Olive, Mushroom and Feta Frittata

This is a great quick and easy lunch recipe that’s protein-rich and delicious! Just pair with a quick green salad for some crunch.

Serves 4

Ingredients

1 tbsp olive oil

Pinch salt

Handful black olives, sliced

6 shiitake mushrooms, sliced

6 eggs, beaten

50g feta cheese, crumbled

Half a small bunch torn basil leaves

Method:

• Preheat the oven to 175ºC. Grease an oven-proof pan with the oil.
• Add the salt, olives, and mushrooms to the bowl with the whisked eggs and stir to combine. Add the egg mixture to the pan. Top with the crumbled feta cheese and bake for 20 minutes or until the frittata has set.
• Garnish the frittata with the basil leaves and serve. 
• Enjoy!

Top Tips for a Better Night’s Sleep

Here are my top tips for getting a better night’s sleep. See what you can put into action. 

Get plenty of natural light

Getting outdoors during the day – whatever the time of year - can help regulate the circadian rhythm. Spending time outside or near a window can help, as can using a light therapy box during the winter months. Getting out for a morning walk is a great way to start the day and wake your body up on every level imaginable.

Exercise every day

Try to take some kind of exercise every day. There is evidence that regular exercise improves restful sleep. This includes stretching and aerobic exercise. A brisk walk ticks both boxes.

Watch your caffeine

Caffeine has a very long half-life, and it can take 6-8 hours for half the caffeine in your cuppa to leave your body. Consider that any caffeine after 2pm (if you go to bed at 10pm) will have a deleterious effect on the quality of your sleep – even if you cannot feel it.

Similarly, a few alcoholic drinks and eating late at night can also make it harder to get a good quality sleep.

Dim lights in the evening

At the other end of the day, you want to be encouraging your body to make more of the night-time hormones, which means reducing the amount of bright light. If you have dimmer switches, use those. Or use side lights instead of the main overhead lights. These subtle lighting changes can make a difference.

Avoid screens before bed

You learnt earlier that blue light from electronic devices can interfere with the circadian rhythm and make it harder to fall asleep. Think about what else you could do to avoid using things like smartphones, tablets, and computers for at least an hour or so before bedtime. Consider real books or a Kindle (which has a different type of light to a tablet).

Take time to wind down

Establishing a relaxing bedtime routine can help signal to the body that it is time to sleep. This is exactly what we do with babies, and there’s no reason why you cannot adopt some of this for yourself: warm bath, read a book, lights out. You might find it helpful to practise relaxation techniques like yoga or try some guided meditation.

Don’t engage in stimulating activities

… like playing a competitive game, watching an edge-of-the seat film, or having an important conversation with a loved one. Even watching the news can be triggering.

Keep the bedroom dark, quiet, and cool

Creating a comfortable sleep environment helps promote better sleep. This includes keeping the bedroom dark, quiet, and cool, and using comfortable bedding and pillows. Use your bed only for sleep and sex. This may help you completely switch off. Since the sleep hormone melatonin likes it dark, if you don’t live in the middle of nowhere and you don’t have blackout blinds, a generously sized silk eye mask is a good option to create a dark environment.

Ditch that smartphone alarm clock

Consider getting a traditional alarm clock so your smartphone can stay out of the bedroom – this will also help remove temptations to check messages and/or social media. Better still, work out how much sleep you need by going to bed 15 minutes earlier until you find that you wake up naturally before your alarm. That’s your personal sleep requirement.

Stick to a consistent sleep schedule

Going to bed and waking up at the same time every day can help regulate the circadian rhythm. This means avoiding staying up late on weekends or sleeping in too much on days off.

And if you’re continuing to have issues with your sleep, why don’t you get in touch for a free health review? We can look at what might be underlying and see if we can get you sleeping better.

Sleep Well for Better Health

Sleep really is a gamechanger for your health and for your emotional wellbeing but even so, scientists are only just starting to begin to understand the biological role. I know that you know that everything looks better when you are well rested. It’s an essential function for everyone and lack of it can wreak havoc with all kinds of functions in the body, from your lived experience every day, to weight gain, lowered immunity, and increased risk for metabolic conditions like diabetes, high blood pressure, and cardiovascular disease.

