My Healthy Plate? Try My Healthy Grocery Cart Instead!

The other day, a thought crossed my mind about the USDA’s new MY HEALTHY PLATE — we’re focusing on the wrong part of the equation.  I have spoken before about my impression that the time for constructive decision-making about what we eat is not when it’s time to prepare the food.  It’s when it’s time to purchase the food.  MY HEALTHY PLATE is trying to capture the horse after it’s left the barn.  In my humble opinion, we will get better results from learning to fill MY HEALTHY GROCERY CART.  Let’s take a look at the standard shopping cart.

What first occurs to me is that the standard grocery cart is designed to be filled not with fresh produce, but with boxes and cans!  Most of us use only the little baby seat for produce, and when it’s full, we unconsciously decide that we’ve purchased enough, so we move on to other parts of the store.  That’s because placing fresh produce into the deep part of the cart is a problem; it increases the likelihood that our carefully selected fruits and vegetables will be crushed under the weight of all the other stuff.  

MY HEALTHY PLATE stipulates that fully half of our plates should be filled with produce.  So if we use MY HEALTHY PLATE as a guide, that means we need to fill at least HALF of the cart with produce (to account for waste, like apple cores, carrot peels, and pineapple skin).  Our grocery carts should be filled mostly with fruits and vegetables. But standard grocery carts are designed preferentially to store boxes, cans, and other items with similarly long shelf lives.  If we want to arrive at the checkout counter with loads of unbruised, intact fruits and vegetables, grocery carts need a design overhaul.  

I recently saw a cart with a shallow, though broad, rectangular basket at a nearby health food supermarket.  The basket is set much higher up than in standard design carts, so the shopper need not reach deep into the cart to place or retrieve purchases.  Of course, the total volume of the basket is somewhat smaller, so people might complain that they have to shop more frequently.  I say, make more soups. Buy more beans.  Buy nuts.  Buy dried fruit. You can tuck them between the lettuce and kiwis.  They last a long time, the great-grandparents would have recognized them as food, and you won’t have to race back to the supermarket tomorrow. Plus, the blackberries won’t get squashed.

In my mind, the new grocery cart will consist of a new broad shallow shelf above, a new approximately one-foot deep basket at mid-level, and a shelf below, like on the standard grocery cart.  Fresh produce will be placed on top, bags of potatoes and onions can be tossed into the mid-level basket, along with a package or two of fresh fish or meat, a dozen eggs, beets and squash, containers of plain yogurt and tofu, and a bottle of wine.  Large items (like a half-gallon jug of vinegar) can be shelved below, along with a small case of, say, avocadoes, on special this week in the produce section.

MY HEALTHY GROCERY CART will be filled at least half-way, if not higher, with produce.  The rest of the cart will be divided evenly between high-quality protein like nuts, tofu, chicken, beef, eggs, and fish; and then beans, whole grains, and a few dairy items.  I can already hear the voices of adherents to the Paleo Diet rising up against the voices of those who adhere to Caldwell Esselstyn’s virtually fat-free, 100% plant-based diet.  There is room for individual preferences in MY HEALTHY GROCERY CART.  But there is no room for processed, food-like, manufactured calories.

Next week:  The War Between Health and S
helf Life



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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!


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Or check out Your Favorite Posts for a list of great blog entries!


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YOUR HEALTHY PLATE: PEANUT BUTTER MOUSSE

This recipe comes from a friend whose young son cannot get enough of this great dessert!  If you still haven’t figured out what to make for Thanksgiving…

12 oz. light firm silken tofu
1/4 c. honey
1 c. smooth peanut butter
1 tablespoon vanilla
1/2 tsp. sea salt

Blend the tofu in a food processor 1-2 minutes until very smooth.  Add the honey and blend again.  Finally, add the peanut butter, vanilla, and salt and blend thoroughly until very smooth and light.  Refrigerate 1-2 hours until firm, and enjoy.  If it’s going to find its way to your Thanksgiving table, consider using it to fill a pie shell, especially one made with ground almonds.  

