Meat Free Monday: Red Cabbage and Apple Coleslaw

  • 1/4 red cabbage finely shredded
  • 1 red onion finely diced
  • 1 medium beetroot, grated
  • 1 red apple, grated
  • 2 TBSP tahini
  • 1 TBSP balsalmic vinegar
  • Ground black pepper
  • Pinch of salt

Mix vegetables in a bowl. If you have red runner beans you could also add small strips of these. Mix the dressing ingredients in a container. Stir through salad. Try to stand for 30 minutes before serving.

Cooking Beans, legumes, pulses etc

This post is really about the obvious end of the vegetarian diet -when you go vegetarian legumes become an important source of protein in your diet.

If you start cooking vegetarian food you quickly realize that doing beans out of cans is expensive. Dried beans are cheaper. Unfortunately they take a long time to cook in a pot on the stove. You can also end up with pot-burning disasters if you are like me and you wander off while cooking your beans and boil them dry.

Your remaining two options are slow cooker and pressure cooker beans.

Slow cooker beans

Slow cooker beans are great. Rinse the beans under cold water and discard broken, and odd looking beans. They do not need soaking, with the exception of red kidney beans, which need to be put in a pot and  covered with boiling water and left to stand for at least 1 hour. Once the red kidney beans have been soaked, then rinse them, cover them with water in the pot and bring to the boil, letting boil for 10 minutes. Transfer them to the slow cooker and cook for the remainder of time.

Bean/Legume Water for 500g Cook time
Black 1600 6-8 hrs
Pinto 1900 7-9 hrs
Cannelini 1900 7-9 hrs
Black eyed peas 1600 4 – 5.5 hrs
Chick peas 1750 4.5- 6 hrs
Brown Lentils 1250 3-4 hrs
Red Kidney Beans 1900 5-6 hrs after  1 hour hot soak and 10 min rapid boil

Pressure cooker beans

Not everyone has a pressure cooker but if you are making a commitment to eating at least 3 meals a week of vegetarian foods it soon becomes obvious that a pressure cooker is very useful. I have ended up getting some pressure cooker envy going into small appliance retailers as I use my cheap old-fashioned one, I picked up from a charity shop…here is hoping my family realizes my next big birthday is within a couple of years and I would really, really, really like one of the fancy ones!

Understanding pressure cooker times is what matters, and the different ways of reducing pressure once cooked. Also most beans (red kidney beans the MAJOR exception) can be cooked from hard rather than soaked, but if you do soak the cooking time of many beans is seriously short.

This link is excellent and has all the information you need on cooking with a pressure cooker. Most of our pressure cookers work at 15 PSI.

Pressure cooker beans

Storing your beans

If you are cooking up bulk beans, spreading them thinly on a tray to cool then freezing them so you can then put the free-flow into a container is a great idea. I have learned to label my recycled ice-cream containers extremely well to avoid disappointment of going into the fridge and hoping there is ice-cream.

Butternut squash pasta sauce

This started its life as an idea for a patient who appeared to be sensitive to tomatoes. It then reincarnated when my lovely partner pointed out he was getting sick of tomato based pasta sauces.

  • 2 TBSP olive oil
  • 1 medium onion finely chopped
  • 2 garlic cloves or 2 tsp crushed garlic/
  • 1 kg of squash or pumpkin peeled, seeded and cut into 1 cm cubes.
  • 1 red chili de-seeded and cut into fine strips.

If you have time and a warm oven the day before, prepare the squash or pumpkin and put onto a lightly oiled tray for about 20 minutes in a moderate oven, this will roast it and give it a nice caramel taste. It is an optional step but a great option.

Heat oil in a pan and add onion and garlic and saute until soft. Add in the squash or pumpkin and chili. Add about 1 C water, bring to the boil, then reduce heat. Put lid on and leave 5 minutes. Check if the pumpkin is tender. If not add another ½ C boiling water and leave to simmer with lid on another 5 minutes. Blend until very thick and smooth. Use in place of tomato based pasta sauce. This can last in the fridge for about 5 days, but unfortunately is not good to preserve in jars unless you use a pressure cooker method, because it is not acidic enough to be safe to preserve.

What 7 steps help reduce both diabetes and heart disease?

