Sunday, October 19, 2014

Random thoughts, sugar, meat and recipe

I forgot to update on the sugar challenge, let's just sum it up with "I really love chocolate" and chocolate with peanut is pretty much my favorite food of all time. I craved chocolate chip cookies all week and so all in all, it's pretty darn tough to eat 6 tsp or less of sugar. But, it does make me appreciate my sweets even more :)

The majority of my patients are on Medicare and getting their diet/social history I've learned that oftentimes trips to the grocery store might only happen 3 times a month. A MONTH! I probably end up going 3x a week. Between transportation issues, food stamps and such, my patients are at the mercy of frozen, canned and packaged foods (lets be real, even if I didn't work and had all the time in the world I wouldn't food prep an entire month's worth of food from fresh produce within 3 days of grocery shopping to then freeze). I can't go one day without a fresh piece of fruit so the reality of living that way hits hard, it's also an interesting thought to try to live that way. Maybe next month? Although really, to go without fresh bananas and apples (applesauce just isn't the same thing!).

I've been really bad about putting up new recipes, now that my apartment is all set up and I'm getting settled at work, I'm getting back into looking up recipes and going actual grocery shopping (my $50+ grocery bill today attests to that!).
A glimpse of my new home! It's really spacious and the high ceilings and windows make it feel even roomier. I have a huge closet you can't see, built in shelves (I'll have to get a snap of that once my pretty plates are up), the table and chairs I found at this furniture store in Keene (Penelope's) and was on sale for $80 and best of all, it fit in my car! The people at the store were super friendly, I stopped by several antique stores and consignment shops and I could easily start amassing too many things. I'm trying to figure out the lamp situation but that's a work in progress :)

But  back to food, now that I eat meat but am too squeamish to handle raw meat, rotisserie chickens are my new favorite buy and there's tons of ways to use all the meat. I get a baby bird for under $5 at the store and I take off all the meat (took me 10 minutes, I know because I was also hardboiling eggs at the same time). I shred most of it for quesadillas, soups, salads, etc. The bigger pieces are great for sandwiches or wraps. Here's a slideshow with 55 ideas for a rotisserie chicken. I ended up going for the chicken and sausage jambalaya (it's kind of scary how much meat I eat these days, although I would say at least 50% of my meals are still vegetarian, I made this yummy mac and cheese last night...).
This was my lunch all put together. I made some adjustments to the recipe (I couldn't help myself, and I was too lazy to buy everything I needed).

Chicken & Sausage Jambalaya
Serves 4 (a generous 1 1/4 cup serving)

Ingredients
Olive oil
Heaping spoonful of minced garlic
Half an onion, chopped
Half a bell pepper, chopped
1/2 cup chopped celery
4 oz fully cooked chicken sausage (it was two links in my package), sliced into 1/4 inch rounds
1 cup uncooked brown rice
1 cup water
14.5 oz vegetable broth
Handful fresh spinach
Dash of red chili pepper flakes
14.5 oz (1 can) diced tomatoes
1 cup shredded rotisserie chicken

In a large pot saute chicken sausage in garlic and olive oil, mix in vegetables and saute until tender. Add brown rice, water and broth, bring to a boil then simmer for about 30 minutes or until the rice is done (I'm wondering if leaving the rice a bit uncooked would lessen the amount of broth the rice soaks in later). Add spinach leaves around the last 10 minutes of the rice cooking so it can cook down. When the rice is done, add the red chili pepper flakes, tomatoes and chicken, bring to a boil then eat (or let cool and freeze/refrigerate). Add hot sauce as desired.

Monday, October 13, 2014

sugar challenge: day 1



Good morning! It's day 1 of the sugar challenge and today I'm focusing on breakfast. When grocery shopping, aim for buying packaged foods where sugar or any sugar related term is not in the first 3 ingredients (ingredients are listed by weight). The shorter the ingredient list, the better off you are and if you know exactly what each ingredient means, even better.

Breakfast
Overnight Oats

  • 1/2 cup Quaker Quick Oats (oats is the only ingredient, naturally has 1 g sugar) vs. Quaker Instant Oatmeal Apples and Cinnamon (12 g sugar)
  • 1 cup Silk Organic Unsweetened Soymilk (no added sugar, naturally has 1 g sugar) vs Silk Vanilla Soymilk (8 g sugar)
    top: unsweetened, bottom: vanilla
  • Banana
  • Vanilla Extract
  • Cinnamon
  • Total added sugar: o g vs. ~18 g


PB and toast

  • 1 English Muffin Thomas Plain English Muffin (1 g sugar) vs. Thomas Limited Edition Pumpkin Spice English Muffin (4 g sugar)
  • 2 T Teddie's All Natural Creamy Peanut Butter (1 g sugar- need ingredient list picture) vs. JIF Creamy Peanut butter (3 g sugar)
  • **JIF Natural Peanut Butter and Simply JIF still contain added sugar
  • Apple slices
  • Total added sugar: 0 g vs. 5 g


