Cure for My Insulin Resistance & Diabetes?

This past week has been one of high emotion for me because I may have found the root cause of my insulin resistance and diabetes!  I discovered that I have probably lived my entire life with undiagnosed Celiacs disease, which is an allergy to gluten.  Gluten is found in bread products, cereal, crackers, bagels, any wheat-based baked good, and even found in sauces, some canned goods and salad dressing.  This has nothing to do with carbs!  The culprit is wheat, rye and barley in all their various forms, and oats (although to a lesser degree).  This discovery was not made by my doctor; it was made by me because I became determined to find the root cause of my diabetes after my last doctor visit in April where I learned from my blood test results that my A1C barely improved after months of eating almost entirely a plant-based, vegan diet and even after losing 10 pounds!  My doctor was puzzled and had to sit a while before he attempted to explain why there might be no noticeable improvement.  His solution? Increase my meds or restart insulin.  I said no, asked for 3 more months and then went home and cried, feeling confused and frustrated.

How did I make this discovery?  The story is a round-about one.  My daughter broke out with a serious case of hives.  As a result of my online research to help her explore the possibility of a food allergy and treatment options, I came across a book called The Blood Sugar Solution by Dr. Mark Hyman, MD.  Although this book sounds like it only refers to diabetes and blood sugar control, it actually is a guide to helping anyone with a chronic illness, from allergies, high blood pressure or high cholesterol to autoimmune disorders, such as diabetes, lupus or fibromyalgia. 

About the book: In the book, he challenges his readers to not just treat the symptoms of their condition, but to discover the root cause and correct it.  I read the book from cover-to-cover, took the questionnaire-style quizzes to discover any vitamin deficiencies or body imbalances I might have and discovered I scored quite high on the digestive system quiz, although I don't have any uncomfortable gastrointestinal problems.  As suggested, I began following the advanced diet plan outlined in the book.  This is a total elimination diet of no sugar, no gluten or grains of any kind, no dairy, no starchy vegetables or other starchy foods (like rice, corn, peas or potatoes) and even no fruit (except for 1/2 cup of berries per day) for a minimum of six weeks.  The point of this strict diet is meant to "reboot" my body chemistry.  I was intrigued and willing to give it a try.  To my amazement, within 3 days, my blood sugar readings fell dramatically into the normal range!  No matter when I take it, morning, noon, night, before or after meals -- my BG is perfectly normal!  When this dramatic and welcomed side effect occurred, I began to suspect a food allergy and was prompted to learn more.

My "Ahh-Ha!" Moment:  In my research about food sensitivities and especially celiacs disease, I came across the statement that untreated celiacs in young children can interfere with growth hormone.  Interesting!  I am an extremely short-statured person, but come from normal-sized parents and a family of normal-sized siblings.  (This is a curiosity that has baffled my doctors my entire life, but they either contributed it to my low birth weight or walked away scratching their heads.) This bit of information led me to recent studies in the Middle East and Italy that have found celiacs disease is the #1 cause of unexplained short-stature in children (even when no other symptoms are present), not a growth hormone deficiency!  For me, this was the last piece of my complicated puzzle and explained just about every chronic problem I have had from late onset of puberty, high blood pressure and reduced bone density at an early age to infertility problems and miscarriages...not to mention inflammation, early onset of arthritis and insulin resistance!  You might be saying, "I'm not short, so what does this have to do with me?"

About Celiacs disease:  Celiacs is an allergy to gluten that causes inflammation and damage to the intestinal lining.  This results in what is called "leaky gut syndrome."  When that happens, tiny digested food particles and waste products pass through the intestinal lining and into the blood stream.  These foreign particles are attacked by the body's immune system as toxic invaders, which in turn causes inflammation.  Chronic inflammation causes all kinds of problems, including insulin resistance (and everyone knows that insulin resistance is what starts the ball rolling downhill that can eventually lead to Type 2 diabetes). 

