exit.  Over an hour later, and probably to the relief of the entire
doctor’s office, I contentedly walked out of there with the beginnings of
a manageable meal plan in mind.

After months of reading food labels and paying pointed and particular
attention to the amounts of cholesterol, sugar, and sodium in the foods
I eat, I am told that the most important things on the Nutrition Facts
label for a diabetic are the amounts of protein, total carbohydrates, and
fiber.  Carbohydrates are primarily what turn into glucose, or sugar, in
our blood; the more carbohydrates, the higher our blood sugar level.  As
for fiber, this is what slows the breakdown of carbohydrates into sugar,
and so, the more fiber, the slower the carbohydrates turn to sugar and
raise our blood sugar level.  It is a delicate balance that can be managed
when striving for a high fiber, low carbohydrate diet.  Protein is what
gives you energy, but there are three groups of protein, and if you need
to shed some pounds and build some muscle, lean, low calorie, low-fat
protein will be the right kind.  Three groups, you say? Yes, three groups,
differentiated by calorie content; low, medium, and high calorie proteins.

So, I was assigned an 1800 calorie diet and they replaced my blood sugar
pill with two different pills.  I wasn’t happy, but if I can get the blood
sugar under control and lose 40-50 pounds, then I can work on getting
off the pills, altogether.  I am very tempted to post the details about my
diet on here, but everyone must realize that I have allergies and a heart
condition to consider, and I am a very finicky eater.  What works for me
will not necessarily work for anyone else, but we all have to start some-
where.

For now, I am not to exceed 4 carb servings within the following food
group allowances, daily:

7 Proteins – 4 Low-calorie Group, 2 Medium-calorie Group, 1 High-
            calorie Group
4-5 “A” Vegetables (non-starchy)
1 “B” Vegetable (starchy)
3 Fruits
8 Breads
6 Fats
2 Dairy (low-fat)


And my biggest problem is that I can’t eat that much.  Old habits die
hard.  I am accustomed to eating only one or two times a day, and now,
my dietitian insists that I eat breakfast, lunch, and dinner, and a snack
before bed.  So, this will be a new challenge, and we shall see how it
goes.


Saturday, April 23, 2011

Enough Already, I’m Taking Control

I am so tired of being tired, of pain that cannot be alleviated, of sleeping
through another absolutely glorious day… and night.  Okay, I’ve been a
bit ill, recently, but that would be no big deal, because it’s only the second
time in going on four years since my heart attack that I haven’t felt well.
Actually, I think it was a bug going around town, and I caught it from a
friend who gave me a ride to my doctor’s office.  Ha!  How ironic.

However, it is a fact that since my heart attack, I have taken it sort of easy,
going on four years, now, and it is time to test myself and become active,
again.  Four years of not getting anything done while I have fought with
and tried to get a handle on this diabetes the cardiologist said I have.  After
living most of my life with a constant low blood sugar that required me to
snack 4 – 8 times a day, just so that I wouldn’t pass out, I now have high
blood sugar that requires me to eat regularly and stay away from carbs and
everything that I love, mainly potatoes in any shape, size, and style.  Yeah,
fat chance.

Speaking of fat, I’ve gotten there.  I don’t know how that happened, like
the high blood sugar, I have gone from a delightfully well distributed 119
pounds to an embarrassing 177 pounds.  Okay, some of it is water retention,
but that doesn’t really account for my waist size that has almost doubled.
And let’s face it, the doctors are no help when they say, You need to lose
some weight, or, You need to exercise more.  Until recently, when it just
got too painful to do so, I was walking 2 – 4 miles a day for exercise, but
now 150 steps outside my door and my hips and lower back start to burn
and it feels as though my thighs want to freeze up, just quit working.  So,
what gives?

Back to the doctor I go, and he pokes and prods and decides it is arthritis.
It’s in my family, I inherited it, and there’s not much you can do about it.
Yes, well, I was diagnosed with arthritis when I was a very young child,
I have lived my life with arthritis, I know what it is, and this is not that.
So, for the charge of a doctor’s visit, I go home determined to do what I
can about this pain.  I go online and I start by looking up all of the meds
that I am taking to try to rule out side effects: heart pills, cholesterol pills,
blood sugar pills, blood pressure pills, pain pills, nerve pills.  Well, that
was educational.

Of all the pills I take daily, I dare not give up my Plavix with an aspirin
chaser.  Apparently, because of the stent they put in, those are necessary.
And until I can get the blood sugar down, I’m stuck with that pill.  I tried
to do away with the blood pressure pill, but my heart went into rapid fire
beating, and the only thing that stopped that was that pill, so I’ll keep it.
The pain pill and the nerve pill I don’t take daily, only when it all gets to
be too much, so they’re keepers.  But that cholesterol pill is an entirely
different matter.

