Archives for category: Food

What is going on? TWO posts from Nurse Angry in one day?

Well, Nurse Angry admires Dr. Jason Fung https://idmprogram.com/losing-war-obesity-type-2-diabetes-cancer/, and was moved to comment on his most recent blog post, so here it is. She was reminded of something Nina Teicholz wrote in “The Big Fat Surprise”:

“Despite his other successes, being on the unpopular side of the cholesterol debate made a bitter man of George Mann. As he approached retirement in the late 1970s, a tone of torment crept into his papers. An article he wrote in 1977 began: ‘A generation of research on the diet-heart question has ended in disarray,’ and he called the diet-heart hypothesis a ‘misguided and fruitless preoccupation.”

I guess the big fat surprise for all of us here is that nobody seems to be listening, and it’s really unclear why. When I started reading up on nutrition a few years ago I felt like an idiot. How could I not have known the things I was finding out? I’m a nurse! And I’m interested in nutrition! How embarrassing. But since then I’ve realized the enormity of the task in front of us. I’m trying not to be bitter, but it’s hard. Especially the cancer thing makes me furious. Such a waste.

Yesterday I had the good fortune to attend a very small seminar with some heavyweight speakers where the topic was “A healthier Sweden”. The first map posted here was shown and the speakers talked about the focus on DM 2-why?, an app to help people become physically active, youth in chosen areas being empowered by sport, community and taking responsibility, how much liberty a school can take in promoting health, public health seen through the eyes of national insurance and the whole insurance system, and more. It was all very interesting, but not once was diet discussed. The only times it showed up at all were in 2 single lines on sugar on the pages of 2 different powerpoint presentations which were SKIPPED OVER because of time constraints.

We can’t give up!

 

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So you’re not hungry in the morning and you don’t want to eat breakfast?

Nurse Angry says you’re in good company. Whoever started (and is still perpetuatuating) the myth that everyone has to eat breakfast  should be given 50 lashes with the proverbial wet noodle (they can eat it afterwards if they want) and a lesson in modern physiology and nutrition. Nurse Angry is no friend of breakfast and doesn’t eat it most of the time these days. That gives her an extra 45 minutes of sleep on workdays, and though it was (mostly) pleasant to sit with the family in the morning, she doesn’t have to pretend to enjoy her oatmeal anymore. Not eating breakfast even saves money and you don’t have to carry stuff you don’t eat home from the store, either.  What a great way to “fast”- if you’re not hungry, don’t eat!

A randomized controlled trial to study the effects of breakfast on energy intake, physical activity, and body fat in women who are nonhabitual breakfast eaters

If Nurse Angry should happen to be hungry at breakfast time, she eats. If hunger strikes at work, she eats nuts if she has any, otherwise she just waits until lunchtime.

This not eating breakfast thing is relatively new for Nurse Angry. She is a big fan of Dr Jason Fung and now thinks fasting is a great idea for allowing your insulin levels to go down and  letting your body do other stuff instead of digesting food. Digestion is time and energy consuming for your poor little body. So keep that in mind if you’re sick and really un-hungry but there’s someone telling you that you “have to eat”. Ignore them.

Somewhere along the way we got the idea that being hungry was a dangerous state.  And maybe it was, long ago when most of us didn’t have three or four 7Elevens within walking distance.  One situation many people might recognize as slightly horrifying is when they are not be able to provide their child (or worse, somebody else’s child) with a snack the minute said child was hungry.  Don’t starve the children!

Nurse Angry read a weight loss tip recently in a women’s magazine. It was to never allow yourself to get hungry between meals, because that’s when you might eat something you’ll regret.  Nurse Angry begs her readers to reflect upon the wisdom of this strategy.

She would instead recommend making friends with real feelings of hunger and eating when hungry, making sure to eat enough fat and protein for good nutritional value and a feeling of actual satiation and satiety that will last until the next meal.  Nurse Angry has personal experience of this and she much prefers the relationship she now has with food.

Breakfast is the meal where it’s easiest to load up on carbs (especially in the form of sugar). So take a look at what you’re giving to the kids, and maybe adults giving breakfast a miss if not hungry  isn’t such a stupid idea after all.

