Back on the Low Carb!

picture of chorizo sausage, the Diabetes Diet
I could probably eat this Every. Single. Day.

Goodbye carbs. It was fun while it lasted, particularly that beef mac and cheese*, but you and I need to rethink our relationship…

While practising for a half-marathon, I upped my carb intakes. Some type 1s have managed endurance training on a low-carb diet, but I wasn’t one of them. My body refused to put one step in front of another without fruit, bread, protein flapjacks or potatoes, but now I’m fed of blood sugar levels that rollercoaster all over the place, and the particularly nasty lows you get thanks to too much rapid-acting insulin where you eventually surface from mental fog surrounded by sweetie packets and the sinking feeling, ‘Blast. I’ve completely over-treated that hypo.’

Hello cheese, meat, eggs and fish! Welcome back butter, cream and mayo in lavish amounts. And planning of course—the writing of endless lists, shopping, menu plans, revisiting old low-carb favourites. I haven’t eaten chorizo for a few months and my mouth waters at the thought of it, dry-fried crispy in the pan, oozing red oil that coats mushrooms and salad leaves… yum.

a picture of a blood testing machine on The Diabetes Diet
This will be my blood sugar levels from now on. All the time. Yes sirree.

I’ve eaten low-carb on/off (and mostly on) now for almost ten years. Whenever I come back to it after spells on the bread, a few weeks of super-strict low-carbing make me feel I can conquer the world. I get a rush of energy and mental clarity. Give it a month or so and I’ll be banging on the door of Number 10. Step aside, Theresa May. I’ll deal with Brexit for you!

[Perhaps I should write to Theresa, a type 1 herself, and suggest she try 14 days on a keto diet to help with the thorny issue of how the UK exits the EU. Or keto clarity might give her the strength to say, ‘Citizens! Remain calm. We’re staying in.’]

Then there’s the other thing. Between you and me, reader, the digestive issues of the higher carb diet are a LOT to contend with. We’re talking bloating, rumbling noises and let’s not be coy here—gas. After one race, I ate fish and chips and delicious as it was, the heartburn was horrific. Low carb, high-fat meals don’t make me uncomfortable most of the time. A sore, bloated stomach or having to spend a lot of time trying to hold in gas make a person tired and very grumpy. One of the case studies in our book, the Diabetes Diet reported that several months on a low-carb diet cut out the farting issue for her, much to the relief of everyone around her…

So, full charge forward on the low-carb meal making front. Moussaka via the Diet Doctor, cauliflower cheese, peanut butter cookies via Fit to Serve, lamb with hummus, low carb chicken wings via Yummy Lummy, and crust-less pizza.

Good times!

 

*For the love of food, good people, please try this. Ragu sauce, macaroni and cheese, topped with bread crumbs and yet more cheese. What’s not to love?

Aubergine and Pepper Parmigiana

The Diabetes Diet picture of an aubergine and cheese dishIf you read your way through my weeping and wailing post about meat-eating and ethics last week (congratulations, by the way), then this recipe will seem a natural follow-up.

To recap, I’m reading The Ethical Carnivore: My Year Killing to Eat by Louise Gray and hoping for easy-to-follow guidelines that assuage my conscience about eating meat, falling short of killing it myself as I’m pretty sure I can’t do that.

In the meantime, there is always low-carb vegetarianism. I know vegans argue that vegetarianism is little better than meat-eating given what goes on in the dairy industry, but it’s a start. Besides, I can’t imagine a life without cheese.

Low-carb veggie

Here’s a low-carb veggie recipe for you—a bastardised version of aubergine parmigiana. Allow roughly 10g of carbs per portion.

Aubergine and Pepper Parmigiana

  • Servings: 3
  • Difficulty: easy
  • Print

  • A large aubergine
  • One red pepper
  • One yellow pepper
  • 400g tin chopped tomatoes
  • 2 cloves garlic, crushed
  • 2tbsp rapeseed oil
  • Grated rind of one lemon
  • Salt and freshly ground black pepper
  • 75g grated parmesan cheese
  • 50g grated cheddar cheese

Pre-heat the oven to 175 degrees C.

