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IIFYM Diabetes

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IIFYM DiabetesIt’s coming up to the New Year so you know what that means? People will be making healthier choices and considering some sort of diet to either lose or gain a few lbs. So, I want to share the IIFYM approach with you. If it fits your macros (IIFYM) is a great way to go about dieting. What is means is that you can be completely flexible within your approach to what you eat providing it fits you macronutrient ratio. This will be different for everyone so I definitely suggest doing a bit of research and then starting off with a ratio that suits your goals and adjusting from there as you see fit. Here is a great calculator. Your goals might involve; weight gain, weight loss, muscle gain or maintenance. A macronutrient consists protein, carbs and fats that are essential to your diet and should not be cut out completely for extended periods of time.

Why it is good for diabetics

Us diabetics have to calculate our carbs anyway, so why not go all the way and look at the fats and protein too? The chances are, without going on a low carb diet, if you increase your protein, your carbs will naturally reduce otherwise you will end up eating too many calories over your required amount. When I have worked with nutrition for clients, their carbs have usually been higher than any other source. Oftentimes people say “Oh I don’t eat many carbs”, yet they eat about 300g per day from fruit, sports drinks, rice and potatoes. So many people, I can’t even tell you, say they are on a low carb diet and yes, they may have cut down on bread and pasta, but carbs are everywhere including the fruit they had for breakfast. Tracking your macros really educates you about the foods you eat. Even if you only do it for a couple of weeks it is useful for you to know what you’re eating.

What to do before you start

Like any other diet should tell you, figure out where you’re currently at with your macros. This may be hard to do over the Christmas period as you will naturally eat a little bit more, you know, with all that extra chocolate and cake lying around, but if you know what you are currently eating you will have a baseline to work from in order to make a plan for your goals.

Also, I want you to get rid of the idea that there are good and bad foods. I mean, you’re right but you shouldn’t condition your mind with this way of thinking because it could create an unhealthy relationship with food. If you like a certain food, like pizza, I strongly urge you to keep it in your diet and to make it fit your macros by practicing moderation. You may want to switch it to a lower fat version, or eat less of it depending on your goals, but do not cut it out. Cutting out the food you like is reading the sign “wet paint, do not touch”. Initially, you had no interest in the paint, but because you have been told not to touch it it makes you curious to see if it is actually wet; the same way the food would make you crave it because it is off limits.

My Current Ratio

While the extra carbs are really improving my strength and performance I feel that I am retaining some water and feel a bit uncomfortable eating that much. I will continue to increase because I know that my body needs more. In an earlier post I said how I had experimented with low carbs and how that really didn’t work for me. I felt so tired and ran out of energy very quickly when I was dancing. Also, I prefer carbs like fruit and potatoes instead of higher fat foods like cheese. This made me realise that a low carb diet wasn’t sustainable for me. It could definitely be a 12 week thing, but it wouldn’t last for the long haul.

Choosing a ratio that suits your goals is essential, but choosing one that is sustainable is even more important. Most people go into a diet blind. They go from 2000 calories a day to 1400, yes they initially lose weight at a fast pace, but then what? What happens when they plateau and the weight stays the same? Those 1400 calories won’t keep you going for long and the longer you eat at that level, the more likely your metabolism is going to adapt to that level. Be smart, have a plan. 12 weeks is a good place to start. Cut 1750 calories for the first few weeks and see how you get on. This is worth hald a lb in weight by itself. If you’re adding in exercise at the same time, don’t cut as much from your calories.

This post turned out to be a little longer than I expected, but I just want you to do this right and to consider your health in the long term, because after all, isn’t that why you want to improve your weight in the first place?

Rowena x

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Holiday Workouts

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Holiday WorkoutsLast week I went to LA and Vegas for a few days. With the mindset that I want to continue travelling quite frequently it is important that I keep my goals in mind during my holidays, otherwise I would go off track too frequently. So, I took some workout clothes and my yoga mat to ensure the workouts would happen. However, I didn’t track macros (only carbs for insulin) and I ate pretty much anything I wanted. By the end of the trip I felt really bloated, but satisfied and rested from being so strict. Now that I am home I am back to counting and monitoring everything. Pretty hard whilst it’s Christmas time but I manage it because of myfitnesspal and mysugr app on my iPhone. Christmas day will not be tracked, apart from carbs.

