Archive for November, 2009

Let’s Talk Turkey!

Sunday, November 22nd, 2009

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Every year my family and closest friends gather at my sister’s house for the Thanksgiving holiday. And every year I prepare the turkey. And every year in my quest to avoid “foul” looks, I weigh the options of buying a fresh vs frozen turkey. Now that we are counting down the days until the holiday, I wanted to share some of my thoughts about turkey day preparation.

Consider your ”freezer” space. If I purchase a fresh bird, I could pre-order it, and  pick it up on Wednesday for preparation Thursday morning. Remember, if you buy a fresh turkey, you should purchase it only 1-2 days before cooking.  But if I clear out some freezer space, I could buy it later today, stick it in the freezer, and put it in the refrigerator Tuesday (so it will defrost safely by Thursday morning). NEVER buy a prestuffed fresh turkey. Unless you want to add food borne illness to your holiday plans.

Here are some helpful guidelines:

What size turkey should I buy?

Type of Turkey                                                                       Pounds to Buy

Whole bird                                                                                    1 pound per person

Boneless breast of turkey                                                       1/2 pound per person

Breast of turkey                                                                         3/4 pound per person

Prestuffed frozen turkey                                                        1 1/2 pounds per person

*keep frozen till cooking

Now this is the confusing part. If you buy a frozen turkey, put it (in the orginal wrapper) directly into the freezer. When you are ready to thaw the bird, remember to allow about 24 hours per 4 to 5 pounds of turkey. A thawed turkey should only be in the refrigerator 1 to 2 days. After that, fire up the oven!

Thawing Time in the Refrigerator

Size of Turkey                                                           Number of Days

4 to 12 pounds                                                                1 to 3 days

12 to 16 pounds                                                               3 to 4 days

16 to 20 pounds                                                               4 to 5 days

10 to 24 pounds                                                               5 to 6 days

My next big decision will be whether or not to stuff the turkey, or serve the stuffing on the side (which is usually the safer option). But if you want to stuff the turkey, stuff loosely. The stuffing should always be moist (and not dry)! Heat destroys bacteria much more  rapidly in a moist environment. Once the turkey is stuffed, put it right into the pre-heated oven.

How Long Should the Turkey be Cooked?

350 F Oven  up to 18 Pounds, 325 F Oven 18-24 pounds

165 F Internal Temperature

Cooking Time of Unstuffed Turkey

Size of Turkey                                                   Hours to Prepare

8 to 12 pounds                                                       2  3/4 to 3 hours

12 to 14 pounds                                                     3 to 2  3/4 hours

14 to 18 pounds                                                     3  3/4 to 4 1/4 hours

18 to 20 pounds                                                    4 1/4 to 4 1/2 hours

20 to 24 pounds                                                    4 1/2 to 5 hours

Cooking Time Stuffed Turkey

8 to 12 pounds                                                               3 to 3 1/2 hours

12 to 14 pounds                                                             3 1/2 to 4 hours

14 to 18 pounds                                                             4 to 4 1/4 hours

18 to 20 pounds                                                            4 1/4 to 4 3/4 hours

20 to 24 pounds                                                            4 3/4 to 5 1/4 hours

If you think of any other questions about cooking your turkey, call the USDA Meat and Poultry Hotline at 1-888-MPHotline (1-888-256-7072). The hotline is open Monday through Friday from 10 AM to 4 PM. So no more stressing out about picking out your turkey! Fresh or frozen, the turkey is the main focus of the food presented for the Thanksgiving feast. But close family and friends giving thanks and sharing thoughts about the holiday is really the most special part of the day. I’m thankful for so many things, I can’t wait to share my thoughts on Thanksgiving day. The very best part of the day is when everyone sitting around the festive table shares what they believe to be their blessings. Have a wonderful start to the holiday season!

Welcoming Thanksgiving!

Sunday, November 15th, 2009

dinner-1Thanksgiving is often stressful for many reasons. I’m sure we can all document many memorable Thanksgiving adventures. Who has traveled to grandmas in ghastly traffic or dealt with Aunt Edna’s comments about career choice? My favorite is the thought of  listening to  Uncle Stanley’s lecture on the state of economy. So this year, let’s vow not to make “eating” an additional stress. Eating on Thanksgiving can be a wonderful, non stressful and satisfying experience.

