A smooth(ie) way to ensure nutrient sufficiency over Christmas

frozen banana and berry smoothie2

As suggested by a member of the Diabetes Counselling Online Diabetes Weight Matters closed Facebook group, today’s blog is on the topic of ‘smoothies’. It’s very timely as this being the week before Christmas (only 2 days to go!!) as so many of us are short on time.

Smoothies are a great topic to chat about because they can involve ingredients from all the major food groups, they’re convenient and easy to make, as well as being both nutritious and delicious. In today’s blog I’ll cover how they can help you meet your dietary guidelines in certain food groups as well as providing a few recipe ideas to get you started if you like the idea.

When we look at the Australian Dietary Guidelines (for Adults) which are designed to show us how to eat best for health and wellbeing, some people find it tricky to include all the serves from all of the five food groups:

  • Vegetables and legumes/beans – 5-6 serves per day
  • Fruit – 2 serves per day
  • Grain (cereal) foods, mostly wholegrain and/or high cereal varieties – 3-6 serves per day
  • Proteins – lean meat and poultry, fish, eggs, tofu, nuts and seeds, and legumes/bean – 2-3 serves per day
  • Dairy (Milk, yogurt, cheese) and/or alternatives, mostly reduced fat – 2.5-4 serves per day

I should point out here in the beginning that it’s also important not to exceed those recommendations, especially if you’re watching your weight, so understanding your energy needs is important. Don’t fall into the trap of thinking that just because something is healthy you can eat as much of it as you like! We need to balance our energy intake with our nutritional requirements for good health. The National Medical Health and Research Council (NHMRC) reminds us: “Energy is not a nutrient but is required in the body for metabolic processes, physiological functions, muscular activity, heat production, growth and synthesis of new tissues”.

So, unless you’re an athlete who needs to gain muscle density or are generally malnourished, I do not recommend adding protein powers and the like to your smoothies. Just use fresh ingredients and you’ll have everything you need. You can read more about our energy requirements in the blog I wrote last week: ‘Energy In/Energy Out – understanding how much you need and where you get it’ and more about the benefits of low-GI foods here which are also a great selling point for smoothies, especially those made on dairy or soy milk alternatives.

Convenience

In terms of convenience, all you need for a smoothie is quality ingredients and a blender of some sort. I use a stick blender to save on washing up, but any kind will do. They take only between 5-10 minutes to make, so are perfect for people in a rush trying to get the nutrients and energy they need. Perfect too for those who say they can’t do breakfast as there’s not enough time, and they can be consumed on the run (although I wouldn’t recommend that if you can avoid it). They can replace a meal if you’re in a hurry, and are perfect as a snack too.

Meeting your nutrient needs

Many people find the areas that are hardest to include are the vegetables, fruit and dairy and smoothies are perfect to boost those areas. Proteins can also be included in the form of nuts and seeds which are highly nutritious, but watch those portion sizes as they’re also high in energy. (I wouldn’t advise using raw eggs due to related health safety concerns.) Including grains such as oats and quinoa flakes are another good option.

Low fat milk based smoothies (1 cup = 1 dairy serve) made with fresh fruit and berries can create a delicious snack that provides a serve from two groups, and if you use berries you can even minimise the carb serves to about one serve. If you choose frozen fruit, your smoothie becomes a frozen smoothie – so great for afternoon tea on a hot day.

frozen banana and berry smoothie2

Many people use vegetables such as spinach, kale, tomato and others to boost their vegetable intake, which is actually a very sensible idea if you’re struggling with so many serves and you understand the fabulous health benefits that come from including a variety of plant-based foods, remembering there are over 3000 different plant (phyto) nutrients!!

One member of the Diabetes Weight Matters group posted that she had just started green smoothies: kale & spinach, berries and a small OJ. She had chosen the juice as it mixed better with the vegetables than dairy would do, but she wanted it to be low GI and not to high in carbs. The way to go here is to include a whole piece of fruit such as an orange or an apple so you get the benefit of the fruit fibre, and then top up with water if you need more liquid.

Helen Edwards, our founder at Diabetes Counselling Online wrote a blog recently on a “pick me up, guilt free, chocolate, banana, blueberry, walnut smoothie”! This one covers dairy, fruit, and protein food groups. Here she is enjoying every sip! :)

Helen drinking her smoothie

Recipe ideas

My favourite online recipe sites are those that include nutrient values with their recipes, so we can keep track of both our carbohydrate numbers and our overall energy intake numbers.

