RSS Feed

Tag Archives: Diet

Meal Planning and Preparation

Posted on

Considering that the overall goal for this month is getting on a regular schedule, I have to take my eating habits into consideration too. One of the things that contributes, for better and worse, to what and when I eat is the amount of meal planning and preparation that I do. This is something I’ve been doing for a very long time, even before I was diagnosed, but the reason for doing it have gone beyond a less stressful day to eating healthy and well balanced – it’s become more important to my well-being over time.

A little background on Cushing’s Syndrome, it causes your body to create excess cortisol, which naturally causes the body to store more fat, typically around your midsection. Most people with Cushing’s have not only an increase in belly fat but also in odder areas; upper back and face are the most common. As a result of the excess fat storage you also gain quite a bit of weight, in the four months before diagnosis I gained forty pounds. One of the first things you should do is get together with a nutritionist and come up with strategies to at the very least slowdown that steady gain. My target was to not gain more than 10 pounds in that first year and I’m happy to say that I maintained that rate for the last three years up until I fell off the wagon last month and popped up a full twenty pounds in just 5 weeks.

Not an awesome disease but manageable if you have discipline.

For the duration, I’ve had some pretty simple dietary requirements; I’m a vegetarian so my protein can’t come from meat, my calorie limit is 2000 per day, I eat a limited amount of processed foods, sugar and dairy, and only get one cheat meal a week. With those guidelines, it is easy to come up with meal plans that are healthy and adhere to my no prep stress desires.

Every Saturday, I sit down to plan out the week – three meals and three snacks per day – pull together a grocery list and update my tracking software with any new recipes or ingredients. I tend to keep things simple and eat the same meals/snacks over the week, especially my breakfast. As you can see from the image below it’s very straight forward.

menu-plan

On Sundays I actually do the meal preparations, this entails taking of all the ingredients that I need for breakfast, lunch and snacks and doing whatever preparation needs to happen and then packaging them all up. This usually takes an hour or two depending on the cooking involved. My dinners have come from Blue Apron for the last year so I’ve effectively outsourced much of the prep work there.

Aside from the health aspects, the biggest benefit that I gain by doing things this way is that when I get up in the morning, my food for the day is already ready to go. I bag it all, mix my smoothie and grab my coffee and I’m out the door in less than 10 minutes. It does also prevent me from making bad choices for lunch or worse skipping lunch all together, and keeps my blood sugar and energy at a consistent level all day long. I think, for me, it is well worth the sacrifice of couple of hours of time in order to make this happen.

For me the biggest barrier was making the commitment to get it going. Making sure I have all the ingredients and containers to pull it off came through a lot of trial and error but once you get through a couple of weeks you’re pretty much set. I do mix things up over the year as the seasons change, more soups in the winter and more salads in the summer. If you don’t I think it’s pretty easy to get bored. And occasionally your taste buds will need a little reboot.

If you want to give it a shot, I recommend any containers made by Sistema. They are durable, convenient and often come with utensils.

January Goals – Diet and Exercise

Posted on

Living with Cushings requires a significant amount of acceptance and patience; you don’t have much control over your body and every treatment is followed with a wait and see what happens. Last year I started off with quite a bit of optimism, what followed was frustrating – radiation and surgery without any significant changes. I ended the year with six month check up where instead of celebrating success, we talked about my options going forward.

It hasn’t been all bad news though – I have maintained my weight during the last year, my ACTH levels are steady, I’m not seeing any additional side effects from the extra weight, and my headaches and muscle aches are still infrequent. These are small wins but they are still wins.

This year my only resolution is to push harder. Regardless of the state of my disease in the coming months I want to work on my endurance, my strength and flexibility while preventing any further weight gain and hopefully keeping my blood pressure and blood sugar in check.

Alright, on to the specifics…

Diet

I’m happy with the 1800 calorie diet plan my nutritionist and I settled on last year, the only change I’m going to make is to reduce it to 1500 calories and effectively eliminating a cheat day – I do this because I find that cravings are progressively so much worse as that day comes around and I feel it’s better to maintain moderation than go crazy once a week.

