YOUR HEALTHY PLATE: EDDIE’S AWESOME SMOOTHIES

My husband has a very relaxed approach to making smoothies.  They’re
very good.  Today I decided to try and pin him down once and for all. 
This was the best I could do.

2 bananas, fresh or frozen (it depends)
a buncha-buncha frozen berries (he means whatever happens to be in the freezer…)
fresh berries ‘n’ berries (…and whatever is in the refrigerator)
plenty of ice

How much?, I ask.

“I make as much as the food processor thing’ll hold and then let it chop.”

Water?

“Sometimes you hafta put in a little water to get it to swirl.  Depends how much is in there and how frozen it is.”

That’s it.  He’s a purist.  This makes enough for about 5-6 smoothies.
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Let’s Start at the Very Beginning

Wherever I go, people always want to talk with me about the blog. Lately, I’ve heard a lot of this: “I went to your website and saw a lot of interesting stories, but I didn’t know which ones to read first. Where should I start? What is the first thing you would want me to understand?”

There are two things I want everyone to understand: First, there’s a big difference between real food and manufactured calories. And second, manufactured calories cause all kinds of serious medical problems, like diabetes and obesity.

So today I want to take you on a field trip. We’re going to step out the back door, and into a field of wheat. Pick a single grain, and take a good look at that grain. What do you see? Each and every grain contains 1) a bran fiber coat; 2) an endosperm, composed primarily of starch; and 3) the wheat germ, where the nutritious oils are. If you strip away the bran coat and wheat germ, as we humans figured out in the past two hundred years or so, all that’s left is a pellet of white starch. This is also known as white flour.

Now, if you could look at that pellet of white starch under a microscope, you would see a long, simple chain of sugar molecules. Our bodies are able to break the links between those sugar molecules so efficiently that when you eat white flour, your blood sugar rises as fast as — if not faster — than when you eat sugar straight from a sugar bowl. How do I know this? I learned it from my diabetic patients who check their blood sugars after they eat. White flour and sugar both spike blood sugar.

You may have heard white flour and sugar referred to as “refined” carbohydrates. According to the dictionary, to refine is to remove coarse impurities. The term “refined” was selected to intimate that whole grain flour was coarse, or unrefined. With rare exceptions, like honey and maple syrup, refined carbohydrates are not found in nature. In nature, carbohydrates are almost always found attached to fiber. Consider dates and beets, for example. Both of these are used by industry as raw material for the manufacture of sugar. But in their original state, they are so rich in fiber and phytonutrients that they are considered superfoods.

When you eat, your gut breaks down food into sugar, which is then absorbed into your bloodstream. When foods are easily broken down (like white flour and sugar), absorption is quick and blood sugars rise rapidly. When food is broken down slowly (like produce, nuts, whole grains, beans, eggs, meats), it is absorbed slowly so that blood sugars remain more or less stable.

After food crosses the walls of your gut to enter the bloodstream, the body releases insulin to catch the incoming sugar and escort it to the cells of your body. The insulin is manufactured by your pancreas.

Here comes the most important part of this explanation: The more quickly you absorb sugar, the more insulin you need to escort it to its destination. The more slowly you absorb the sugar, the less insulin you need. This works like a valet service. Imagine you were invited to a huge party, and the invitation said to arrive at 7 pm. So at exactly 7 pm, 1000 cars show up at the party center, in which case there will need to be a great many valet staff to park those cars.

But let’s consider another scenario, one in which you receive an invitation to an open house from 3 to 9 p.m. At the end of the day, the party center will still park 1000 cars. But they won’t need nearly as many valet staff.

The sugar is the cars, and the insulin is the valet staff. If all the sugar shows up all at once, you’re going to need a lot of insulin. But if the sugar gets absorbed bit by bit, you won’t need nearly as much insulin. The more insulin you use, the higher your levels go. The higher your insulin levels, the more fat you store in your belly. Insulin is a fat-storage hormone.

Which nutrients do we absorb slowly? Fiber, protein, fat. Think whole grains, dates, beets, avocados, peanuts, eggs, beans, fruits, vegetables. Which ones do we absorb quickly? Stripped carbs such as cake, sugar, breakfast cereals, doughnuts, bagels, cookies. Is it starting to make sense?


Get it While the Gettin’s Good

Even though today is the first of May, I woke up to 40 degrees and rain rain rain.  I’m glad that I went for a very long walk yesterday morning, when the sun was shining.  It’s true that the temperatures yesterday were a bit on the brisk side for the end of April, but I didn’t care.  I loved the sun shining on my face. 