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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Or check out Your Favorite Posts for a list of great blog entries!

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YOUR HEALTHY PLATE: TOFU SALAD WITH TURMERIC

Turmeric is a great spice, beautifully deep gold in color, and with a great dusky, smoky flavor.  Tofu takes on the flavors of anything you mix it with.  Thank you to Andrew Weil MD for this recipe.


1 pound tofu, firm

1 teaspoon turmeric

1 tablespoon mustard

1 tablespoon pickle relish

3 tablespoons celery, chopped

3 tablespoons onion, chopped

1 tablespoon fresh parsley, chopped

1/4 teaspoon paprika

salt to taste

Instructions:

Drain tofu well and mash.  Add vegetables and spices, mash more, and mix thoroughly. Serve on a bed of lettuce with something brightly colored, like carrot sticks, or red peppers.  You can add hot sauce, too, if you’re so inclined.  Of course, some people put hot sauce on just about everything.  I know someone like that.

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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Or check out Your Favorite Posts for a list of great blog entries!

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How Much White Flour and Sugar Are Safe to Eat?

Today’s post is a guide to how much stripped carbohydrate is okay to eat. For purposes of today’s post, stripped carbohydrate means white flour and sugar.

This post is not a discussion about whether it’s okay to eat carbohydrate at all. There are people who feel that carbohydrate has no place in their diets, and who manage on a very-low-carbohydrate diet. Sometimes I receive comments from readers who eat this way. Perhaps someday we will discover that this group of people carries a combination of genes that markedly reduces their ability to tolerate even a modest amount of carbohydrate. No judgments here. Personally, I am glad that they have figured out how best to take care of themselves. This post is not for them. Instead, this post is for the vast majority of people who nourish themselves well with whole grains, fruit, and beans, among other foodstuffs.

If you think about it, you will notice that — except for perhaps honey and maple syrup —  there is no such thing, in nature, as carbohydrate without fiber. Where do white flour and sugar come from? They result from the stripping of fiber from whole grain wheat and sugar cane, respectively. Human beings figured out how to do this only in the past few hundred years. We did not evolve to eat stripped carbs, and most certainly not in the amounts at which we currently consume them. But consume them we do, at rates that are driving rates of diabetes and obesity sky high. 

Many people have asked me, over the years, how much stripped carbohydrate is safe to eat. In my opinion, not a lot, though I am not going to say zero. At the end of the day, I think it comes down to three factors: 1) your genes, which are also affected by your environment; 2) the amount of uncontrolled stress you are juggling; and 3) the level of activity you engage in regularly. 

Stress can be physical, emotional, or spiritual. It can be internal (anxiety, bereavement, fever) or external (blizzard, traffic, winning the lottery). Sometimes it’s both (newborn twins). It can be the result of circumstance (a safe falls on your head) or questionable decision-making (skipping breakfast). It can be due to conflict, real or imagined. Agents of stress can be small, like a virus, or large, like an asteroid. Pain and fatigue are common and serious causes of stress. 

Nutritious food is one way to decrease the amount of stress in your life. Stripped carb does the opposite. Instead of serving as a source of nutrition, it directly stresses your metabolism. 

If you’re looking for a number, I’m going to give you one right now. You can have two servings of stripped carbohydrate. In how much time, you ask? Well, that depends. Maybe it’s two servings per day, per week, or per month. If you are active and your blood pressure is perfect, your metabolism might tolerate as much as two servings a day of white flour or sugar. Not two cans of soda, but two ounces. A can of soda with 12 teaspoons of sugar is not one serving. It is 12 servings. Two servings is one-sixth of a can. 

If, on the other hand, you are markedly overweight, with two diabetic family members, under a crushing amount of stress, and getting little or no exercise, I suspect that your metabolism is having trouble tolerating even two servings of white flour and sugar. Maybe twice a month would be better. In other words, save it for special occasions.

For comparison’s sake, the average American eats 10-12 servings or more of stripped carbohydrates every day. Be honest with yourself. If that describes you, don’t try to make big changes all at once. Instead, try reducing your stripped carb intake just a little bit. In another couple months, when you’re ready, you can try reducing it a little bit more. Small changes.

