Saturday, January 16, 2010

For BLT lovers

My favorite sandwich in the whole world is a BLT.  Bacon, Lettuce, Tomato, with LOTS of mayonnaise, on crunchy white toast.

Sigh.

However, I am getting almost the same amount of yum from a BLT salad, using turkey bacon, shredded cheese, chopped tomato, and mayonnaise for a dressing.  I could eat this every day without getting tired of it.  I don't bother with lettuce but it would be prettier and more nutritious if I included it.




BLT Salad (without the lettuce)

3 slices turkey bacon
finely shredded cheese (I use Mexican blend)
1 Roma tomato (or other flavorful tomato)
1-2 tbsp. mayonnaise (full fat variety)

Cook bacon until crisp (2 min. 45 sec. in my microwave).  Chop tomato and put in bowl.  Top with 1-2 tbsp. shredded cheese, a nice big dollop of mayo, and the bacon, crumbled.  Stir it all together and enjoy!

Note:  To make sure I don't fall asleep due to gorging this delicious salad, I divide it in half and leave at least 30 minutes between eating each portion.

Thursday, January 7, 2010

Turkey Tetrazzini

We're taking dinner to a friend's house today.  I can always find something to eat when I'm a guest, even if it's the peanuts and apple I always have stashed in my purse or car, but it's often easier to volunteer to bring something I know I can have.  I don't like putting people to the trouble of worrying about what I can eat, though I appreciate their caring and thoughtfulness!  Last week, one sweet friend came up with the ingredients to make a lovely egg scramble with mushrooms, cheese, sour cream, and the salsa I had brought as a gift, while they heated up leftover chili for the rest of them.  It was delicious!  But I wouldn't feel comfortable letting many friends do that...it takes a certain kind of friendship to accept the idea that you're making them go to a lot of trouble.  :)

And certainly these friends we're seeing tonight are that sort, but I was going to make this recipe before my daughters go back to college, and this is the only remaining "cooking" day.

This is an adaptation of a recipe from my favorite crockpot blog.  I made this once before, substituting 4 cups of frozen zucchini (from my garden) in place of the broth, and I called it "Turkey Tetrazzini Soup."  It was amazingly delicious and I can't wait to have it again.  The hardest part is limiting my intake to about two ounces at a time and stopping before I feel full.  But I can have another serving an hour later, and even a third, if I want (and if there's time before bed)!  For "normal" people, this can be served over spaghetti, but it can also be enjoyed in a bowl, with a little parmesan on top.  Eat it with broccoli on the side to add some fiber to the whole meal.

The reason I call for baby peas is that mature peas and beans make me sleepy (too high in carbs, maybe?), but young peas are fine.  And wine in this quantity doesn't seem to make a difference to me.




Turkey Tetrazzini

1-3 lbs. of turkey tenderloin, cut in 1" chunks
1 lb. slice portabello mushrooms
1 sweet onion, diced
1-2 cups fresh or frozen baby peas
2 small jars marinated artichoke hearts, chopped
1/2 teaspoon fresh ground pepper
8 oz. cream cheese, cut in 1" chunks
1/2 cup shredded Parmesan cheese
2 cups turkey broth (or 2-4 cups frozen shredded zucchini, if you have it)
1/2 cup white wine
1/3 cup white spelt flour
1/3 cup cold water

Oil or spray a large crockpot.  Layer the ingredients in order, starting with the turkey chunks.  Cook on low for 4-6 hours.  Mix flour and water until smooth.  Add some hot liquid from the crockpot and stir again.  Add flour mixture to crockpot, and stir while it thickens.  Salt to taste and serve with shredded parmesan.

Foods I can't eat

These foods didn't make the cut.  I tried them, and lost a few hours to Morpheus.  Either they have too many carbs, are too high on the glycemic index, or they aren't high enough in fiber.

Potatoes
Pumpkin
Melon
Almonds
Peaches
Peas (mature ones--the fresh baby ones are fine)
Green beans (canned)
Carrots
Cauliflower
Orange juice
Pears
Oatmeal

That's not to say that these foods aren't worth another try.  In my meandering research I found (and did not bookmark) a website that mentioned the possibility that what I eat today affects how my body reacts to what I eat tomorrow.  So I could have a postprandial reaction due to eating sugar/carbs (or just overeating at one sitting), and react the same way to, say, almonds, when I eat them tomorrow.  But if I try almonds after eating carefully for a while, they may not push me over the edge.  I'll definitely revisit some of the rejected foods (when I have time to nap!).

Of course, there are many foods I didn't even try, like dates, or pasta, because there's no point.  Anything made of wheat/grain is on the "no" list, and anything that's high on the GI, like dates, isn't going to be likely enough to risk a trial.

I'm happy to say that there are acceptable alternatives for most of the "no" foods.  Stay tuned for my friend Sally's squash pie recipe, sweetened with agave instead of brown sugar!  In a flavor contest, a Hubbard squash pie would beat a pumpkin pie any day of the week.