Let’s think about a few ways that we can avoid overeating on Thanksgiving. My first suggestion is to make sure you don’t leave the house if you are starving. If you are really hungry when you reach your destination, chances are you will be tempted to eat a lot of extra calories (especially if  Uncle Henry corners you about his multi level marketing idea). Eat an apple or another enjoyable fruit or cut up some celery and add a teaspoon of natural peanut butter before you venture out of your house. You’ll be in much better control when the appetizers arrive.

Try to limit your alcohol consumption (yes, I know this is difficult). Drink some water before you go for an alcoholic beverage. Alcohol has a lot of calories, and the more you drink, the more you might not care about what you eat.

Make sure you include veggies in your Thanksgiving feast.  If you don’t think your host will will have fresh vegetables available, offer to bring them! It will be a welcome addition to the meal. And it is unnecessary for 12 guests to bring dessert for 8 people. Someone should be assigned to bring some healthy, low calorie, fiber rich vegetables. If you are asked to bring dessert, offer to bring a fresh fruit platter. Everyone will appreciate the choice.

By all means have some of your favorite and traditional Thanksgiving dishes. Deprivation often leads to overeating so try to eat the more indulgent  foods in smaller portions. Put the turkey on your plate first, followed by vegetables and then add your favorite side dishes. Enjoy it all! Just try to limit the quantity.

Slow down and eat consciously. Believe me, you won’t run out of food. Decide what you would like to eat and portion it out! If you are used to eating lightly, don’t gorge yourself (you’ll feel sick). Remember that much of the traditional Thanksgiving fare is very high in fat (including cream sauces and butter) which could lead to stomach distress. Smaller portions and moderation is key!

Please don’t think of Thanksgiving as an eating orgy. Change your thoughts about the foods set in front of you. Consider the true meaning of the holiday. That’s right…. giving thanks. Go around the table and have everyone discuss what they are most thankful for. Perhaps the shared commentary by family and friends will be more satisfying then taking huge additional portions of candied yams and triple cream pie. Happy and healthy Thanksgiving to you and your family!

Chocolate Milk! Chug or Chuck?

Friday, November 13th, 2009

polls_Chocolate_Milk_by_ync_2951_264106_poll_largeWhen I was in elementary school, it was a major “treat”  (as in special occasion) to drink chocolate milk with lunch or at snack time. This week the dairy industry (with support from the American Academy of Family Physicians, American Academy of Pediatrics and The American Dietetic  Association and others) put forth a huge media extravaganza pushing milk…. including chocolate milk. What does this mean for schools? Although many school districts had previously banned chocolate milk from menus, kids everywhere are eating up the dairy industry’s recommendation and demanding the flavored milk once again.

Let’s consider the chocolate milk challenge. The dietary guidelines for Americans recommend that children age 9 and older consume 3 cups of low-fat or fat free (skim) milk products everyday (or an equivalent amount of another dairy product). If kids pick chocolate milk over unflavored low fat milk they will still get calcium and vitamin D. It is also true that bone density peaks during the teenage years and children often don’t consume enough calcium. (Some health officials suggest that if a child doesn’t get a serving of milk at school they will be more likely to fall short of his or her daily recommended intake of calcium). But is chocolate milk worth the calories and additional sugar? With the rise in childhood obesity perhaps low fat  unflavored milk should be promoted. Educating children on the benefits of skim or 1 % plain low fat milk might be a much better choice. I don’t think we should assume that children will stop drinking unflavored low fat milk, unless of course they are offered a more flavorful option!

There are also so many other ways for children to increase the amount of calcium in their diets. How about snacking on almonds or including collards greens in the veggie rotation at dinner? Low fat yogurt sprinked with almonds is another great choice.  When my children were young  I packed their lunches for school.  “What kind of vegetable do you want with lunch?” I asked with enthusiasm. Of course they would also have a colorful fruit included as well. They learned the meaning of balance and healthy eating while enjoying lunch at school.

So while we can debate whether the food industry has had a hand in promoting chocolate milk to children in schools, let’s remember that we are getting further and further away from childhood nutrition basics. Perhaps we should continue to educate our youngsters and provide nutritious food choices. Let’s consider offering low fat chocolate milk one day per week in the lunch room, and provide more raw vegetable choices at schools. If you have a young child, ask them to help you pack their lunch. Together you can make some terrific and healthy choices!

World Diabetes Day!