As far as we can tell, the purpose of sleep is for the body and mind to rest and repair, and that process in humans takes between seven and nine hours, which is where the idea comes from that everyone should get eight hours sleep a night. Perhaps you do, in which case I salute you, but many people don’t, and there are always consequences. Your mood, creativity and tolerance are lower than they would otherwise be, and your motivation to eat well goes out of the window.

There will be times when sleep gets a little patchy. However, if you regularly get less than seven hours a night (and it really doesn’t matter what you have convinced yourself you can get by on), I invite you to really look at the impact it might be having on your life.

Sleep has a terrible PR and can often feel like just another thing to add to your to-do list but – for one week – I invite you to really prioritise your sleep and throw everything you have at getting more of it. Then step back and see how you feel. Throughout this guide, I’ll be answering some questions I’m often asked about sleep, reminding you why sleep really matters and giving you some tips to help make sleep your health focus so you have the best chance of a restful night.

What happens when you sleep?

When you sleep, a series of physiological changes take place that allow your body to fully get into a state of rest so that it can repair and prepare for the next day. There are elements that scientists even now don’t understand but – through studying what happens when people don’t get enough – we know that sleep is an essential process. Research shows this time spent resting fulfils a vital function that keeps you healthy. Aside from other actions, sleep removes toxins in your brain that build up while you are awake, so small wonder getting your fill makes you feel more alive!

There are two main types of sleep: REM sleep and non-REM sleep, the latter having three different stages you’ll cycle through each night.

Stage N1 (non-REM) is a very light kind of sleep between being awake and asleep. Your heartbeat, breathing and eye movements slow, and your muscles relax although you might get the occasional twitch.

Stage N2 (non-REM) sleep sees your body go a little deeper into sleep. Your heartrate and breathing are slow, muscles relax even more, and brainwave activity slows. This is the most common sleep stage to be in.

Stage N3 (non-REM) is the deepest level of sleep and the most restorative. It’s the most difficult to wake from and, for some people, even loud noises do not rouse them. It’s here that the body repairs and repairs, builds bone and muscle and the immune system is strengthened. It is also the stage in which sleepwalking, night terrors, and bedwetting happens.

You’ll cycle through all these several times a night. The exact make-up will change from person to person and even from day to day. You’ll know this if you have a Fitbit or a smartphone app that measures your sleep cycles. Some days you’ll spend longer in those deep and restorative sleep cycles than others.

REM sleep is interesting because the brain is very active - brainwaves are very much like those that occur when you are awake. This is when your dreams happen, and it’s not usually considered a restful phase.

A complete sleep cycle takes about 90 minutes, and you’ll typically go through four to five cycles each night. The normal pattern is N1, N2, N3, N2, REM.

Why am I not sleeping?

There are a multitude of reasons, but here are some of the main ones that I see with my clients:

SLEEP

Too much stress is one of the most common reasons my clients struggle to sleep. It doesn’t have to be ‘big’ stuff like divorce, bereavement or a house move. It could equally be the relentlessness of daily life – like work issues, family or relationship worries or even traffic jams. Regardless of the source, stress triggers the hypothalamic-pituitary-adrenal (HPA) axis in the central nervous system and puts you in fight or flight mode; essentially, a sense of high alert. Prolonged stress means more stimulation of this HPA axis and, potentially, higher levels of stress hormones at night. If you’ve ever felt tired but wired (exhausted physically but your mind is whirring), this is it. Until you can dial down those stress hormones, you’ll have little chance of nodding off.

BLOOD SUGAR IMBALANCE

I’ve often seen clients with blood sugar imbalances created by consuming too much sugar, starchy carbs and refined foods, with poor sleep. They might find it easy to get to sleep initially but wake in the early hours. If you’re riding a blood sugar rollercoaster, your glucose levels can drop too low at night (a hypo) and, if you’re in a light sleep cycle, this can easily wake you up – even in those who do not have diabetes.

PERIMENOPAUSE

Declining oestrogen in the transition to menopause can cause a wealth of hormonal issues, including night sweats and hot flushes, both of which are detrimental to a good night’s sleep. Oestrogen also helps promote deep sleep, while progesterone (another retreating hormone at this stage of life) has a calming and sleep-inducing effect. When their levels fluctuate, it can disrupt the normal sleep-wake cycle and lead to sleep disturbances. Add to that, hormonal fluctuations can also affect mood and increase stress levels. Anxiety, irritability, and mood swings are common symptoms during perimenopause. These emotional changes can make it challenging to relax and fall asleep, leading to an increased likelihood of insomnia or disrupted sleep.