Yogurt Parfait
1 cup Cabot Low Fat Plain Greek Yogurt (6 g sugar) vs. 5.3 oz Chobani Blackberry Fruit on the Bottom Greek Yogurt Cup (12 g sugar) vs. 5.3 oz Chobani Simply 100 Key Lime Cup (7 g sugar) vs. 6 oz Yoplait Light Blackberry (10 g sugar)- all the Chobani cups are less than the Cabot serving size, but contain more sugar- aim for vanilla or plain and add or control the added sugar amount with maple syrup or honey
1. Cabot Plain 2. Chobani Blackberry 3.Chobani Simply 100 4. Yoplait

3/4 cup Kashi Heart to Heart Warm Cinnamon Oat Cereal (5 g sugar) vs. 3/4 cup Honey Nut Cheerios (9 g sugar) *Watch out for granola bars and granola, they can be surprisingly high in added sugar
Total added sugar:5 g vs. around 15-20 g

Surprising sources of sugar article:
WebMD

Other options for breakfast such as French Toast, pancakes, waffles can also be hidden sugar bombs. Best bets, save those for weekend splurges and make your own so you can control how much sugar you add. Top with fresh (or frozen thawed fruit) to cut down on how much syrup you add. Breakfast of eggs, toast, sausage, etc are also great alternatives (and eggs for breakfast have been shown to keep you fuller for longer compared to bagels). Watch out for frozen breakfast sandwiches and meat substitutes, those can include sugar (and a lot of sodium as well).  

2 pm update: I think my sodium intake may be increasing with my ability to eat sweets, or it might be a reaction to having something feel restricted. Another good bet, use raisins instead of dried cranberries in your oatmeal or granola, as you can find raisins with no added sugar but I've never found dried cranberries without added sugar. I also have a baby shower tomorrow and the gluten free brownies I'm bringing break my added sugar max in just 1/12 of the package!

Friday, October 10, 2014

Ain't she sweet



I've been working as an RD for two weeks now and it occurred to me that I'm spending an awful lot of time covering food groups, sodium and sugar intake. Writing down diet recalls that typically include multiple cups of coffee with multiple spoonfuls of sugar along with multiple cans of soda, I wonder how hard it would be to follow the World Health Organization's (WHO) recommended guidelines for added sugar intake. I'll come back to that in a sec, but first, some basics:

  • naturally occurring sugars are those found naturally in foods = fruit (fructose) and milk (lactose)
  • added sugar are those included in foods or beverages in processing or consuming = granulated sugar, honey, maple syrup, sweeteners, high fructose corn syrup, etc (here's a list of what to look for in an ingredient list for added sugars)
  •  The average American consumes about 22 tsp of added sugar a day (20% more than we ate in 1970) and is an added 350 calories (source)
Don't get me wrong, I love sugar, ice cream, chocolate, maple syrup on my yogurt are probably in my top 10 favorite foods, but it's an interesting challenge, can I eat as healthy as the numbers I spout out to my patients? Or am I also falling to the hidden calories of my food?

The challenge: For 5 days (Monday Oct 13-Friday Oct 17) eat within or less than the daily guidelines for added sugar intake. WHO's recommended guideline is 6 tsp total for an adult, American Heart Association (AHA) recommends no more than 6 tsp (24 grams)  for women and 9 tsp (36 grams) for men per day (I'll let the guys out there decide which number they follow). There are 4 grams of sugar per teaspoon in case anyone wants that math for when you read the nutrition label.

So where is added sugar in your life?
  • Sugar is listed under total carbohydrates on the nutrition facts label (hopefully if and when the new one comes out "added sugar" will be included in that separate designation)
  • Sugar, or other names of it (found here) are also found in the ingredients list. Sugar alcohols do not have to be legally listed on the ingredient list, look for words that end in "ol" like sorbitol
  • Major sources of added sugar in our American diet: soda, energy drinks, candy, baked goods, fruit drinks (not the 100% fruit juices), dairy desserts
  • Sugar is also added to foods like pasta sauce, bread, soy sauce, granola, cereal and peanut butter! Check the ingredient list
 What does this mean for me and doing this challenge?
  • Buying plain yogurt and adding vanilla extract and ripe bananas for sweetness
  • As "added sugar" is not a label on the nutrition facts yet, if the ingredient list includes any sugar or any of the related words, I will count all the sugar into my total (e.g. flavored yogurt typically is higher in sugar than plain yogurt b/c of the jam made with fruit = eating plain yogurt and adding my own sweetness through fruit)
  • Lots of whole foods
  • No sweets
  • Eating all my food with added sugar this weekend before the fun starts (I'm just kidding, freeze what you can and feel free to push the challenge off until your fridge is no added sugar friendly!
  • Reading labels, for instance, the two jars of jam I bought...

The purple label is for the jar on the left and it has cane sugar listed as an ingredient as well as sugar in the orange zest (yes, count the ingredients in parentheses, it was used to make ingredients). While the bottom label is made with fruit juice concentrates. If you look at the sugar content though, the top one is actually less sugars for the same amount of jam ;) So pick your battles, the goal is 6 tsp (24 grams in one day, or 9 tsp if you're a man)! This could also mean I'll be making peanut butter sandwiches with slices of apples or bananas in place of jam since my bread also contains sugar...it's all about balance!

So who's with me? I'll try to update each day of the challenge with more tips and tricks for decreasing your sugar amount (and for someone that likes sugar in her coffee, 1 packet = 1 tsp).