Celiacs is condition that often runs in families and can manifest itself at any time in a person's life.  You can be tall or short, skinny or overweight, young or old.  The most common symptoms are bloating (even mildly), gas after eating or the feeling that a war is going on in your gut.  These symptoms make it easy to detect but, unfortunately, most people with a sensitivity to gluten don't have gastrointestinal problems. Their symptoms are most often misdiagnosed as other illnesses or syndromes.  There are a myriad of symptoms that can be as a result of celiacs, but follow this link to read about the most common:  https://www.celiac.org/index.php?option=com_content&view=article&id=6&Itemid=12

Why am I telling you this?  I felt compelled to share my discovery and experience, just in case you may never have thought of a food allergy being the cause of your condition before.  If you're at a loss to why your diabetes treatment isn't working, even with meds, diet and exercise, going gluten free (and possibly dairy free, as well) for a couple of weeks or months may be something to try.  Read the book The Blood Sugar Solution by Dr. Mark Hyman, MD and learn about how our body systems are all connected and what happens when just one goes south!  It won't hurt and it might help, so what do you have to lose?  For me, only a few days on the elimination diet resulted in normal blood sugars!  My aches and pains have subsided and I have more energy.  I no longer have the spikes and crashes in my blood sugar that can be so uncomfortable and difficult to manage.  After one week, I lost 4 pounds (after being on a plateau for weeks) and, most importantly, nearly 4" melted away from around my waist.  The reduction of belly fat will definitely improve my insulin resistance.

Stay tuned!  My blog will be taking a turn from this day forward.  I'm in the kitchen reworking my favorite recipes right now to make them gluten free and even more healing for my body and yours.  I'm delighted to continue sharing my journey of discovery with you.  Blessings to all!

Beef & Vegetable Cottage Pie with Veggie Mash

I adore mashed potatoes!  Ever since I was a little girl, if you asked me to name my top ten favorite foods, mashed potatoes would be high on the list.  So, it's only natural that I would love Cottage Pie, a savory ground beef mixture topped with mashed potatoes.  Sadly, since my diagnosis of Type 2 diabetes, potatoes are rarely on the menu at my house.  In this wonderful recipe, the veggie mash that tops this healthy Cottage Pie can go solo as a side dish, too.  This recipe is an excellent make-ahead meal because it can be assembled and refrigerated the night before, then served the next day.  When I served this dish tonight, it got rave reviews from my family.  As my husband said, "This one is a keeper!"

Beef and Vegetable Cottage Pie with Veggie Mash
Makes 4 servings

2 teaspoons olive oil
1 large onion, chopped
8 oz. baby bella or button mushrooms, chopped
1/2 lb. lean ground beef (90% lean or higher)
8 oz. frozen chopped spinach, thawed
3 cloves garlic, chopped and divided
3 tablespoons tomato paste
1 tablespoon Worcestershire sauce
1 cup hot water
8 oz. yellow Yukon potatoes, large diced
8 oz. carrots, peeled and diced
8 oz. cauliflower florets
2 cups beef or chicken broth
2 tablespoons unsalted butter
salt and pepper to taste

1.  In a large, heavy skillet, heat the oil on medium heat and add the chopped onion.  Saute until translucent, about 5 minutes.  Add the chopped mushrooms and a little salt.  Continue to saute until the moisture is released from the mushrooms and evaporates.  Move the onion mixture to one side and add the beef to the pan.  Break onto small pieces and cook until no longer pink.  Mix together the ground beef and onion mixture, add the chopped spinach and continue cooking until most of the moisture is evaporated from the pan and beef is very well browned.  Add one clove of garlic to the pan and mix together.  Add the tomato paste, Worcestershire sauce and water to the pan and stir to deglaze the brown bits.  Continue cooking and stirring until liquid thickens into a gravy.  Season with salt and pepper to taste.  Remove from heat and set aside.

2. Place the potatoes, carrots and cauliflower into a large pot.  Add the broth and remaining garlic.  Add water until vegetables are covered.  Boil vegetables until soft and fork-tender, about 15 minutes.  Strain the cooked vegetables in a colander and allow them to sit and release steam for 5 minutes until all the excess liquid has evaporated.  Meanwhile, add the butter to the hot pot to melt.  Return the vegetables to the pot and mash well. (I suggest using a handheld mixer for a smoother mash.)  Add salt and pepper to taste.

3.  To assemble the cottage pie, first spread the beef mixture evenly into a 9" square baking pan that has been sprayed with canola oil spray.  Top beef mixture with the veggie mash and spread evenly to cover beef mixture completely. (If desired, you can refrigerate the assembled casserole for up to one day before cooking.)