All that being said, Nurse Angry does love a nice bowl of steel-cut oats, just not in the early morning, please.

Pete Ross writes about bad health recommendations from our beloved health authorities in the Observer (and on Nurse Angry’s birthday. Awww.)

Happy reading!

Health Authorities Continue to Fail Us

And in the end, she’s still inclined to root for Gary Taubes.  Looks to Nurse Angry like Stephan Guyenet and Yoni Freedhoff are mighty annoyed because Mr. Taubes is more intelligent (and certainly less pompous) than both of them put together, even though he’s (shame on him) not a medical doctor.

So here’s a little sugar debate to wish everyone a Happy Valentine’s Day. Don’t eat all your chocolates (or flowers) in one go if you can possible control yourself!

https://www.cato-unbound.org/issues/january-2017/sugar-state

Nurse Angry is reblogging Kristina’s Krazy Adventure because Kristina is angry. Nurse Angry is equally angry.

NA started reading up on nutrition because she wanted to know why (if it really is so) people of Asian descent seem to more easily get type 2 diabetes, because her daughter was born of Indian parents. Nurse Angry is not overweight but suspects that the “healthy” low-fat vegetarian diet she was eating caused fertility issues. At this point she’s gone through a bunch of books starting with Ann Fernholm’s “My Sweet Heart” (original Swedish title is Ett sötare blood- A sweeter blood, but available in English as an e-book), and another one of hers about children and sugar, John Yudkin’s classic “Pure, White and Deadly” Robert Lustig’s “Fat Chance”, and she just recently finished Gary Taubes’ “Good Calories, Bad Calories”. Obesity, cancer, heart disease, Alzheimer’s, fertility problems, acne… the carbohydrate content of our diets seems like it’s killing us and worst is sugar and refined carbs. At this point Nurse Angry feels like we are all living in a parallel universe where government information on nutrition and a healthy diet is worthless at best and cannot be said to be based on science but more on big money, mistakes and prestige. She is convinced that what she learned about nutrition and a healthy diet in nursing school was wrong and is trying to figure out how she can help put things right again when she next switches jobs. Let her know if you have any bright ideas.

Kristina's Krazy Adventure

I have been thinking about how much I’ve learned since I started blogging and it actual amazes me the knowledge I’ve gained since January. I considered myself quite knowledgeable in the area of food and nutrition just as a person who likes to be well informed and enjoys learning. However, I have never learned so much about food and nutrition so much as I have just in the past nine months alone. I considered myself one of those people who knew what I should be doing but just wasn’t doing it. I was too lazy or my willpower just wasn’t good enough to compete with “healthy” eating. I have felt that way since the beginning of high school when I saw a doctor as they were concerned that my thyroid may be under active and that my numbers were a little bit under what was considered normal. I vividly remember…

View original post 1,806 more words

Nurse Angry has already come out of the closet as a vegetarian but today she will reveal the fact that vegetarians sometimes get their comeuppance. Today was one of those days. What luck that NA downloaded the WordPress app so she could capture the moment and share it with you as soon as she finished her lunch. Of which she ate only half, because the other half was made up of zucchini, which is just about the only vegetable she doesn’t like (along with some of the more seriously chewy kinds of mushrooms). It is the birthright of those of us  from upstate New York to be zucchini resisters, as we are exposed to allergy-causing amounts of the stuff from an early age. Nurse Angry would rather eat nuclear waste. She says: Just say no to excess zucchini!


Here’s what was left over after Nurse Angry had finished what was actually edible on her plate. If there is only a moderate amount of zucchini in a dish, NA will just eat it. But today the zucchin-o-meter registered an 8.5 on the Richter scale.

As the circumspect person she is, Nurse Angry did NOT leave the napkin note for the waiting staff to find.  Maybe next time.

