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“By making relatively simple changes to our diet and lifestyle, I was able to lose 10% of my initial body weight…”

Jeff - participant

Below is a testimonial from an Eat Smart, Move More, Prevent Diabetes participant:

Eat Smart, Move More, Prevent Diabetes was absolutely the best health class I ever took.  By making relatively simple changes to my diet and lifestyle, I was able to lose 10% of my initial body weight over the course of the year.  Our instructor was just fantastic.  She was knowledgeable, supportive, and made the classes fun – they were the highlight of my week!  I continue to utilize the robust tools, delicious recipes, and good habits developed in the class, and have managed to keep the weight off.  I would highly recommend this class, and our instructor, to anyone who is looking to improve their health and adapt a more healthy lifestyle.

– Jeff, an Eat Smart, Move More, Prevent Diabetes participant

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“I’m walking more, my metabolism is better, and I lost inches from my waist.”

“I lost 28 lbs., reducing my BMI by more than 5 points…”

“This is the first time I’ve tried to lose weight that I haven’t felt self-pity or rebellious.”

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Gardening for Physical Activity

Gardening

Gardening is a hobby that I enjoy. My husband and I grow many vegetables, fruits, and herbs at our house, and I enjoy trying to nurture some favorite flowering annuals each year. My mom, dad, grandfather, even my toddler also enjoying gardening; it is a family pastime.

I love gardening for many reasons, but mostly because it is a fun way to get everyone outside and moving! Gardening is a form of exercise! Although it might not always be classified as a “moderate-vigorous” intensity workout, there are still many ways that gardening can boost our physical health.

Moderate intensity work can be reached depending on the activity. When we are dragging loads of mulch, digging, or raking our heart rate increases and breathing can become labored. Both of which can be a sign that we are engaging in moderately vigorous physical activity. These intense movements incorporate large muscle groups in the upper and lower body and work to build strength. Weeding might not increase our heart rate significantly but it helps to improve our grip strength, which is critical as we get older. There are many times that our flexibility is challenged in the garden. Bending down to plant plants, pull weeds, or trying to maneuver a plant into just the right spot can make our body bend and twist, sometimes even holding these positions, giving us a good stretch. Moving from sitting to standing is often a more efficient way to garden. The practice of getting up and down multiple times builds strength and mobility in muscles and joints that we might not utilize during other daily activities.

A few tips for increasing your physical activity and comfort in the garden:
  • Try using manual tools instead of electric or gas-powered equipment.
  • Make sure you have a cushion for your knees when kneeling on the ground.
  • Bend at your hips and knees when stooping to the ground.
  • If getting on the ground, bending, or stooping isn’t an option, invest in some tools with long handles to help you do the work standing or while seated in a chair.
  • Using a wheelbarrow can increase your activity by pushing heavy loads while saving your back from dragging them without a wheelbarrow.  
  • Stretch before starting so that you’ll be ready to bend, stretch and lift whatever you need to while you are gardening.
  • Garden energetically instead of puttering around, this keeps your heart rate up and increases your activity intensity.
  • Wear your sunscreen and a hat!

Gardening, and being outside in general, can be good for your physical health but also mental health. Relax, get active and have fun!

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In-Season Produce to Add to Your Shopping List this Summer

Produce

With summer approaching, I am looking forward to longer days, better weather, and seasonal summer fruits and vegetables. Choosing in-season fruits and vegetables is a great way to add variety to your diet and is also a more budget-friendly option than choosing out-of-season produce. While some fruits and vegetables are grown year-round, others are seasonal. Produce selection can vary by location and growing conditions, but the following list includes produce you will typically find at North Carolina farmers markets and grocery stores this summer.