SLEEP APNOEA

Sleep apnoea is a common sleep disorder characterised by repetitive pauses in breathing or shallow breaths during sleep. These pauses (or apnoeas) can last for several seconds to minutes and can happen multiple times throughout the night, waking you up from sleep and, therefore, disrupting your normal sleep pattern. They might be so brief you don’t fully remember them, but they can fragment your sleep enough that you wake feeling unrefreshed.

AGEING

As you get older, there is a natural shift in the ‘sleep architecture’. That means a change in the pattern of the different sleep stages discussed earlier. Typically, older adults would experience a decrease in N3 deep sleep and a higher prevalence of lighter sleep stages. These changes can make sleep feel less restorative and more fragmented. Age is often associated with an increased risk of medical conditions that can also affect sleep – like arthritis, respiratory disorders, and neurological conditions that can cause pain, discomfort, or breathing difficulties that interfere with sleep. Older adults would commonly take more prescription drugs, some of which have sleep disturbance as a side effect, such as alpha or beta blockers for prostate problems and high blood pressure, ACE inhibitors used for blood pressure and heart problems, some antidepressants, and corticosteroids for inflammation.

Work with nature

Have you heard of the circadian rhythm? The circadian rhythm is a finely tuned, natural biological process that regulates the sleep-wake cycle in humans. It is often referred to as the body's internal clock, as it controls the timing of various physiological processes, including sleep, hormone production, and metabolism.

If you want to improve sleep, you need to understand the role that the circadian rhythm plays.  Blue light is the most important factor in regulating the circadian rhythm. For millennia, these rhythms followed the natural daily light pattern, from sunrise in the morning to sunset in the evening. But, thanks to the invention of artificial light, electronics and our modern always-on society, this natural pattern has been disrupted.

Blue light has the greatest impact on the circadian rhythm. You need the right amount of it at just the right time to keep in balance.

You want more of it in the morning, when you’re bright and ready to start the day, and less of it in the evening so your body can increase levels of melatonin, the hormone that facilitates a good night’s sleep.

Most of your blue light exposure comes from the sun, which makes getting an early morning work in first thing an excellent idea. At the other end of the day, you can see why staring at blue light-emitting screens like TVs, computer screens and smart phones is a terrible idea. Too much blue light can, therefore, confuse that internal body clock. This is why that late-night YouTube or Facebook habit might not be such a great thing for your wellbeing.

You're probably now thinking, that's OK because you have the warm-light function on your phone, but scientists believe that it’s not just the blue light that is a problem with devices like these. Phones and tablets are excitatory for other reasons, too. Screentime activates dopamine, one of the ‘awake’ hormones that leaves you eager to find out ‘what’s coming next?’. That’s why your planned 10 minutes on social media leads you down the rabbit hole.

Make sleep really matter

Sleep is free and you could choose to get more sleep (in theory) at any time you like, and this is why people typically don’t make this a priority. The same goes for other free and health enhancing activities like drinking more water. If you are someone who struggles to sleep enough or wakes up feeling unrefreshed, I invite you to make sleep a REAL priority this week. Throw everything at it for a whole week - make it your number one job – and then see how you feel.

Most of the tips you will read in the next blog you will almost certainly read or heard before and for good reason. They’re established facts. The trouble is that it can feel mighty difficult to do them consistently. So, once again, do every single last one you can for a week and experience what life could be like for you.

Choose a week without much going on; just the regular stuff rather than a week filled with social engagements or a busy work week. Let’s call it the ‘sleep experiment’. Put it in your diary as though it were an important engagement. Getting into good habits (people often refer to this as ‘establishing good sleep hygiene’) is the of the very best gifts you can give yourself.

And if you’re continuing to have issues with your sleep, why don’t you get in touch for a free health review? We can look at what might be underlying and see if we can get you sleeping better.

Six Steps to Blood Sugar Balance

Blood sugar balance is something I work on with *every* client. It is the key to feeling more energised, avoiding that mid-afternoon slump and losing weight. You only feel better with it!

