Weight loss : a mini-breakthrough

Well, it was a damn long time coming. What a battle! As of this morning, I have edged past the 25kg mark for the first time – 25.2kg down to be exact. As I said, a mini breakthrough but a breakthrough it is.

My weight loss has fluctuated between 24 –24.8kg for the last 2 months. I know the reasons for this very well. Lax portion control, little exercise, insufficient water and occasional mini-binges all contributed to the patchy downward progress.

June was a month of bi-annual medical checks I have which form part of the diabetic care protocol. At the beginning of the year and at mid-year, I have various tests done to check my health status.  Doctor, pathologists, ophthalmologist, podiatrist and dietician all had the dubious pleasure of my company last month. I will talk about it in a later post.

Diabetes really is a dread disease in that uncontrolled – or even just poorly controlled glucose levels wreak havoc with virtually every body system. Unseen and undetected until too late. That’s fact and not just me becoming neurotic or a hypochondriac! While I am very aware of my health diagnoses/challenges and am doing (action!) all I reasonably can to reverse the situation, I have no time to sit around contemplating my ‘health navel’!

Between health, business and personal challenges, I seldom have time to scratch myself! I do not schedule enough ‘me time’.  I call it down time or time out. I am looking at that quite seriously and would recommend it for everybody.

As part of my mid-year checks, I consulted a dietician about the prolonged weight plateau. Yeah. Another one. Another dietician I mean. Did I learn anything new? No. Didn’t expect to. What I did get was a slightly revised eating plan which cuts kJ to 5200 per day. (About 1222 calories). Rather strict plan for sure. Cuts carbs and leaves protein/fats much the same. Am I following the recommendations to the letter? Not quite but I have had a shift in weight and that’s the bottom line isn’t it?!

The other perennial recommendation is to increase exercise. Any regular physical activity is crucial for overall health improvement – any physical activity at all.

So get that fat dog out on a leash and get out into the neighbourhood so that he can pick up his pee-mail!

Advertisement

Odyssey to wellness : a good software resource

Good morning everyone 🙂

Just a quickie post this morning about Benutriwise software. Priya Jaipal, the developer of this excellent resource, has just published her latest Health-e-news newsletter.

While the newsletter does happen to contain a rather disjointed review of the product written by yours truly, that is not the reason for this post.

Priya is offering a “ World Cup Special” of a huge discount on the price of this excellent tool. The price is only R200,00 and I do urge those of you that may have been hesitating about buying this software to download and buy it on-line.

Marketed as a calorie counting instrument, I do not only use the calorie count function. I am working on ways to track GI (Glycemic Index), GL (Glycemic Load)  as well as Weigh-Less portions on the system.

Have a great day.

Weight loss: we must know where we are headed

“One day Alice came to a fork in the road and saw a Cheshire cat in a tree. “Which road do I take?” she asked. “Where do you want to go?” was his response. “I don’t know,” Alice answered. “Then,” said the cat, “it doesn’t matter.””

— Lewis Carroll, author

Reducing my weight and maintaining at goal weight is the single most important element of my journey to optimum wellness. With my weight at a normal level, the other ills I have will come right. Well, if not ‘come right’, they will certainly be the best results I can achieve given my specific circumstances.

Damn it all to hell! I have said it before and I will say it again. It’s all self inflicted. By upping the ante as I mentioned in yesterday’s post, I am placing a much higher value on self care.

By doing this, I will be better able to cope with a stressful, busy life and better plan for the more rounded lifestyle I yearn for.

The first thing I am doing, as of this morning, is re-looking at portion control. W & I have been eating far too much and this is one of the main reasons why our weight is not shifting as rapidly as it was. With W-L and the very comprehensive food list booklet they provide, I am able to instantly see what size my portions should be. So, I have no excuses. Period.

The other day, I saw a list of portion sizes compiled by Dr Ingrid van Heerden (DietDoc on Health 24.com). I am sure I made a copy of it. I’ll dig it out and post it later in the day.

Chow for now. Have a good one.