The more I read and understood about cholesterol medications, the more
I determined that it was more harmful than helpful, not to mention that if
you are put on any of the statin meds, you should also be taking CoQ-10
(co-enzyme Q-10), which is a natural enzyme that you produce and is
present in your blood cells, and which statin drugs deplete.  However,
don’t take my word for it, look it up yourself.  I mean, after all, I was
playing solitaire while I was typing this.

Okay, no kidding around about this.  Here’s a brief rundown.


From the Mayo Clinic:
Coenzyme Q10 (CoQ10) is produced by the human body and is necessary for
the basic functioning of cells. CoQ10 levels are reported to decrease with age
and to be low in patients with some chronic diseases such as heart conditions,
muscular dystrophies, Parkinson's disease, cancer, diabetes, and HIV/AIDS.
Some prescription drugs may also lower CoQ10 levels.
Levels of CoQ10 in the body can be increased by taking CoQ10 supplements,
although it is not clear that replacing "low CoQ10" is beneficial.


From Web MD:

Other Names:

Co Q10, Co Q-10, Coenzima Q-10, Co-Enzyme 10, Coenzyme Q 10,
Coenzyme Q10, Co-Enzyme Q10, Co-Enzyme Q-10, Co-Q 10, CoQ10,
Co-Q10, CoQ-10, Ubidcarenone, Ubidécarénone, Ubiquinone-10.
  
Coenzyme Q-10 (CoQ-10) is a vitamin-like substance found throughout the
body, but especially in the heart, liver, kidney, and pancreas. It is eaten in
small amounts in meats and seafood. Coenzyme Q-10 can also be made in a
laboratory. It is used as medicine.

Many people use coenzyme Q-10 for treating heart and blood vessel
conditions such as congestive heart failure (CHF), chest pain (angina),
high blood pressure, and heart problems linked to certain cancerdrugs.
It is also used for diabetes, gum disease (both taken by mouth and
applied directly to the gums), breast cancer, Huntington’s disease,
Parkinson’s disease, muscular dystrophy, increasing exercise tolerance,
chronic fatigue syndrome (CFS), and Lyme disease. Some people think
coenzyme Q-10 will treat hair loss related to taking warfarin (Coumadin),
a medication used to slow blood clotting.

Some people also think coenzyme Q-10 might help increase energy. This
is because coenzyme Q-10 has a role in producing ATP, a molecule in
body cells that functions like a rechargeable battery in the transfer of
energy. Coenzyme Q-10 been tried for treating inherited or acquired
disorders that limit energy production in the cells of the body
(mitochondrial disorders), and for improving exercise performance.

Some people have also used coenzyme Q-10 for strengthening the
immune systems of people with HIV/AIDS, male infertility,
migraineheadache, and counteracting muscle pain sometimes caused
by a group of cholesterol-lowering medications called “statins.”

Coenzyme Q-10 has even been tried for increasing life span. This idea
got started because coenzyme Q-10 levels are highest in the first 20 years
of life. By age 80, coenzyme-Q10 levels can be lower than they were at
birth. Some people thought that restoring high levels of coenzyme-Q10
late in life might cause people to live longer. The idea works in bacteria,
but not in lab rats. More research is needed to see if this works in people.

It’s not only time that uses up the body’s store of coenzyme Q-10.
Smoking does, too.

Coenzyme Q-10 was first identified in 1957. The “Q-10” refers to the
chemical make-up of the substance. These days coenzyme Q-10 is used
by millions of people in Japan for heart disease, especially congestive
heart failure. Coenzyme Q-10 is also used extensively in Europe and
Russia. Most of the coenzyme Q-10 used in the US and Canada is
supplied by Japanese companies. Coenzyme Q-10 is manufactured by
fermenting beets and sugar cane with special strains of yeast.

How does it work?
Coenzyme Q-10 is an important vitamin-like substance required for the
proper function of many organs and chemical reactions in the body. It
helps provide energy to cells. Coenzyme Q-10 also seems to have
antioxidant activity. People with certain diseases, such as
Parkinson’s disease, certain muscular diseases, and AIDS, might have
lower levels of coenzyme Q-10.


So, I started out on 50mg. twice daily, and have since gone to 100mg. twice
daily, and I will make a qualified statement that I do feel much better, more
energetic, and have much less pain.  A couple of friends that I told about it
are taking it, now, and state that it has helped them, also.  And while I will
endorse it, one word of warning: it is over-priced.  But then, so is Plavix.

Disclaimer: I have no vested interest in CoQ-10, stock or company holdings
of any of the makers of CoQ-10.  I have interest in living pain free and in
the best health I can try to afford.


Food and snacks are next to tackle, because let’s face it, we all have to eat.
But all evidence would point to the fact that I am not eating properly.  I don’t
Even know what that means.  However, I am going to try to get in to see a
diabetic dietician before I post here.  Once that is done and I can hopefully
understand what I’m talking about, I will post back here.  Yes, friends, I am
going to give you the benefit of my labour (and my insurance) and hopefully
accumulate some real knowledge and power on this blog.