Tuesday, January 5, 2010

Even though I had figured out HOW to eat, I still hadn't figured out why I slept so involuntarily and deeply.  A possible answer came to me the other day, as I was researching diabetes in preparation for my endo appointment this month.

Apparently, the remaining beta cells in my pancreas are few.  I used to (practically) live on sugar alone.  I put three teaspoons of sugar in my tea.  I snacked on chocolate covered almonds and chocolate covered fruit all day long.  I was famous for a recipe called "oatmeal bars" that called for a cup of white sugar, a cup of brown sugar, and a cup of chocolate chips (not to mention the carbs in the flour, even though it was lower-glycemic spelt), which I baked every few days.  When I was a kid, I would spend my allowance on a bag of Smarties *pure sugar*, which would be half gone by the time I walked home.  One by one, my beta cells gave up the ghost as I forced the fountain of insulin to erupt instead of trickle.

So there they are, Jim Bowie and Davy Crockett, the last of my beta cells, bravely defending the Alamo of my pancreas.  Their only chance to succeed rests on their alliance with my brain.  If they can cause a shut-down of the whole works and get all the other shooting to stop, they've got a fighting chance to get that insulin out there.  Right now, they've got a good thing going with The Big Guy (my brain), who clamps down on the ammunition supply to the other systems in favor of the beta cells, but we all know how the Alamo ended.  Eventually, I'll only be able to remember the Alamo as I hit my insulin pump and manually do the work formerly done by Jim and Davy.

But as long as I can avoid the need to produce insulin in the first place, I can give my heroes a breather, and keep Santa Anna out of the Alamo.  For now.
Once I assembled a basic daily menu that didn't put me to sleep, I started introducing foods one at a time, to test their effect on me.  I used the glycemic index as a guide, but didn't let it stop me from trying something a little higher up.  It turns out that fiber is a key player, and if you can distract your digestive system with fiber, a few extra glycemic index points can piggyback their way past the pancreas.  Apples, for instance, clock in at 38, but they are so high in fiber that there's no sleep effect.  Equally, if I pulverize a fibrous food into powder, its superpowers are gone; there's no protection against the Kryptonite (I mean insulin).

Fat, like fiber, has a similar camouflage effect on carbs, and the great news about fat is that it doesn't make you fat.  What puts fat on your body is insulin converting your carb intake into stored energy.  Fat isn't completely off the hook, if your arteries are the fat-collecting type, but it's not the meanie that makes you outgrow your favorite jeans.  Blame the carb+insulin combo, and eat instead from the list below.

The List of Foods that Don't Make Me Sleepy, Provided I Eat Slowly and Snackingly*

Vegetables

Artichoke
Asparagus
Broccoli
Cabbage
Celery
Chard
Cucumber
Garlic
Green beans (fresh)
Green peas (baby, fresh)
Lettuce
Onions
Peppers
Squash (summer & winter)
Sweet potatoes
Tomatoes
Zucchini

Fruit

Apples
Blackcurrants
Cherries
Elderberries
Plums
Prunes
Raspberries
Strawberries

Nuts

Coconuts (shredded, flour)
Peanuts
Pecans
Walnuts

Dairy

Butter
Cheese
Cream cheese
Half and half
Heavy cream (whipping cream)
Kefir
Milk (in small quantities)
Sour cream 

Condiments

Mayonnaise (the full-fat variety)
Mustard
Tamari or soy sauce (wheat-free)
Vinegar
Wine (for use in cooking)

Sweeteners

Agave nectar
Stevia
Molasses (in tiny amounts) 

Oils and Fats

Butter
Chocolate (unsweetened, baking)
Grapeseed oil (for frying)
Light olive oil (for baking)
Olive oil
Tallow (rendered beef fat)

Grains

Barley
Spelt flour (in small quantities) 

Protein

Beef
Eggs
Fish
Goat
Lamb
Turkey (also chicken for those who can eat it, but I can’t)
Venison

* These are the foods that check out so far, but the list is by no means complete yet.

Carbs be gone!

One of the happiest days of my life was when, after divorcing my constant but deadly companion, sugar, I met an attractive young sweetener called agave nectar.  It has the sweetening power and consistency of honey, but is a little thinner and easier to pour, with a clean, pure sweetness.  Oh joy!  Its glycemic index is 27!

The sugar in agave nectar is fructose (not the chemically altered and messed-up "high fructose corn syrup" kind of fructose, but the kind that makes apples sweet).  There is a lot of disinformation about agave on the 'net and each of us has the responsibility to read it all and decide the truth for ourselves.  I read it, didn't believe the hysteria, dug deeper and found an old scandal (a company no longer in business substituted corn syrup for agave in its products back in the 90's, giving all agave producers a bad name forevermore, as nothing on the 'net ever goes away).  People also linked the word "fructose" to "high fructose corn syrup," which certainly does nasty things to rodents when they eat a lot of it.  However, fructose, the naturally occurring sugar in apples and other fruits, is not the same as HFCS, and it's bad science to say that what goes for laboratory-created HFCS goes for all fructose in nature.