Weight Loss : I’ve got to up the ante

It’s now exactly two weeks since we returned from our wonderful break at Pinnacle Point. A fading memory I am afraid. 😦  We had to jump right back into the fray and catch up on time lost while we chilled out.

There’s something fundamentally wrong with the whole scenario; with the way that we live our lives in our house. This work, work, work is not a good place to be. We should be relaxing and I suppose I should be relaxing doing crochet or something or maybe gossiping with the other tannies in our quiet apartment block. Nah, just can’t see that ever happening.

I, for one, am right up there with my kids checking out the latest Blackberry, muttering about what in the cloud data backups are costing me, taking on new payroll work for small businesses. I would just like to have a more rounded life and in truth am striving towards that goal; without any notable success at this time!

What has happened since returning to Cape Town two weeks ago? Well, on the weight front nothing much at all and therein lies the problem. Having lost 23kg, my metabolism has settled down and decided that this weight is quite OK, thank you very much. So, another dreaded plateau. I have 7kg to go to the W-L goal set for me and I still want to go at least another 5kg down after that!

I feel good! I’m told I look good (but not when I am still working in my dressing gown mid-morning!) I am much smaller than I was, of course. I had the most amazing experience just before we left on holiday. I simply had to go to Woollies and find some denim pants to take on holiday – the old ones were all hanging like sacks on me. Great feeling actually! 🙂

Not having a clue what size to buy, I confidently took home two pairs of denim pants in size 18. Bearing in mind that I had been wearing size 22 stuff, this in itself was a major victory for me. Got home to find that the jeans as well as the pull on elasticised denim pants were both far too big!

As I hate trying on clothes in shop fitting rooms, I went back, changed the pants and came home with size 16’s. Tried them on. WOW!  The fitted jeans were fine – even a little loose. The elasticised pants were too big!  So back to the shop again to came home with size 14’s. Anyone who has worn size 22 clothes and now wears size 14 will know exactly how I felt!  I was and still am over the moon about this very tangible evidence of my progress so far.

SO FAR

Two very crucial little words for me. I have come so far and am justifiably chuffed with my efforts. But now the real test must begin. The last 7kg’s will be difficult to lose and hence the expression below :-

“ If you up the ante, you increase the importance or value of something, especially where there’s an element of risk as the term comes from gambling, where it means to increase the stake (the amount of money bet). “    Wikipedia

The element of risk for me is, of course, the real possibility of deteriorating health issues due to too slow intervention on my part. I must place a much greater emphasis on where I am heading and pick up the pace substantially.  I will have to worry about all the loose, wrinkled, floppy bits that will only get worse once I have arrived at my destination! The value of goal weight as the basis for optimum wellness has to be the most important element of my odyssey.

So, onward and downward again – are you joining me? You are most welcome!

Fitness: an essential part of the wellness journey

Those of us who have gym memberships – great stuff!  BUT, in all honesty, are we making full use of the state-of-the-art facilities at our disposal? Sadly, the answer in my case has to be ‘no’.

Do we ask questions of the fitness staff that  wander around all over the place while we are stepping along smartly on that treadmill?  You will be surprised at the snippets of very relevant info they give  re maximising the fitness benefits of the machines, equipment and designated areas of the gym at our disposal. Do we attend the myriad FREE classes on offer?

In this post, I won’t go into all the reasons (read excuses) why we no longer look like we did the day we got married or when we were at our best. Like everyone else, I will stick my head in the sand and not ‘go there’ at this time of writing.

What I want to do is to steer you in the direction of a couple of websites that may inspire us to get up off our butts and start toning up!

In the days of Dallas on TV, Victoria Principal the actress playing Pamela Barnes Ewing (alright, I Googled that – I would never have remembered the full name of her character!) wrote a couple of quite good books on health and beauty. Cashing in on stardom of course and suddenly they’re ‘experts’ on all sorts of things! Her first publication was The Body Principal. I am sorry that I must have ‘hospice shopped’ the book as I no longer have it.

In the book she illustrated and propounded the gentle, stretching isometric exercises that maintained ‘the body’. What a body that was too! In her latest book Living Principal published in 2001, she still looks pretty darn good and she is/was still married to her plastic surgeon husband. (!)She did not subscribe to the ‘feel the burn’ aerobic physical jerks of Jane Fonda and others.