Sunshine makes it extra good, but it’s not a must-have when it comes to my walk.  I have a new strategy that I’m calling “get it while the gettin’s
good.”  If it’s not pouring out, I’m going for a walk.  I have a
raincoat.  I have rainboots.  I have a hat. So from now on I’m keeping my rain gear together, ready to go, hanging on the coat
tree by the door.  Farmers do it; and so can I.  When I was a little girl, we
played outside in all kinds of weather.

I remember that when my now 24-year-old daughter was a child, she
loved being outside in the rain.  From our living room window, I could see her outside on the driveway, stamping hard, over and over, in the
puddles, for the sheer delight of feeling the
water rise up around her and catch her inside a fleeting fountain. 

I’ve noticed that they don’t cancel baseball games when there’s a threat of rain.  They start on schedule, and they play, and they keep on playing even when the water starts to drip off the fronts of the players’ baseball caps.  It’s only when the water starts to come down in sheets too heavy for the pitcher to see through that they finally call a delay.  A delay is really another way of saying that the field needs to be covered while they wait for the rain to let up enough to get back to it.  So I’ve decided that it’s time to take a page from professional baseball’s rule book.  If it’s not pouring, I’m going for a walk.  Rain makes a beautiful high-pitched rushing sound when you listen for it.

Now here’s the thing.  If the sun is shining, I’m still gonna get
it while the gettin’s good.  No waiting ’til later in the afternoon
after I’ve written my post.  No more finishing my cup of tea first, and
one more row on the scarf I’m knitting.  When I see that the sun is
shining, I am outside!  You hafta take advantage of the opportunity
when it comes.  You hafta strike when the iron is hot.  Opportunity
favors the prepared.  Yea, all that stuff.  This is northeast Ohio, and
the sun is not something to be taken for granted around here.
                                
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Now, to switch topics, a few months ago someone I work with decided to buy some cupcakes and bringthem into the office.  Very nice — I think.  I’m sure she had the best intentions.  But this is a good example of the fact that we are going to have to take responsibility for what we put into our mouths, because if we don’t, no one else will.  I grabbed the mind-boggling ingredient list, and have been holding on to it to share with you:

Sugar, water, partially hydrogenated vegetable oil (soybean, palm, cottonseed, or canola), mono & diglycerides, TBHQ (preservative), enriched wheat flour, bleached flour.  Contains 2% or less of high fructose corn syrup, dextrose, glycerin, egg white slids, nonfat milk, soy flour, calcium acetate, sodium probaking powder, sodium pyrophosphate, sodium aluminum phosphate, calcium phosphate, cornstarch, modified food starch (corn, tapioca, wheat), salt, corn flour, propylene glcol, mono & diesters of fatty acids, agar, soy lecithin, polysorbate 60, guar gum, xanthan gum, invert sugar, natural and artificial flavor, maltodextrin, sodium stearoyl lactylate, glycerol esters, sorbic acid, citric acid, sodium benzoate, phosphoric acid, malic acid, microcrystalline cellulose, titanium dioxide, carrageenan, tragacan, hydrated silica, sorbitol, propylene glycol, confectioner’s glaze, cocoa processed with alkali, pectin, turmeric, hydroxyl methylcellulose, chocolate liquor, natural tocopherol, sodium stearate, caramel color, coconut oil, artificial colors (red 1, 3, 40; yellow 5, 6; blue 1,2), corn oil, sorbitan, mono and tristearate, egg yolk.

Holy mackerel, are you for real?!  Yes indeed, that was the actual list.  Want one?  No thanks, I’ll pass today.  Instead, I think I’ll go for a walk, head for the grocery store, and buy the ingredients to make some cupcakes.

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YOUR HEALTHY PLATE: TOMATOES, ONIONS, & OKRA

If you’re the kind of person who thinks about stuff like the degree of deliciousness per amount of energy required to prepare it, this recipe ranks right up there.  No kidding, this is one of the easiest recipes I’ve ever made.  Okay, it’s not as easy as eating grapes.  But close. 

Slice up a large onion with a little olive oil, and let it sizzle for a bit until the onions are getting clear. 
Toss in 3-4 chopped tomatoes, and about a cup and a half of okra (sliced in 1 inch pieces). 
The okra has to be fresh from the grocery store, but the tomatoes can be fresh or canned.
Add 1/2 teaspoon each of salt and cayenne pepper.

Let the mixture simmer on low heat for 30-40 minutes.  That’s all. 

Best of all, you can serve it hot, cold, or at room temperature.  No matter which, it’s really good.


The Face of Childhood Obesity

I spent this past Thursday morning at the Childhood Obesity Summit sponsored jointly by the Cleveland Clinic and Slate.com.  Lest you think that my sense of urgency about diabetes and obesity is overdone or misplaced, here are a few statistics I learned that might rocket you out of your chair:

Obesity rates in children have tripled in the past 30 years.  Stroke rates in children are up by one-third.  This problem has nothing to do with genetics.  Evolution doesn’t happen that fast.  