My first call is always the Australian Healthy Food Guide because all their recipes are dietitian approved. Here I found The Breakfast Super Smoothie – loving their tip to turn breakfast into a lunch-time treat: pour smoothie into a drink bottle, freeze overnight and pack it into your child’s lunch box. It’s a little high in carbs for those aiming for 2-3 serves at breakfast, but you could just make a smaller serving or cut some of the juice, oats or the honey out of it.

Breakfast Super Smoothie

Australia’s Taste.com.au is another great site for recipes that offers the nutrient values too. They had loads of smoothie recipes, so I chose a veggie-based one to share with you – great to use when you feel that you haven’t had enough of your vegetable serves. Doesn’t this sound yummy?? – Carrot, beetroot, apple and celery juice. And only 34g of carbohydrates :)

Beetroot smoothie

There are masses of smoothie recipes around, so try a few out and see how you go. We’d love you to share the ones you enjoy with us here on our Diabetes Weight Matters or Diabetes & Food – let’s celebrate it! Facebook groups, and I’ll be back next Monday with a summary of my dietitian blog posts over the 2013.

Wishing you all a wonderful, safe and happy festive season! :)

Sally is the Social Media Dietitian with Diabetes Counselling Online, owner of her private practice (Marchini Nutrition), and has had type 1 diabetes for close to 40 years and coeliac disease for many years too.

 

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Closing the GI loop – quality + quantity of carbohydrates

This is the third in a blog series on Mondays across World Diabetes Month on the Glycemic Index (GI). We started with one on the benefits of low-GI carbohydrates which happily surprised many us.

Then last Monday we talked about ways to make the change, including tips and tricks, so that you can do that.

So this third blog is designed to close the loop on understanding the glycemic index by explaining about Glycemic Load (GL) which combines the quantity and quality of carbohydrate foods to help us make the most of our carbohydrate intake. The GL is calculated by multiplying the GI of a food item with it’s carbohydrate quantity.

For those of you with type 2 diabetes particularly, this should be really helpful in working out how much of various carbohydrate types you should be including. In saying that, please do not change your eating habits without checking with your D-team of health professionals as medications and other issues can alter what YOU need in the way of carbohydrates.

When we talk about the quality of carbohydrates, it’s not only the GI but also the nutritional quality of the carbohydrate that should be taken into consideration. For example, some fruits that are high in nutrients have a high GI rating, and some starches that have a lower GI rating, such as longer grain rices, have little nutritional benefit. With or without diabetes, we should aim to make every mouthful be chocked full of nutrients to help us maintain our wellness.

Another numbering system of carbohydrate foods, this GL stuff could get a little overwhelming. So we don’t want to overcomplicate matters. Put simply, ass with the glycemic index, the lower you go the more you can eat without upsetting your BGLs and insulin levels. But when you look at the research that backs it up, it’s certainly worth considering.

In 2008 Australian researchers published a paper that lists 1000 foods and their GI & GL called “International tables of glycemic index and glycemic load values: 2008” (by Fiona S. Atkinson, Kaye Foster-Powell, and Jennie C. Brand-Miller in the December 2008 issue of Diabetes Care, Vol. 31, number 12, pages 2281-2283). Since that table was published there has been a significant amount of further research published to demonstrate the benefits for general improved glycemic control in various populations and for health conditions such as cardiovascular disease for diets with a lower glycemic load.

As a broad guideline we should think about a GL of 100 per day being a reasonable number to aim for. Carbohydrate foods with a GL less than 10 should be your first choice for carbs. Foods that fall between 10 and 20 on the GL scale have a moderate effect on your BGLs, and those greater than 20 will cause both BGL and insulin spikes.

If you’re interested in having a go at working out your Glycemic Load, Harvard Health Publications published a table ‘Glycemic index and glycemic load for 100+ foods’ that came from the research paper by our Australian researchers in Diabetes Care, and is freely available to anyone wishing to try.

Using breakfast as an example from that list, if I have 30g of museli (GI=66, GL=16) with 250ml of skim milk (GI=32, GL=4), then my breakfast Glycemic Load will be 16+4=20.

Why don’t you give it a go for an average one of your days to see if you fit below the 100 mark?? You wouldn’ t need to do it every day, but a one off workout might be an eye opener for you.

Good luck :)

 

 

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