Using the lessons  learnt from Victoria’s book, I created a short, all-over stretch routine that I practised quite religiously early every morning right up to 2003 when we left our farm and moved to the Western Cape. 

The cold, dark and wet Cape winter is closing in on us. My body – I do not take time often enough to check the reality of it’s very poor condition – has more and more loose, floppy bits waving around as the weight goes down! UGH!

What am I going to do about that? Well, for a start, I am going to re-create my morning stretch routine (adding some appropriate weights) and inveigle W into joining me!

We sit slouching over our computers for hours on end daily (in our family most of us have computer based jobs). We are (or will be) paying for it dearly with loss of tone, flexibility, range of motion and all the others ills of little/no exercise in our lives.

I, for one, have paid for my workaholic lifestyle by developing severe osteoarthritis in my neck. A neuro surgeon said to me, ‘This neck is tired’. He prescribed a neck brace which I do use occasionally. He also suggested some supplements to take and asserted that he would deny it if I ever told anyone what he had recommended! Poor man, I understand he too is now a diabetic.

My GP at the time had just returned from 12 years practice in Canada and upon seeing my neck x-rays exclaimed, ‘ Oh my Gaad! Oh my Gaad! Your poor thing!‘ An Afrikaans accent overlaid with 12 years of Canadian accent makes an interesting combination!

We sit hunched over with our necks stretched forward reading our computer screens for hours on end and we wonder why we feel sore and stiff when we straighten up  and try to correct our posture. Young people I know who shall remain nameless are developing exactly the same symptoms. I manage my osteoarthritis with a daily anti-inflammatory – yet another drug added to my daily cocktail – plus a twice daily supplement.

As usual, I digress. Back to the URL’s.

If you go to the URLs hereunder, you will see the sort of thing we will be making an effort to implement. Most of the very basic exercises in the 9 step routine were part of Victoria Principal’s routine and they are as much in use today as they were back in the days of Dallas!

http://www.hearthealthyonline.com/fitness/workouts/anytime-workout_ss1.html

A website I have discovered in my (hopefully discerning) wanderings around the www is:

http://www.livestrong.com/

Connected to super cyclist Lance Armstrong who as we know has had his own health demons to conquer, I think we can safely consider the many tools and information offered on this huge site for implementation in our own lives.

The World Wide Web is truly an astounding place where any info on the planet can be accessed with the click of a mouse. With due caution and a good dollop of commonsense, we can only benefit from using it wisely. More about that in a future post.

Food labelling – we have often been misled

Over time, I have become a consumer addicted to reading nutrition information labels on foodstuffs in my favoured food markets. In the early years it was for fat content, then it became the (often vain) hope that the GI value was quoted on breakfast cereals and now, finally, I can assess the info with some degree of intelligence.

With the advent in my life of the despised Metabolic Syndrome, I will not put a grocery item into my trolley without having read the nutritional information. I was so pleasantly surprised to see recently that a very dear friend with health issues to manage will also not purchase any item that would be detrimental to his health.

I am not for one minute saying that I am a Joan of Arc martyr to my health challenges nor a Paragon of Virtue as headmistress Reverend Mother Maria used to call me. (Poor misguided woman – luckily for me she did not deem it necessary to open nor censor my schoolgirl correspondence with a certain young gentleman at Kearsney College! Some of my Holy Family Convent school friends were not so fortunate)!

What I am saying – with much rambling, sorry – is that we need to become informed in our health choices. I ate a slice of Black Forrest cake this week – yeah horrors! – with no consequences on the scale nor my glucose readings. (Back to the comment about not being a Joan of Arc on my odyssey to health). An occasional ‘sin’ is not going to kill me as long as the ‘sins’ do not become a regular habit. Been there, done that. Never again in my lifetime. The ‘sins’ are what got me into my MS predicament in the first place.

No food is ‘bad’. All food has its place. The trick is to know which foods we must strictly limit to occasional treats and what foods are needed for vibrant health and energy.