Diabetes and Heart Disease are intimately linked. During Heart Month (February 2019) I will be posting regularly how individuals and employers can tackle these diseases together.

People with Type 2 diabetes (T2DM) have 2-4 times the risk heart attack or a stroke than people who don’t. Making lifestyle change to either preventT2DM, reverse it or manage it better reduces this risk.  Managing risk needs to happen in all parts of people’s lives. As an employer if you want a healthier workforce, invest in advice and education to support your staff.

The American Heart Association has defined a list called Life’s simple 7. These changes manage heart disease risk and diabetes. They are core to the messages taught in group, online and individual education sessions by Helen Gibbs Dietitian Ltd

1.            If you smoke, stop.

How can you help those who still smoke? Many smokers fear weight gain.  Getting information on the relative risk of weight vs. smoking is important. Receiving education on how to minimize this gain helps.  

2.            Eat better.

My education sessions promote dietary improvement. Diet improvement can improve health independent of weight loss. Recent research has demonstrated the importance of a high fibre diet, part of ‘nutrient dense eating.’. In my courses and 1:1 sessions I focus on “nutrient dense eating”. This style of eating improves health and reduces disease risk, regardless of weight change.

3.            Get regular physical activity

I work hard achieve appropriate physical activity levels, so I get it.  I have a lot of empathy for clients and their struggles to be active. This personal experience has informed my learning. I use what I have learned to motivate people to be more active.  Employers may need to think how they can support increased activity in daily living. If people are active there is a benefit to the employer in reduced absenteeism

4.            Lose weight if you are overweight

Unlike some dietitians I am not a proponent of Health At Every Size (HAES) model of care. We have to get rid of the worst parts of dieting culture; but we need to support people to improve their health through body fat reduction. Individual care means addressing the most important aspect of eating for that person. If clients have disordered eating or eating distress, they need support to address this. Many people are too ashamed to discuss their eating distress. Having a compassionate and experienced dietitian accessible to your workforce increases their chance of asking for help.

5.            Keep your blood pressure in the proper range

In group sessions I talk about what to do, and how to do it. This includes the changes needed to reduce blood pressure. The good news is these changes can also improve other aspects of health.  Workplaces with canteens or onsite food supplies may need to match education with better choices. If you are large enough to have these services you are large enough to need a detailed food policy. The impact of alcohol can not be overstated with blood pressure. I provide alcohol harm reduction education as part of lifestyle education.

6.            Keep your blood fats and cholesterol levels in a healthy range.

The media coverage of the possible causes of heart disease has left people confused.  Providing evidence-based advice and practical ‘How to’ education helps your staff make informed choices.

7.            Keep your blood glucose under control.

Elevated blood sugar damages the circulation.  Even if you have a fit and healthy workforce, they damage their health by drinking sugar containing soft drinks and energy drinks. Your business can have policy to support water drinking.  Once people have pre-diabetes or Type 2 diabetes, cutting back sugar is not enough. I work with people so they understand that they need to cut their saturated fat to lower blood glucose levels. Saturated fat acts to increase insulin resistance, making the locks stickier (link to video). Insulin resistance limits the work of circulating insulin.

New Zealand has an aging workforce. We also have increasing rates of diabetes and heart disease. Having unwell staff costs you money. Investing in prevention makes sense. Contact me if you want to know more about the services I offer.

First step: If you have health insurance for your staff see if dietetic services are covered. If they are not ask why.

Understanding the Planet Healthy Diet – Eat-Lancet Commission Report

Last week saw the publication of the report from the EAT-Lancet Commission.  EAT-Lancet outlines how to achieve a globally fair and nutritious diet. They are aiming to feed the 10 billion humans on the planet by 2050. It is the first report to consider the impact of nutrition on the natural environment.

  “Transformation to healthy diets by 2050 will require substantial dietary shifts. Global consumption of fruits, vegetables, nuts and legumes will have to double, and consumption of foods such as red meat and sugar will have to be reduced by more than 50%. A diet rich in plant-based foods and with fewer animal source foods confers both improved health and environmental benefits.”

Eat-Lancet Report

Target 1 is healthy diets. I have analyzed the report and created a table (below) with the food intake in standard portions. A copy of the report summary can be downloaded here. This is for people wanting to read the second target (sustainable production) and the 5 goals.  I examine a planetary healthy diet in comparison to current NZ eating patterns .