Nurse Angry is not only happy, she’s excited. It may not be obvious what the “right” diet for human beings should be, or if there even is one that would be good for everyone, but it’s obvious to NA what it shouldn’t be, and that’s low-fat. NA would find it gratifying if the Stockholm school system would switch to full-fat milk and butter as well as serve snacks that consisted of something more than carbs. (A sugar ban in school would  make NA positively ecstatic, but it does seem like a bit of a pipe dream).

Nurse Angry asks herself how on Earth we allowed ourselves to be led to believe that reduced fat, often sugar-laden food products would be better than good old fashioned food? Who knew we were so… compliant?

Nurse Angry was dismayed to find that among about 100 kinds of yogurt at a NYC deli, there was only one that was full fat and without added sugar or other sweetener. Most were 0% fat. That doesn’t taste good without loads of sweetener so NA was really motivated to find the full fat yogurt. To which she added some walnuts and fresh fruit.

UP with fat, DOWN with sugar and other crappy carbohydrates!

Here’s the intro from an article by Dr David S Ludwig MD, PhD (New Balance Foundation Obesity Prevention Center, Boston Children’s Hospital and Harvard Medical School, Boston, Massachusetts) in JAMA, published online on September 28, 2016. You can read the whole article here:

http://jama.jamanetwork.com/article.aspx?articleid=2564564

“The recent revelation that the sugar industry attempted to manipulate science in the 1960s1 has once again focused attention on the quality of the scientific evidence in the field of nutrition and how best to prevent diet-related chronic disease.

Beginning in the 1970s, the US government and major professional nutrition organizations recommended that individuals in the United States eat a low-fat/high-carbohydrate diet, launching arguably the largest public health experiment in history. Throughout the ensuing 40 years, the prevalence of obesity and diabetes increased several-fold, even as the proportion of fat in the US diet decreased by 25%. Recognizing new evidence that consumption of processed carbohydrates—white bread, white rice, chips, crackers, cookies, and sugary drinks—but not total fat has contributed importantly to these epidemics, the 2015 USDA Dietary Guidelines for Americans essentially eliminated the upper limit on dietary fat intake.2 However, a comprehensive examination of this massive public health failure has not been conducted. Consequently, significant harms persist, with the low-fat diet remaining entrenched in public consciousness and food policy. In addition, critical scientific questions have been muddled.”

Get reading!

Sweden is the land of strapping, healthy vikings, right? That’s what even the Swedes still want to think, but Nurse Angry has been here for 25 years and has watched the metamorphosis. People in Sweden are now, well…fat.

Nurse Angry has looked on in horror at the stupefying amounts of sugar consumed by the children around her, but she is even more distressed by how these amounts have become “normal”.  Nurse Angry turned herself into a persona non grata at school by questioning whether the kids should be given leftover cookies every afternoon. As if that wasn’t enough to make the people at the after school program despise her, she then contacted the principal. Who agreed with her(!)

Nurse Angry also wrote an email to the other  parents in her daughter’s class at one point, pointing out that it maybe wasn’t necessary for the children to eat 8-10 (or more) cookies when there’s an event at school. This missive was met with total silence. Not that she’s against the idea of being the crazed American anti-sugar parent by any means, but that subject just didn’t fly. She let it go.

Nurse Angry is currently on a literature binge that started when she was trying to understand why people of Asian origin more easily get type 2 diabetes (the insulin resistance kind). She was also trying to get a grip on the whole LCHF phenomenon. Being a vegetarian, Nurse Angry is basically not invited to the low-carb party, but as a seasoned gatecrasher, she felt like it needed some investigation.

In an attempt to excuse herself from reading the next book club book, Nurse Angry emailed her friend Nurse Nancy (the literary district nurse and accidental hemorrhoid expert), explaining that she had been plowing through books such as Ann Fernholm’s Ett sötare blod and Det sötaste vi har, Andreas Eenfeldt’s Matrevolutionen, John Yudkin’s classic Pure, White and Deadly, Robert Lustig’s Fat Chance, and most recently, Gary Taubes’ Good Calories, Bad Calories. And that the end was nowhere in sight. So Grief Is the thing with feathers (or any other work of fiction) is not on Nurse Angry’s current reading list.