4.  To cook, bake in a preheated 350-degree oven for 35-40 minutes or until heated through.  Remove from oven and allow to sit for a few minutes before serving.

Nutritional Information per serving: 294 calories, 30.4 g carbohydrates (7 g dietary fiber, 10.1 g sugars), 10.9 g total fat (5.3 g saturated fat, less than 0.1 g trans fat), 50 mg cholesterol, 817 mg sodium, 126.1 mg calcium, 1180 mg potassium, 18.4 g protein.

Recipe by Kathy Sheehan, copyright 2013.

How does this recipe compare with traditional Cottage Pie?  This recipe is considerably less in calories, carbs and fat, plus it contains two servings of vegetables!  For comparison, the nutritional information for the same size serving of traditional Cottage Pie is an astonishing 546 calories, 36 g carbohydrate, 34.5 g total fat, 16.5 g sat. fat, 6 g fiber and 27 g protein.

Light & Easy Mini Cherry Cheesecake

I love cheesecake, but even if you substitute reduced fat cream cheese for the full fat in a recipe, the calorie and fat count can be staggering!  In this makeover recipe, I used one block of lower fat Neufchatel cream cheese and combined it with 1 cup of fat-free cottage cheese, which reduced the fat and calories from a traditional cheesecake recipe considerably.  Also, by using Splenda instead of white sugar, the carb count dropped by over 50%.  I am so pleased with the result.  Topped with "no sugar added" cherry pie filling, I can have my cheesecake and eat it, too!

Light & Easy Mini Cherry Cheesecake
Makes 10 servings

8 ounces Neufchatel cheese (or reduced fat cream cheese in a block, not whipped)
1 cup fat-free cottage cheese
2/3 cup Splenda granular (or other sugar subtitute of your choice)
2 teaspoons vanilla extract
1/2 teaspoon almond extract (optional)
2 eggs
10 chocolate wafer or Nilla wafer cookies (I used Nabisco Famous Chocolate wafers)
1-1/4 cups no sugar added cherry pie filling (I used Lucky Leaf brand)

1. Preheat the oven to 325-degrees F. Place a paper cupcake liner into 10 muffin cups of a baking tin.  Place one wafer cookie into each lined cup; set aside.

2. In a blender, blend together the first six ingredients (cream cheese through eggs) and blend until smooth.  Pour into prepared muffin tins, filling each cup 2/3 to 3/4 full.  Bake for 22-24 minutes or until set. 

3. Remove from oven and allow to cool on a wire rack until room temperature.  Refrigerate for at least 2-3 hours or overnight.  Top each with 2 tablespoons of the no sugar added pie filling & serve.  (You may substitute fresh fruit as topping, if desired.)

Nutritional Information per serving: 137 calories, 10.3 g carbohydrate (0.2 g dietary fiber, 4.8 g sugars), 7.2 g total fat (4 g saturated fat, 0 g trans fat), 55 mg cholesterol, 236 mg sodium, 42.7 mg calcium, 41 mg potassium, 6.5 g protein.

Recipe by Kathy Sheehan, copyright 2013

Chocolate Zucchini Bread

Is chocolate cake a temptation for you? It's okay to give in, when you can indulge on this fudgy, moist, cake-like quick bread.  Last night, my husband and I sliced some ripe, fresh strawberries and created chocolate strawberry shortcakes out of it for a marvelous dessert! My husband (the true chocolate connoisseur of the family) gives this recipe five stars!  I got the idea from the spring issue of the North Atlantic Region Whole Foods magazine and made appropriate substitutions to make it diabetic-friendly.  I was able to reduce the carbs per serving by over 40% without sacrificing the rich, chocolaty flavor of the original.  If you like dark, chocolate, fudgy brownies, then you'll love this dessert bread. (Note: Try this bread with a cup of decaf coffee in the evening.  It is a heavenly combination!)