Twenty-seven percent of 17-24 year olds are now too heavy to serve in the military, and fully 47% of male and 59% of female military applicants cannot pass the military physical.  

In 15 school districts surrounding greater Cleveland, 8000 students had their BMI’s tested this past year.  BMI stands for body mass index, and you can calculate yours here.  In kindergarten, 26% were in the 85th percentile or higher.  By 5th grade, 40% were in the 85th percentile or higher.  

A child who develops diabetes before age 14 shortens his/her lifespan by 17 to 27 years.  

Meals prepared and/or eaten outside of the home contain at least 134 calories more than meals prepared and eaten at home.  

David Katz MD, Director of the Yale University Prevention Research Center and one of many terrific speakers at the symposium, spoke a message that hit home when he said that we face a terribly difficult obstacle in our attempts to overcome this public health crisis.  The fact is that public health has no face.  I can quote all the statistics I can find, but in the end they are just numbers. 

Dr. Katz urged us to turn the statistics into compelling human stories.  We need to help John Q. Public find a parking spot at the hospital where he is visiting his mother after her stroke, to videotape John Q. picking up his diabetes medications at the pharmacy, to see the look on Jane Q. Public’s face when the pediatrician tells her that her son’s blood sugars have risen into the diabetic range.  It’s time to give “public” a human face.  

I’ve shared in this blog stories about Mrs. Price and many others.  They are not just stories.  They are real.  They are about you and me and the people we love.  We cannot fix this problem without a lot of effort, but fix it we must.  I do know that if we are to survive strong and healthy, then prevention must become the backbone of the American health care system. 

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YOUR HEALTHY PLATE: CARROT-MINT SALAD

I ate my first carrot-mint salad at the table of my dear neighbor, Betty, who was born in Morocco, grew up in Israel, came to Cleveland as a young mother, and became a gifted and inspired cook somewhere (everywhere!) along the way.  She taught me that there’s something about the mix of sweet carrots and mint that makes my tastebuds very happy.  Here is a different carrot salad, more or less from Claudia Roden’s Book of Jewish Food, that 18 people made disappear from my table the other night. 

1 lb. carrots, peeled and sliced into thin rounds (less than 1/4 in)
4 stalks of celery, sliced twice as thick as the carrots (approx 1/4 in)
1/4 cup cured black olives
1/4 cup flat leaf parsley, chopped
6-8 leaves mint, chopped
2 tablespoons olive oil
salt (1/2 t) and pepper (1/4 t)
water

Cover carrots just barely with water, bring to a boil, and allow to simmer at low heat for 30 minutes until the carrots begin just barely to soften.  Add the celery for the last 15 minutes of cooking.  Then pour off most of the water leaving just enough to make a sauce, approx 1/2 cup.  Add olive oil, parsley, mint and olives.  Add salt and pepper to taste, and mix.  Let sit for at least a few hours to allow flavors to blend.  Serve cold or at room temperature.


Ten Ways to Get From Fast Food to Slow Food

I’ve been very busy this week getting ready for Passover.  A few days ago I got an email from a neighbor asking if anyone knew where she could find horseradish.  Now, as I’ve written about before, I planted a horseradish root a few years ago.  So I happened to know the answer to her question.

This morning she showed up at 9 a.m. sharp, and soon afterwards another friend showed up with a whole bunch of children in tow.  We dug and dug, and then we dug some more.  When we were done, we had enough horseradish for everybody, plus some fragrant, green onions.

It was such a great way to get ready for the holiday.  Passover is also known as the Festival of Spring, and being in mud up to my knees was a fantastic way to be reminded of that.  When I came inside to write my post, all I could think of was how impossible it would be to eat that horseradish fast.  Not just that, but it would be impossible to eat any meal quickly at which strong, fresh horseradish is served.

Right now the horseradish is soaking in a big tub to get all the mud off.  Tomorrow I’ll scrub it well, and then I’ll place it right in the center of our Seder Plate.

Meanwhile, I came up with 9 more ways to slow down.  It’s one of the most valuable things we can do for ourselves.  Remember what Sue Monk Kidd says about slowing down and appreciating the world around us.

1. Dig it up yourself.
2. Put it in a crock pot.
3. Eat it at a table with your friends.
4. Use a cloth napkin.
5. Invite people over to eat with you.
6. Turn off the television, and the radio, and the computer.
7. Before you pick up your spoon, take a deep breath or say a blessing of thanks.
8. Put down your fork between bites.
9. Eat at a table, and not in a moving vehicle.
10. Chew.

Happy Holidays to all, and best wishes for wonderful meals prepared with care, and enjoyed at leisure surrounded by loved ones.