On the first day in LA I had planned a rest day so I didn’t do a workout apart from the playing around on muscle beach. I was so excited to be there even if it was freezing and really early in the morning.

Holiday WorkoutsThe next morning I woke up in Vegas and went for a nice breakfast in Cocos Diner. I got eggs, mushroom, hash browns and coffee. I had been there a couple of times before so I knew it would be really nice. Straight after breakfast I did interval sprints from the restaurant, all the way to the Las Vegas sign and back to the hotel. The weather was crisp and cool so it was really nice to do the sprints outside instead of on a treadmill in a gym which I did in London a few days earlier.

And then of course when I got back I did some yoga. My post workout yoga sessions typically last around 20 minutes, sometimes longer but rarely less. Final BG was 5.2mmols.

Holiday WorkoutsDay 3 I did my work out about 30 minutes after a breakfast buffet. I ate the breakfast pictured left, which is not too much different from the one I would eat at home. Minus the bagel from the picture as I didn’t eat it in the end. Instead I ate a plain crepe with Greek yoghurt and blueberries. I had no idea of the carbs so I guessed for 30 and reduced the carb / insulin ratio because I knew I was going to work out shortly afterwards. Here is the workout I did, it was high intensity interval training that lasted 20 minutes. Note, if you do this work out and you squat low enough, you will be sore the next day.

There are 4 exercises; squat jumps, jogging with high knees, burpees and star jumps.

You go for a round of 60 seconds for each exercise with a 20 second rest, then reduce the working time by 10 seconds after each round; 60, 50, 40, 30, 20 and 10.

It sounds fairly easy but it definitely burns and makes you sweat.

Holiday WorkoutsI wanted to tie this Hiit workout in with a yoga session, which I did, but during the end of the hiit workout I felt low so I finished it and then checked my levels which were 3.2mmols. I didn’t have any glucose tablets or sugary drink to hand when I was in the hotel room and I was still very full from breakfast, but I had to eat again to be able to get my blood sugar back up and to continue the yoga part of my work out so I went with the trusty old banana which was around 20 carbs. I guess I estimated too much for that crepe at breakfast.

Amongst the planned workouts above I walked a lot, according to my phone it was around 8k a day. More so in Vegas than LA. The casinos are so big to walk through from the car park; it takes 10 minutes easy to get where you’re going and that is with a good parking space. I also went ice skating for the first time which was really fun and I only fell over once. Starting BG was 14.2mmols and end BG after only 30mins was 9.2mmols.

Overall I reckon I ate about 2000 -3000 calories per day which is definitely more than I eat at home, but the foods I eat at home are more carefully selected to keep me fuller for longer with less calories. I find that if I eat something that is really calorific I get hungrier because it’s like I have eaten fresh air. An example of this is a little slice of cheesecake that has 300 calories, I mean literally a bite, but at home I would use those calories more wisely and choose maybe pasta, vegetables and some meat free sausages. A small slice of cheesecake is definitively not enough to fill me up.

As I said earlier, I didn’t feel great after eating so much food. Initially, when eating a significant amount of food, even with extra exercise you will feel as though you have put weight on, you probably have but it is more likely to be water retention than fat gain. The body cannot process fat at such a fast pace so don’t worry straight away. Get back to your normal eating and all will be ok. I will probably weigh myself next week to see what those extra calories did.

Do you travel often? How do you keep up with your diet and fitness goals?

Talk to me on Facebook, Twitter, Instagram or comment below.

Rowena x

P.S. – shout out to celineLasvegas.com which helped me choose some amazing activates.

