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What’s the count?

I decided to take a look at my diet on a day where I hadn’t slept too much, didn’t have time to cook, and had to work a very busy night shift. While I know that I have been eating healthy other days – incorporating salads and healthy snacks like hummus and carrots – I knew this day would be pretty bad. I thought it would be a good day to pick because I sort of had to eat what was quickly available to me, plus the sleep deprivation didn’t help me make the healthiest of choice. Basically, doing this meal check, I saw that just the burger put me well over the Heart Healthy diet needs. The sodium alone put me well over how much I would need to consume on a heart healthy diet. You have to wonder, how some patients manage to make the adjustment, especially if they are leading very busy lives both at home and work. I’m not saying it is not possible, but I can see it being very hard to change habits of eating out if it is something they do 1-3 times per week. Essentially they would have to stop all together or switch to healthier dining out options that can include fruits or salads.

 

“Breakfast” – Almond butter and honey toast

Almond butter (1tbs): Na 72 mg, Fats 1 g

Whole wheat bread: Na 132 mg, Fats 0 g

Honey: Na 1mg, Fats 0g

Water – Na 0, Fats 0g

 

“Lunch” – Habit cheeseburger and fries with water

Cheeseburger: Na 1,770mg, 36g fat

Fries: Na 164mg; Fat 3g

 

“Dinner” – None

 

Snacks – none because I forgot them on the counter at home before work, so LOTS of water on my overnight.

 

Meal Check

My meal for today consisted of the following:

Breakfast:

-2 pieces of Orowheat Country Potato Toast and 2 pieces of  Laughing Cow Swiss Cheese  (Fat: 10g// Na: 650 )

Lunch (Sharky’s Wood Fire Mexican Grill):

-Chicken Breast Half Power Plate with Mexican Rice and Grilled Vegetables (Fat: 10.1g// Na: 1391.7 mg)

Dinner

-Habit Charburger and 1.5 size order of fries (Fat: 62g// Na: 2370 mg)

Based on my diet for today, I think I will have a difficult time adjusting to a low fat and low sodium diet because most of the foods that I enjoy eating are dependent on fats and sodium. Also, being from a Filipino culture, most of our dishes are high in sodium and fat. Therefore, the taste would just be different and maybe difficult to adjust to.

Week 2: Meal Check

Yesterday I spent the day entertaining some friends who were visiting for Labor Day weekend. A huge part of showing someone a good time in Santa Barbara, besides seeing the mission and the courthouse, is taking them to all the best restaurants and the local hipster ice cream shop and so on. I try to be conscious of my eating habits, for both health and financial reasons, but yesterday my single goal was to keep everyone happy– dieting took the backburner. For breakfast I ate my kale, pear, lime, ginger, celery smoothie that I try to make a habit. But once I met up with my friends we had tacos and ice cream downtown for lunch. The taco meat was definitely salty and fatty, and the ice cream was probably all the saturated fat I was supposed to eat all day. However, I don’t know the exact amounts of either; there was no food label or calorie counter in the taco stand. Eating at restaurants must be so difficult for Cardiac patients when they really don’t have a choice what type of food their loved ones are asking for. It seems like many people would end up being polite, and choose not to make a fuss and tell their children, “Actually my doctor told me I can’t eat this type of food.” Without knowing the content of the food the food you’re ordering, and often not being able to choose a restaurant with healthier options, eating out must be a source of stress and discouragement for many adults trying to limit their salt and fat intake. After dinner, another friend made us all steak and yams and cold slaw. When eating the yams, I mentioned “These are amazing, what did you put in them?” My friend replied, “Heavy cream and a big stick of butter.” I had thought the yams were the “healthy” part of the meal! Unless you are sitting at home, cooking for yourself, reading every label and measuring your daily allotment of fat and salt specifically, it seems impossible to really know what you’re eating. In one day of being social and polite, I ate salty, fatty red meat twice and washed it down with ice cream and butter mixed with yams– all without ever seeing a single food label or any nutritional information.

Meal Check!

I had planned on tracking my food for today, September 8th, as I kept forgetting to take photos of my meals over the last few days and thought it would be nice to add some photos to the post. Then I started thinking about it and to get a realistic view of what I actually eat I decided to analyze what I ate yesterday. I try to be pretty conscious of what I eat and yesterday wasn’t necessarily a “bad” day but I was at home studying with not much food left in the fridge so I ended up snacking for lunch instead of prepping a healthier meal.

