Being (nutritionally) wealthy

“I’m eating all the right things, but I don’t feel any better yet. What am I doing wrong?”

When you start a healthier lifestyle, there are a lot of other things that need to change than “just” what you eat.

For the sake of clarification, I’m not saying what you eat isn’t important – what you eat is the deciding factor of whether you improve your life or not. But there are a few factors that you may not be thinking about.

Today, I want to highlight 3 factors that might be the reason for you not feeling your absolute best just yet, although you’re doing “everything right”.

  1. Mentally

The concept of eating healthily needs to really click in your brain.

You need to understand, down to your last cell, that eating healthy is what you’re striving for, aiming for and need to do in order to feel your very best.

Let’s take an example we both understand to illustrate.

Let’s say you’re on a flight. After the fasten seatbelt light has been switched off after take off, the stewardesses start serving the food.

Airplane food. Within Europe, if you get anything at all, it’s usually just a snack; a sandwich or something of that category.

But, if you notice that they are serving something that doesn’t suit your healthier way of life, do you have to eat it? NO, of course not; you always have a choice!

I kindly, but firmly, rejected a vanilla bake thing that was served on a flight I took this week. I kindly asked to see the ingredients list, which even I was shocked about. Sugar was mentioned 7 (yes, S E V E N!) times in the ingredients list. It almost blew me away (or propelled me forward, not sure yet).

To this, I observed that most people either chose a Coca Cola or an orange juice. More sugar, how lovely. And then people wonder why they’re not feeling healthier, loosing weight or normalizing their blood sugars….

So, what choices do you have? I can think of 3 right off the bat:

a) Eat normally so you don’t have to snack in between/on the flight.

b) Be p r e p a r e d! Bring snacks you know are good for you, like nuts, fruit bars, dried meat, fruits or vegetables.

c) If both of the above fail you, just do better next time.

Ok., but how do you get to that mental clarity of that eating healthy is the only choice?

Give it a serious try.

For 2 or so weeks, make an effort to really eat healthily.

Your body will, slowly but surely, realize that the nutrients it has so desperately been looking for is in the “new” food you’re eating, wanting more of it and less of the old junk.

Deal with your emotions that are connected to food, through something like meditation, EFT tapping or contemplation. Remember, food is not a reward – you’re not a dog.

  1. Heartlly

Secondly, your heart needs to play along, too.

But, apart from the possible risk of coronary heart disease, what on Earth does your heart have to do with eating healthy, losing weight and normalizing blood sugars.

The answer is a simple, four-letter word; LOVE.

You need to decide in your heart that you’re making a change. You need to want the change deep, deep down, as otherwise you might be half-assing your new way of life.

You need to love the weight off, you need to love your body for it to function properly, you need to show yourself (and your body!) how much you love it.

This is where self-love rituals are so amazingly important for a healthy life style.

Just don’t show yourself “love” by shoveling down a chocolate cake every day. That’s not love, that’s abuse.

What are self-love practices, are things like reading your favorite magazine, although you “should” be doing something else, it’s to give yourself time on your own, perhaps even in the form of an appointment at the spa. Or going for a long walk, a run or a yoga session. It’s to spend time with those you love, family and friends, or enjoying a big cup of your favorite tea.

  1. Digestionally

As I already mentioned above; if you eat great, healthy, healing foods, your body will want more of them.

The reason for craving more bad foods when you eat bad foods (chocolate craving train, anyone?) is that your body is looking for the nutrients it’s not getting, so it wants more and more of said food, hoping to find a nutritional jackpot somewhere.

What our amazing body doesn’t recognize however is that there is very, very little nutritional value in an energy drink and chocolate croissant!

That’s up to you to re-teach your body, especially after years of abuse. Luckily, your body is an excellent student and a fast learner.

Your intestines need to learn how to re-recognize the good stuff that food has, and not only the processed stuff that leads to so many pains and troubles.

Antioxidants, vitamins, minerals, good carbohydrates, excellent proteins and amino acids and healing, yummy fatty acids are all stuff that an abused body and digestive system wouldn’t recognize at first.

Also, give it a little bit of time. Technically patience should be the 4th point of this blog post…

It’s taken years and years of abuse to get yourself, and your body, to this state (perhaps over weight, high blood pressure, high blood sugar etc are among the suspects on that list?) – it will not be resolved over night.

 

 

I really despise the word “diet” with a deeply rooted passion. And I can assure you that I would never (and you should never say that!) ever tell anyone to go on a diet.

What I do advocate is for you to find YOUR way of eating healthily. This doesn’t mean it’s the same for you as it is for your best friend, rather far from it sometimes, but it does mean that you can start at the same starting point and move forward in parallel directions.

So my tip for you today is: do not diet, get nutritionally wealthy instead.

It doesn’t matter what you eat, as long as it’s not nutritious enough, you’re starving yourself.

What step can you take today to make your life healthier? Or, do you recognize yourself in any of the three points above? Let me know in the comments!

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Where are your insulin injection sites?

Ahhh, the feeling of being able to FINALLY itch underneath an insulin injection site (or a pump site!) when you change it!

Sometimes it feels like rainbows and puppies and magic all in one go (or is that just me….?)

Especially if the site has been a little oddly placed (hey, it happens), and some piece of clothing has been irritating it too.

Naturally, this isn’t as much of an issue if you are on injections. But still, those can sting pretty badly too. Looking at you, Lantus!

But how do you make sure that you don’t end up injecting in exactly the same place the whole time?