White flour and sugar don’t nourish you at all. They’re just for fun. 


YOUR HEALTHY PLATE: POACHED EGGS ON A BED OF SWEET POTATOES

Many thanks to Nancy and Bob Charles from High Meadow B&B in Wallingford, Connecticut, for this wonderful recipe!

First, cut a couple of sweet potatoes into thick slices and toss them with some salt and olive oil. Lay the slices on a cookie sheet and bake at 400 until soft.  Then slide them, one layer thick, into a wide pottery serving dish and set aside.
Now poach a few eggs.  Bob has one of those fancy poacher inserts that fits into a pot of boiling water.  I just crack the eggs into salted, boiling water and hope for the best.  As soon as the whites are cooked, with yolks just beginning to set and a bit on the runny side, scoop out the eggs onto the sweet potatoes and serve.  So good!
If you decide to serve this dish to guests, as Nancy and Bob did, you can serve the eggs and sweet potatoes with fresh papaya, homemade strawberry and ginger jam, and home- baked bread.  Yum!!!

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If you’ve never been on “Your Health is on Your Plate” before, and you’re not sure where to start, visit Let’s Start at the Very Beginning to get a jumpstart on preventing diabetes and obesity in yourself and the ones you love!!

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Milestone Celebration: Your Favorite Posts

This weekend Your Health is on Your Plate passed 100,000 hits! Just two years old, the blog is being shared far and wide, across the country and around the globe. To celebrate, dear reader, I am sharing your 10 most popular posts. New readers, here is your chance to catch up with all the best posts and to share them with your friends and family. It’s not too late, in fact, it’s never too late.

So, drumroll please, your favorite choices for best blog post (in no particular order) are:

That’s not all.  I’m sharing my own favorite posts as well: Maybe you’ll discover something that speaks to you, or explains something you’ve been wondering about, or brings it all together, or raises the MOST important question you’ve ever thought of, in which case I hope you’ll send me that question immediately, so that I can think about it and respond as best I can.

By the way, if it already appears in your list above, I am not including it in my list.

Again in no particular order, a few of my own favorites for Best Post are:

Finally, speaking of favorites, many thanks to all of you for the great recipes that continue to come our way, and thank you for reading YHIOYP. 

YOUR HEALTHY PLATE: Fall Soup

I got this recipe just today from a woman I work with.  I arrived home to find my daughter frying onions.  What’s for dinner? I asked.  I don’t know, she replied, this is as far as I’ve gotten.

So here is what we made:

Step 1:  Fry 2 medium diced onions in olive oil in a soup pot
Step 2:  Peel 3 beets, 3 carrots, 2 sweet potatoes and 1 turnip
Step 3:  Cut the vegetables into several large chunks each, and add to the soup pot
Step 4:  Cover the vegetables with water, and boil 15 min until softened
Step 5:  Scoop out the vegetables into a food processor or Vitamix, and swirl until smooth.
Step 6:  Return the puree to the pot of liquid, add a teaspoon each of thyme, salt, and pepper.
The soup was heavenly.  The color was divine and the flavor was a celebration of autumn, earthy and sweet at the same time.  I put a whole bunch of spices on the table for people to choose from, and they were terrific in all different combinations: turmeric, cumin, and hot paprika.  Rosemary would be good, too.
Hearty appetite!
 

In Hot Water? Decrease Your Risk of Heart Attack

A number of genes, one of which was given the name chromosome 9p21, have been associated with an increased risk of heart attacks, strokes, and hardening of the arteries.  Researchers are now interested in studying whether people with chromosome 9p21 can lower their risk of cardiovascular disease (CVD) with changes to their diets.  They can.

A terrific new study was published last week on this topic.  The results, from McGill University, were published in Public Library of Science (PLoS)-Medicine and funded by the Heart and Stroke Foundation of Ontario.  The study compared the number of heart attacks in two groups of people with 9p21.  One group ate lots of fresh produce, while the other group ate the standard industrialized diet.  