New regulations for food labelling become mandatory in RSA from March 2011. Some retailers already have pretty good labelling on their products – PnP and Woolworths to name two.

Misleading labels will not be permitted. For example to be labelled low in kJ, a food will have to have less than 170kJ per 100g (solids) or 80kJ per 100ml (liquids). “Low fat” must contain less than 3g per 100g (solids) or 1,5g of total fat per 100ml liquids).

Don’t wait until March 2011 to start really examining what you permit down your throat! I haven’t.

So, how did it go?

As we reluctantly ease back into work mode after a lazy Easter weekend, W & I are pleased to note that we both lost a little weight over the weekend. We did indulge in a few, small easter eggs and sundry other foods such as a lovely bacon/egg breakfast and a couple of takeaways and visits to food outlets in CW (Canal Walk Shopping Centre, Century City)

We realise that it’s not about ‘dieting’. It’s about consciously making choices (indulging our love of chocolate which we seldom do) and then simply re-focussing on what we know is the right eating regime for us.

In past years, I – for one – would have polished off lots  of marshmallow eggs and any/all hollow eggs that came my way! The huge Easter egg market set up in CW was a sight to behold and I did buy a box of Lindor 60% balls. I dished them out very quickly! I could have polished off the lot by myself without much trouble but in truth I had no real desire to do that.

My glucose levels did not go haywire and we will soon see if there were any real spikes this week. I was due to go for my bi-annual fasting HbA1c test this morning but am fighting a cold that I picked up yesterday. Got up at 2am and swallowed a mega dose of Vit C so have had to postpone the test until tomorrow morning.

I will also make sure we both have our bottles of ice water on our desks – something that we tend to forget. So vitally important!

I have not posted about what I drink – I will try to do that this evening. At boarding school in the village made world famous by Alan Paton, Ixopo, a huge treat was to be ‘let out of’ hostel on a Saturday morning. We girls would all troop down to the village and settle in the ‘tea room’ and check out the boys while consuming large helpings of slap chips, hamburgers and Coca Cola!

Old habits die hard and if I was unwise I would still happily consume greasy burgers, fries and coke all these years later. Such is the influence of childhood habits!

Would love to hear how your Easter weekend went?

This and that …… 1

” This and that “
These words bring back memories and a smile to my face. My only sibling C, my husband W and my children will remember so well that my Dad used to get a rise out of my Mom at least three times a day. She would get all huffy for a couple of seconds and he would grin in a self-satisfied way and stroll off.

How did he do this?
Every single time he stood up after breakfast he would say, ” Thanks Gog, what’s for lunch? “; after lunch he would do the same damn thing and say, “Thanks Gog, what’s for supper? “, and after … but you get my drift… My Mom would answer in an infuriated tone, ” This and That! ” and my Dad would smugly wander off to think of something else to draw attention to himself….

I really must invest in some new dictionaries. The Readers Digest Complete Word Finder and the Oxford Illustrated Dictionary – not surprisingly – do not have the word gogga listed but it does feature in the ” Tweetalige Skool-Woordeboek ” 1988 edition! An Afrikaans word meaning ” insect “, my Dad used the abbreviation “gog” as a pet name for my Mom – unusual in that neither my Mom nor Dad had any Afrikaans connections.

This is getting entirely off the point of this post – fiddling again!
Back to the matter in hand.

Succumbing to sheer laziness, I have had the following for breakfast, so far:
2 x Ouma Nutri Rusks (Intermediate GI)
1 x mug coffee (Jacobs Cronat Gold), with skim milk and 2 sweeteners (Equi-Sweet Blue)
   I also use Equi-Sweet Green but the green dispensers always seem to get jammed up.
   My all time favourite granulated sweetener Sweet Pea is only used on porridge and then only very sparingly.

Not too good hey? BUT not anything that I am not ” allowed ” to have. My point is that W & I work hard to have only ” legal ” foodstuffs in our home. I actually dislike calling food ” legal ” and ” illegal ” – comes from the days when Jean Nidetch founded Weight Watchers in New York yonks ago.