Again, this wasn’t as much of a problem when I was still on injections.

Although I have a lumpy belly from injecting insulin in the same spot for too long, causing extra fat to deposit there.

And although I haven’t used that area for over a year now, it doesn’t get much better. I still have hope that it will go away, but starting to come to terms with that it might not.

Anyway. Now with my pump and CGM set up, because the sites are on there for 3+ days, I find it much more important to really rotate my sites.

So far I’ve mainly used the back of my arms for my CGM. I find it really handy, it’s out of the way, I can’t feel it in my sleep and it leaves more skin real estate for the more frequently changed pump sites.

Being so lucky that my insulin pump (OmniPod) can be placed wherever there’s enough fat on your body to inject into, I’ve been getting a little creative (against the official instructions, of course. But what’s a girl to do after a few site swaps?!)

So, a relatively new place I’ve used for my pump sites is my back.

You know, the middle (right below the bra line, ladies!), where many of us may have a pinchable fold.

I’m so glad I gave it a try, because I’ve had such good results there.

I have yet to try putting the pump on my thigh…. I don’t know, something makes me a little iffy about it, even though I used to rotate my Lantus shots between my hips and thighs.

Here are my 6 tips to keeping those sites rolling:

  • Mirror your sites on each side every second time you change your pump infusion set. This goes for injections, too.
  • Place you CGM and pump sites on the same side to sleep easier.
  • Start adding more imaginative sites to your list; see my example on my back above.
  • Your basal rate settings might change with different site placements. I have a different one for my lower back and arms than my stomach, back (higher up) or hips.
  • Dare to test different sites! Just because the “official” rules “state” that it “isn’t advised”, if it works for you – use it!
  • Pay attention to that you actually do rotate your sites. Your body (and blood sugar) will thank you and show gratitude.

 

And hey, please don’t be ashamed for your pump and CGM sites! It’s really nothing you can do anything about, you need them to keep you alive. And: don’t forget to #showmeyourpump !

Where is your favorite pump placement? How could you get a little more creative with them?

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Grain Free Thanksgiving

Happy American Thanksgiving! (Well, almost)

This year, we cheated a little.

As in we already had our Thanksgiving last weekend.

I’ve seen some questions on how to make a grain free Thanksgiving meal. Luckily, this is exactly what I had last weekend.

It was a great day; we had some friends over, cooked together, laughed, drank delicious wines and ate beyond-glorious food. And we didn’t watch football. How very un-American of us! But almost the best part was that while the boys were cooking, the ladies got their nails done, while drinking some bubbly. (thank you Sam!)

You might be wondering how on this green Earth we pulled together a completely grain free menu. Well, to be honest, it wasn’t all grain free, as some cornbread stuffing and a pumpkin pie were present. But the rest, and the dishes that I put my focus on were all grain free.

And as we’re so close to Thanksgiving, literally hours away, and I am so very thankful that you’re part of my world, I’m sharing The Menu, as well as some options, with you today. There are of course many, many other alternatives and options for a grain free Thanksgiving, but here’s what happened last weekend:

Grain Free Thanksgiving Turkey

I sincerely hope the turkey you get IS grain free…!

One thing I can recommend is to rub your turkey in the deliciousness that is duck fat. The flavors get intense and I’ve never had a juicier bird. I “blame” the duck fat.

Grain Free Thanksgiving Stuffing

I already mentioned the grain filled stuffing with cornbread before. But we also had another one, made entirely out of meat. (again, thank you Sam!)

It was minced meat with sausage, duck meat and some herbs. And it was heavenly.

As alternatives for stuffing, here are three fantastic (sounding) ones:

Best Ever Paleo Thanksgiving Stuffing

Apple-Cranberry and Veal Stuffing

Savoury Sage & Sweet Apple Stuffing

Grain Free Thanksgiving Sides

Moving swiftly on to the side dishes of the glorious grain free Thanksgiving meal!

On our buffet last weekend we had the following ones. Note that none of them are complicated or weird to make. Just really simple, honest food:

Brussels Sprouts with Bacon

Cut the Brussels sprouts either in halves or quarters across. Cut the bacon into smaller pieces. Fry the bacon first and then add the Brussels sprouts to it. Cook until the sprouts are sproutin’ done! 🙂

Kale Salad with Avocado

Cut the kale off the stems and into smaller pieces (or rip it, if that’s more fun). Put it into a bowl. Open an avocado and put the meat in the kale, and then use your hands to mix it all together until the kale wilts a little. This removes the sometimes overpowering taste of kale. Add salt and pepper as desired.

Broccoli Salad with Pomegranates

Shred raw broccoli into a bowl. Add pomegranates and some olive oil. Mix.

Pretty printable recipe here!

Butter-fried Cabbage

As an extra idea, I suggest cutting cabbage into thin strips and frying them in butter until soft and, well, buttery. Few things on earth beat that combination.

Grain Free Thanksgiving Gravy

My husband makes the world’s best gravy, second only to what my grandmother used to make. (Sorry honey!)

Last weekend, he took the juices from the turkey, put it in a pan and added butter, bone broth and red wine and let it simmer until it reduced into gravy.

This is so simple, but of course doesn’t give you thick creamy gravy. For that you need to add either cream or coconut cream.

Grain Free Thanksgiving Desserts

Everyone’s favorite part, of course, is dessert.

Except when you’re more stuffed than the turkey and feel like you might just cry. Then you’ve done Thanksgiving wrong, and I recommend you start from the beginning.

Ha, no just kidding!