I plugged my meals into the USDA’s SuperTracker website to get a good analysis of my nutrient and calorie intake. Some foods were a little difficult to input, but I did my best to reconcile the nutritional information of what I ate with the options they had available on their site.

This is a summary of my meals from yesterday:

Breakfast: Quinoa sauteed red bell pepper, onion, and mushrooms topped with sheep’s milk feta and a boiled egg

Lunchtime Snacking: Seedless green grapes, carrots and white bean hummus, TJ’s flattened bananas, and TJ’s thai chile and lime cashews, TJ’s mango icecream bar… not the best lunch :)

Dinner: Rice noodles with broccoli, onion, and mushrooms in a garlic, ginger, soy sauce. Apfelshorle to drink (sparkling water and apple juice).

Looking at my daily food group targets I don’t think I did a bad job:

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I went slightly over for my fruit intake but the majority was whole fruits. I also went over for my veggie intake which I think is great. I almost hit my protein target and was under on my grains target but feel I had plenty of fiber.

I was significantly under on my dairy but I thought I would have hit my calcium and B12 needs with other food groups. Unfortunately I was under the target in both of these nutrients. I usually snack on more cheese, eat meat a couple times a week, and have quite a bit of fortified almond milk so I hope this isn’t an issue. It would be interesting to track my intake over an extended period of time to see if I hit the targets.

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Now for the heart healthy diet… I went over the limit on both saturated fat and sodium intake!

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My overall fat intake wasn’t too bad. It made up 34% of my daily calories, largely in part to my large snack of cashews which I definitely don’t eat on a regular basis.

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My saturated fat was a bit high (13% of my total calories). There is a lot of information that has recently circulated about cooking with olive oil at high heat so I’ve tried to start cooking more with coconut oil and ghee or butter. Researching more about different types of oils and how they are affected when used for cooking has been on my to do list for awhile. Regardless of their safety when heated, I should be conscious of the amount of oil I use when cooking.

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I was also over on my sodium intake but thankfully not by too much. I typically don’t cook with a lot of soy sauce but I do use salt and love salty cheeses like feta. Despite this I did go on a long run yesterday and think I sweat out my fair share of sodium in the heat. I also try to stay away from processed foods and know that many are prepared with large amounts of sodium.

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I think following a heart healthy diet or any kind of restrictive diet would be difficult. I love food and tend to let myself eat what I want as long as it is in moderation. However, I definitely can’t say I always moderate myself appropriately, especially when studying or writing a paper :)

Thankfully there are many tools available that can help an individual monitor how they eat and exercise and how it affects their health. I know a large part of keeping myself active involves setting goals and tracking my workouts. It can be very motivating when you’re able to track your progress and see improvement.

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Heart Healthy Diet

Today, only by luck, I consumed a low salt and low fat diet, which is not necessarily normal for me. I love the taste of salt, and prefer it over the flavor of sugar, so I do find myself searching out snacks and foods on the savory-salty side when given a choice. Today I consumed a scrambled egg/tofu/zucchini breakfast with a side of potatoes. In order to check my salt intake first, I used the www.heart.org website to evaluate my breakfast and used their sodium tracker form. The scramble had 105 mg of sodium. If I had used a salt substitute, it would have been 75mg. The potatoes I prepared had four shakes of the salt shaker=40 mg of salt. For lunch I had a salad with salad dressing. The label indicates another 30mg of sodium, plus www.fatsecret.com indicates 16mg of sodium from the salad itself.. For a snack I had 3 cookies at 150mg of sodium each.Since I plan to have the same salad for dinner, my total sodium for the day would be 1787mg of sodium, under the recommended maximum amount of 2,000mg/day. This is fortunate since I try hard to keep my sodium intake as low as possible. I also looked into my fat consumption. The recommended allowance is 78 grams of fat per day. I came in at 55 grams, even including my cookies! If I were to try and reduce these numbers, I would first try to educate myself in finding healthy alternative substitutes. In the past I have enjoyed using different spices and herbs, and for the fat substituting healthy fats (coconut, olive oil) for bad ones. If I were to make cookies, I could also substitute apple sauce for the fat. This option actually tastes good! I think these kinds of adjustments are ok as I like to experiment with ingredients, but if I were to eat out more often or if someone else cooked, I would probably be in trouble. To monitor one’s sodium and fat intake, it takes diligence and awareness to track amounts and to adjust accordingly. At least it looks like I am on the right track, however too bad I like smoked salmon so much. From hereon I will need to be more conscious of how much I consume of it, as it is full of sodium. Maybe preparing smoked salmon myself from fresh salmon and liquid smoke would be better, and eliminate the sodium.