Nurse Nancy wrote back: “Any bad calories  that were surprises? Some ways NOT rocket science.”

And if Nurse Angry is completely honest, she will say no, there weren’t. Not at this point. But throughout her reading spree she has gotten more than a few interesting (and some shocking) surprises, and not just about bad calories. The first couple of books were a warm-up, so to say, as it takes  a while for a new subject to become understandable on a higher level. Nurse Angry certainly knew that sugar was very bad indeed, but maybe not just how very, very bad. And the idea of carbs in general as potentially undesirable fodder for human beings was a new one on Nurse Angry. The insights gained would chill the heart of any vegetarian, and Nurse Angry is no exception (more on that in another post which will be called The Recovering Vegetarian).

Nurse Angry certainly did not realize that the dietary guidelines she learned in nursing school are basically a bunch of mumbo jumbo that was intended to prevent heart disease, but ended up just making everyone fat and miserable. That in itself is enough to turn your hair blue, but there’s more. Nurse Angry now thinks that low carb eating, which sounds like mumbo jumbo, is totally ok and does not turn people into greasy blobs of cholesterol, as cholesterol was not the problem in the first place. Does anyone else remember wondering why anyone would bother counting carbohydrates back in the 70’s and 80’s? We were counting calories, duh?  Well, now Nurse Angry has understood.

Fat-free anything and low fat/low calorie diets are so not helpful. The “eat less, move more” theory of weight loss needs to be completely canned at this point as it has caused more than its fair share of human suffering. Nurse Angry still thinks you should exercise, as it brings a wealth of health benefits. Unfortunately weight loss is not one of them.

She suggests everyone start doing some seriously selfish reading on the subject of nutrition right now, because government, the health care systems of the world, Big Pharma and the food industry don’t look like they’re going to be making changes any time soon. There’s too much money involved for some, and others are already having enough trouble winning elections without rocking the sugar boat. Once you get started reading it’s hard to stop. Seek out sources you find reliable. Or check out Nurse Angry’s new hero, nephrologist Jason Fung. Or Dr. Robert Lustig. Or Dr. Zoe Harcombe. Or Dr. Georgia Ede. Or Dr. Eric Westman. If you speak Swedish you can follow Dr. Annika Dahlqvist. Or why not Dr Andreas Eenfeldt on dietdoctor.com or kostdoktorn.se?

Find out more about metabolic syndrome, insulin and insulin resistance, dietary connections with Alzheimer’s, cancer and much more. It’s fascinating reading and you get to make up your own mind. Nurse Angry thinks the future looks hopeful.

Old kettle relishing its last moments in our kitchen. New kettle lurking like Darth Vader in the background.

Nurse Angry is not only a year older, she is also disgruntled. In case anyone wonders why this blog is called sleeplessinstockholm, Nurse Angry will once again shed some light on the subject. Being woken up in the middle of the night by a grouchy, whiny three-year old who needs to pee, being kept awake by manic thumb sucking, and then getting woken up again at 5:30 on your birthday does not make for a happy nurse or mother.

Today Nurse Angry wants to tell you a story. It’s a very short but fantastic kitchen appliance tale about age making no difference. It’s based on a true story. In fact, it IS a true story about quality British goods.

The Russell Hobbs kettle seen in the foreground of this photograph was recently retired after 2o years of use. Yes, you read correctly, TWENTY YEARS! Bought in England in 1991. She still worked fine, she was just looking a bit tatty, and who wouldn’t after 20 years of daily service. The little light showing you the kettle is on still worked!

Nurse Angry moved the old dear down to the basement storage space where she currently waits to go to Kettle Heaven, a land of 3% milk and honey where the water is soft, the teabags are strong, plump and plentiful, and there is a bottomless jar of Hobnobs. Or chocolate chip cookies (with dried cranberries and hazlenuts). Or cake. Whatever.

Mr. Cocky New Cordless Kettle, aka Darth Vader, also a Russell Hobbs has now taken up residence and flaunts its youth, bossing the espresso machine around as if it owned the place. It works ALMOST as well as its aged predecessor. Nurse Angry asks you: What can we learn from this?