Do make sure you leave some space for dessert though. It’s well worth it for these two recipes!

This one I made for last weekend, and holy-turkey-day was it fantastically yummy! The super talented Kelly from The Spunky Coconut really got the flavors together in this one!

Salted Caramel Pecan Pie without Corn Syrup

And, because it’s very traditional, I’m also giving you a link to a great grain free pumpkin pie from Mark’s Daily Apple, click here.

You can serve any or both of these with whipped (coconut) vanilla cream.

 

If these recipes and ideas just aren’t enough, or they just don’t tickle your fancy, I HIGHLY recommend Danielle Walker’s e-book Thankful, with 20 recipes for Thanksgiving and other Holiday events.

Over to you, what did you have on your Thanksgiving table this year? Share the awesomeness in the comments below.

Also, don’t forget to be #thankful!

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Diabetes Interview: 30 Questions

Sometimes, working on my own can feel slightly schizophrenic.

I know you have tons of questions for me.

And today you’ll get some of them answered!

I’ve done an interview with none other than my fabulous self. I asked myself, included the ones from you (and googled some) questions to answer.

So here we go, here is the GrainBrain.ch interview with Hanna Boëthius:

Beginning

GrainBrain: What type of diabetes do you have?
Hanna Boëthius: I have Type 1 Diabetes.

GB: How long have you had diabetes?
HB: I was diagnosed with diabetes at the age of 2, 29 years ago now.

GB: How did you manage, growing up? Did you hide your diabetes?
HB: I had my moments. Up until the age of about 10, my parents had full control of the diabetes and me. That’s also when I learned how to do my own injections, which gave me a little more freedom. I can’t say I ever took pride in having diabetes before.

Being a teenager with T1D was difficult for me, I wanted nothing else than to be like “everybody else”, and I felt the diabetes hindered me in that. Starting at about age 16 I started hiding the diabetes more and more, at times even ignoring it.

It was a stupid move on my part, as it brought me to the ICU on the night of my high school graduation with a life-threatening DKA (diabetic ketoacidosis), but luckily I survived, thanks to the excellent health care staff around me. This complete roller coaster of taking care of myself vs not doing it continued a few years after that too, purely because I didn’t achieve the results I was promised and that I was working towards.

GB: Was it tough on your sibling, with you being the center of attention?
HB: Oh yes, most definitely. What she actually feels about it, you’ll have to ask her, but I think she has found it very tough.

GB: What was hardest for you and your family — emotionally? Or financially?
HB: A little bit of both, I think, but mainly emotionally. I’ve always been fortunate enough to have excellent health insurance.

I know my mother was terribly afraid of needles until my diagnosis, and then got over it because, well, she had to. And to get over something you’re afraid of is incredibly difficult. So it has affected my whole family in many, many ways.

Also having to deal with the doctors visits, the low blood sugars, the high ones, the inexplicable ones, the food, the insulin, exercise, hormones as well as other factors that influence the care of diabetes is life changing. And definitely not just for the patient, but also for the ones around them.

gb14_about_me_detail

Treatment

GB: What treatment do you use to treat your diabetes?
HB: Medically, I use insulin and check my blood sugars often.

GB: How often do you have to test your glucose levels?
HB: It’s gotten a little easier with my newest acquirement of a CGM (continuous glucose monitor), but I still measure up to 10 times a day. Before that it was 7-12 times a day, depending on how I felt and what I was doing.

GB: Do you use an insulin pump or injections/pens? How often do you need to inject?
HB: Since about a year, I use an insulin pump. Her name is Doris, and we’re a great team. But for the other 28 years I’ve used syringes first, and then insulin pens. So I know all about feeling like a human pin cushion!

The benefit with an insulin pump is that it injects small amounts of insulin every 5 minutes, giving the body a smoother supply of insulin, rather than injecting huge lump-dosages and hoping for the best.

The reason I changed was a lifestyle improvement, but also to cut down the margin of error of the big dosages I mentioned.

GB: What kind of insulin do you take?
HB: I use NovoRapid in my insulin pump.

GB: What insulins have you had throughout your diabetic career?
HB: Oh, I don’t think I can even remember them all! But a selection of them is: Humalog, Lantus, Levimir, Protaphan, Humulin, Actrapid…

GB: How well do you think you manage your diabetes?
HB: I think I’m doing better now than ever before!

I take much less insulin and other medications now, my blood sugar is more stable and all my laboratory results and measurements are better than they ever have been.

GB: Can you recognize the symptoms of a low/high blood sugar?
HB: Yes, most of the times I can.

GB: What symptoms do you get?
HB: When I have a high blood sugar, I get sleepy, my brain feels like toffee, I’m lethargic and I can’t concentrate. Sometimes I’m insatiably thirsty as well.

When it’s low, I feel jittery, I might shake, I can’t see properly, and I can’t concentrate then either. But although that’s exactly what I need to do, I rarely feel hungry, that comes afterwards.

GB: How often?
HB: It depends on what I’ve been doing. Stress, too little exercise and water, and too many carbs make it go up. And too much exercise and insulin makes it go down. It’s a careful balancing act.

GB: How do you treat a hypo?
HB: I’ve learned to become more patient. Before I used to eat whatever I found, and too much of it, making my low blood glucose race up to be too high.

Now, I reduce my basal rate on my pump to -80% for ½-1 h and eat 4-8 carbohydrates in form of glucose tablets, depending on how low it is. Usually I’m back to my awesome self within 10-15 minutes.