Fruits

  • Apples
  • Blackberries
  • Blueberries
  • Cantaloupe
  • Grapes
  • Honeydew melon
  • Peaches
  • Pears
  • Plums
  • Raspberries
  • Strawberries
  • Tomatillos
  • Tomatoes
  • Watermelon

Vegetables

  • Asparagus
  • Beets
  • Brussel sprouts
  • Butter beans
  • Cabbage
  • Carrots
  • Corn
  • Cucumbers
  • Eggplant
  • Field peas
  • Garlic
  • Green beans
  • Green onions
  • Green peppers
  • Hot peppers
  • Leafy greens
  • Okra
  • Potatoes (sweet and white)
  • Radish
  • Rutabaga
  • Summer squash
  • Turnips
  • Zucchini

This list is based on the June through August monthly guides from the NC 10% Campaign. For tips on storing all of your fruit and vegetable finds, check out this handout from our colleagues at Med Instead of Meds.

After you have stocked up on all of your favorite summertime produce, it is time to try some new recipes! In celebration of Med Month, here are a few recipes to kick off your summer:

To learn more about the Mediterranean-style pattern of eating, refer to this previous blog post.

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Whole Grain, Chickpea, and Black Bean Salad

Chickpea, and Black Bean Salad

This salad is actually a main dish with whole grain, vegetables, beans, and nuts. It keeps for several days and actually is better after a day or so. Exact proportions are not critical so don’t worry if you have more tomatoes or less cucumber. You can even add other vegetables such as peas, carrots, or celery. The grain you use is flexible. Spelt, freekeh, cracked wheat, or brown rice all work well. This recipe uses canned beans which makes it easier to prepare than using dried beans. To make the beans easier to digest, I suggest rinsing them well, cooking them more, and using hing (or asafoetida).  Hing is available from Asian markets or online. It is a wonderful digestive aid.

Ingredients

  • 1 cup, uncooked spelt, freekeh, cracked wheat or brown rice                     
  • Water (amount depends on the grain)
  • ½ teaspoon salt                                                                                      
  • 1, 15.5 ounce can chickpeas                                                                              
  • 1, 15.5 ounce can black beans                                                                            
  • ½ teaspoon hing                                                                                        
  • 3 cups, cut in half cherry tomatoes                                                                    
  • 6-8, sliced thin green onions                                                                         
  • 1, cut into ¼” cubes English cucumber                                                                  
  • 2, cut in ¼” cubes red, yellow, or orange sweet peppers (or any combination)                        
  • Juice of 3 lemons (more if they are not juicy)
  • 2 teaspoons ground cumin                                                                        
  • ½ teaspoon garam masala                                                                        
  • 6 Tablespoons extra virgin olive oil                                                              
  • ½ cup roughly chopped peanuts                                                                                  
  • ½ cup roughly chopped mint or cilantro (optional)                                                    

Directions

  1. Cook the grain according to package directions. You can use an Instant Pot.
  2. Chill the cooked grain. You can do this the day before.
  3. Drain and rinse well the beans. Cover with fresh water and add the hing.
  4. Cook on medium to low heat for 30 minutes.
  5. Drain the beans and chill slightly. You can do this the day before.
  6. Juice the lemons and add the cumin and garam masala.
  7. Add the green onions to the lemon juice and let stand for a few minutes, this will help the onions mellow.
  8. Combine the grain, beans, vegetables, lemon juice mixture, and olive oil.
  9. Adjust seasoning with salt and more lemon juice if needed.
  10. Serve topped with nuts and mint or cilantro if using.

Nutrition Information per Serving

Makes 10 servings – 1 cup each

  • Serving Size: 1 cup
  • Calories: 270
  • Fat: 14 grams
    • Saturated Fat: 2 grams
  • Carbohydrates: 32 grams
  • Sodium: 300 mg
  • Fiber: 8 grams
  • Total Sugars: 3 grams
    • Includes 0g Added Sugars
  • Protein: 9 grams

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Healthy Road Trip Snacks

Fruit

This month, my family is embarking on a 9-day road trip across the Southeast. Part of our trip planning includes thinking about healthy snack options. Many of our meals will be take-out or on the road. Days of driving long hours and eating out can really take a toll on your body and make you feel sluggish. I want to make sure I have healthy snacks on hand as well as an on-the-go breakfast option

Several of the items we are packing are prepackaged and shelf-stable due to the length of the trip but we are also bringing a small cooler. For the perishable items, we are only bringing a few at the beginning of the trip because we can always stop by a grocery store and restock. 

