Thursday, December 20, 2018

A Good Start to the DASH Diet

Again, almost a year without posting! I've been treading water, same old same old. But have just embarked on a major health push... lose weight, lower my blood pressure... again!

I've started the DASH diet, very mainstream but highly touted for lowering blood pressure, losing weight, and lowering the risk for most non-communicable diseases, including the biggies in aging: diabetes, heart disease, and cancer. 

I just began yesterday, and as of this morning my weight was down 1-1/2 pounds, and my blood pressure down 10 points (a total of systolic+diastolic change). A really encouraging start!

This Morning's Breakfast
I felt quite satisfied with the food, both quantity and quality. In fact, I was (unbelievably) unable to finish all the selections by bedtime! 

DASH reminds me of old-time Weight Watchers selection plan, but with more food! As far as I can tell, it is designed to (1) lower salt intake, (2) increase intake of vegetables and fruit, (3) control intake of fats, especially saturated fats, (4) control calorie intake to allow weight loss,  (5) control macronutrient (carbohydrate, protein, fat) proportions, and (6) ensure adequate intake of many micronutrients (vitamins and minerals, in particular). 

Yesterday, I had quThiite a lot of food. Breakfast was a classic: an egg fried in butter, with whole wheat toast and a sliced orange. Washed down with two mugs of coffee with almond milk. 

A quick lunch after returning from a mall expedition: a tin of sardines in water, alongside a plate of cut-up raw veggies topped with a bit of olive oil and balsamic vinegar, and whole wheat bread chunks to sop up the oil and vinegar. And an apple.

An afternoon snack; toast with peanut butter and a banana.

Finally dinner: A big skillet of broccoli, carrot, mushroom, red bell pepper and onion, with an ounce of chicken breast and a cup of cooked barley added in, plus a teaspoon of virgin olive oil. Then for dessert, a cup of low-fat yogurt sweetened just a little with stevia and red and green seedless grapes, a few chopped raw nuts for crunch. I sprinkled just a little light salt (sodium and potassium chloride blend) over this as it seemed a little bland.

This morning, my breakfast (pictured above) was again an egg, but this time fried in olive oil with chopped onion and green and red bell pepper, topping a warmed corn tortilla, and everything sprinkled with chopped cilantro. I added a sliced orange, and again had a couple cups of coffee/decaf with nonfat milk. Very tasty and filling.

Like I said, a lot of food, but all pretty healthy by mainstream standards. I prepared a little tracking sheet so I can check off the "boxes" for the food selections as I go, as well as write down a diary of my food and exercise for the day. 

I am reading The DASH Diet Action Plan, by Marla Heller, MS RD. The basics for the DASH (Dietary Approches to Stop Hypertension) are widely available on the internet, including a lot of recipes, but I like having a little book to look at. Heller's seem to be reliable and usable, with all the needed info, sample meal plans, and a lot of advice and tips. 

I mentioned "mainstream standards" above  for good reason. Before buying this book I read all the reviews for it on Amazon. Many people reported losing substantial weight and lowering their blood pressure. But there were a few who took Heller to task as "outdated" and/or "unscientific" for not following two of the dominant alternative diet paradigms of the day: paleo/low carb, or alternatively WFPB (whole food plant based), a high carb and very low fat diet. I have considerable experience with both of these, and for me, they don't work well. 

I have always felt better on a lower carbohydrate eating plan, but going too low always resulted in low energy and only a little initial weight loss, even after the initial weeks. 

I really, really wanted WFPB to work for me, and I've done it for months at a time in the past, but the older I get the worse I feel on it. It does lower blood pressure and result in weight loss. When I saw my doctor in October and discovered my blood pressure was quite high again, which I confirmed at home with my own meter, the first thing I tried was WFPB. I lost a few pounds and my BP readings started to come down. But... I didn't feel well. I started experiencing the mild depression and anxiety I"m prone to, along with mild intermittent nausea. I developed symptoms of what was probably fungus or yeast infection. My arthritis flared up, especially in my feet, knees and hands, so I felt achy most of the time, more so after a good walk. Cutting out the excessive carbs and using more protein and fat partially resolved most of those symptoms, but the BP readings climbed - not to initial levels, but higher - as did my weight. I tried upping my magnesium intake with easily-absorbed forms of magnesium, but did not see much change.

So I've gone back to a more "balanced" diet plan, the DASH, which controls carbs and sugars, keeps meat/fish/poultry and fat  relatively low, and makes sure you get a lot of micronutrients from abundant intake of fruits and vegetables, rather than relying on pills and supplements. It is the plan most endorsed by the medical mainstream, and seems to get good results with a lot of people.

So I'll give this a trial for at least a month... three would be better. It seems to be a kind of eating pattern you could adopt and make into a habit, just as I got used to the old Weight Watchers selection plan years ago (and lost a lot of weight, too, although the calorie level was too low, resulting in hunger at night.) The DASH is similar enough to that old program, including portion sizes, that I'm finding it pretty easy to slip into so far. And it's more in line with my calorie needs - I set it for 1600 calories, a lot more than the 1200 allowed by old WW. 

And I'm feeling well this morning. In spite of probably well over two hours of walking yesterday, the arthritis pain didn't show up. I slept fairly well and my mood is pretty good - no anxiety, depression, or nausea. And both my weight and blood pressure are down a bit. A good start!









Wednesday, January 3, 2018

New Year's Resolutions and a Furry Family... Again

It's been over two years since my last post! I miss blogging! And many things have changed. A little over a month after I last posted, my little dachshund Petey got very sick, and right after the dawn of 2016 we had to say our forever goodbyes. I was beyond devastated, and then got rather sick myself with some mild-to-severe anxiety issues. Happily, I've since gotten past all that.

The biggest problem was loneliness without my best little buddy. My sympathetic nervous system just went on high alert for whatever reason, and I had nausea, trouble eating, and soaring blood pressure. Turns out that when the anxiety is controlled, so is the BP, so no austere, salt-free diet required. But it took quite a few doctor visits and prescriptions to get this all sorted.

I "somehow" adopted a high-energy older puppy from the local shelter at the end of February 2016. Her name is Daphne and she has been more delight than trial, though both are present. Then in August, Daphne found two tiny, black abandoned kittens in the ivy, and we adopted them, along with a an orange young feral male cat who had been hanging around and obviously looking for a family. Whew! The kittens are over a year  old now. Daphne and the larger of the kittens are well-matched in energy level, despite the difference in size, and it's been nice for Daf to have someone to romp and tumble with. Daf is a 45-pound Boxer-Pit Bull mix, and their seemingly rough play worried me at first, but they are devoted to one another and no harm is ever done.

Quality of life is something I am trying to focus on at this point. Between the anxiety and low-grade depression, and the increased work and energy needed to take care of my new brood, a lot of things have slipped through the proverbial cracks. Also, I realized that I need to form stronger bonds with other humans in my life. I had such a happy, comfortable life at home with my little Petey that I didn't feel the need for more than the casual friendships and acquaintances I had in my life. But when Petey was suddenly gone, I felt so bereft, and it was hard to fill the void. Putting most or all your emotional eggs in one basket, I've found, isn't such a great idea. This probably applies as much to husband-wife relationships, or any other close human tie, as it does to the relationship with a pet.

So, the things I want to focus on in the coming months are:
  • Get my home organized again and take care of any deferred maintenance issues.
  • Spend more time in the garden, culling out overgrowth and adding some nice plantings.
  • Spend more time with friends and family, and make some new friends.
  • Work on bringing more balance into my life.