Chop the aubergine and pepper into equal-sized pieces and toss in one tbsp of the oil. Cook on a griddle until softened—about ten minutes.

Heat the other tablespoon of oil in a saucepan and add the chopped tomatoes, garlic and lemon rind. Allow to come to a boil and turn down to a simmer, stirring from time to time. Cook for about ten minutes to, allowing the sauce to become thick and concentrated.

Season the sauce with salt and pepper and sprinkle some on the cooked aubergine and peppers.

Layer up the vegetables, sauce and cheese in a gratin or rectangular casserole dish finishing with cheese. Cook for twenty minutes.

For other low-carb vegetable recipes, see:

 

 

Half Marathon – Diabetic Training Progress

Diabetes Diet Emma with her 10k medalMutters to self—so why did you enter a half-marathon you eejit? Because it was January, and the said run was in nine months’ time. Distance from something is the equivalent of wearing beer goggles. Everything looks do-able when it’s months away.

Anyway, the experts recommend you try a few other races to keep motivation levels up so I entered the Vale of Leven 10k, which took place this morning (Saturday 2 June).

Many runners think of 10k as nothing. Easy-peasy to train for and do. Not me. Mama Nature didn’t make me a natural runner. I plod. Sometimes a 4k feels like a Herculean struggle. I can walk long distances without finding it onerous or unpleasant. I should stick to that, right?

Mornings or Evenings?

Races mostly take place in the mornings too. I’m not a fan of morning runs. My blood sugars do weird zig-zaggy things at that time of day (see pic). I’d rather run at lunchtime or early evening when they’ve had time to settle down. Plus, there’s the whole ‘what to do I do about breakfast and insulin’ question.

Still, the day came round and I got up early. Are you familiar with west coast of Scotland summers? For the most part, they promise much and deliver little. This year, however, May has been unbelievably warm and sunny. Weather forecasters promised cooler weather and even rain, but it dawned bright and sunny once more.

Eeks. My ideal run takes place at about 8 degrees with drizzle and a strong wind behind me.

The run started at Moss O’Balloch next to Loch Lomond Shores and spectacular as far as scenery goes. Parts of the route were recycled so runners like me faced the depressing sight of the fast yins heading home as we puffed and panted our way past kilometres seven and eight.

Hanging out with the Back Pack

Ah well! Lisa Jackson who writes for Women’s Running and who has a fair few marathons and ultra-marathons under her belt talks about the joys of hanging out at the back of the pack. Crowds tend to cheer you on a lot more. The marshals, volunteers and people at the race were most encouraging.

Pain when it’s passed leaves an imprecise memory—thank god—so I remember struggling for the first two kilometres as they were uphill and then at the last bit where I speeded up to keep up with the one hour pacer. But the detail’s no longer there, just the relief and pride of finishing.

tee shirt and medal for a 10k runI’m a sucker for a goodie bag and this one included a tee shirt (too big, but they always are as they’re sized for men), a medal, a bottle of water and a Mars bar. Chivas sponsored the event, but sadly a wee nip wasn’t included.

First Finisher

It’s years since I’ve run in a race. You rely on the atmosphere to chivvy you on; the crowds shouting encouragement, so you keep running when you want to walk. Or crawl, in my case. This wasn’t a busy run—I’d guess 550 people—and the ability mixed. I channelled Lisa. Yes! It’s BRILLIANT to hang out at the back, or the second half of the group at least. According to the ticket I collected at the end, I finished 257th and the 22nd woman for my age group (senior vet, whit whit whit??).

For other diabetic geeks, my blood sugar when I got up this morning was 13.6 (oops). I took half a unit of fast-acting insulin to correct this and I took my basal insulin at 7.30am and knocked two units off the usual dose. To avoid working out food and insulin requirements, I didn’t bother with breakfast* and ate a Hike bar—Aldi’s own-brand protein bars, 25g carbs and 9g fibre—twenty minutes before starting. My blood sugar at that point was 10.6, so I took another half unit of fast-acting insulin. I didn’t test my levels immediately after finishing, but an hour later they were 9.6.

