The Daily Grind: Caffeine Consumption

April 5, 2017

by:  Emily Nice, RD, LD

April showers bring… slow-moving hours! Rainy days and dreary Mondays tend to hit pretty hard at times, especially if you miss out on your morning cup of coffee. Sometimes, we really need that extra boost caffeine can provide, but how much is too much?

The 2015-2020 Dietary Guidelines for Americans recommend consuming less than 400mg of caffeine daily. Average American caffeine consumption remains within this recommendation; however, it is important to note that these guidelines are reflective of adults without any serious medical conditions which may require more restrictive intakes. Approximately 95% of American adults consume caffeine, mostly coming from coffee and tea intake. The American Heart Association recommends keeping coffee intake at or below 1-2 cups daily. The amount of caffeine in a cup of coffee varies between different brands/styles, and just one 8 ounce cup of coffee may contain approximately 95-200mg of caffeine.

Depending on how you take your coffee or tea, you may be adding more empty calories to your diet than you realize as well. Additives are often unaccounted for or missed when recounting what has been consumed for the day. It is also common to pair these beverages with high calorie pastries and snacks, which may contain large amounts of both sugar and fat. These habits could negatively impact your blood sugar control and/or your efforts to lose weight.

After a long day, a warm caffeinated beverage may provide a comforting pick-me-up, but this may also influence poor sleep if consumed before bed or too late in the day. Restlessness or poor quality sleep may lead to higher blood glucose levels, making a good night’s sleep especially important in controlling your blood sugar. Pay attention to your body and make sleep a priority.

Caffeinated beverages and foods can fit into a well-balanced diet if consumed in moderation. If your daily caffeine intake is reaching or exceeding the limit, you may want to cut back. Make sure to watch your portion sizes and be sure to account for any added cream or sugar you may be enjoying. Pay attention to the types of food you choose to accommodate your drink, and be careful not to indulge too late in the day to allow time for good quality sleep at night.

From a little morning inspiration to a quick pick-me-up in the early afternoon, a reasonable caffeine fix can fit into a healthy lifestyle.






2015-2020 Dietary Guidelines for Americans
American Heart Association – August 2015
Food & Nutrition – March 2017
Diabetes Forecast – July 2016

January 7, 2016

by Susan Klick, MSN, RN, CNL

Welcome to 2016! How many of you have come up with resolutions to better your life for the future? Why not use your resolution this year to set goals to better your diabetes management and improve your overall health? SMART goals are used to help people take steps to achieve particular outcomes. People are more likely to work towards and achieve SMART goals simply by the way they are designed. Let’s look at an example:

“This year I will be more physically active”

Striving to increase your physical activity is good….but let’s take a look at making this goal a SMART goal. A SMART goal is

  • Specific: Choose one thing you want to change, and include details
  • Measureable: How much? How will you measure your progress?
  • Achievable: Can you actually accomplish this goal? Is it within reason? Will you be able to do it?
  • Realistic: Goals should be do-able. If goals are set too high, you are less likely to achieve what you have set out to do. Ask yourself if the goal is practical and is it important to you.
  • Timely: Have a definitive timeline.

Now, let’s take a look again at our goal, except now we will make it a SMART goal:

                   “This year I will start being active by walking 20-30  minutes during my lunch hour on Monday, Wednesday and Friday for the next two weeks starting on Monday.”

Don’t forget to think about any concerns or possible roadblocks, and how you would handle it.  If you find a goal you set just isn’t working out for you, you may need to adjust it. For example, if you set a goal of trying three new recipes a week for one month, but you find you are too busy to try all that new cooking and it is stressing you out, change the goal to one new recipe each week.

Managing diabetes is not always easy. Setting SMART goals can help make managing diabetes a little easier.

Top 5 Obstacles to Weight Loss

May 7, 2013

Woman on ScaleAs I flipped my calendar to May, whether or not I could believe that we’re already through 4 months of 2013, I’m reminded that it’s almost time for summer! I love this time of year. But it also means that it’s time to expose our bodies–that have been in hibernation now for months. Are you ready for shorts and swimsuits?

You may have already been thinking about getting in shape for summer and hopefully have already gotten a good start. (Remember it’s not realistic to think you’ll drop 20 pounds in one month). Whether or not your goal is to lose a few pounds by pool season or you’re on track for a long-term weight loss goal, there are five common reasons that people get stalled on their weight loss journey.

1. Underestimating
Most people (even sometimes food experts) underestimate how many calories they consume. This can be related to eating more often, eating larger portion sizes or not knowing how a food is prepared. Recording everything you eat–on paper or in an electronic food journal–can help you be more aware of how much you are actually taking in. And every calorie counts! So don’t forget about “bites” and “tastes” or “just that one little piece.” Pay attention to portion sizes and use measuring tools (measuring cups or a scale) when you can to double-check yourself. Read food labels or do some research (yes, the Internet is handy) to find out what a reasonable portion size is as well as its nutrition facts. Keep in mind that foods eaten outside of the home tend to come in large portion sizes and often contain more fats, sugars and calories than we may be aware of. I can’t tell you how many times I’ve been fooled! You have to check out the facts–the nutrition facts, that is. Look up information before you go, check an app or the restaurant’s website and pick a healthy option before you go.