Food Item g/day    (range) Portion size Notes
Whole grains 232 30g 7.7 portions/day
Starchy vegetables 50 80g 3 portions/week
All other vegetables 300 80g 3.75 portions/day
Fruits 200 80g 2.5 portions/day
Dairy Foods 250 250g1 portion/day
Protein sources  
Meat and poultry 43 100g3 portions of 100g/week
Eggs 13 58g1.6 eggs/week
Fish 28 100g2 portions of 100g /week
Legumes 75 90g5-6 90g portions /week
Nuts 50 30g11-12 30g portions/ week
Added fats  
Unsaturated fats 40 1 tsp8-9 tsp/day
Saturated fats 11.8 1tsp2.5 tsp/day
Added sugars  
All sugars 31 1 tsp 6 tsp/day

This represents a fairly strict flexitarian diet.  Most people could achieve this eating patter with planning. It would be more difficult to eat like this if you were time poor or had limited cooking skills. Food manufacturers and retailers would have to change their offerings to be part of a sustainable food system.

Key differences

  1. Whole grains: We eat mostly refined grain foods  in NZ. It would involve both a shift to whole grains and increased amounts of whole grains in the diet.
  2. This would be less potato, kumara or taro than currently eaten.
  3. For most people this is a significant increase in non-starchy vegetables.
  4. Most people would be increasing their fruit,
  5. This a significant reduction in dairy intake.
  6. Only 6 of the 14 non-breakfast meals would have animal source protein, the rest would have legumes or nuts as primary protein.
  7. There would be a tight limitation on butter, with a liberal allowance of oil.  Added fat intake means frying and foods with added fats (baked goods) would be an occasional treat.
  8. The added sugar at 6tsp per day represents a big shift away from sugar sweetened foods. It would be biggest in the diet of younger people. 

Nutritional Adequacy

Concern has been expressed over iron and calcium intake from this diet. Again, this diet relies on good cooking practices to maximize non-meat source minerals. The caloric intake provided by this diet is approximately 10.5MJ or 2500kcal. This is approximately an “average” diet for an adult and some variation would be needed.

Many people would be reluctant to make these kinds of changes. If humanity is to protect the environment, while feeding 10 Billion people, we need to start making changes now and this is a good start. On a personal level following a diet like this will both reduce the risk of long term health conditions including Type 2 diabetes and heart disease as well as managing them more effectively than the current diet.

I support and endorse the principles of this diet. Where possible I will demonstrate how to cook and eat within the limits outlined in the EAT-Lancet report. Please subscribe if you want to learn more.

Corn, Quinoa and Chickpea Salad

This salad is suitable either as a main or a side. This contains seasonal vegetables as of the date of publication. Corn could be replaced with courgette or lightly cooked pumpkin.

  • ½ C quinoa cooked as per directions to give you 1 C cooked quinoa
  • 2 TBSP of canola oil
  • 1 C of corn kernels (with fresh corn, the amount off 2 corn cobs)
  • 1 C chickpeas drained and rinsed
  • 1 red or yellow capsicum chopped into small pieces
  • 2 spring onions finely sliced
  • ½ C fresh parsley or coriander
  • ¼ C olive oil
  • 2 TBSP lemon juice
  • 2 TBSP rice or white vinegar
  • 1 tsp brown sugar

Prepare the quinoa and drain in a sieve. Allow to cool.

Heat the oil in a heavy pan over medium heat. Add corn and well drained chickpeas and cook for about 5 minutes stirring regularly until they start to brown.

Transfer into a bowl. Add quinoa, pepper, onion and parsley or coriander

Mix the remaining ingredients in a bowl and mix. Drizzle over salad just before serving.

If you don’t have quinoa, you can use brown rice, but always follow food safe practices when cooling and storing grain foods.

How do you get 30g fibre in your diet daily?

There has been a lot of media coverage about fibre in the diet. A high fibre diet reduces the risk of heart disease. We know that 90% of people are failing to get enough fibre.  So how do you improve your dietary fibre intake? How do you do it on a low income?

