ScienceDaily (2010-03-16) — Diabetics, under the gun to better manage their disease by controlling their food intake and weight, may find themselves in the sticky wicket of needing treatment that makes them hungry, researchers said.

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Clients have asked for information on intuitive eating, or mindful eating. I enjoy referring people to Evelyn Tribole, MS, RD.  View her work and let me know what you think.

When it’s cold outside and not much going on, some of my clients tell me how bored they feel–or lonely, anxious, depressed–and the one thing that comforts, the one constant, is food.  Especially sweets.  I usually explain that turning to food must serve some purpose, and I ask about the perceived purpose and the resulting impact.  How do you feel during the eating episode?  Then what about after?  Always the sequence of responses:  great/dizzy/occupied then guilty/stressed/anxious. 

The cure? Eat, and repeat. 

But we know this doesn’t work because it leads to binge eating (either a subjective or an objective binge), and when the episode is over the client feels worse–not better.  The very thing/feeling that made her or him eat in the first place is still there.  The boredom or the anxiety or the loneliness or the depression never went anywhere.  It was masked for a moment.  I encourage clients to explore this with me and/or with a psychotherapist, if appropriate.

Geneen Roth wrote recently (Good Houkeeping magazine, July 2009): “After having devoted a lot of my life to being anxious about things that never came to pass, I’ve finally realized that worrying is like sitting in a rocking chair all day and thinking you’re actually going somewhere.”  Geneen’s solution, which I adore: “[Notice], on a daily basis, everything that you don’t have to worry about. Everything that is already fine, vibrant, thriving.”

To close, as I tell my clients, when thinking of reaching for food, first identify if it’s from physiological hunger or from emotional hunger.  Then proceed accordingly. 

Just wanted to let you know about a professional development opportunity. 

eMindful will be hosting a 10-month Certificate Program entitled Mindful Eating for Health Care Professionals. The program will feature two teachers from Duke Integrative Medicine: Dr. Ruth Wolever and Jennifer Davis, M.S., L.P.C. Jennifer provides health psychology services for multiple programs at the Duke Center for Living, including Duke Executive Health Program, Cardiac and Pulmonary Rehabilitation Programs, and the Getting on Track Weight Management Program.  Ruth Wolever, Ph.D., is a clinical health psychologist and Director of Research for Duke Integrative Medicine, and has been a principal investigator in NIH-funded Mindful Eating research for the past 10 years.

The course meets monthly for 10 months inside eMindful’s live, interactive, online classroom where both teachers and students can see, hear, and interact with each other.  21 (possibly 24) continuing education credit hours are available and a Certification of Completion will be provided at the conclusion of the program.  Course outline is available.

Based on the outline and my interaction with another RD who has participated in the training previously, I think it will be good.  Also, they are offering a discount when I refer people.  You just use code “CTRD“.  The full program is regularly priced at $550, but if you use the discount code, you may attend at the reduced price of $299.  If you don’t wish to make the 10-month commitment, you may take any of the individual classes at a discounted rate of $39… just use the discount code “CTRD” to receive a reduction from the regular $89 per class price.
 
Lastly, this program grants me $25 for every person who signs up using the CTRD code.  I will donate all of that money to the American Dietetic Association Foundation scholarship fund.  (I shared this message with some of my Connecticut colleagues on 1/7/10 and informed them that all donations will go to CDA’s scholarship fund.)
 
Looking forward to your thoughts.
 
Sincerely,
Milton
 
PS Share with anyone you wish: physicians, nurses, and other dietitians/DTRs in your network.  

We are now utilizing the Medgem to measure resting metabolic rate (RMR).  This helps us determine the number of calories patients require and is indicated for weight management and eating disorders, among other conditions.  When we know your RMR, our dietitians can determine the number of calories for your daily meal plans.  In addition, most insurance plans cover RMR testing.  Please email us if you would like more information.

Megem measures metabolism

Marsha has a unique background that some of you might find interesting. Have a look:

Q: On her background and work?