2. Overestimating
It’s also easy to overestimate how many calories you burn in exercise. Yes, it may be hard work to jog a mile, but that really only burns 100 calories. Typically a person needs to burn 500 calories daily in order to lose 1 pound per week. This entails a consistent exercise routine, consisting of at least 30 to 60 minutes of moderate to vigorous-intensity exercise 5 days per week. If this is a lofty goal for you, it’s okay to start with something that is smaller and more attainable. Start walking a few days per week or buy a pedometer and aim for 10,000 steps per day. Just be honest about how many calories are actually being burned and don’t allow yourself to eat extra just because you exercised!

3. Poor timing of meals
Food is energy, so that means a person needs to eat consistently throughout the day to maintain energy levels (and a stable blood sugar). Start with a balanced breakfast within an hour of waking up, then eat a healthy snack or meal every 3 to 5 hours. It’s best to stop eating an hour or two before bed. Just make sure that all meals and snacks fit within your daily calorie and carbohdyrate goals.

4. Poor food choices
Eating frequently throughout the day can help you stay energized, but only if you’re making wise selections. It’s not a free pass to stop by the vending machine for a candy bar or chips! Meals and snacks should be a combination of healthy carbs (whole grains, fruits and vegetables) and lean protein or healthy fat. Try an apple with peanut butter, for instance.

5. Inadequate or poor sleep
Studies show that people who sleep fewer than 6 hours per night (or have poor sleep) have higher levels of ghrelin–a hormone that stimulates appetite, particularly for high-carbohydrate, high-calorie foods. Less sleep also raises the level of cortisol, a stress hormone that can promote weight gain. In addition, recent research also shows that poor sleep is linked to increased insulin resistance, inefficient use of our own natural insulin, which can lead to elevated blood glucose levels in those with diabetes, high triglycerides and weight gain.

So if you’re on the road to weight loss but have found yourself stalled, give yourself a five point check-up! If you need more help, it’s never a bad idea to check in with your dietitian or diabetes educator too.


Is it Nutrition Fact or Fiction?

March 26, 2013

Question Mark_StrawberriesWe’re wrapping up National Nutrition Month and that means March is coming to a close already. Time flies! We have one final activity for you as we wind down the nutrition celebration.

Although you’ve probably heard a lot about nutrition this month, you will likely continue to hear something about nutrition or health everyday. What foods you should eat, what foods you shouldn’t eat, the newest weight loss trick or a supplement that can make diabetes control easier. How do you separate fact from fiction?

Of course you should seek guidance from your physician, dietitian or diabetes educator. But in the meantime, you can test your nutrition knowledge here: The Nutrition Fact or Fiction Quiz from the Academy of Nutrition and Dietetics. Follow the link, then scroll to the bottom and click on the “Fact or Fiction” icon.

See how you do and tell us how you scored by posting a comment below! Explanations follow each quiz question. We hope you learn something new and spread the word to others you know.

If you have questions or need help with your personal meal plan, contact the Registered Dietitians at St. Anthony’s.


Rate Your Plate Quiz

March 12, 2013

MyPlate Color GraphicAre you “eating right?”

Test your eating habits by taking the “Rate Your Plate” quiz from the Academy of Nutrition and Dietetics. Follow the link, then scroll to the bottom of the page and click on the “Rate Your Plate” icon. It’s a simple 10-question quiz that will give you more information about how you’re doing and what you can change to make your diet healthier.

Let us know how you do by commenting below!

A healthy diet includes a variety of foods from the different food groups pictured on MyPlate. The 2010 Dietary Guidelines for Americans include recommendations on how many servings from each of these groups we need each day to meet our bodies’ nutrition needs. These guidelines are generally appropriate for everyone. If you have been given specific dietary guidelines from your doctor or dietitian, you should follow those.

If you have questions about your personal dietary goals or need help incorporating these guidelines into your diet, contact the Registered Dietitians at St. Anthony’s.

App Review: MyNetDiary

December 18, 2012

Man in white shirt holding green apple uid 1341813

If you have a smartphone, you’ve likely found the simplicity that apps can bring to your life. In the palm of your hand, you have the ability to hold your address book, calendar, task list, weather report, atlas, facebook, twitter and pinterest accounts…and the list goes on and on.

There are also many terrific apps for keeping a food, activity, medication and blood glucose record on your phone–also bringing ease and simplicity to an otherwise tedious task. Studies show that in addition to nutrition counseling, keeping a food record in an app can help you lose weight too (read more here). I’ve tried out many of the record-keeping apps that are out there and would like to present one of my favorites: MyNetDiary. (And by the way, if you don’t have a smartphone, don’t worry. It’s available on the web too.)