Even with my health challenges including DM II, there is no foodstuff forbidden to me – just have to know how to incorporate the item with other far better choices. Thus diluting/lowering  the glycemic effect of the (usually High GI ) item. We both like Checkers Decaff coffee and will tootle out later (when I can bestir myself to get showered and dressed) to get more.

What we will also do this morning is boil up 6 (Canola) eggs and I will chomp a hard-boiled egg with a teeny sprinkle of Low Salt and some freshly ground black pepper just now. Thus having 2 x carb + 1 x protein for my breakfast.

We keep to a maximum of 4 eggs each per week. These are often hard boiled. Sometimes we also spray a small non-stick frying pan with olive oil spray and fry ourselves an egg to have on low GI toast for breakfast. Once again, sprinkled with S + P as above, together with a dash of Worcestershire sauce.   A dash of  Light All Gold Tomato Sauce or Sweet Chilli sauce would be nice as well.  Note, I said a dash! 🙂 Once again, protein + carb = cool! We also sometimes use 1 x tsp olive oil heated in the non-stick pan and fry the eggs in that; giving an additional 1/2 fat to the day’s total. And yes, we do measure the oil.

Talking about toast – which I love to eat and my spouse does not – I am very particular about bread.
The simple rule is: If the label/packaging of the bread does not include the actual words ” Low GI “, I do not buy it. It’s just that simple.

My personal eating plan allows about 5 complex (starch) carbs per day. I have tried – oh how I have tried over the years – to like coarse bread that tastes like chipboard. OK, OK, as I imagine chipboard would taste! I know all about the linseed and soy loaves, the rye breads and the like. Just cannot get past one slice at the most. If I make my Ultimate Sandwich on rye, I tend to end up eating the protein and salad sandwich filling and not the bread!

We have settled on the following breads in our house:
Albany Brown Seed low GI (Yellow)
Albany White low GI (Lime green-do not confuse with ‘ ordinary ‘ green label one)
Sasko Low GI True Whole Wheat brown loaf
We buy the loaves and freeze them, taking out only what we require. Experiment with thawing times in the microwave and you will have lovely fresh, soft bread for the Ultimate Sandwich or whatever!

I would say that by changing your bread selections to only those specifically labelled ‘low GI’ you can reduce spiking of your glucose levels considerably. It is important to note that curbing spikes in glucose levels – in my experience – is as important for non-diabetics as it is for diabetics/pre-diabetics.

Do you get the munchies mid-afternoon? That’s low blood sugar folks!
My W-L plan lists two afternoon snacks – early afternoon (2-4pm) as well as a late afternoon snack (4-6 pm). I also have a mid-morning snack – making 3 snacks per day in all. This totally in keeping with lowGI/low GL eating guidelines.

Mid-morning is 1 x fruit + 1 x milk.
     I have a fruit (mostly a small crisp apple from the fridge) and 175 ml fat free fruit yoghurt.
Early afternoon is usually another fruit.
I love pears, grapes, kiwi, orange, all the berries. The peaches have been to die for this year and we have eaten a lot of them.
Late afternoon is 1 x Complex (starchy) carb + 1/2 protein.
possibly 3 Finn Crisps with PnP low fat hummus or cottage cheese or lower fat cheese.

Try it, it works!
Talk later, E

Chicks rule!!!

Right! Now I’m really getting somewhere!

Broken a plateau which really frustrated me for the much of February and this month to date.
Hovering between 21 and 22kg loss was not a joke and unfortunately my life is so crazy at this time that I had not posted here about it.

Stand by…….. drumroll…… 23.1kg down this morning!!! Whew what a great feeling – I’m on the downward path again. Decisively so.

Let me encourage you not to give up if you also experience no or minimal losses over an extended period – a few weeks in my case. Our bodies are not engines that we fuel and can then expect to perform to specification. Each and every one of us is very, very different and as we pay more attention to our health and bodies, we get to know what works and what does not.

I can honestly state that I did not panic and I did not think even for one split second about throwing in the towel. That option did not cross my mind.

So, what lead to the breakthrough? Two things only – portion control and eating right. In my case, as you know, ‘ eating right’ is a combination of my W-L plan, my plan devised by a dietician well versed in low GI/GL principles, ongoing discussions and shared info with my doctor Anna Hall and last but honestly not least my own research into the kind of nutrition best suited to slay the Metabolic Syndrome dragons.