Chocolate Zucchini Bread
Makes 10 servings

3/4 cup all-purpose flour
1/3 cup plus 1/4 cup almond flour (or finely ground blanched almonds)
2 tablespoons granulated sugar
8-1/2 tablespoons Splenda granular
1/2 cup unsweetened cocoa powder
1 teaspoon ground cinnamon
1/2 teaspoon ground cloves
3/4 teaspoon baking powder
1/2 teaspoon baking soda
1/8 teaspoon salt
1/4 cup plus 2 tablespoons almond milk, unsweetened (soy milk or 1% milk can be substituted)
1 large egg
2 tablespoons canola oil
2 tablespoons agave nectar
1 teaspoon vanilla extract
1-1/2 cups shredded zucchini, patted dry (about 1 medium to large zucchini)
1/3 cup semi-sweet, mini chocolate chips

1. Preheat the oven to 350 degrees. Spray a 9" x 5" loaf pan with non-stick cooking spray; set aside.

2.  In a large bowl, whisk together the first ten ingredients (from flour to salt).  In a small bowl, whisk together the milk, egg, oil, agave nectar, and vanilla.  Stir the wet ingredients into the dry ingredients and mix with a wooden spoon.  Fold in shredded zucchini and chocolate chips.  Pour into the prepared pan and level with the back of the spoon.

3.  Bake until toothpick inserted into the center comes out clean, 40-45 minutes.  Cool for 10 minutes in the pan, then remove to a wire rack to cool completely before slicing.

Nutritional Information per serving (about 3/4 inch slice): 173 calories, 21.2 g carbohydrate (3.1 g fiber, 8.7 g sugar), 9.3 g total fat, 2.2 g saturated fat, 146 mg sodium, 19 mg cholesterol, 75.1 mg calcium, 137 mg potassium, 4.5 g protein.

This recipe is adapted from the North Atlantic Region Whole Foods magazine, Spring 2013 issue, pg. 69.  This made-over recipe is by Kathy Sheehan, 2013.

How does this made-over recipe compare to the original?  This made-over recipe is lower in calories and has over 40% fewer carbs.  For comparison, the nutritional information for the same size serving of the original recipe is 210 calories, 37 g carbohydrate, 7 g total fat, 141 mg sodium and 4 g protein.

Sautéed Pineapple with Rum-Spiked Creamy Topping

You will probably agree: Nothing is as delicious as fresh pineapple.  You can just taste the sunshine! Here is a spectacular spring dessert that you'll be pleased to offer to special weekend guests but, because its such a quick and easy recipe, you can enjoy it any day of the week.  I've tried to mimic the flavors of Pineapple Upside-Down Cake by warming the pineapple in a bit of butter and dark brown sugar, then topping it with a cool, creamy topping and crunchy toasted almonds.  It really satisfies my craving, and my husband and daughter were ooohhhing and awwwing after every yummy bite!  Of course, you can use canned pineapple (with no added sugar), but using fresh fruit makes this dessert an extra special treat.

Sauteed Pineapple with Rum-Spiked Creamy Topping
Makes 4 servings

Topping Ingredients:
1-1/2 cups skim milk
1/4 cup mascarpone cheese
4 teaspoons spiced or dark rum (or 1/2 teas. rum flavoring or to taste)
1/2 teaspoon vanilla extract
1 tablespoon Splenda granular
1 package of sugar-free, fat free white chocolate instant pudding mix

Using a wire whisk or handheld mixer, whip together the first five ingredients until well blended.  Add the pudding mix and whip for 2 minutes.  Refrigerate for at least 30 minutes.

4 teaspoons slivered almonds
1 tablespoon unsalted butter
3 cups fresh pineapple, cut into chunks
1 tablespoon dark brown sugar

Heat a non-stick skillet and gently toast the slivered almonds over medium heat until just beginning to brown; set aside.  In the same skillet, melt the butter.  Add the pineapple and saute until heated through.  Add the brown sugar and continue to saute, stirring often to coat the pineapple well until the sugar is bubbly.  Reduce the heat to low & remove the pineapple to serving dishes (3/4 cup per serving).  Place the toasted almonds back into the pan and stir to coat with the butter mixture.  Remove from heat before the sugar burns and set almonds aside.  Top each pineapple dessert with 2 tablespoons of the creamy topping and sprinkle with 1 teaspoon of the almonds. Serve immediately.