Here is what the researchers found:  In a study of more than 8000 individuals of different ethnicities who carry the 9p21 gene, a diet high in raw fruits and vegetables decreased the risk of CVD by one-half.  They concluded that “These findings suggest that the deleterious [negative] effect of 9p21…might be mitigated by consuming a diet rich in fresh fruits and vegetables.”

Let’s take a closer look at this conclusion.  We know that the standard American diet causes obesity in approximately 65 percent of people who eat it, and diabetes in approximately 20-30 percent.  How do we know this?  Because these are the numbers that we are working with in the current American population.  We expect one-third of current ten-year-olds to become diabetic if present trends continue.

Remember that people who carry chromosome 9p21 have a higher risk of heart disease than average, and that they can halve their risk of heart attack by substantially increasing their intake of fresh fruits and vegetables.  Why is that?

Eating a diet rich in produce has two benefits:  The first benefit is that you eat more fruits and vegetables, but the second (equally important) is that by replacing manufactured items with produce, you end up eating fewer manufactured calories.  Depending on their genetic makeup, stripped carbohydrates and trans fats probably affect some people more quickly and severely than others.  

I would say that the standard industrial diet causes heart disease, but some people are more susceptible than others.  Humans are meant to survive on a diet containing large amounts of produce.  This is the diet we evolved to eat.

This, therefore, is my conclusion:  “These findings suggest that while the industrial diet is deleterious, its effect is worse in individuals who carry the 9p21 chromosome.  Consuming a diet rich in fresh fruits and vegetables will likely decrease the risk of heart attack in all individuals, but the benefit may be more dramatic in individuals who carry the 9p21 chromosome and/or other chromosomes associated with heart disease.”

Let me explain by sharing an imaginary experiment using frogs.  Frogs are meant to survive in cooler waters.  High temperatures cause death, and some frogs are clearly more susceptible than others.  Now put aside the gruesomeness factor, and remember that the frogs are just pretend.  Here is an example that gets the point across.

Let’s begin by filling a large pot with cool water, and then adding lots of frogs of all different sizes, shapes and colors, collected from all over the world.  Now put that pot over a blazi
ng fire so that the temperature of the water begins to rise.


As you can imagine, some of the frogs, just 2 or 3, are going to get into trouble pretty quickly. Maybe they come from near the South Pole.  Whatever the reason, these select few cannot tolerate even mildly elevated temperatures.  The temperature in the pot continues to rise, and by now almost half the frogs have died.  As the temperature gets hotter and hotter, more and more frogs die until, finally, the last few succumb.  Once all the frogs have died, the pot is removed from the fire.

You run the experiment a few more times and discover that you can actually predict how many frogs will die at each temperature.  Once the first frog dies, you observe that one-third of the frogs die by the time the temperature rises just five more degrees.  Ten degrees higher, and two-thirds of the frogs are gone.  Five degrees beyond that, and all the frogs are dead.  

Now you do a chromosomal analysis of the frogs’ DNA and discover that all the frogs who died at the lower temperatures contained a chromosome that we’re going to call F9HW.  All frogs with F9HW were in one of the first two groups to die, and none of the frogs in the last two groups had F9HW.  For some as-yet-unknown reason, frogs with the F9HW chromosome had a much harder time tolerating hot water than did the other frogs.  

You might draw this conclusion: “These findings suggest that the deleterious effect of F9HW might be mitigated by avoiding high heat.”  But then again you might see that such high temperatures constitute an unusual and extremely abnormal environmental stress, and that while some of the frogs appear to tolerate it better than others, it is, ultimately, lethal to them all. 