Monday, November 9th, 2009

World Diabetes DayNovember 14th is World Diabetes Day! Diabetes advocates everywhere (patients, educators, family members and friends) will be focusing on disease awareness. Diabetes will be acknowledged by the United Nations and is supported by the International Diabetes Federation (IDF) and the World Health Organization (WHO). World Diabetes Day began in 1991 and has brought a great deal of attention to the disease. The exciting part this year is the beginning of a five year push for diabetes education and prevention programs. I couldn’t be prouder or more energized to do my part as a certified diabetes educator!

Let’s bring it down to the trenches…what can we do fight this disease? What can I do as a diabetes educator to prevent the complications of both Type 1 and Type 2 diabetes? How do I reach more people with pre-diabetes in order to prevent or delay the onset of Type 2 diabetes?  How can we come together to find a cure for diabetes? These are questions I ask myself each and every day.

I’ve been a certified diabetes educator for over 10 years. During that time I’ve been involved in educating my wonderful clients on the importance of self diabetes care and education. I constantly stress the importance of improved blood sugar control, healthy dietary habits and increased physical activity. Staying motivated is a very difficult part of diabetes management. My goal is to encourage my patients to identify risk factors associated with diabetes and support them (always) in their quest to improve their physical and emotional health. Whether it’s just listening to the daily trials of diabetes management or dealing with the progession of the disease, I will continue to offer my complete support.

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Diabetes has many possible critical complications such as heart, kidney and eye disease as well as increased incidence of stroke. It’s not as if one day you wake up and the pancreas will start actively producing insulin. So we have to work together to “fight” the disease. Together let’s work on getting our diabetes under control and band together to find a cure.

Put Pen to Paper to Peel Off the Pounds!

Wednesday, November 4th, 2009

h 041The first thing that I insist upon for each and every one of my clients is to keep an open mind and upbeat attitude. The next step towards a healthier lifestyle is to maintain a detailed food journal. Just as someone might keep a “personal goal journal” or “daily blessing  journal”, the all important food journal should include the foods you eat along with the time you are eating. Feelings and thoughts about food as well as being able to evaluate your degree of  hunger should be included in a well thought out food journal. It would be so much easier to provide my clients with a pre-written calendar like diary, including days of the week and a space for each meal and snack. But that doesn’t work because it is not individually created and reflective of what a person is eating and feeling. On initial assessment, a form is just perfect because the basic details of one’s dietary habits can be initially evaluated. But when one “creates” her own food journal (with guidance of what needs to be included by a health care professional), including specific comments on eating behaviors, timing of meals and even blood sugar readings it becomes personal. Eating is very personal. Everyone is an individual. And that is why nutrition counseling based on specific dietary needs works and ” general pre-printed diets” don’t. Food journals will identify nutritional issues as well as emotional and behavioral responses to daily situations.

If you write it, you own it. If you write down what you eat, you will connect your food and exercise program. At least initially, basic portion sizes and little bites have to be included. (100 calories here and 50 calories there still count). If you have diabetes, writing down your food and connecting it with your blood sugar response is the only way to see if your diabetes care plan (food, exercise and medications) is working for you. Requiring clients to keep a food journal allows them to see what they are actually eating. “Had a bad day” is not a descriptive food record. Honestly recording your food is a way to document what you are doing and why you are doing it. People who keep food journals significantly improve their chances of losing weight and more importantly have an increased chance of keeping the weight off long term. And for many, that is the ultimate goal!

If you have a blood sugar issue and you record what you are eating and when you are eating it, you will eventually be able to identify which foods and how much carbohydrate cause an increase in blood sugar levels. Reviewing the food journal with your registered dietitian can help pinpoint why you are not losing weight or why your blood sugar levels are high in the morning or why you are starving in the mid afternoon. According to a study done in 2008 (by Kaiser Permanente’s Center for Health Research, funded by the National Heart, Lung and Blood Institute at the National Institutes of Health) of about 1700 people showed that those who kept a detailed food journal of what they ate and drank for six days a week lost twice as much weight as those who did not keep a food record.  Wow!

If you have been resistant to writing down your food, consider how interesting it would be to evaluate what you eat and why you are eating it. It’s time to learn how to change your habits. Writing down what you eat, when you eat it and how you feel about your food is an incredibly important tool in improving your overall nutritional health. Stop fighting and start writing!