Sodium Content                    Fat Content

Scramble w/coconut oil:                          105mg                                   7g

Potatoes w/coconut oil:                             40mg                                 14g

Salad Dressing (x2):                                   60mg                                   14g

Salad (x2):                                                    32mg                                   n/a

Smoked Salmon (in Salad x2):              1100mg                                  5 g

Cookies:                                                     450mg                                   15 g

TOTAL:                                                      1787mg                                  55g

 

Heart Healthy Diet–Could I Adhere to One?

Today, being a holiday, I started out my day with a late breakfast after sleeping in until 9:30am. I was in the mood for a pizza for my “brunch,” and had 4 slices of Trader Joe’s Four Cheese pizza at 380 mg of sodium and 1.5 grams of fat. I had water to drink with it.

I skipped lunch because this was quite filling and I was busy all day. For dinner I had a moderately-sized beef meatloaf from Trader Joes with  332mg of sodium and 4.6 grams of fat. I drank a Limonata San Pelligrino, which contained no fat and no sodium.

For dessert, I had 4 Milano Dark Chocolate cookies with 180 calories, 80 grams of those calories coming from fat, and sodium at 60 mg.

My total sodium consumption for the day: 772 mg

My total fat consumption for the day: 146 grams

 

I consulted WebMd, and If I were on a “heart healthy diet,” I would need to have less than 2,000 mg of sodium daily, ideally down to 1,500 mg if possible. I would also need to keep my fat consumption down to 78 grams of fat in a 2,000 calorie diet. Today was rather unusual in that I did not eat that much, and I have to admit, I do enjoy eating “junk food” from time to time. So it would be quite tough for me to keep my fat consumption down if put on a heart healthy diet if today was a “light” eating day for me, seeing as I am way over the recommend grams of fat. My sodium fortunately, was under control today but like I said, I know on other days of week, I would certainly be in violation of the 1,500-2,000mg restrictions if I were to have cardiac problems and need to go on a diet. I enjoy salty, fat-filled chips, cookies, and many nights, I look forward to an ice cream bar after dinner.

It is so easy to be judgmental of patients who are in violation of their diets and who do not adhere to exactly what you want them to do, but with tempting snacks galore, particularly in this society, it helps to take a step back and mentally walk a mile in the patient’s shoes.

 

Heart-Healthy Diet

I picked a day when I had my regular meals to evaluate my diet. I like to use Choosemyplate.org website because it provides many options of how to analyze the intake of nutrients and calories. Here is what I had on that day:

Meals (click – it’s a link)

Next, I looked at the food groups to see if I had adequate amounts of grains, vegetables, fruits, dairy, protein, and oils. This break down also allowed me to see how much sodium and fats were in my meals that day:

FoodGroupsMaryna (click – it’s a link)

This website allowed me to create a nutrient report to see a little bit more detailed report on all the nutrients. I could also see all the minerals and vitamins I consumed. This report provided the information about the status of intake of each category: sufficient, insufficient, or excessive amount.

NutrientsReportMaryna (click – it’s a link)

The most convenient feature of this website is that I can click on each nutrient and see which particular food item contributed to the excessive amount of my sodium, or other mineral/nutrient intake. For instance, when I clicked on sodium, I realized that my mashed potatoes and ham contributed the most to the excessive amount of salt during that day. They also give recommendations about how to reduce the sodium.

SodiumIntake (click – it’s a link)

Next time when I buy ham, I will look at the label and chose a low sodium kind. I will also bake my potatoes and add no salt.

I had too much saturated fat and was able to see that it was the cheese that caused the excessive amount. Next time I will chose reduced fat kind of cheese.

Saturated fat (click – it’s a link)

Choosemyplate.org is a very convenient website that I recommend to all the patients who are struggling with planning their meals. It can be very frustrating and confusing for people to plan their meals. This website is a great resource, which also gives you an option of tracking your activities and see how balanced is your intake and expenditure of the calories. I hope you find it useful, too! Thanks.

 

First post

This semester I’m excited to be diving into critical care. This is a class I have been looking forward to for a long time. Now, what am I disliking so far? The glitches involved with the technology aspect of this class. It’s not the technology itself, I actually am happy to learn and utilize different tech. It’s the occasional system glitches that arise and delay projects. But once again, looking forward to this semester.

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