Following these main tips are first steps:

• • 3 meals a day, no snacks
  • Protein with every meal (and snack if you have one)
  • Watching the quality and quantity of your carbohydrates
  • Watching caffeine and alcohol
  • Meal timings - trying to eat your meals within a 10-hour window

However, there are some simple hacks that can help you feel more balanced and can keep you on your health path:

• EAT VEGGIES TO START WITH
  • This means that you are lining your gut with gorgeous fibre and stopping the glucose from being absorbed too rapidly.
  • Think: asparagus, kale, courgette, peppers, broccoli, lettuce, tomatoes, as well as pulses and beans, and even, at a pinch, coleslaw. 
  • You can even do as the French do and have a light green salad before your meals. 
• START WITH THE APPLE CIDER VINEGAR: 
  • Research shows that vinegar before meals may help people on a weight-loss diet. 
  • Just drink a tablespoon of vinegar in a large glass of water just a few minutes before eating.  I’d start with just a teaspoon to begin with and build up.
  • But if you’re really not keen, why not add a vinaigrette dressing to your salad starter.
• DITCH THE SWEET – BREAKFAST SAVOURY: 
  • Have you ever noticed that when you eat sugary breakfast cereal, you’re nearly always hungry again within the next couple of hours? 
  • What you eat first thing massively affects your blood sugar levels for the rest of the day.
  • So starting with a savoury option can be really helpful. Think: eggs, full fat Greek yoghurt, nut butter, nuts& seeds, protein powder, tofu, meat, and fish.
• TAKE A WALK AFTER EATING:
  • That post-Sunday-roast walk is a brilliant idea. 
  • 10 to 20 minutes is enough to reduce blood sugar spikes.
• EAT FOOD IN THE PROPER ORDER:
  • Rather than going for your faves, the ‘proper order’ is: fibre, protein, fat, then carbs and sugars.
  • If we eat veggies first at meals, the fibre in the vegetables helps to slow down the rapid absorption of sugars into our bloodstream.
• ALWAYS DRESS YOUR CARBS:
  • If you pair carbs with protein and/or fat it can be an effective tool for helping us to feel satiated and balance blood sugar levels, especially if we are insulin resistant.
  • This is because when it is combined with protein and/or fat, the glucose from a carb food is absorbed more slowly and evenly into the bloodstream. 
  • Protein and fat also help to delay digestion, which means you’re fuller for longer. 

If you’d like to know more about blood sugar balance and how it can help your health, why not get in touch? You can book a free 30-minute call with me here.

Blood Sugar Monitoring: What is it and how does it work?

You’ve probably seen folk online talking about continuous glucose monitors (CGMs). Perhaps you’ve seen the adverts for the Zoe programme. Or else you might well have spotted people wearing a little white disk on their upper arm and wondered, what’s that all about?  Then there are those devices you can blow into to measure your metabolic health, and let’s not forget the time-honoured finger-prick blood tests to check out your blood glucose or ketone levels. Want to know how all of this relates to you and, of course, whether you should invest in one? Read on. 

What do these devices do?

Whether you’re talking CGM, Lumen or a blood glucose monitor, the reason people are using these devices is that they want to know what their blood sugar levels are. For some, this is a medical necessity. They have been told they have diabetes, for example, and want to get back in control of their glucose levels or, for type 1 diabetes, they need real-time information to work out how much insulin they need to dose. Since very high sugars are dangerous to the body and very low sugar levels (hypos) can be life-threatening, these monitors can mean the difference between life and death. 

Over the last couple of years, more and more people who are simply interested in their health are investing in them. These might be people who have been told they have prediabetes and who want to reduce the risk of developing type 2 diabetes, or those who are looking for answers to why their energy is lacking, or they’re struggling to lose weight, or maybe even those people who love getting data on what their body is doing. 

Blood glucose monitors

These pocket devices have been around for years, and you can buy them from pretty much every pharmacy and online. They usually come in a kit with a lancing device that spikes your finger, releasing a little drop of blood and a pack of testing strips. You insert a glucose testing strip into the machine and drop the blood onto it and, within seconds, you have your reading. 

Diabetic patients would test their glucose levels at different points in the day, perhaps first thing in the morning (this a good general indicator of blood sugar management), right before a meal and then 2 hours after a meal (when levels should fall back to the baseline level). If you don’t have diabetes, but you have prediabetes or you just want to know what your body is telling you, it’s most likely you’ll measure first thing in the morning, just after you’ve got out of bed and before having a morning cuppa or anything to eat. This is your fasting glucose reading. 