Snack List

Med Meringues
  • Fresh fruit (apples, pears, and bananas)
  • Peanut butter
  • Carrot sticks
  • Sugar snap peas
  • Hummus cups
  • Whole wheat crackers
  • Plain low-fat Greek yogurt cups
    • Toppings (maple syrup, hemp seeds, and chia seeds)
  • Dark chocolate bar
  • Honey Roasted Chickpeas
  • Med Meringues
    • Med Meringues use the technique of beaten egg whites combined with nuts and seeds for a meringue with the Med influence of healthy fats and low sugar.
  • Water bottles

In addition to planning for healthy snacks, we have also scheduled several stops that will keep our dog happy and give us a chance to stretch our legs. At each of our destinations, we have scoped out local greenways and parks (we researched the Parks and Recreation department in each city) to maintain our twice-a-day walk schedule with our dog. 

Are you taking a trip soon or going on a day-trip? May is #MedMonth check out these Med snack recipes:

Share your favorite healthy road trip snacks below!

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Khichdi – Instant Pot Recipe

Indian dish served with a side of yogurt on a plate with a bright orange napkin.

Khichdi is a very popular dish from the Indian subcontinent and has many variations depending upon the different regions of India. The common theme is that it is made from a mix of rice and lentils – it is like a savory porridge that is served hot. It is usually one of the first solid foods given to babies and is quite nutritious because it combines a grain and lentil in one dish. Traditionally, khichdi is made in a pressure cooker. I like using the Instant Pot recipe which makes it very easy and quick to make and removes much of the guesswork.

A few notes about ingredients used in this recipe:

  • Khichdi is traditionally made with ghee or clarified butter. I make my recipe with olive oil which is a healthier alternative and still tastes good.
  • Khichdi is generally made with white rice. I have replaced this with brown rice which actually tastes better because the whole grain rice is chewier.
  • This recipe uses two different lentils for variety, but it can also be made with any one of the lentils.
  • Hing is a spice that is added to many Indian dishes. It has a strong taste and may not be readily available in regular grocery stores. It is completely fine to omit this ingredient from the recipe. I have kept it in the recipe in case you have it in your spice rack.
  • All other spices, especially the cayenne, can also be adjusted to your taste. Garam masala is also optional.

Serves 6

Ingredients

  • 1 cup (200 gm) split moong/mung lentils
  • ¼ cup (60 gm) yellow moong/mung lentils
  • ½ cup brown rice
  • 4 tbsp olive oil
  • ¼ tsp asafoetida (hing) powder (optional)
  • 2 tsp ginger, grated
  • 1 tbsp cumin seeds
  • 1 tbsp turmeric powder
  • ½-2 tsp cayenne pepper  
  • ½ tsp garam masala (optional)
  • 1 cup frozen green peas (petite green peas preferable)
  • 8 cups water
  • Salt to taste, start with 1 tsp and adjust at the end

Directions

1. Combine the lentils and rice rinse several times until the water is clear.

2. Cover with water and soak for 30-45 minutes.

3. Drain the water.

4. Turn on the Instant Pot and put it on sauté mode. Add olive oil. Once hot, add hing, ginger, cumin seeds, turmeric powder, cayenne pepper and garam masala. Sauté for 30 seconds to 1 minute, stir so the spices do not burn or stick.

5. Cancel the sauté mode.

6. Add the washed lentils and rice, frozen peas and water. Add salt to your taste. Stir well.

7. Close the lid. Make sure the pressure valve is turned towards ‘sealing’. Put it on ‘pressure cook’ mode (high) for 12 minutes. Let the pressure release naturally before opening the lid.

8. Add chopped cilantro as a garnish (optional). Serve hot with a side of plain yogurt and lime wedges.    

Please note that the above recipe was made using a 6 qt Instant Pot. If you have the 3 qt size, you may want to make half the recipe, so it fits the pot. Also, it is normal for the consistency of khichdi to get thicker as it cools down.

Serving Size

1/6 th of the recipe, approximately 1.5 cups.