I decided that no one was dying of eating too many apples, and chose a reputable product from a reputable company to try.  I discovered to my amusement that the other major product of the agave plant is tequila.  I don't drink alcohol (which is probably a very good thing, given my genetic inheritance), but I figured that consuming agave nectar in moderation would be about the same for me as another person having their nightly tipple.  We all need some kind of treat that adds pleasure to our day and eases the stress of constant self-discipline.  A little indulgence is worth the risk.

Another food I decided to add was green tea.  It has detoxifying qualities that could help my organs clear the effects of almost five decades of glycemic abuse, and I particularly like green tea with jasmine.  It is also a mild diuretic (lower than black tea or coffee), and I was having problems with water retention.

So my day begins with green tea, doctored with milk and agave, several cups a day, in fact.  It's the only thing I drink, because it seems to deliver a tiny but steady stream of carbs, enough to keep me from hyperglycemia (blood sugar dropping, the symptoms of which are anxiety, shakiness, and increased urinary output, among others).  I carry my thermos cup everywhere and sip, sip, sip constantly.  Once in a while I substitute decaf for caf, when my kidneys kick into high gear and decide to skinny me down so I can fit in my "thin" jeans.  This happens about once a month.  I'll let you figure the timing of that one out.  :)

I am also convinced, through the observations of 20 years of feeding a family, that it's highly important to start the day with protein in your belly.  We're less hungry throughout the day, and are more alert and capable of exertion than when we've breakfasted only on cereal, toast, or pancakes.

Therefore, my breakfast begins with milky agave-sweetened jasmine green tea and three pieces of crisp turkey bacon.  Thirty to sixty minutes later, I might have some scrambled eggs topped with cheese, sour cream, salsa (or all three!).  I put an apple and some peanuts in my purse to eat on the go.  If I'm going to be away from home for a while, I'll pack a day's worth of eats, all in small containers so I remember not to eat too much at one sitting.

Because it turns out that even if I eat the right foods without a single carb in sight, eating too much or too fast triggers my pancreas to kick out some insulin to deal with incoming crowds.  If I want my pancreas to keep sleeping (so that I don't!), I have to sneak the food in quietly, a little at a time.

Tune in next for The List.

What makes me sleepy?

I have not yet seen an endocrinologist; my oft-deferred appointment is now scheduled for Jan. 22.  I only suspect the LADA diabetic diagnosis.  When I went to my primary care physician after the sleep attacks started, he ordered blood glucose tests that showed...nothing.  A friend gave me a glucose meter which also showed...nothing.  Normal levels.  The medical community had no answers to give me, but I was clearly not normal--normal people don't fall asleep 30 minutes after eating and sleep so deeply that their kids can't wake them for two hours.

About three years ago, I noticed that I would sometimes have difficulty climbing stairs.  The fatigue was so great, my legs so heavy, I could barely make it to the top.  Other times, I would climb them with no problem.  Around the same time, I noticed that my "regularity" had changed.  I won't share too much information here, but let's just say that my intestines seemed to progress at about "rush hour" speed.  Getting sleepy while driving was also a rather alarming symptom.  I never actually fell asleep (by the grace of God), but it was sometimes a severe struggle.  Other times, no problem at all.

Two years ago, I was attacked by naps.  I would sit down to read, surf, or watch a movie, and my eyelids would ache and get heavy, and I would drift into the deepest, blackest, most deliciously velvety sleep.  My husband and offspring would try to wake me to talk to me but would get no response (or got one that made no sense, and I never remembered talking to them). After I woke, I would feel disoriented and draggy for hours, or even a day.  My brain was foggy and often detached from my mouth, so that I sounded disconnected and awkward.

Internet research led me to suspect that carbs were somehow involved.  I decided to try South Beach recipes, and that led me to the glycemic index.  Ah ha!  Now I was getting somewhere.  I still hadn't tested my theory, but I had the means to clear the deck so I could start some experiments.  Carbs are measured in seemingly mysterious ways, but the glycemic index is pretty straight-forward.

The glycemic index gave me a short list of foods that were under 30 (for comparison, glucose is at the top at 100, and sucrose, or table sugar, is 65).  I chose 30 because milk has a 32 GI, and a whole glass of milk puts me under, but I can tolerate a tablespoon or two in my tea.  I figured that 30 was the break point.  Guess what?  There's not a whole lot on the list under 30!

However, the list doesn't include foods without carbs, foods that are high in fat and protein.  So it wasn't as short a list as I feared.  I used my new list of low GI, fat, and protein foods to form my new diet.  Another website I ran across mentioned the benefits of spacing food intake by intervals of 30-90 minutes, to give stomach acid time to do its job, so I added the concept to my plan.

Next post:  Going carb-free (almost)