Very bad grammar in the above paragraph but I am posting this nonetheless!! Or should I say I am nonetheless posting this? Eileen – get back to the subject at hand – you are fiddling again!

Please comment on this post or write to me personally if you are having similiar problems. A problem shared is a problem halved – most of the time anyway.

Chicks rule??
A real biggie is that I now weigh less than my husband – quite something that – as he is also now on his own journey which is a new development which I have yet to write about. That was another huge breakthrough in our little family.

Have a great day and a safe weekend.

BMR .. Basal Metabolic Rate .. what is it?

I’ve never really been a calorie (or kilojoule) counter. Over the years I have become used to simply eating the portions as prescribed for me by dieticians or by following the formula selected for me at Weigh-Less. So much easier in my view!

However, I have recently become curious and have swotted up about the balance of macronutrients (carbohydrate, protein and fat) in eating plans suitable for those of us with Metabolic Syndrome (Insulin Resistance Syndrome.)

Remember that according to the IDF (International Diabetes Federation), for a person to be defined as having metabolic syndrome, they must experience the following metabolic abnormalities:
– abdominal obesity (defined as a waist circumference beyond ethnic specific values (see elsewhere on this blog),
Plus any two of the following factors:
– raised triglycerides (above 1.7mmol/l);
– reduced HDL (good) cholesterol (below 1.03mmol/l in men or 1.29mmol/l in women);
– raised blood pressure (systolic >130mmHG; diastolic >85mmHg); or
– raised fasting plasma glucose (above 5.6mmol/l).
Ria Catsicas – The Complete Nutritional Solution to Diabetes. Publisher: Struik Lifestyle 2009.

According to Anne Till, another leading South African dietician, the balance of macronutrients could look like this:

Proteins 15%
Carbs 45-55%
Fat 30-40%
The Ultimate Diet Solution. Anne Till. Published by Struik 2006

Through membership of the GI Club run by GIFSA (Glycemic Foundation of South Africa), I have direct access to Liesbet Delport and Gabi Steenkamp authors of the bestselling Eating for Sustained Energy books. The books published by these two dieticians are the gold standard on low/lower GI/GL, lower fat eating in South Africa.

Liesbet Delport has advised me not to have more than 20% protein and 30% fat in my eating regime so I have tweaked my Benutriwise software to reflect the following breakdown:
Protein: 20%
Carbs: 50%
Fats: 30%

BMR / Calories Required Calculator

Basal Metabolic rate (BMR) is the amount of calories needed by your body at rest.

For the average sized body the BMR is extremely accurate. However, for larger bodies (both muscular and fat) it can be inaccurate in determining your caloric needs.

For the muscular body type, the BMR can underestimate the number of calories required, and for the
overweight body type it can overestimate the number of calories required.

What you eat and how much you exercise are both important for achieving health and the type of physique you want.

But, the basic equation remains the number of calories taken in minus the number of calories consumed equals what’s left over to be stored as fat.

The BMR is calculated according to the formula :
Women: BMR = 655 + ( 9.6 x weight in kilos ) + ( 1.8 x height in cm ) – (4.7 x age in years )
Men: BMR = 66 + ( 13.7 x weight in kilos ) + ( 5 x height in cm ) – ( 6.8 x age in years )

To calculate Calories Required, BMR is multiplied by a factor depending on your Activity Level:

Sedentary – 1.2
Lightly Active – 1.375
Moderately Active – 1.55
Very Active – 1.725
Extra Active – 1.9

Based on the above, a Lightly Active, 30 year old woman, 55 kgs, 155 centimetres will have a BMR of
BMR = 655 + (9.6 x 55) + (1.8 x 155) – (4.7 x 30) = 1 321
Calories Required = 1 321 x 1.375 = 1 816 (calories required to maintain weight)

Be in good health ”
http://www.benutriwise.co.za. Should you opt to download a trial version of this great nutrition software, please be good enough to quote agent code AG Hall. Thank you! More about how I use this resource in a future post.