To reduce my irritable bowel syndrome (IBS) symptoms and for personal research I have been living the low fodmap diet.
My first step (as I tell my clients) was to discuss my issues with my GP and have a coeliac disease test before I stopped eating wheat. He approved my trial of the low fodmap diet since I didn't have coeliac disease. If you are not eating wheat you can't be tested for coeliac disease. 
A diagnosis of coeliac disease means a strict gluten free diet for life. A wheat intolerance like the low fodmap diet means eating some wheat here and there should be OK- these diets are very different and should be sorted out before starting the low fodmap diet.
Fodmaps are sugars in natural foods which cause bowel problems in sensitive people. Fodmaps include lactose (milk, yoghurt), wheat (bread, wraps, rolls, pasta), onion, garlic, stone fruits, pears and apples. Eating less of these foods reduces IBS symptoms (diarrhoea, bloating, constipation) in 75% of people with IBS. The next phase is to challenge what people can eat and what fodmaps they are intolerant to and everyone is different.
It is important to record everything you eat and drink and your bowel symptoms each day. I have been using the Monash low fodmap app to do this.

It has been a good experience. I was hungry in the first week due to excluding some of my regular snacks. My tip would be to have snacks handy. It has been interesting to not eat so many snacks and think before I eat, does this have fodmaps in them?
Even I made mistakes. But remember that mistakes and eating out are not failures- just write down the consequences. 
For example, one doctor I work with bought all staff a cappacino one day and I drank it despite it not being on lactose free milk. I had wind that night and knew the cause! So I treated it like a lactose challenge. The beauty of this diet is that if you exclude all other fodmaps you know what is causing the reaction.
It is overwhelming when first starting the diet, even for me. At first I saw all the foods I couldn't eat but after a few weeks I adapted and made use of the foods I could eat. I thought I was on winner finding gluten free gravy but then realised it was full of onion. I also bought lactose and gluten free sorbet but it had cherry juice (with fodmaps) as a sweetener. So you can get gluten free, lactose free foods which still have fodmaps.

I decided small amounts of wheat are OK eg. Crumbed chicken, regular milk in tea/coffee at work, regular gravy only once, stock with onion in risotto, quiche pastry

Gluten is not a fodmap but gluten free bread is low fodmap. You don;t have to be strict gluten free as long as you don;t have coeliac disease.

There is a low fodmap labelling program but it is not on many foods. Coles seems to have more of these foods than IGA or Woolworths. They are very handy when the rest of the family are eating foods with fodmaps and you can't be bothered making yourself something different, although I did do this one night when I made myself an omelette.

Below are some meals and snacks that I was eating on the low fodmap diet with more to come! In my next blog I will detail the challenge I went through and the results.

Dietary iron has been on my mind lately having had very low levels last year. Iron is well absorbed from meats especially if they are eaten with a source of vitamin C (like fruits and vegetables). Vegetarians and vegans can meet their iron needs with good planning and help from a dietitian!
Below is my resource I give to clients to help them eat enough iron. You will find how much iron different genders and ages need. The meal plan at the end shows how easy it is to make small changes to your diet to meet your iron needs.

I recently went to a 3D virtual reality seminar on understanding dementia. It was truly eye opening to experience dementia. In the scenario wearing the 3D glasses, we were put in the place of someone waking up and trying to find the toilet in their home during the night. Something so simple turned into a difficult and frustrating experience. There were many things which made it a challenge- the poor light, shadows, clothes and coloured mats on the floor, strange noises, and patterned walls and curtains.

In the second part of the seminar we saw how making a few changes to a home can make living with dementia much easier. These included plain wall colours, night lighting, getting rid of rugs, and putting signs on doors. These changes made it so much easier to find the toilet in the dark!

About dementia
Did you know that dementia is the second leading cause of death in Australia? Every day in Australia, 250 people are diagnosed with dementia. 
Dementia is a broad term describing a loss of memory, intellect, rationality, social skills and physical functioning. There are many different types of dementia and a range of symptoms- everyone with dementia has a different experience.

Some of these symptoms could be:

• tiredness
• losing things
• not recognising familiar faces
• not being able to manage cash
• not being able to make a decision
• not able to use a computer

One man with dementia said "I'm different, but somewhere inside me I'm still here".