Nutrition Information per Serving (excluding yogurt)*

  • Calories – 260
  • Fat – 10 grams
  • Protein – 12 grams
  • Carbohydrates – 32 grams

* Calculated using MyFitnessPal recipe analyzer, www.myfitnesspal.com/recipe/calculator

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A Dietitians Review of Baked Feta Pasta that went viral on TikTok

I kept hearing about this fabulous recipe for Baked Feta Pasta that went viral on TikTok that I had to check out. The pictures looked delicious! During my search, I found a few different versions of this original recipe. The one that I reviewed was from Delish and can be viewed here.

Nutrient Analysis – Original Recipe (4 servings per recipe)

  • 690 calories
  • 41g total fat
  • 12g saturated fat
  • 530g sodium
  • 2g dietary fiber
  • 19g protein

Of course, the dish is delicious!  How can you go wrong with melted feta, olive oil, cherry tomatoes and pasta?  It does however end up being very a pasta-heavy dish, as the cherry tomatoes shrink during the baking process.  There is plenty of room to add more vegetables to the dish without taking away from the cheesy tastiness.

As a dietitian, I have a few ideas for modifications in order to slightly reduce the calories and increase the servings of vegetables, protein, and fiber – especially if enjoyed solo as the main dish.

Modifications include:

broccoli in a salad strainer basket
someone cutting a carrot lengthwise on a wooden cutting board with a chef's knife
  • Decrease the olive oil slightly from 1/2 cup to 1/3 cup for the entire recipe.
  • Decrease the amount of feta to 6 ounces.
  • Decrease the amount of pasta to 8 ounces and substitute the regular pasta for chickpea pasta or whole wheat pasta.
  • Add 3 cups steamed broccoli and 2 cups shredded carrots at the end along with the pasta.

The modified version of this recipe results in slightly fewer overall calories and fat, increased protein, and more than double the fiber (if using chickpea pasta).  The chickpea pasta has a small amount of sodium vs. regular pasta, which adds a slight increase in sodium per serving when compared to the original recipe.

Nutrient Analysis – Modified Recipe with Chickpea Pasta (4 servings per recipe)

  • 540 calories
  • 28g total fat
  • 9g saturated fat
  • 570 mg sodium
  • 8g dietary fiber
  • 23g protein

Enjoy!

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Strawberry and Tahini Smoothie

In a previous blog for a Chocolate Banana Oat Smoothie, I mentioned that I am working on consuming more fruit. Fruit-based smoothies with no added sugars are a way that works for me to enjoy more fruit on a daily basis.

Do you have leftover tahini in your refrigerator from making hummus or a salad dressing and find yourself wondering how you can use the rest? Well, I have a suggestion!

The ingredients in this recipe can be varied according to taste and availability, but note that the nutritional information will change. Personally, I prefer just 1 tablespoon of tahini but if you wanted a more pronounced tahini flavor you could add up to 2 tablespoons.

Ingredients

  • 5-6 whole strawberries, frozen
  • ½ banana, frozen
  • 1 tablespoon tahini
  • ½ cup non-fat greek yogurt
  • ½ cup skim milk
  • Optional Pinch of kosher salt

Directions

  • Combine all ingredients in a blender until a smooth consistency is reached.
    • Note: You can add a little bit of water to make it thinner based upon taste preference. You can add ice to thicken if needed.

Nutrition Information per Serving

  • Serving Size: 1 (~ 11-ounce glass)
  • Calories: 300
  • Carbohydrates: 39 grams
  • Fiber: 5 grams
  • Protein: 20 grams
  • Fat: 9 grams
    • Saturated Fat: 1.5 grams
  • Sugar: 25 grams
    • Includes 0g Added Sugar
  • Sodium: 110 mg

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Skip the Afternoon Caffeine—Make this Chocolate Banana Oat Smoothie!

Chocolate banana oat smoothie in a clear glass on an outside table.

One of the strategies that I have been using to consume more fruits and satisfy my sweets craving is to make smoothies. Working remotely means that I have more access to my kitchen appliances, which has been helpful. This chocolate banana oat smoothie has been one of my go-to snacks in the late afternoon. Skip the afternoon caffeine by standing up to do some stretches and making this smoothie.