 

Rasie Your Standards

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Raise Your StandardsThe New Year is nearly upon us and I know that a lot of you will be setting yourself some goals that are either fitness based, diet related or both. I have a similar focus, although I tend to set goals that include personal development too so that all of my progress is not just physical. Each year I have done this I have found that I have become more confident and honest with myself about what I really want from life. It’s an ongoing process and I am enjoying the journey, the tough times too. So, here are a few things that you could consider adding to your yearly to do list that could benefit your diabetes management.

Expect more from yourself

With relation to diabetes, if you’re aiming for the levels of a non-diabetic you are more likely to be closer to that number that if you were aiming for something a bit higher. I expect my blood sugar to be in the range of a non-diabetic. Yes, sometimes it is off; way off! But I know that if I keep aiming for those numbers between 4 and 7 I will get there.

Diet

If you look at the food you currently eat you might be able to tell a lot about the way you treat yourself. Could you be fuelling your body with something more nutritious? It doesn’t take a PHD in nutrition to understand what foods are good and bad for you. I am totally guilty of eating shit and when I do my blood sugar pays for it. Maybe not to the degree it used to because I have been able to fine tune my insulin to handle crap food, but there is ALWAYS an after effect to eating something that is not real food. It makes me really sluggish and my blood sugars are usually a few mmols higher because my insulin sensitivity has been effected. The choice to eat a healthier diet should not only be for weight loss goals, it should also be because it makes you feel good. If you consistently eat well for a prolonged period of time and then eat something that is not so healthy you will automatically understand and feel the difference of the foods you consume.

Sleep and Stress

The average person needs around 7-8 hours’ sleep per night. Do you know your average sleeping time? Spend a week figuring out how long, on average, you sleep for. What you do before bed and what you do when wake up? Those moments before sleep can really dictate whether you get to sleep on time or not. So many people are glued into social media as a way to relax before sleep, but you have to ask yourself if it is really relaxing you? I know that when I used to play on Facebook just before sleep I would always procrastinate and end up staying awake much longer than I anticipated. In order to put a stop to this so I could get my beloved 8 hours a night I now put my phone onto flight mode before I even enter the bedroom. Try it and you will be amazed at how much better you feel for the extra sleep.

Accept Responsibility

Giving the blame to other people is very exhausting and can often cause frustration and anger which can play havoc with blood glucose levels. However, accepting responsibility for things that are sometimes out of our control can be a way to rectify a situation a bit quicker to feel at peace with it. I’m going to relate to diabetes management again; I know this might be hard to hear but we are 100% responsible for the highs and lows of our diabetes. Maybe not the first time something happens, but the way the second time is managed should be an improvement from the first time. Don’t complain if you are high or low, just try to figure out why it happened and how it can be prevented next time. If I am high because there was a gap in my line I can’t blame the pump for not being primed properly as I have the ability to prime it and to check that it is primed properly.

Even when living with a challenging disease we can achieve feelings of vitality as long as we understand that it is up to us to do what we can to improve and maintain our health. Rasie your standards and expect nothing but the best from yourself.

Rowena x

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Binge Eating and Type 1 Diabetes

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Binge Eating and Type 1 DiabetesBinge eating has come to my attention because of the research I have been doing around nutrition and reverse dieting. A lot of men and women, including me, binge eat without thinking about the negative effects it can have on our body. Binge eating is when you consume a large amount of food in one sitting. You might binge eat for a number of reason including hypoglycaemia, hyperglycaemia and restrictive eating. However, binge eating can be somewhat more serious and is classed as an eating disorder if one feels powerless about the food.

Hypoglycaemia

There have been times when I have been low and I have just had a few sips of Lucozade and I have been fine, but there have also been times when I would eat everything in sight because I felt like I was going to die if I didn’t, at this point I would be shaking and not really able stand really stand up. This happens rarely and only if I am really low like 2.2mmols. The feeling is like I have never eaten before. There is a strange pleasure in the feeling of eating, but the taste of the food is irrelevant and it’s as if it all tastes the same. There are a lot of people who over treat lows and could end up eating more than a meals worth of carbs.