Dementia is not a normal consequence of ageing but does increases in incidence as we age. Dementia is a difficult condition to live with as there is a lack of community awareness about it and people experience social isolation as their friends don't know what to say in response to the diagnosis. It means people lose independence and friends, and often an income and work especially in younger people with dementia.

Dementia friendly communities
The "Dementia friendly" initiative is aimed at helping people with dementia thrive in their local community by keeping them independent and with a reason for living.

Being dementia friendly means:

• Having staff who can help customers with paying for items when shopping
• Having clear signage
• People being helpful and friendly
• Acceptance for people with dementia
• Not treating those with dementia as strange or difficult. People with dementia are not trying to be difficult.
• Looking to provide flexible paid opportunities for people with dementia
• Communicating with simple, clear questions
• Being patient waiting for answers
• Being helpful for people who look lost or confused
• Showing dignity, empathy and respect.

A man with dementia said that "Life is good, but not as good as it used to be".

Through this seminar I have learnt that businesses and individuals can become dementia friendly by watching three short videos and earning a certificate and badge to prove it!
​
Check out the dementia friendly website and become a dementia friend like I did.
https://www.dementiafriendly.org.au/

I'll be writing more about diet and dementia in the months ahead so stay tuned!

It has been interesting to visit hospital as a patient, not to mention all the doctor's visits and travel beforehand. As I work in the health area it is a good experience to see things from a patient's perspective. I had laprascopic hysterectomy in March at Wollongong Private Hospital.
Here are my reflections:

• If you think your iron might be low, ask to get it checked. Don't go for months with low iron like I did
• Fasting and clear fluids before surgery is hard to follow
• When channel surfing I discovered Xena, the warrior princess, is still on TV after all these years!
• After surgery it's all about getting the bowels working again- ask the doctors and nurses plenty of questions about what to take and when. Don't assume everything will work when you start eating again. Movichol seemed to be recommended by the staff and worked quite well
• Remember high fibre foods (prunes, wholegrain cereals, lots of fruit and veg) and drinking plenty of water are very important
• Move around as much as you can, when the doctor says it's OK, which is sooner rather than later. I was walking around the hospital 12 hours after the op
• Jigsaw puzzles are a great way to rest!
• True friends come to the fore when you need them
• Consider an IPTAAS application for re-imbursement of travel and accomodation costs if you live in a rural area. An online application didn't take that long:
• http://www.enable.health.nsw.gov.au/services/iptaas 

The frozen meal sections of our supermarket freezers are full of options! Frozen meals can be an easy way to get a nutritious meal for those who live alone. They are also convenient and people like them for a quick lunch. Then there are fresh prepared meals which is also an expanding market.

When looking at any of these meals there are few things to look for:

• Lots of vegetables (aim for 1-2 cups or fistfuls of vegies per meal)
• Lean protein (about a palm size)
• Less carbs (no more than 1/2 cup of cooked potato, rice or pasta)

Here are some numbers to guide you. 
Aim for:

• Less than 350cals (1500kJ) per meal
• Less than 770mg of sodium per meal (or <2300mg a day or 6g (1 tsp))
• Less than 17g of fat per meal (or <50g of fat a day for weight loss)
• Less than 17g of sugar per meal (or <50g of added sugar (13tsp) a day)

Of course, cooking your own meals will save you money, and probably extra sugar and salt. Cooking in bulk on weekends is a good idea and can provide leftovers which make for cheap, easy and healthier lunch meals.
Scan over the photos below to see points about their taste or nutritional value. If anyone wants more detailed info about these meals, please get in touch and I can send the info through. 

Another school year is just about to begin. As a parent I am juggling my individual kids' food preferences ('cause they're all different), the family budget and trying to get most of the food groups in.
I hope these ideas help you to feed your kids this year!
​1. Vegies and fruit- fresh and dried

2. Yoghurt and muesli, which can be kept cold in frozen Nude food containers. Nut boxes are also handy but keep nuts at home if your school is nut-free.