The worst thing for me is waking up with a low blood sugar in the middle of the night and then falling asleep again, once I’m ok. Getting up the following morning is a real struggle. It’s (much) worse than waking up with a hangover!

Food

GB: What do you eat for breakfast/lunch/dinner? When?
HB: I actually eat very simple food. Clean, whole foods that have been minimally tampered with is my preferred choice.

I always eat proteins, good, healthy fats and vegetables. And I don’t eat grains anymore, as it impacts my blood sugars too much to handle. It’s not worth it.

I very rarely eat breakfast nowadays, but rather do a form of intermittent fasting, which has tons of benefits. But mainly because I’m not hungry then, and also because that gives me another couple of hours of stable blood sugars. For lunch, around 12am-1pm, I very often have a mixed salad with fish, meat or eggs and avocado and olive oil. Or a vegetable soup, or an omelet. And for dinner, usually around 7pm, it’s usually some kind of cooked/warm vegetables and meat or fish and some great fats.

If you want to see what I eat, you should follow me on Instagram where I have my “food diary”. 

GB: Do you vary your insulin dose if you eat something that is not really good for you?
HB: Of course, that’s what I have to do to feel well. But I try not to eat things that I know aren’t good for me very rarely. And if I notice it wasn’t good for me, blood sugar-wise, I give a correction dosage as soon as I notice it.

GB: Do you eat snacks in between meals? Soda?
HB: Very, very rarely. I’m not hungry between meals, which is something I make sure of by eating what my body needs at meal times. And soda makes me feel terrible, even the diet ones, so that’s not usually on the menu either.

GB: Do you eat vegetables? Drink lots of water?
HB: I eat TONS of vegetables every day! They are nutritious and taste great. I have no problem substituting things like pasta or rice, which are frankly quite tasteless, for yummy vegetables.

I make sure to drink 2-3 liters of water a day. I notice on my blood glucose straight away if I haven’t had enough water.

GB: Do you ever skip meals?
HB: Mmmm, no not really. Apart from breakfast, like I mentioned before.

GB: Do you find the diet restrictive?
HB: Absolutely not. Actually, I vary my eating a lot more now than I used to before. And judging by the fact that I feel so much better eating like this, I only see benefits to it.

Completely besides the point is that I’m a nutrition coach that hates the word “diet”…. Ugh!

GB: Do you get annoyed when people ask if you should be eating a certain food?
HB: Not nearly as annoyed as I get by the word “diet”!

I actually don’t get that question too often, especially now that people have realized that I know best myself what I can and can’t eat. But I see it as people trying to look out for me rather than let it annoy me.

Gemuse

Exercise

GB: Do you exercise?
HB: Yes. It’s essential to my well-being, so I exercise pretty much every day.

GB: What do you do?
HB: For many reasons, I’ve found that the form of exercise that suits me the best are walks of varying length, intensity and geography. Sometimes I wish there would be more variation in my routine, but I do enjoy my daily walks a lot.

More

GB: Do you do anything else to manage diabetes better?
HB: Yes! Diabetes management goes WAY beyond just eating, medication and exercise.

I have found that having a daily routine helps me manage diabetes, as well as various forms of stress reduction, like meditation, breathing techniques, massages and self-love, keeping up motivation, the right supplements, along with exercise, eating the right things, drinking enough and taking the right medication.

GB: What is the hardest part of being diabetic?
HB: The constant worry. And keeping up with the roller coaster, both physical and emotional.

GB: And the best part?
HB: How it’s shaped me as a person. It’s taught me self-discipline, celebrating the small things and victories, made me stronger, more resilient and to find happiness in every day.

GB: Does your diabetes cause you any other problems?
HB: I try not to see the limitations of diabetes, and at least not let them limit me. But of course there are moments I have to sit down and take it easy rather than going at full speed…

GB: What would you like a non-diabetic to know about having diabetes?
HB: There’s much more to diabetes than eating and taking insulin. And blaming people for having diabetes is not exactly right either, it only creates a social stigma. That stamp is difficult to get rid of.

GB: What would you tell someone who has just been diagnosed with diabetes?
HB: I would tell them three things:
1) Take a deep breath, I know it’s overwhelming.
2) Your doctor doesn’t have all the answers, you’re your own best doctor.
3) Keep at it, it takes time, but when you find what works for YOU it’ll all be alright.

GB: Who do you get support from? Who treats you?
HB: Oh I have a whole team of teams!

My first priority is Team Hanna, which consists of my body and I. Secondary is my husband, then family and friends. Thirdly, I have assembled a real Dream Team of medical staff consisting of an endocrinologist, diabetic nurse, diabetic educator, ophthalmologist, podiatrist, and dermatologist.

 

Is there anything else you’d like to know about me or diabetes? Ask them in the comments and I’ll answer them too!

PS. Did you see my Diabetes Advent Calendar yet?! Sign up for the ADVENT-ure now!

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Healthy Holidays in One Step

It’s that time of the year again!

Stores are filled with holiday cheers and people seem to start getting a little lighter mooded, most of them looking forward to the holidays.

And I heard this year’s first Christmas song yesterday!

As you may know, I’m not exactly a fan of how sugar coated the holidays are. Every year, your sugar consumption explodes toward the end of the year. Sugar destroys so much more than it gives, and this constant overload just isn’t worth it, in my opinion.

And the sugar you eat now, still has an impact weeks and even months from now (A1c tests, anyone?)

So, in the middle of this Sugar Avalanche, made out of chocolate, candy canes, Rudolph cookies and mince pies (and the sugar bomb that is mulled wine), what are your options? What is an easy step to take if you just wantto make your life a little healthier during the holidays?