A: I originally went into dietetics as an attempt at “dietitian, heal thyself.”  I had struggled with body image for much of my childhood and ended up developing an eating disorder.  I worked initially as a clinical dietitian, then pursued a career in nutrition communications because of my interest in writing.  In that career, I became associated with Green Mountain at Fox Run, a women’s healthy weight retreat that was founded by Thelma Wayler, RD, in 1973.  Thelma was a pioneer in the non-diet approach to healthy weights. With my personal history of struggle in this area, I was instantly attracted to Green Mountain’s approach, and have spent the last 22 years working to help the women who come to Green Mountain end eating and weight struggles and start taking care of themselves so they can live the lives they desire.

A: I graduated with a B.S. in Home Economics with a focus on Nutrition, then did a dietetic internship at Indiana University-Purdue University in Indianapolis.  I worked for several years as a clinical dietitian in renal nutrition and nutrition support, but discovered my true calling in nutrition communications.  I received a M.S. from Boston University in that field, then worked for several years in public relations in New York City.  At Green Mountain, I have served as nutrition director and program director.  Today, I am primarily responsible for our communications, writing our blog, website articles and newsletters and developing recipes.

Q: Her ideal client?

A: The ideal client for Green Mountain at Fox Run  is the woman who wants to learn how to take care of herself while continuing to enjoy her life.  At Green Mountain, she can begin to

When’s the last time you savored every bite of food? Truly enjoyed the texture, flavor, appearance–the everything about your eating experience?

Most of us have little time for this, or I should say that we make little time. Whether it’s busy schedules or multitasking, or just old habits, eating mindfully can be tough. But it doesn’t have to be. Consider some of the following and see what you can apply to your eating experience:

- Try to eat deliberately. Slowly. Attentively.
- Try to minimize reacting and judging your eating experience.
- Listen to your physical hunger. (How does that differ from emotional hungery?)
- Eat food you love.
- Eat when hungry; stop when full.
- Recognize there’s no one right way or totally wrong way to eat. Each person should have an individualized diet plan.
- Don’t ruminate over food you ate yesterday or last week. Enjoy what you have now.

Can you think of one thing you would change to eat mindfully?

In the United States, approximately 10 million females are fighting a life and death battle with eating disorders. Cultural and media influences, such as T.V, magazines and movies, reinforce the belief that women should concern themselves with appearance over ideas or achievements.

Update 7/16/09: The links below may not work. In the meantime, view http://nurturingnotes.blogspot.com/2009/07/busy-busy-woman.html to access all the other links.

Angela White at Blisstree’s Breastfeeding 1-2-3 – Helpful Skills of Breastfeeding Counselors
Angie Tillman, RD, LDN, CDE – You Are Beautiful Today
Anthony J. Sepe – Women’s Health and Migraines
Ashley Colpaart – Women’s health through women
Charisse McElwaine – Spending too much time on the “throne?”
Danielle Omar – Yoga, Mindful Eating and Food Confidence
Diane Preves M.S.,R.D – Balance for Health
Joan Sather – A Woman’s Healthy Choices Affect More Than Herself
Laura Wittke – Fibro Study Recruits Participants
Liz Marr, MS, RD – Reflecting on Family Food Ways and Women’s Work
Marjorie Geiser, MBA, RD, NSCA-CPT – Healthy Women, Healthy Business: How Your Health Impacts a Powerful Business
Marsha Hudnall – Breakfast Protein Helps Light Eaters Feel Full
Michelle Loy, MPH, MS, RD – A Nutritionista’s Super Foods for Super Skin
Monika Woolsey, MS, RD – To effectively work with PCOS is to understand a woman’s health issues throughout her life
Motherwear Breastfeeding Blog – How breastfeeding helps you, too
Rebecca Scritchfield, MA, RD, LD – Four Keys to Wellness, Just for Women
Renata Mangrum, MPH, RD – The busy busy woman
Robin Plotkin, RD, LD – Feeding the Appetites of the Culinary, Epicurious and Nutrition Worlds-One Bite at a Time
Sharon Solomon – Calories, longevity and do I care
Wendy Jo Peterson, RD – Watch Your Garden Grow

After meeting for years on anonymous and secret Web sites, pro-anorexia groups are now moving to more public forums like Facebook.

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