YOUR HEALTHY PLATE: BLACK BEAN SALAD

This is the time of year when I clean out my cabinets and use up all the stuff that’s been there since last year.  I’m looking forward to growing season, and anything that’s been in my cabinets for an entire year needs to get eaten!  So here’s an idea for something to do with some brown rice and a can of black beans.

1 red pepper, diced
1 green pepper, diced
the juice of 1 orange
1 cup red onion, thinly sliced
1 cup parsley, chopped
1 tablespoon olive oil
2 tablespoons red wine vinegar
1/4 teaspoon salt
1/2 teaspoon pepper
1/4 teaspoon dry basil
1/4 teaspoon dry oregano
1/4 teaspoon dry thyme
2 cups cooked brown rice
1 15-oz. can black beans, rinsed and drained
1 finely diced jalapeno pepper

Mix everything together and serve.  Goes great with salmon, or with canned tuna if you’re trying to use that up, too.


YOUR HEALTHY PLATE: MY OWN BAKED BEANS

This one is my own invention!  It’s not super sweet like canned beans, but the molasses, onion, and slow cooking give it a complex mix of spice and sweet that’s extremely flavorful and satisfying.  It’s guaranteed to warm the bones of anybody who went downtown tonight to watch the Cleveland Indians play baseball in 39-degree weather.

2 medium potatoes, diced
1 large onion, in thin slices
1 tablespoon olive oil
2 tablespoons molasses
1/2 c. dry garbanzo beans
1/2 c. dry adzuki beans (small, dark red beans).  If you can’t find adzuki beans, use 3/4 c. garbanzos.
1/2 c. dry red lentils
6-8 small tomatoes (like Roma) or 3 very large tomatoes
4 c. water
1 t. fresh ground black pepper
salt to taste

Add all the ingredients together in a crockpot, and turn it on low.  Leave for 8-12 hours, and that’s it.  Serves 6-8.

If you don’t have a crock pot, make it in a covered soup pot in the oven at 250 degrees.  You can leave this to cook overnight or all day.  Check it about two hours after it starts cooking, and then once or twice more later on.  If it looks like it’s starting to dry out, add 2 cups of very hot water, and stir.  It should be very wet, but not watery like soup.  Add more water as necessary.


Coupons

Last weekend I was sitting at the kitchen table with my dad while he thumbed through the coupon section in the Sunday paper.  He grumbled, “There’s nothing in here that I’d wanna buy.”  Let’s see what he meant.

This week I found coupons designed to entice consumers to buy the following edible products: Fiber One chewy bars, Betty Crocker cake mix and ready-to-spread frosting, Bisquick pancake mix, V-8 splash, a new breakfast cereal (more on that here), salad dressing (more on salad dressings), Pam cooking spray, Texas Toast croutons, YoCrunch Fruit Parfait (more on yogurt), Snapple iced tea, Temptations by Jello, Crystal Light (more on beverages here), Ore-Ida hash browns, Dole Fruit Crisp, and a variety of candies, including Hershey’s kisses, Reese’s peanut butter cups, Cadbury eggs, and chewing gum.  

If you’re a coupon clipper, you want to be really careful not to clip coupons for anything you wouldn’t have considered eating before you saw the coupon.  

Just because Jello has figured out a new way to package the same old flavors doesn’t mean you have to try it.  Even if it’s a bargain (this week).  Just because two (!) different companies have now begun to market their usual thing with oats to sprinkle on top doesn’t mean you have to try it.  First of all, it’s not a particularly nutritious product to begin with, loaded as it is with excessive amounts of sugar.  Secondly, it’s a very expensive way to buy oats.  And you probably have some in your kitchen anyway.  You wanna sprinkle oats on your yogurt or your fresh fruit?  Go right ahead.  You don’t need a coupon.  

I am happy to report that I did find a few items that my great-grandparents (or somebody’s, at any rate) would have recognized as food.  Compared with the large number of creatively designed, manufactured products, there weren’t that many.  But there were a few.  They included turkey bacon (Butterball); cheese (Babybel and Alpine Lace); butter, half-and-half, and eggs (all from Land o’ Lakes); and tomato juice.  There was also a coupon for California mandarins. 

Remember that processed products are made from very inexpensive ingredients, and they are sold for a good deal more than they cost to make.  The profit margin is high, so manufacturers stand to benefit even more if they can convince you to buy processed food-like products.

I also found coupons for razors, skin and hair products, glass cleaner, paper towels, plastic containers, plastic bags, and cat food.  I have a cat, and I pack lunches.  I use some of these items, and they cost less when I use coupons.  

So coupons aren’t always a bad deal.  But they aren’t always a good deal either.  In many cases, they are designed to get you to buy something you would not otherwise have considered.  That’s where you need to be careful.  Caveat emptor — let the buyer beware.

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