If there’s ONE STEP you can take to make your December just one (or 24) bits healthier, it’s to swap out the usual chocolate advent calendar.

Packed with sugar and chemical stuff beyond belief, most advent calendar are a health hazard.

“But what’s wrong with just ONE piece of chocolate a day in December?” you’re asking?

Essentially, not much. But for me it’s about the inherent need for sweets this time of year, and not the fact that you actually want them.

As a few alternatives, I’ve compiled a list of healthier advent calendar ideas for you.

If you (or the one you want to surprise) are into taking care of your body and beauty, I have some great tips for you right here:

The Body Shop’s nearly iconic advent calendar seems to still be in stock (it usually sells out in no time): 

Or, I’d happily take ANY of these advent calendars on this wonderful list (hint, hint), from clothesandcamera.com:

Or why not try a tea one this year, where you get a different flavor every day? (An example right here)

While we’re on beverages, for your whiskey.loving partner, why not get a whisky calendar, where one kind is hiding behind each door?

Do you have a brainiac on your hands? A daily puzzle or Sudoku of some kind would keep them busy until Christmas.

 

For the kids, why not try one of the Lego or Playmobil calendars (available anywhere)?

Or, alternatively, why not make a Random Act of Kindness calendar for your kids? Get ideas on how: http://www.everydayroadtohealthy.com

For the classic holiday celebrator, try a “normal”, paper calendar. The Metropolitan Museum of Art in New York has gorgeous ones: http://store.metmuseum.org/holiday/advent-calendars/icat/adventcalendars

There’s also the alternative of an advent candle, counting down the days while spreading blissful peace. (Why don’t you meditate while you’re watching the candle burn?)

 

Or make your own!

It can be filled with loving messages, vouchers, cinema tickets, experiences, happy thoughts, affirmations, home made healthy snacks, supplements, spices, magazine… suited to the receivers tastes and preferences, of course! For kids, this could include stickers, colouring pencils, small toys, or, like I mentioned above, Random Acts of Kindness!

For the framework, you can just use envelopes, small paper bags, matchboxes or individually wrap them. Be sure to have a look at Etsy to find quirky alternatives as well, here is a link: https://www.etsy.com/ch-en/search?q=advent%20calendar

 

There are also countless digital advent calendars around, just Google it and find your favorites. That way you can have (way) more than one! 😀

 

What is your favorite type of advent calendar? Let me know in the comments!

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70 Things Only Diabetics Recognize

Happy Diabetes Awareness Month!

November is here and with that comes Diabetes Awareness Month mentioned above, as well as World Diabetes Day on the 14th. Don’t forget to put it in your calendar, and let’s raise money for research, party like it’s 1999 and, first and foremost, spread knowledge about diabetes!

To kick this month off, I made a list.

A list of 70 instances or thoughts that any diabetic can easily recognize. This list is by no means exhaustive, nor complete. But it might be a little funny at times.

Let’s go:

  • GOOD NEWS at the doctors office
  • Having a low blood sugar in public
  • The fear of passing out
  • Forgetting supplies
  • The feeling of a sinking blood sugar
  • The feeling of an unexpected blood sugar
  • New diabetes related gadgets (it can’t be just me?)
  • The feeling of an unexpected A1c level
  • The taste of gross glucose tablets
  • Over eating for a low blood sugar
  • Being a math genius – every day!
  • The smell of insulin
  • Realizing that your life depends on said supplies
  • “Did I bolus for that?”
  • Redefining the meaning of a roller coaster
  • A needle hitting a nerve
  • Being able to finally itch under an itchy site!
  • The fountain of blood that can appear after an injection
  • Insulin induced weight gain…
  • Carrying an arsenal of medical supplies
  • The soreness after sleeping on a medical device
  • Tasting food or drink and feeling just how loaded it is with sugar!
  • The feeling of having bolused EXACTLY the correct amount
  • How you feel after a night of wrestling with your diabetes
  • The feeling of a high blood sugar
  • Saying: “I’m high, I need to shoot up!”
  • Not being understood
  • 5.0 mmol/l / 100 mg/dl
  • Meeting a new doctor, trying to throw out a joke and get crickets back
  • The Numbers Game
  • Carbohydrate counting like a boss – instantly knowing how many that pumpkin has
  • The desert mouth you get from a high blood sugar
  • Dropping your test strip on the floor. Outside. In the rain.
  • Being proud of yourself
  • Balancing an umbrella while checking your blood sugar
  • “I’ll just finish this and THEN I’ll check my bg” “LOW”
  • Paying for medical supplies
  • Painful injections/pump site insertion/finger prick
  • “Does this dress hide my pump AND cgm?!”
  • Seeing another diabetic when you’re out and assuming you’re friends
  • Fear of judgment
  • Social stigma
  • Getting stupid comments and remarks
  • Seeing a diabetes meme and totally being able to relate
  • A smooth CGM curve
  • Going low during exercise
  • Diabetic Jetlag (travelling across multiple time zones with basal changes)
  • “Did I have too much wine for dinner or am I low?”
  • The Sweaty Shakes
  • Feeling strong
  • “Am I high or just thirsty?”
  • Not giving up, even when it would be darn nice to
  • Feeling like a Negative Nancy, although you really don’t mean to
  • Ugly meter cases
  • Treating a hypo just right
  • The Disappointment when you’ve done everything according to the “books” and nothing is like it should be
  • Feeling insufficient
  • Getting advice that would help, but you’re just not ready to hear them yet
  • Having to be a constant worry for the ones closest to you
  • “Is it hot in here or am I low?”
  • Assembling your care team
  • Developing a fighter mentality
  • The Diabetic Online Community
  • Keeping blood sugar logs
  • Not being like everybody else
  • Constantly making changes
  • Sleep, sleep, sleep
  • Theory vs Practice
  • Letting go of expectations
  • (+1) The hope of a cure, even if it is distant in the future

 

 

What did I miss? Is there anything you think should be added to my list? Please let me know in the comments below!