3. Grainy crackers, with homous or cheese.

4. Tuna with or without crackers or Messy Monkeys popcorn (see my November 2018 blog about healthy popcorn choices).

5. Leftover quiche, boiled eggs or baked beans for that filling protein hit.

6. Salads with leftover roast vegies, boiled eggs, or homemade sushi.

7. Rolls, wraps or bread (gluten free for those who can't have wheat) with meat and salad fillings.

The popcorn range on our supermarket shelves has expanded it seems this year. I have reviewed a number of different brands to show which is the best choice, with Messy Monkeys coming out on top.  Read on to find out why.
Of course popping corn yourself and giving to the kids in reusable containers saves you money, reduces packaging, and will almost certainly be lower in fat and salt.
These popcorn brands do provide some fibre at around 8-9% and a slightly better choice for kids' lunch boxes than chips.
Just to compare:

• Messy Monkeys popcorn has 9% fibre, 22% fat and 350mg sodium per 100g.
• Grain Waves chips have 6% fibre, 21% fat, and 390mg sodium.
• Smith's crisps have 3% fibre, 34% fat, and 550mg sodium.

Remember we are aiming for <10% fat and <120mg sodium per 100g, although no popcorn comes close to these guides!
Messy Monkeys Lightly Salted Popcorn has the lowest fat and salt that I have looked at.

​The next brands of popcorn are similar- Snackers and Cool Pak. They have 26% fat and 700mg sodium.

This pack of Cobs popcorn has 3 flavours inside- all with 23% fat and 300mg sodium. However the "Lightly Salted, Slightly Sweet" packet has 16% sugar. All the other savoury popcorns I looked at have only 0.1-2% sugar.

I was asked about the sugar in breakfast cereals, so I have been shopping and busily reading labels to show the difference between them. Here are the top 4 sugary cereals with 1 sugar cube= 1 teaspoon of sugar = 4 grams. I chose to use per 100g to display, as the serves listed on cereal packets are very small and unrealistic. Remember we are looking as a guide for foods with <10% sugar.
Coco pops is 37% sugar, Crunchy Nut Cornflakes is 32%, and both Nutrigrain and Milo cereal are 27%. 

You can see that Corn Flakes and Rice Bubbles are not very high in sugar, both about 7-8%. But they don't rate as an everyday choice because of their low fibre content. Corn Flakes are 4% fibre and Rice Bubbles are only 2% fibre. In contrast both Carman's berry bircher muesli and Weetbix are 11% fibre.
Like my Facebook page for continued food reviews based on people's questions and comments- keep your thoughts coming!

Thanks to all my supporters, clients, colleagues, friends and family who have helped me achieve so much in my business in the past 10 years!
My business started with one clinic half a day a week 10 years ago. Now I work every day, in five towns, six medical centres, five aged care facilities and one private hospital.
My amazing 12 year old daughter Emily made a perfectly coloured fondant cake complete with my logo, to celebrate my business’ 10th birthday.
Here’s to another 10 years of helping people eat well.

In my last blog we looked at how to read food labels, looking at the sugar and fat using the 100g column.
It is also helpful to look at the sugar in the per serve column for some foods. It is useful to know that 1 teaspoon of sugar weighs 4 grams.
If you look at sugar per serve below, you can see that a Nescafe cappuccino sachet has almost 1.5 teaspoons (5.5g) of sugar per cup. This surprised me as people may also add their own sugar to this coffee, not realising that it already contains sugar.

The Ingredient list also gives us clues about about how much sugar is in food. Ingredients are listed in descending order. In the regular coffee sachet, glucose syrup (a type of sugar) and sugar are listed as third and fourth in the ingredient list.
In the Butterscotch sachet below you can see that sugar is listed as the first ingredient in this sachet, which means it is the most prominent ingredient, before even coffee! 

The sweet coffee sachet below has more sugar at almost 2 teaspoons per cup.

The skim sachet has the same sugar as the regular sachet, almost 1.5 teaspoons per cup, but also has less fat than the regular sachet.

Finally, the butterscotch latte sachet below has nearly 3 teaspoons of sugar per cup, with sugar is listed as the first ingredient.
Knowing how to spot the sugar in food helps us make informed decisions about what to eat and drink.