If I were to give this phenomenon a diagnosis, I’d call it “dyscalorimetry.”  But dyscalorimetry doesn’t mean that heat intolerance is genetic.  It means that hot water is deadly.  
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YOUR HEALTHY PLATE: Talia’s Crispy Apple Cereal

You know how some of the best inventions happen by accident?  So this past Sunday I decided to slice up about a dozen of the abundance of apples in my refrigerator and dehydrate them.  I don’t have a real dehydrator, so I used the next best thing — the oven.  Around noon, I sliced each apple into 5 or 6 circles, spread them on cookie sheets, sprinkled them with cinnamon, and turned the oven to 200 F.  Then I left on an assortment of errands.  I planned to return around 4 pm, at which time I would begin to check on the apples periodically.  

But it didn’t turn out that way, exactly.  I’ll spare you the details, only to say that the apples were quite crisp at 8 pm.  I thought I was going to have to feed them to the chickens, but was surprised to discover that they were really good!  I began scooping them off the cookie sheets and putting them into a jar on the counter.  
Right then, my daughter walked through the kitchen and helped herself to a few.  Hey, these would be great in milk, she said.  So she crumbled a few into a cup and poured some milk over them.  Almond milk, in her case, but any milk would work.  They kept their crisp and made a great (grainless) “cereal.”  And we still have bunches more.  

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The Term “Healthy Fats” Gets Under My Skin

Frankly, it rankles me when people use the term “healthy fats.”  We don’t make a distinction like that when we’re talking about carbohydrates, although there are certainly carbs that are nutritious and carbs that are not.   



Consider the Atkins diet.  I like to believe that Dr. Atkins was on the right track, but that he had some of the details wrong.  Clearly, he realized that there was something about carbohydrate in the American diet that was causing a problem.  But he did not understand that there is a big difference between muffins and mangoes, white flour and lentils, table sugar and peaches.  So people who tried the Atkins diet lost lots of weight when they removed virtually ALL the carb from their diets, even green beans, and then regained it when they got tired of the restriction and began to eat breakfast cereal again.  Along with doughnuts, pasta, bread, cookies, cake, and potato chips.  



Dr Atkins also did not understand that there is a big difference between a slice of salmon and a scoop of Crisco.  To him, all fats were the same and they all were good.  We know now that that is not true.



We are still sorting out the differences among the three main families of fats: saturated, monounsaturated, and polyunsaturated.  We know for sure that omega-3 polyunsaturated fatty acids are very good for us, and that the standard American diet is extremely deficient in them.  We know that we can increase our consumption of omega-3s by eating more fish, walnuts, flax seed, and green, leafy vegetables.  



We have seen the benefits of the Mediterranean diet, in which olive oil (a monounsaturated fat) is the main fat used for cooking, and from this we understand that olive oil, too, is good for us.  Conversely, we know that trans fats (partially hydrogenated polyunsaturated fats) damage blood vessels, causing heart attacks and strokes.  We know they also increase the risk of diabetes, high blood pressure, and high cholesterol.  So trans fats are definitely NOT good.



But there is still a great deal to figure out.  We know, for example, that cocoa butter is one of the most highly saturated fats on the planet.  But….isn’t dark chocolate supposed to be good?  And aren’t saturated fats supposed to be bad?  So what does this tell me?  That we still have a lot to learn.  



Want another curious example?  Most animal fats are actually a mixture of a variety of monounsaturated, polyunsaturated and saturated fats.  Which animal fat contains the most monounsaturated fat, similar to olive oil?  Lard.  Yes, believe it or not, that is true.  So what is most clear to me at this point is that we still, indeed, have a lot to learn.



At the same time, there are some things that I do understand.  The fact is that there are good examples of nutritious foods from each of the three main nutrient groups (fats, carbohydrates, and protein).  If I’m going to make a recommendation that you try one, or if I use one in a recipe or an explanation, I don’t think I need to qualify it with the word “healthy.”   Fat IS healthy.  Protein IS healthy.  Carbohydrates are healthy, too, as long as you get most of them the way our ancestors did, from the garden, with the fiber still intact.  Think fruits, vegetables, legumes, whole grains.  These are carbohydrates, through and through.  When I include one in a recipe, I don’t need to say “healthy” apples.  You can assume that I am referring to apples without worms or pesticides. 



When I talk about fats and oils, you can assume the same.




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