Exercise

For endurance I’ve decided to work on progressively more challenging hikes, I really enjoy hiking and pushing myself while enjoying a new environment sounds like the perfect combination. I also really miss running but every attempt I’ve made in the last two years to get back into the routine has resulted in pain. This year I’m going to follow a program I found through Runner’s World that over twenty one weeks get’s you back into running four times a week.

Strength will be tackled through a combination of adding more weight to my current program as well as adding in a couple of mini workouts throughout the day – I’m going to try out 7 Minutes for the first month and see how that works for me.

Flexibility is all about getting my yoga routine back in force. Years ago my practice consisted of Sun Salutations every morning, a twenty minute flow midday, a restorative flow at night and three 90 minute classes every week at an Anusara studio. I’m positive I won’t be able to fit in the classes but I can certainly do the rest.

Meditation

About a month ago I joined Headspace, a site that helps train you in mindfulness meditation, trying to fit that in every day over the holidays proved difficult, something I’ll need to work on during the next month. I’m shooting for every morning but I’ll take 4-5 times a week as success.

 

I guess I’d have to say that the most important and perhaps more difficult resolution I need to make is to not get derailed by work, my volunteer commitments, feeling defeated by lack of improvement in my condition and the depression that can follow. Procrastination via responsibilities?! Well, balance hasn’t traditionally been my strongest skills, here’s hoping I can find the right mix this year.

Getting My Vibrant Back

Posted on

I have spent most of the last year in a holding pattern.  My health while outwardly (to most folks) you would assume was pretty good has not been so much; a few years ago I discovered that I was having a recurrence of Cushing’s Syndrome which for me is caused by tiny tumors on my pituitary gland. Briefly what happens with Cushing’s is your body is flooded with cortisol, creating a fight or flight condition where you store fat, a lot of it. It also causes headaches, increased bruising and healing times, acne, fatigue, muscle weakness, high blood pressure and blood sugar, and stretch marks (my personal favorite).  And to add a cherry to all of this you’re also susceptible to all the side effects that go along with being overweight.

Much of 2014 was focused on my treatments and less about addressing my weight or more accurately the intent to lose weight, instead my focus has been on not gaining more weight while on my doctors have worked to control of my disease.  Which was a good thing, in my opinion, my weight gain from in 2013 was +/- 40lbs compared to only 8lbs in 2014.

Recently, I have been given the good news that these tumors now no longer visible via imaging; they are still there, but are now reduced to the point where my body no longer overwhelmed with cortisol but is actually creating less and less of it every week. I’m not entirely out of the woods yet, there are other potential complications that could happen and there is always the possibility of another recurrence down the line. I am, though, finally in a place where I can start looking at getting this weight off of me.

So where do I start?! Well I have been, for last year, on a pretty straightforward diet and exercise plan, after working with a nutritionist last year, I do eat pretty healthy, give myself a cheat day once a week but stick around 1500 calories a day.  If you look at my nutritional stats I eat lots of fruits and veggies, very little fat and a very limited amount of carbs outside of fruit and vegetables – most of my splurges are in the form of wine.  On the exercise side I have stuck with a basic boot camp style strength program, Zumba or walking for cardio and a weekly hike to round things out.

With the reduction in cortisol, I should be able to make some minor tweaks and start seeing some good results but I am impatient. I’m switching to a more challenging boot camp, upping the Zumba as well as adding the elliptical, and adding an evening workout that will of alternate between power yoga and a walk/run program. I’ll also up the intensity of my hikes but that’ll be more progressive. This will completely encompass the next 90 days, monitored entirely by my trusty Fitbit.

On the diet side, for the first two weeks I’m going to continue on with my current diet then progressively decrease my calories down to 1200. I have a plethora of diet tools at my disposal; everything from spreadsheets to MyFitnessPal, weeding that down to one thing that works well for me may in fact be a bigger challenge than losing the actual weight.

Going forward I’m going to use Sunday progress posts as a way of keeping myself accountable, and only doing an occasional Thursday post when I find something interesting or decide to try something entirely new. Wish me luck!