Assessment for medical nutrition

WHAT THE DIETICIAN SAID

I had a meeting today with “medical nutrition services” at the local hospital to see if the dietician had any idea what I might be able to do to get myself on track via diet.

She recommended getting more sleep, and specifically 9 hours, which to me would mean going to bed at about 6:30 p.m.

And she applauds my effort to get off screens and read physical books before bed, but wants me to keep my bedroom dark and between 64-68 degrees. Which will mean using the air conditioner. And remembering to open the curtains for the cockatoo in the morning.

She requested that I cap my water intake at 64 ounces or so, based on the color of my urine because she’s afraid I’m flushing all the salts from my system.

She put me on a 1300 to 1500 calorie limit, and asked me to do more meal prep and meal planning as is my custom, but also to eat breakfast within an hour of waking up. Which, because I have so little wits and already have a busy routine, requires meal prepping breakfast in addition to lunch.

As for dietary guidelines, she wants to see me track my food and eat as “normal” as possible, not worrying about sugar and salt per se.

And I need to find a healthy outlet for stress.

Don’t we all.

FOOD DIARY

  • 4:30 a.m: morning meds, 12 ounces water, half a cup of my favorite peppermint accented medium roast coffee with half and half
  • 5:15 a.m.: about 8 ounces water with Electrolyte Powder Plus in raspberry
  • 6:15 a.m. one serving of pretzels and 3/4 of a serving of JIF peanut butter.
  • 8:30 a.m.: one serving Cabot cottage cheese, one golden kiwi, probably one serving “corn bake” and 20 ounces water.
  • 12:30 p.m.: 16 ounces water, Baclofen and one slice pesto pizza
  • 3:30 p.m.: repeat of this morning’s coffee and a Kind Breakfast Bar
  • 4:30 p.m.: about 16 ounces of electrolyte water at the gym
  • 6 p.m.: finally had my Hungryroot schnitzel– a thick pork chop coated with the dry batter of Hungryroot’s ancient grain pancake mix and “hot potato salad” of creamer potatoes, parsley, and balsamic vinegar. I was very very pleased with the texture of the pancake coating.

Weight: 160, Sleep: 7 restless hours, Morning blood pressure: 120/76 (it’s normally around 110/65 at first check), Equilibrium: day 8 of ears ringing, slight headache and lightheaded

Heart rate about 100 bpm while standing at station, folded 100 fixes (100+%)

Socks: T-Rex drinking coffee

Hopefully my next blog entry, I can tell you more about my TedX interview.

The Difficult Reality: Time to Calorie Count

This is a hard one for me.

I know, like all capital letters and in bold know, that my weight is a problem. I have excuses and plans and can logic everything six ways from Sunday. But it’s time to own up.

And I’ve done that and still failed several times to take control of the situation.

So, on Saturday, after a strong workout and a report from the physical therapist that really suggested I shouldn’t offer any more excuses, I re-downloaded My Fitness Pal and started tracking activity and food.

I challenged myself to make sure I hit 5,000 steps a day, with the intent of increasing that over time. And my current average is probably 4,000. Walked to the gym Saturday. Took the teenager and the dog for a walk. Hit 5,000 by 5 p.m. (And the dog wore down her claws on the sidewalk to the point where she bled. All over the house.)

I entered my gym workout, my water consumed, counted my physical therapy as yoga. Then I dealt with the fact that my eating is half trash, half perfect. Post gym meal? Coffee, Lebanon balogna and a Otis Spunkmeyer Chocolate Chip Cookie.

Yeah, that was the meal choice that made me re-download My Fitness Pal. It’s one thing to accept I made this choice. It’s another to stare at it for the rest of the day.

My dinner plan was more balanced. My Hungryroot box came. Since the teenager was at Petco buying first aid supplies and styptic powder for the dog, I made a lamb Mediterranean salad.

By 6 p.m., my food selections looked like this:

The program defaults to 50% carbohydrates, 25% protein (or is it 30%?) and the remainder fat for the Macro distribution. My diet is always higher in fat than it should be and I know from past experience that protein and fat keep my mood and hunger more stable than a high carb, low fat diet. So I adjusted it. Since I am regularly weight training, my diet should be high protein if I am trying to gain muscle. Which I am. Right now, I am merely aiming for a calorie deficit. If I succeed in shedding some weight, the next step would be to adjust fat and carbohydrates to encourage a leaner look.

The easiest solution to equalize the balance in these macros depicted would be for me to eat a stack of leftover turkey, plain, or perhaps with a little bit of horseradish if I get hungry again. That would shift the ratio of carbs, fat and protein.