So, another three months and I run more than twice that amount. Ooh, ‘eck! I ran the 10k in 60 minutes and 53 seconds (I told you I was slow), which puts me on course for running the half in two hours-ish. Wish me luck!

 

*Don’t do this at home, kids. I have no nutritional or sports expertise related to type 1 diabetes or in general.

 

Office Etiquette with Diabetes

person holding jelly babies at The Diabetes Diet
Mine, all mine!!

I waved goodbye gaily to office life in 2013, glad to embark on new adventures in freelance world.

There’s a lot to be said for freelancing, not least the ‘free’ bit. I love being in charge of my own scheduling. But the pay… ah, the moolah just isn’t to be found, folks. You’re undercut all the time by global competitors who can afford to write for tiny sums or people in your own country who do it for free as a hobby. Argh.

Anyway, I started a new part-time job in April, working in a communications role on a project at Glasgow University—a worthwhile project and the chance to add a regular income. The equal opportunities form asked if I had a disability. I ticked the ‘no’ box. It also asked if I had a chronic health condition. Er…no?

Okay, I get that I do, but until my thirties, I thought all I had was diabetes. When someone pointed out it is a chronic health condition, I was stunned. No, really. I know that sounds like a “duh” moment, but diabetes hadn’t caused me much hassle. Calling it a chronic life condition felt a bit like I was straying into hypochondriac territory.

Back to my new office job. I decided to be a grown-up and tell my colleagues about my condition, instead of sneakily eating jelly babies at my desk and hoping they didn’t notice. It’s not that I don’t want to tell folks; I just I hate drawing attention to it.

I introduced the subject at a team meeting in a round-about way. Did my new colleagues know of anywhere on the campus where I could offload spare medical gear , I asked. (And benefit others at the same time by recycling my stuff. See what I did there?)

They suggested places. I’d told them I was a diabetic by default.

Job done.

Next up—the hypo talk, where I explain what a hypo looks like and why I’m a stingy jelly baby hogger, instead of offering them around.

Running and Diabetes Part 2

Shoes and mini eggs. The Diabetes Diet
Yes, yes, I’ve been RUNNING, therefore I need carbs.

Runners don’t smile at you when you pass them—a sign, I always thought, of why you shouldn’t add running to your life.

Aye, that painful grimace tells you all you need to know… Running is a fool’s game; its rewards are not worth the pain. If you’re not built for distance slogging—i.e. Kenyan skinny—give anything other than a dash for the bus a miss.

Some foolish notion, however, made me take running up once more at the end of last year. And it was okay. I didn’t grin madly at people, but I got the runner’s high. Albeit, the buzz doesn’t last long enough to justify the effort you put in.

And I got to listen to a lot of podcasts. “This is learning by osmosis, EB!” I said to myself. I picked worthy ones, such as those designed to help me improve my writing career. If I just listened to what the gurus told me why bother putting any of it in place? The lessons would all filter through subconsciously. Sales would result! [Spoiler alert—not so far.]

Then I thought entering the Glasgow half-marathon would be fun. Which it was, in January—y’know, when it was months away. And now the end of April hurtles ever nearer and I’m no further forward than eight and a half kilometres (five miles), less than half the distance. Woe!

I’ve upped my game. The five miles feels like an achievement, seeing as I haven’t pushed beyond three in years. My training plan, thus, is add one kilometre every week to the big run and run another two 5ks a week. Do Pilates once a week to stop self seizing up.

As for tempo training, HIIT stuff and dragging myself up and down hills and all that other serious runner stuff, forget it.

Goal? Half-marathon completion, even if it means walking some of the distance.

Running with type 1 diabetes is challenging. Any endurance exercise is. As well as dealing with breathing, effort, aching legs and all that, we battle see-sawing blood sugars not only during the run but afterwards too.