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Paleo Restaurant, What’s on the Menu?

The most difficult part when you want to eat healthily are restaurants.

But what if there is an option to keep eating healthy whilst eating at a restaurant?

About two weeks ago, my husband and I had something a little special to celebrate.

And although we’re not dogs, we decided to treat ourselves to some really good food. I had heard about this Paleo restaurant close to Zürich, and as we had an occasion to celebrate, we went there. And, only for you, I took pictures of every single dish we had. And there were many…

The restaurant is stylish and modern, despite its ancestral menu. And the service was great, couldn’t have asked for better and more attentive service staff.

Anyway, as we’re not here to lollygag, we’re here to party, on to the FOOD:

 

Restaurant Feinwerk

Restaurant Feinwerk

 

Elegant and stylish menu, filled with good, healthy courses. At this restaurant, you can freely choose how many of their seasonal courses you want, 3, 4 or all 5 courses that are on the menu. We thought we should “go big or go home”, so we took the 5 course option. All the courses follow the idea of Paleo eating, wild caught fish, wild meat, seasonal vegetables and all of it, of course, organic. No gluten, dairy or processed foods fit in the Paleo framework either, which is GREAT for someone just like me. 🙂

 

Paleo bread

Paleo bread

 

At “normal” restaurants you usually get a breadbasket before your meal. So also at the Paleo restaurant, although the bread here was made from things like almond flour and walnuts, spiced with saffron and herbs. Delicious!

 

Amuse bouche: quail egg on root vegetables

Amuse bouche: quail egg on root vegetables

 

A small greeting from the kitchen, with a fried quail egg on root vegetable chips.

 

Starter: cedar graved lake trout and river crab on beetroot

Starter: cedar graved lake trout and crayfish on beetroot

 

The first starter was lake trout that had been graved with cedar wood and crayfish that had been slightly sweetened with honey on top of beetroot. Crayfish and beetroot was a new and fantastic combination for me!

 

2nd Starter: artichoke and herb soup with rabbit

2nd Starter: artichoke and herb soup with rabbit

 

The second starter was an artichoke and herb soup with a meatball of rabbit. The tastes combined amazingly well, and just look at the decoration!

 

Main: forest dove with wild asparagus

Main: forest dove with wild asparagus

 

Onto the main courses: first up was dove from the forest with wild asparagus and beechnut. A lot of new flavours and tastes were presented to me during this dinner, and this is one of them – I had never had dove before. The combination of flavours were, again, knocked out of the park.

 

2nd Main: fallow deer with roots, nuts and mushrooms

2nd Main: fallow deer with roots, nuts and mushrooms

 

With the second main dish, we got locally caught fallow deer with roots, nuts and mushrooms. As you can see, the main focus is on the meat and not the roots, bringing the carbohydrate count down, making it easier for diabetics like myself to calculate dosages.

 

Dessert: chocolate tart with forest berries and herb jus

Dessert: chocolate tart with forest berries and herb jus

 

This feast was finished off with a yummy, rich chocolate tart with berries from the forest and herb jus. For a chocolate lover like myself, this dark chocolate tart was the perfect end to a beyond amazing dinner.

 

The taste combinations that were on these plates were definitely out of this world! For me, it was so nice not to have to change the ingredients in any of the courses, as well.

And, more importantly, had we had this many courses in any other restaurants, we would have felt too full to get home. Sure, we were full and very satisfied after this meal too, but it was really not as bad as perhaps expected. It should probably be noted that eating a fully packed menu like this is nothing my husband and I do often.

The whole experience was a true delight, and I can definitely recommend Restaurant Feinwerk if you’re in or ever around Zürich!

 

How is it where you live? Do you have truly healthy restaurants, and not just those that try to disguise bread and sugar as healthy? Share your recommendation in the comments below! 

 

(NOTE: I’m by no means affiliated with Restaurant Feinwerk, and we paid for the dinner ourselves. These opinions are completely my own.)

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My 6 Bad Diabetes Habits

Everyone has bad habits.

Whether they’re diabetes related or not, I bet you have your bad habits too.

Just as I have mine.

Just because I do what I do, helping people with diabetes to feel healthier and more confident in their own care, it certainly doesn’t mean I’m perfect when it comes to my own care. Not even by a long shot.

But I didn’t lure you here to complain about bad blood glucose readings; I don’t mean that kind of perfect (mainly because I think that’s a complete myth – you can’t be a perfect diabetic.) I mean habits that could be improved, that I’ve always been told I “need” to do, but, for some reason, don’t.

Note: I’m not talking about not taking insulin or not measuring my blood glucose; those are givens in order to have an ok level of your self care.

I’ve thought of 5+1 bad diabetes habits I have, and only higher powers above know I have plenty more non-d-related, too.

 

1) Never changing my lancet

I’m fairly certain this is something pretty much e v e r y person with diabetes is guilty of.

I just never change the lancet in my finger-pricking device.