This recipe does require some planning if you decide to soak the oats overnight or for at least 30 minutes. You do not have to soak the oats, but the taste of the raw oats is more detectable in my opinion and you may need to add a tablespoon of water.

The ingredients in this recipe can be varied according to taste and availability, but note that the nutritional information will change.

Ingredients

  • 1 banana, preferably frozen
  • ½ cup ice
  • 1 Medjool date, pitted
  • ½ cup skim milk
  • 1½ tablespoons old-fashioned oats, preferably soaked in water overnight (or at least 30 minutes)
  • 1½ tablespoon unsweetened cocoa powder
  • Optional Pinch of ground cardamom or cinnamon (depending on your flavor preference)
  • Optional Pinch of kosher salt

Directions

  • Drain the oats if soaked.
  • Combine all ingredients in a blender until a smooth consistency is reached.
    • Note: You can add a little bit of water to make it thinner based upon taste preference. You can add more ice to thicken if needed.

Nutrition Information per Serving

  • Serving Size: 1 (~ 11 ounce glass)
  • Calories: 240
  • Carbohydrates: 54 grams
  • Fiber: 8 grams
  • Protein: 9 grams
  • Fat: 2 grams
    • Saturated Fat 1g
  • Sugar: 31 grams
    • Includes 0g Added Sugar
  • Sodium: 70 mg

Food Waste Prevention Tip: If you don’t use Medjool dates very often cut in half lengthwise, and pit if necessary, and store them in a container in the freezer.

If you need inspiration to use dates, try this Whole Wheat Couscous Salad recipe.

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Ginger-Crusted Fish over Vinegar Rice

Ginger Crusted Fish

This flavor-packed recipe is an easy way to add more fish into your diet. Round out your meal by adding a salad or your favorite vegetable side.

  • Serves: 4
  • Serving size: 1 piece of fish, ¼ of rice mixture
  • Prep time: 15 minutes
  • Cook time: 20 minutes to 1 hour depending on rice
  • Total Time: 35 minutes, or longer depending on rice

Ingredients

  • 1 ½ cups uncooked short grain brown rice or brown sushi rice
  • 2 tablespoons rice vinegar
  • 1 teaspoon sugar
  • ½ teaspoon salt
  • 3 tablespoons plus 1 teaspoon canola oil
  • 8 green onions, green and white parts, sliced
  • 2-inch piece of ginger, peeled and grated
  • Salt and pepper
  • 4 pieces of firm white fish, 3-4 ounces each (cod, bass, flounder)

Directions

  1. Rinse 1 ½ cups uncooked short grain brown rice or brown sushi rice and cook according to package directions.
    • If using an Instant Pot, 1 ½ cups well-rinsed rice, 3 cups water, process 22 minutes on high pressure, wait 5 minutes then manually vent.
  2. In a small bowl, mix rice vinegar, sugar, and salt. Set aside.
  3. In a large skillet, heat 1 teaspoon of canola oil over medium-high heat. Once hot, cook the green onions until they have a slight char and are somewhat caramelized.
  4. While the green onions are cooking, in a non-reactive bowl, mix the grated ginger, 2 tablespoons canola oil, salt and pepper, and fish. Make sure the ginger is evenly coated on the fish on both sides.
  5. Once the green onions are cooked remove from the skillet and set aside. Carefully wipe out the large skillet and then heat 1 tablespoon of canola oil over medium-high heat. 
  6. When the oil is hot, add the fish. Cook undisturbed to form a crust with the ginger.
  7. Carefully flip fish after 5 minutes or so and cook for another 4 to 5 minutes. The exact cooking time will vary depending on the thickness of the fish.
  8. While fish is cooking, add the green onions, rice vinegar, sugar, and salt to the warm, cooked rice. Mix well.
  9. Serve the fish over the rice.

Nutrition Information per Serving

Serving Size: 1 piece of fish + ¼ of rice

  • Calories: 460
  • Carbohydrates: 55 grams
  • Fiber: 5 grams
  • Protein: 31 grams
  • Fat: 15 grams
  • Sodium: 380 mg

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