If this sound like you and don’t have a major amount of insulin on board you could reach for your 15 carbs and then walk away from the area that has more food. The chances are, once your blood sugar has reached a normal level you won’t feel the need to over treat it. I have Lucozade in every room of my house, this helps to stay away from the kitchen. Also, if I am in the kitchen I know that I could grab a cracker and that would probably fix the low.

If you do continue to over treat hypoglycaemia it is important to avoid the other end of the scale by paying attention to what you’re consuming and to be honest with the amount you have eaten so you can calculate the carbs and dose accordingly.

Hyperglycaemia

I find it interesting that people don’t tend to talk about this, especially because unexplained hunger it is one of the symptoms that would prompt a doctor to check you for diabetes in the first place. Hyperglycaemia is when blood sugar levels are high because there is lack insulin in the body that would enable the release the glucose from the blood.

In relation to binge eating hyperglycaemia is extremely relevant. In my experience, when I am high, like above 20mmols, I have a never ending hunger that could easily go on a downward spiral of regret. Although, again, it doesn’t and won’t happen often I could literally eat and eat and still not feel full. The way I manage this now it that I have recognised that it is false hunger. This “hunger” is a direct result of my body not accessing the energy that I have given it earlier in the day which caused the hyper in the first place. If I am high I do whatever I can to get it down and then decide if I am actually hungry or not.

Restrictive Eating

I talk about this all the time on instagram and I am totally guilty of it myself. One of the main causes of binge eating is restrictive dieting. If you stop eating the foods you like or you eat too little of the foods you do include into your diet, your body will eventually tell you it needs feeding and so your brain flips a switch where you go onto autopilot and you make the decision to eat anything and everything.

If in general if you find that you are having regular binge eating sessions, it might be an idea to look at your caloric intake for about a week to see if you are eating enough. A lot of people go on extreme diets, cutting out full macronutrients sources such as carbs and fats without knowing how this will affect them other than the size of their waist. Be smart and educate yourself on nutrition. Here is a great calculator for finding out how many calories you need and here is a great tool for tracking your calories you eat daily.

In many cases, binge eating is linked to psychological issues such as depression, anxiety and guilt. There are a number of options for treating this and the main one is cognitive behavioural therapy. Please contact your doctor if you feel that it goes a bit deeper than what is mentioned above.

Rowena x

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p.s. after writing this blog, I became aware of a fellow diabetic who has overcome binge eating so you might want ot read her story. You can find it here.

One Year of Living with Type 1 Diabetes

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One Year of Living with Type 1 DiabetesI was just searching in google for stories of other people who live with type 1 diabetes. I clicked exit almost straight away because it was all so negative. I realise that negative things do happen in the world, but I would prefer to look at the good. Especially when it comes to something I live with. My journey with this disease is going to be different to yours because we lead different lives. People assume that all diabetics take a certain amount of insulin and that some are “naughty” and still eat chocolate and some are good and only eat fruit. Which, for your information, depending on the size of a piece of fruit / chocolate they have a similar amount of carbs and could potentially do the same amount of damage if eaten without a bolus.

For me, the biggest challenge was teaching myself about calculating my food intake and exercise intensity around hypos. I still have the odd hypo during or after exercise but I have pretty much got the hang of it. Sometimes it’s all good and it can be very satisfying to have a good streak of normal blood sugar, so satisfying that it makes me feel as though I am not diabetic anymore. However, things happen – a bolus miscalculation, stress, a dodgy site or a gap in the line to remind me that I am still fully diabetic.

Living with Diabetes has shown me how strong I am as a person. I am proud of my organisation skills, my focus and my willingness to accept something that doesn’t necessarily serve me. To manage diabetes around intense dance training is the only way I know how to do it and I am still working on making it a smoother ride. If this year has taught me anything it is to be grateful for my health and to treat my body with care by giving it proper nutrition and exercise. I’m grateful that I am powering through the emotional rollercoaster that this disease has given me. I say emotional because if my BG goes slightly out of range I feel it in my mood almost automatically. As I’ve said before in my High BG post, my head feels like it might explode and I get ratty.

How was your first year?

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