Blood sugar levels that are too high make you tired and exercise will often send them soaring higher. When your sugar levels dip too low, tiredness happens too, you’re at risk of collapsing and you need to eat.

Picture of a Hike bar. The Diabetes Diet
Hike bars–great running fuel.

Here’s what I’ve learned…

  • The best runs are when I’ve had level blood sugars all day.
  • Hike bars—the Aldi cheap version of a protein bar—are brilliant running fuel. I have half of one before, half afterwards. The raspberry one is nicer than the cocoa one.
  • I’ve a talent for finding routes that are treadmill flat. And sticking to them.
  • A runner’s backpack is worth buying. I ran my last half-marathon, clutching a bag of jelly babies and my blood sugar equipment in my sweaty hand. If you’ve ever run holding something in your hand, you’ll know how irritating it is. By the end of the race, the jelly babies had morphed into a gelatinous mass.
  • Your Fitbit shows you getting fitter as the time I’m spending in peak heart rate zone has come down since I’ve started tracking the runs. It’s gratifying.
  • The Type 1 Run Podcast (mentioned here) is incredibly useful. It amuses me that I’ve had diabetes and exercised with it longer than most of the guests have been alive, but you’re on a lifelong learning curve when you have diabetes. I learn something from every guest.
  • I seem to run well the day after drinking. My body welcomes the chance of sweating it all out. As it leaves my body, the alcohol acts like petrol… Don’t do this at home though kids!

This time round, I’m planning a support crew. When I did the half-marathon ten years ago, I did the race with another runner, but had no-one waiting for me at the end or around the course. (Cue violins.) In September, I’ll have my husband and friends dotted at four-mile intervals, armed with food and water. And umbrellas for themselves. It’ll be late September, and this is Glasgow. Rain’s 95 percent guaranteed.

And is it too early to plan my post-race meal? Readers, I’m low-carb most of the time, but the minute I cross that finish line, I plan to fall face down on a ginormous plate of fish and chips, doused in salt and malt vinegar.

Only places that do light, crispy batter, crisp chips that are fluffy on the inside, home-made onion rings and mushy peas need apply.

Massive disclaimer here—my experiences are personal. They are not recommendations, especially the last one. On a serious note, endurance events can be dangerous, not just for people with diabetes, as this year’s London Marathon proved again.

 

Why it’s Great to Have Diabetes!

Another thing! You get to do blood tests every day. Yay!

It’s GREAT having diabetes! Bear with me… If you have diabetes, no doubt you’ll have read the many things that can go wrong with you. It’s depressing. And in my 20s when I didn’t bother looking after myself, being told what could go wrong didn’t motivate me.

Most of us are carrots, not sticks people.

I’ve done this exercise before, but it’s worth repeating. Here is what I think makes having diabetes amazing…

I am a special wee snowflake. Yes, I am. Not that many people have type 1 diabetes. We’re in an exclusive gang. We like people with type 2 diabetes too. They can join our gang any day!

I’m very organised. You have to be with diabetes. Daily life needs to be organised around it – working out what medication you need, when and if prescriptions need to be picked up, working out your food choices for the day, scheduling in exercise, and taking everything you need with you when you go out. Do employers look for people with superb organisational skills? You bet they do.

I get regular health checks. People without diabetes can live with conditions for a long time, but my HbA1 levels and kidney function are tested every six months, my liver function and the nerves on my feet every year, and my retinas are screened twice a year. I’ve probably left something out, but I think you can agree I’m subject to regular checks that can pick up issues at an early stage.

I get to be obsessed with food, legitimately. While making food the primary focus in your life isn’t the best idea, I do get to spend a reasonable time Googling recipes and working out meal plans because that helps my health and well-being. I can also be fussy about what and where I eat, again because what I eat is crucial to my health and not because I’m an awkward wee sod.

I have a high pain threshold. I must have, right? I inject myself every day, and people are always taking blood out of my arm (see above!). A high pain threshold is handy if you want to get your legs waxed*.