Nutritional Information per serving: 187 calories, 22.1 g carbohydrate (1.9 g dietary fiber, 15.9 g sugars), 10.4 g total fat, 6 g saturated fat, 0 g trans fat, 23 mg cholesterol, 102 mg sodium, 59.7 mg calcium, 203 mg potassium, 3 g protein.

Recipe by Kathy Sheehan, copyright 2013

Almond Joy "Green" Smoothie

There is a new almond milk product available from Almond Breeze called Almond Coconut Milk.  I've been using it this week in my morning smoothies and it has a very subtle coconut flavor that is not overpowering, but makes an excellent base for tropical fruit smoothies. One cup contains 450 mg of calcium, making this smoothie an excellent source of this vital mineral.  I purchase the unsweetened variety because it has net 0 carbs and then add my own sweetening to the blender.  The recipe below is a delicious and nutritious meal in a glass that has the flavors of a candy bar. It's a fun way to start the day that will keep you satisfied for hours. (You would never guess that it contains spinach!) You've got to give this one a try soon:

Almond Joy "Green" Smoothie
Makes 1 generous, meal replacement serving

1-1/2 cups unsweetened Almond Coconut Milk
1/2 small frozen banana
2 tablespoons unsweetened cocoa powder
1 cup baby spinach leaves (or other mild green)
4 teaspoons Splenda granular (or two packets, also you may substitute your own sweetener)
2 tablespoons unsweetened coconut flakes
1 tablespoon fiber powder (optional)
1/2 scoop whey protein powder (chocolate or vanilla, optional)
5 ice cubes

Place the first eight ingredients in the blender and slowly increase the speed of your blender until you reach high (#7 on a Vitamix). Blend until smooth.  Add the ice cubes through the top opening one at a time and continue to blend for a few seconds until smooth.  Serve immediately.

Nutritional Information (including fiber & protein powders): 284 calories, 37.8 g carbohydrate (18.5 g fiber, 9.4 g sugar), 12 g total fat, 6.9 g saturated fat, 0 g trans fat, 0 mg cholesterol, 251 mg sodium, 905.5 mg calcium, 545 mg potassium, 11 g protein.

Recipe by Kathy Sheehan, copyright 2013.

Spinach Dumplings in Marinara Sauce

Longing for a rich, Italian meal without all the carbs that come with spaghetti?  This meatless dish is satisfying and extremely quick and easy to prepare.  For convenience, it utilizes frozen chopped spinach that has been thawed and is full of nutrients, including vitamins A and K, folate, calcium, and potassium. This hearty meal will fill you up and make you think you've eaten spaghetti and meatballs.  Add a side salad and a small glass of red wine to complete this heart-healthy Italian feast!

Spinach Dumplings in Marinara Sauce
Makes 2 servings

8 oz. chopped spinach, defrosted
½ cup whole wheat  seasoned bread crumbs
¼ cup grated Parmesan cheese
2 Tablespoons fat free ricotta cheese
¼ teaspoon garlic powder
1/8 teaspoon nutmeg
1 Tablespoon fresh chives, chopped (or ½ TB dried)
1/8 teaspoon salt
1/8 teaspoon black pepper
1 egg white
½ cup broth or water
2 ¼ cups marinara sauce of your choice (18 oz.)

1.  Squeeze excess water from spinach.   In a medium bowl, mix together the spinach, bread crumbs, Parmesan cheese, ricotta cheese, spices, chives, and egg white.  With your hands, form into 16 balls, about 1” in diameter.

2.  Place dumplings  into a non-stick skillet and add the broth or water.  Cover with a tight-fitting lid and steam over medium-low heat  for about 5 minutes, gently turn over dumplings and continue steaming for another 2 minutes (if needed add a bit of water).  Remove lid and allow liquid to evaporate.

3.  Add marinara sauce and simmer uncovered for about 15-20 minutes, turning dumplings and stirring sauce every 5 minutes.  Continue simmering until sauce has thickened.  Serve immediately, sprinkled lightly with Parmesan cheese, if desired.

Nutritional Information per serving: 359 calories, 42.9 g carbohydrate (17.5 g sugars, 7.7 g dietary fiber), 14.3 g total  fat, 3.6 g saturated fat, 15 mg cholesterol, 2771 mg sodium, 413.2 mg calcium, 17.9 g protein.

Recipe by Kathy Sheehan, ©2013