Fibre occurs in plant-based foods. The relevant Eating statements for adult New Zealanders are:

Enjoy a variety of nutritious foods every day including:

  •              plenty of vegetables and fruit
  •              grain foods, mostly whole grain and those naturally high in fibre
  •            some legumes, nuts, seeds, fish and other seafood, eggs, poultry (e.g., chicken) and/or red meat with the fat removed.

Choose and/or prepare foods and drinks:

  •    that are mostly ‘whole’ and less processed

I demonstrate how I would address each eating statement below. In the lists I only show the fibre containing foods. There would be other things added to the meals such as milk, cheese, yogurt, meat and cooking oils etc

Plenty of vegetables and fruit

I used the “what’s fresh” website to select seasonal fruit and vegetables based on the day of writing the blog. Eating seasonally can be a challenge if you have strong likes and dislikes.  It is important to encourage ongoing “tries” of vegetables to encourage a wide variety. Frozen vegetables are acceptable

Item Amount (as eaten) Fibre
Green Beans 80g 2.7
Corn on the cob – 1 medium 90g 2.4
Lettuce 50g 1.0
Tomato – medium 50g 1.7
Cucumber – 4 slices with skin 50g 1.5
Strawberries – 4 large 80g 1.2
Orange – 1 medium 90g 3.1
  TOTAL 13.6g

In this instance I imagined that the salad would go with lunch, and the cooked vegetables would go with dinner.

grain foods, mostly whole grain and those naturally high in fibre

The most common complaint I get is the cost of wholegrain bread. For the purpose of this exercise I am going to use a $1 loaf of bread. This will illustrate cheap bread can still help you meet your fibre intake. I am suggesting you use a sandwich slice and choose the wheatmeal bread

Item Amount (as eaten) Fibre
3 slices wheatmeal bread ($1 range) 94g 4.2g
Oats 45g 5.8g
Pasta (white own brand) 200g (100g dried) 4.0g
  TOTAL 14g

some legumes*, nuts, seeds, fish and other seafood, eggs, poultry (e.g., chicken) and/or red meat with the fat removed.

Item Amount (as eaten) Fibre
Peanut butter 20g 1.2g
Almonds 15g 1.3
Lentils 15g 1.6g
  TOTAL 4.5g
  • 20g peanut butter – see below
  • 30g of almonds consumed every second day
  • If you had two vegetarian meals each week e you would meet this goal. Each meal contains at least 50g (120g cooked) of lentils or other beans. If you are not able to sneak vegetarian past your family use lentils mixed in with your mince.

Choose and/or prepare foods and drinks: that are mostly ‘whole’ and less processed

 One of the biggest ways to improve fibre intake is have snacks that are mostly whole and less processed.

Snacks arranged here are not the usual processed cakes, biscuits and crackers.

  •               1 slice bread with 20g peanut butter daily (afternoon tea)
  •               1 piece of fruit as snacks (supper time)
  •               30g almonds every second day (morning tea)

This is a fairly basic diet.  Not everyone is going to stick to this all the time. Following the 80% rule (make good choices 80% if the time) then you can get a good fibre intake

If you would like to know more about fibre in the diet and have a diet makeover to increase your fibre intake, then make an appointment to see me.

Crustless Quiche – Curry in a Hurry

  • 3 TBSP oil (canola, olive or rice bran)
  • 300g cooked potatoes (ideally from the previous day) cut into 1cm cubes
  • 1 large courgette grated
  • 1 large carrot grated
  • 3 spring onions chopped finely or one small onion
  • 1 can of chickpeas rinsed and drained
  • 2 tsp of your usual curry powder
  • ¼ C self-raising flour
  • 4 eggs
  • ½ C trim milk

Heat your oven to 180 degrees Celsius. Put quiche pan in oven with oil to come to temperature. Mix all vegetables and chickpeas together. Add flour and curry powder and mix to distribute throughout the vegetable mix. Whisk eggs with trim milk. Mix through other ingredients – this will be quite sticky.
Carefully remove hot quiche pan from oven, swirl to coat bottom with oil.  Put quiche mix into pan, it will sizzle. You can compress it very slightly. Bake in the oven for about 30 minutes until golden brown and the egg is cooked.

Serving tips:

  • Garnish with coriander (if you like it)
  • Serve hot or cold with salad.
  • You may enjoy serving with a Raita of finely chopped cucumber and natural yogurt.