I have a ready-made excuse. I try not to play the diabetic card, but it does come in useful from time to time. Need to get out of something and stuck for an excuse? High blood sugar levels are a legitimate way to wriggle out of anything…

Finally, here’s my favourite one as suggested by the comedian Arthur Smith, himself a type 2 diabetic. As I have diabetes, that is yet another thing that differentiates me from Donald Trump. Hooray!

 

*Okay, I’m scraping the barrel now.

 

Low Carbing at Christmas

Low-carb chocolate fudge
Low-carb chocolate fudge

Are you low-carbing for Christmas? A lot of traditional Christmas food fits well with a low-carb diet and, with the addition of a few good substitutes, you don’t need to feel you are missing out on anything.

Crisps and dips. Most dipsguacamole, blue cheese dip etc – are low-carb. For dipping, use raw vegetables instead of crisps.

Starters. Pates can be served without toast or oatcakes and prawn cocktail without the bread. The latter is a nice light starter. Serve the prawns and sauce in Little Germ lettuce leaves. To make cocktail sauce to dress 200g prawns, mix four tablespoons of mayonnaise with one of tomato puree. Add a teaspoon of brandy and a few drops of Tabasco. Or try this broccoli and Stilton soup for green-y goodness.

Turkey, ham and sausages are all obvious. Help yourself! Remember, that a meal such as this will be heavy in protein. People on insulin need to take this into account. Our book The Diabetes Diet highlights what you do to cover protein, but see this post too for further clarification.

Gravy does have carbs because it is usually thickened with flour. However, this isn’t significant so don’t worry about it unless you are on a gluten-free diet. Cornflour is suitable for gluten-free diets and this can be used instead.

The classic stuffing uses sausage meat and bread crumbs, both of which have carbs. If you want some, keep it to a small amount.

SONY DSCBread sauce, roast and mashed potatoes all have carbs, but there are low-carb equivalents you can make. Pureed cauliflower can be substituted for mashed potatoes and braised celeriac are another delicious substitution for potatoes in general. My sister served up cauliflower cheese for Christmas dinner a couple of years ago – and I’d rather have that than potatoes or bread sauce any day. You can also try these delicious Parmesan-crusted cauliflower steaks from Nourished Peach.

Cranberry sauce. Most commercial sauces are packed with sugar. You can make a version with cranberries and sweetener instead which will still have some carbs but not as many.

Christmas cakes, pudding and mince pies. There aren’t really substitutes for these things because they depend so heavily on dried fruit, flour and sugar. Christmas pudding and cake isn’t a winner with everyone anyway because of its heavy fruit content. When you’ve eaten low carb for a while, you often find you lose your sweet tooth , so having a pudding at the end of a meal is no longer as appealing. However, if you do want something sweet, may we suggest Tiramisu and Key Lime Pie.

Dig in - it's good for you.
Dig in – it’s good for you.

Another idea is the cheese course – much better than pudding! You don’t need the biscuits. Celery sticks or carrot sticks will give you some crunch, as will walnuts or apple slices. A good cheese board has roughly four cheeses – a Farmhouse cheddar, a blue such as Stilton or Roquefort, a soft one (Brie or Camembert) and AN Other. Goat’s cheese is my preference.

Chocolate. It’s hard to escape chocolate at Christmas. From the special offer wraps piled up at the front of supermarkets, to the yule logs, chocolate Santas and stockings, the stuff is everywhere. If you love chocolate, a few squares of good quality dark chocolate do not contain many carbohydrates. Treat yourself to a good quality bar to make the occasion. You could also make this chocolate peanut fudge, which is easy to make and very low-carb.

Finally, the trick to remember with Christmas is that it is one day of the year. When it comes to low-carbing consistency is the key. If you’re low-carb most of the time but for one or two days you decide to dig in, do so guilt-free. Do this mindfully, enjoying everything but keeping an eye on portions. This is especially important if you are on insulin as you will need to know how much to take to cover what you are eating.

Happy Christmas all!