The key to any record-keeping method is simplicity. If it’s not quick and easy, you’re less likely to keep it going consistently. And consistency is the key to success! MyNetDiary is available on many mediums: iPhone, Android, Blackberry, iPad and the Internet. There are free and paid plans available.

The Calorie Counter app and website are available for free. It’s a good place to start to find out how MyNetDiary can work for you. You have access to the basic food log, in which you can enter and track the foods you eat daily. It tracks calories for each meal, and you can also see a daily report analyzing your intake of all the major nutrients, including carbohydrates, fat, protein, fiber and more. Track your exercise too.

MyNetDiary Pro has more features and is available for $3.99. In the Pro version of the app, you can also elect to show how many carbs you eat at each meal, along with calories. You can scan bar codes, which makes searching for products a breeze. The Pro version includes daily and weekly reports of your food intake plus the ability to track more measurements than just your weight (BMI, body fat, waist measurement, etc).

The new iPhone Diabetes Tracker is for sale in the app store for $9.99. It’s fully-loaded and COOL. It includes MyNetDiary Pro and comprehensive diabetes tracking. Track your blood glucose (and set up custom blood sugar goals), insulin, carb intake, medications and A1C. View daily and weekly reports that include all the information you entered. Really see the big picture of how your food, exercise and medications impact your blood sugar control. Ditch the logbook–it’s all right in the palm of your hand!

Looking for the absolute maximum? With a monthly membership fee, MyNetDiary Maximum includes all of the above plus comprehensive nutrition analysis, FitBit integration, exportable reports, autopilot and exercise planning. See the link below for more information.

All the plans include one of the largest food databases around. You can search and find generic foods, brand names and even restaurant foods. Compare all the plans available here.

Bottom line is: monitoring helps you be more successful in managing diabetes and your health by helping you reach your goals and track your progress. Find out if an app like MyNetDiary will work for you!

Other apps we like include: MyFitnessPal, Restaurant Nutrition and Calorie King.

Just FYI: St. Anthony’s is not affiliated with the MyNetDiary program nor were they compensated for providing this review. We just like this app!

Lose Weight By Eating Mindfully

November 27, 2012

Since the holiday season seems to revolve around food, it is the perfect opportunity to practice what is called “mindful eating.”

Lilian Chueng, D. Sc., RD is the co-author of Savor: Mindful Eating, Mindful LifeShe writes about attaining a healthy weight while leading a life that is more satisfying by practicing mindful eating–paying attention to what and how we eat.

Instead of dieting, which is difficult to adhere to, regularly practicing mindful eating becomes rewarding in many ways. Aside from losing weight by consuming smaller quantities of higher quality foods, mindful eaters find themselves gaining energy, emotional stability, compassion, gratitude and joy through learning to enjoy and appreciate food more. Mindful eating is a principal that creates a healthy relationship with food and also speaks to the compassion, joy and giving of the holiday season.

The 7 Principles of Mindful Eating

1. Honor the food. We take food for granted because it is so easy to attain. As you prepare and eat your food, remember where it comes from and how it came to you. Think of how it was grown–the sun, the rain and the farmers who cultivated it–and also the drivers who brought it to the store and the supermarket employees who made it accessible to you. It’s really had quite a journey! Do you feel gratitude?

2. Engage all your senses. Notice the beauty of food, how it smells, tastes and feels. Think about all the variety in flavors and textures in the meals you eat. How do you feel when you look at and eat your food? Do you feel differently when you eat a home-cooked meal versus a fast-food meal?

3. Be mindful of portion sizes. Large portion sizes drive intake of too many calories which leads to weight gain. Don’t allow “your eyes to be bigger than your stomach.” Start with a modest portion size on a plate no bigger than 9-inches. We have the innate desire to want to fill our plates–so using a larger plate means you’re more likely to eat more.

4. Chew. That sounds easy! Focus on chewing your food thoroughly and not eating too fast. The longer your food is in your mouth, the more you taste it. When you swallow your food, you no longer taste it. Chewing thoroughly also helps begin the process of digestion.

5. Eat slowly. Yes, you’ve heard it before. But how often do you practice it? Eating slowly allows you to take more time to chew and taste the food you’re eating. It also gives your stomach a chance to signal your brain that it is getting full, so you eat less.

6. Don’t skip meals. Skipping meals usually backfires, causing you to get hungrier and eat a larger portion at one sitting than you would at multiple meals spread throughout the day. Eating regularly also helps keep blood sugars stable and the metabolism working, assisting with weight management and loss. Cheung suggests an energy-sustaining breakfast containing whole grains, protein and whole fruit.

7. Eat a plant-based diet. Chueng notes, “Research shows that eating red meat increases our risk of heart disease, diabetes and colon cancer. A recent study by Harvard School of Public Health also found that red and processed meats may contribute to weight gain.” Plant foods are very nutritious, low in fat and high in fiber.

Watch Dr. Cheung discuss the 7 Practices of Mindful Eating here.

Are you ready to try mindful eating? Challenge yourself! The holiday season is the perfect time to start. I think you’ll be rewarded.

Source: Huffington Post
Photo credit:

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