Why? Because I’m lazy? Probably. But also because I just never think of it. There are so many other things I keep track of every day, and changing a lancet is just not on that list.

 

2) Throwing away test strips

When I’ve checked my blood glucose, I put the used test strip into my meter case (I use a small pouch instead of the supplied cases, I think they’re painfully ugly, and diabetes is sometimes ugly enough without having to be reminded every time I check my sugars, am-I-right?), to just forget about them.

When I finally DO empty my case, it’s because things don’t fit into the case anymore. Here is a video of me emptying my case, it’s almost like snowfall at Christmas!

Again, why? Good question. Secret hoarder? Saving up for winter? Hiding something? Your guess is as good as mine.

 

3) Suspending pump for hypos

When my blood sugar goes low, unless it’s superlow, I simply suspend the insulin delivery on my pump rather than eating something and just put on a minimal basal dosage until I’m ok again.

So far I have never forgotten it off, perhaps because she (Doris, my insulin pump) reminds me angrily when I do?

 

4) Mistakes in carb counting

I have to confess I don’t always count every single carbohydrate in a meal. (Unless I write how many carbs it is on Instagram, then there might be some severe googling behind it…)

This has gotten me into BG-trouble in the past, but a lot less so after I started eating low carb meals.

Sometimes I just didn’t want to see, realize or recognize just how many carbs I was eating in a meal, which is another problem solved with eating low carb meals.

Why? D-Nial. Not just a river, peeps.

 

5) Not being open enough about diabetes

Having shared a picture of myself in a bikini and revealing the names of my medical gear, have been huge steps for me.

I used to hide every aspect of my medical condition(s).

I’m getting better at this though, and am starting to enjoy sharing more and more of my d-experience with you and my clients.

Yet, every time someone else is hiding something that is such a big part of their lives, I almost get offended. If we’re ever going to get a bigger public understanding of chronic conditions, like diabetes, it’s up to us to share how it is to actually live with it.

 

+1) Not eating 60% carbs with every meal

Simply because I don’t feel well when I do so. But I was told for 26 years that this was an absolute necessity to diabetes management.

Well, turns out it isn’t.

 

 

These may seem pretty harmless to you, and whilst you’re probably right, they are things I want to get better at in my self-care. If I don’t take the outmost care of myself, no one else is going to either.

Sometimes it’s the smallest thing that throws the whole thing over. This probably wont be an unchanged lancet or not emptying the used test strips out, but it could be letting a hypo go too low or miscalculating the carbs in a meal.

 

What are your bad habits? Even if they’re not diabetes related, share them below!

 

 

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Grain Free Breakfast Recipes x 11

Recently, there’s been one burning question I’ve gotten from you.

“Hanna, I understand and can feel the benefits of going gluten and grain free, but what on Earth do I do when it comes to breakfast? I have no ideas, and it preferably has to be done within 3 seconds. Thanks!”

Well, I’m not sure I can help you with the 3-second rule, but I do have tons of yummy and (relatively) quick breakfast options in mind.

The key, as always, to keeping your healthy routine going, is to P R E P A R E. Prepare and be prepared for those 3 second breakfasts.

All these 11 breakfast recipes are gluten- grain-, soy- and yeast free. I’ve included the carb count for my fellow diabetic out there, so you know how much insulin to take.

Coconut Porridge

2 eggs

1 tbsp coconut flour (I use desiccated coconut, works just as well)

1 dl coconut cream (or coconut milk or almond milk)

vanilla powder

(Apparently you can make this without the eggs too, adding some coconut oil instead)

Whisk in a pot on low heat until there is a porridge like consistency.

Carbs: 6.7 grams

 

Baked Avocado

Halve an avocado and put one half per serving in an oven form. Crack an egg into where the pit was, and bake it in the oven for ca 10 minutes at 175 degrees (or until the egg is cooked).

Carbs: 9 grams

 

True GREEN Smoothie

2 fistfuls of kale, spinach, or other leafy green

1 apple

1 cucumber

0.5 tbsp coconut oil

fresh lemon juice to taste

fresh ginger, grated

Put all ingredients in a blender, blend, drink, feel amazing.

Carbs: 25 grams

 

Ham Rolls

This is a super quick one, you can even eat it on the run (although I really don’t recommend eating while on the run)

Take sandwich ham, roll a piece of cheese and some vegetable (cucumber, bell pepper, avocado) in it to make a roll.

Carbs: barely 2 grams per roll

 

Apple & Almond Butter

Slice up an apple. Spread almond butter on it. Enjoy.

Carbs: 20 grams

 

Greek Yoghurt with Homemade Muesli

You can find the muesli recipe in my recipe book you can sign up for below.

Carbs: Yoghurt 5 grams, muesli depending on what you put in it.

 

Chia Pudding

2,5 dl coconut or almond milk

0.5 dl chia seeds

1 tsp vanilla powder

A pinch of salt

This can be endlessly varied with a few berries, cinnamon, cocoa powder, some nuts (pistachios, perhaps?), some lemon juice,

Mix this in a bowl, and let it stand in the fridge over night. Ready for breakfast the day after!

Carbs: 20 grams for the whole thing, but it’s enough for about 3 or 4 servings, at least, making it 5 grams of carbohydrate per serving.

 

Energyballs

Click here to get my Energyball recipe! 

Carbs: 55 grams for all of them, so if you make it into 10 balls, it’s 5,5 grams of carbs each.

 

EGGS

Eggs have endless uses: Scrambled Eggs with smoked salmon or bacon and vegetables, Omelet, or

Bacon Egg Muffins

Line your muffin form with one or two slices of bacon. Either crack in the eggs whole or whisk them together as for scrambled. Put the muffin forms into the oven at 175 degrees until it’s all cooked (ca 10 mins)

Carbs: eggs only have trace carbs, but 13 g of protein each. Remember that if you find you need to bolus for gluconeogenesis.

 

The Grainbrain Bread

Click here to get the recipe for the awesomest GrainBrainCh bread, gluten- and grain free, of course! 

Carbs: 35 grams for the whole thing. Depending on thickness, about 2 grams per slice.

 

BPC

If you’re anyways going to chug some coffee in the morning, why not make it a Bullet Proof Coffee?

And, it’s really simple: you add coconut oil and butter to your coffee. Stir or make it frothy in a blender, however you like it, you’ll be full. I guarantee it.

Carbs: Zero, or extremely close to it.

 

I hope this helps inspire you a little for the highly coordinated morning rumble.

Did I miss anything on my list? Is there a breakfast food you’re wondering about? Let me know in the comments below!

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Omnipod: Pros and Cons (or Happy Birthday Doris!)

Today it’s time for a little look back in the mirror.

To a huge step, at least for me.

Because, exactly one year ago today, I got my first insulin pump.

I had been considering it for YEARS, and various endocrinologists had been trying to throw one at me for about as long.

It was never really a though choice of which insulin pump to get for me, although there are many other excellent brands out there on the market.

My diabetes nurse and I both quickly agreed on the Omnipod being the best fit. Why? I simply don’t like the tubing of other pumps. Tubing makes me feel more sick than I actually am, more attached, and diabetes becomes more visible. Something I’m generally really OK with, but sometimes it’s nice not to be the center of attention.

I was also able to continue with the insulin I was already using (Novorapid/Novolog), so we knew that wasn’t going to be an issue.

And I could finally say the long-awaited good bye to Lantus. I didn’t realize it at the time, but that insulin was not good for me. For example, I had a lump (muscle knot) in my shoulder that my poor husband tried for months to get out through spending every night massaging my shoulders. To no avail. Not until I could stop taking Lantus, I noticed three days later that the lump was gone. This isn’t scientifically proven, of course, but it is my empirical observation.

So, exactly one year ago, I was scared.

Scared of the unknown. Scared of having something attached to me all the time, scared of feeling trapped. Scared of people’s comments, because injections aren’t visible on the outside. Scared of that the insertion would hurt. Scared of effing everything up. Scared of “failing” and having to go back on injections. I was basically just being a general scaredy cat.

Oh, how wrong I was going to be proven!

My life truly changed that day, exactly one year ago. And it did so for the better.

This is my pros and cons list for the Omnipod insulin pump:

Pros:

  • No tubing

I’ll say this again and again, but I’m so happy there’s no tubing involved!

  • Lifestyle improvement

For me, being on a pump means more freedom. Not in terms of eating-whatever-and-just-inject, but more like being able to correct a high while out on the run. Or being able to temporarily change the basal rate, avoiding an impending hyper/hypo.

  • Stick on and forget

Fill it, inject it, and forget it. For 3 whole days.

  • Easy to fill

Filling the pods could not be easier. It primes itself, and you don’t have to do anything.

  • Easy to apply

At first, I was so scared of the auto-injector (naturally I had consumed ridiculous amounts of youtube videos on how the insertion etc worked). But now it’s almost my favorite part of it.

  • Waterproof

It’s waterproof, so there’s no need (or chance) to disconnect it for showers or going swimming. It also doesn’t matter if you’re caught in a huge downpour.

  • Lasts exactly 3 days (+8 h)

Until it shuts off, which means no infections and you’re sure to change your site on time.

  • Incorporated blood sugar meter

Less junk to carry around with me – yay!

 

Cons:

  • Bad batches

Some batches of pods are just bad with many failures, and increased pod changes. But Insulet are amazing at replacing these, it’s just to report and wait for a new pod in the mail.

  • Insulin waste

If you haven’t used all the insulin you filled the pod with within the 3 day period, you lose much of it. Even if you try to withdraw it from the old pod.

  • Placement

A badly placed pump = uncomfortable sleep and irritation for 3 days.

  • Wasteful

Because you remove the entire pod when it’s time to change, it creates a lot of waste. Although Insulet does have a recycling program where you send back the old pods to get recycled. Great initiative!

  • Plaster

The plaster might not hold for the entire 3 days, especially when it’s warmer outside. Medical tape can, and should be, one of your BFF’s. (not just for pods, but things like cuts, CGMs and blisters, too.)

 

Granted, I don’t have any insulin pumps to compare the Omnipod to. But generally I’m so happy with my choice of insulin pump, and wouldn’t want it any other way. And I definitely do not want to go back to injections.

As you may or may not know, I’ve (of course) given my pump a name. She’s called Doris.

Doris, my Omnipod

Doris, my Omnipod

 

On her first birthday, I’d like to take the opportunity to THANK Doris for being my closest friend, always being there for me, knowing everything about me, for helping me calculate dosages, see trends and help me be a healthier diabetic.

Without you, Doris, I would never be able to get 24 hour graphs like this one:

 

cgm_graph

The past 24 hours on my CGM – thank you insulin pump!

 

You’re a true star, Doris, and I’m not sure I could live without you!

 

Happy, happy birthday, sorry I couldn’t give you the day off.

 

Do you have an insulin pump? If so, which one? If not, why not?

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