Your doctor may routinely have taken a fasted reading like this if you’ve ever had blood taken. It’s considered a reasonably poor measure of your blood sugar levels but the essential thing to note is that it is just one moment in time – literally the time you pricked your finger – and it might have been different yesterday and it might be different tomorrow. This is why having your own kit can be helpful, and it is also why doctors who are genuinely interested in what your blood sugar levels have been doing over time would test your HbA1c. 

HbA1c stands for haemoglobin A1c, which is a blood test used to measure the average blood sugar levels over the past three months. Haemoglobin is a protein found in red blood cells that carries oxygen to different parts of the body, and glucose can attach to it, forming a "glycated" haemoglobin molecule.

The HbA1c test measures the percentage of glycated haemoglobin in the blood, reflecting the average blood sugar levels over few months. This is why it’s more interesting for medical professionals to know what this number looks like for their patients rather than a single measurement taken on the one day they were in the blood test centre. You can get your HbA1c done privately and relatively inexpensively. It’s a test I often recommend to my clients. 

You can also buy similar monitors to measure your ketone levels if you’re a fan of the ketogenic diet. Some machines can measure both and you would need different strips to measure ketones to the ones you use for glucose. Otherwise, the machine works in the same way. The drop of blood, in this case, indicates whether you are in ketosis or not. 

BLOOD GLUCOSE READINGS: 

Morning fasting glucose levels should be between 4mmnol/L and 5.4mmol/L (72 to 99 mg/dL) for non-diabetics. 5.5 to 6.9 mmol/l (100 to 125 mg/dl) may be indicative of prediabetes. 7.0 mmol/l or more (126 mg/dl or more) may suggest diabetes. I

f you are measuring your fasted sugar levels and get a reading you don’t like, don’t jump to conclusions. If you have a few consecutive readings, make an appointment to see your doctor. There are a few things outside of food and drinks that have an impact on blood glucose readings, not least stress.

BLOOD KETONE READINGS:

Nutritional ketosis begins at 1.0 and an optimal therapeutic zone is between 3.0 and 5.0. 

Continuous glucose monitors (wearable blood glucose monitors)

When you see someone wearing a little disc attached to their upper arm, chances are, it’s a continuous glucose monitor (CGM) or, more specifically, a related device called a flash glucose monitor (FGM). The two terms are used interchangeably although there are some very subtle differences in the way they fetch their readings.

Both devices are designed to monitor blood glucose levels. A CGM continuously tracks glucose levels in real-time and provides continuous updates to the user throughout the day and night. It can also talk to insulin pumps. 

In contrast, a flash glucose monitor (like those used with the Zoe programme or the popular brand FreeStyle Libre), takes some automatic readings but it also requires the user to scan a small sensor worn on the skin with a reader or a smartphone app to get the glucose readings. The readings are stored on the sensor and can be reviewed later to get a general idea of glucose trends over time. It can only store eight hours of data, so users typically have to ensure they scan before bed and shortly after they get up just to make sure readings have been taken and there are no gaps in data. 

If you are diabetic, you might be entitled to a device on prescription. If you are simply interested in your metabolic health, you will not. You can take part in the Zoe programme, which also includes a stool test, but there is often a wait of a few months before you can participate and you pay for the programme upfront, making it quite pricey. You can also buy the FreeStyle Libre device from selected pharmacies and also directly from the manufacturer Abbott. Monitors last 14 days and cost between £55-75 each. 

Or alternatively, you can come and work with me. I often use CGMs with clients with blood sugar imbalance or insulin resistance, for example, women in menopause or with PCOS, or for those who are looking to lose weight. I’ve found the information that a CGM can provide about an individual’s reaction to certain foods can really help to personalise their programme. Plus, we can also see the effect that exercise, stress, sleep and relaxation might be having on their blood sugar levels, and subsequently their metabolic health. 

If you’d like to know more about blood sugar balance and the tech you can use to help with it, why not get in touch? You can book a free 30 minute call with me here.

Recipe: Barbecued Harissa Sardines

These small fish are packed with nutrients that can be beneficial in the prevention of quite a few health conditions. Some of these nutrients are known to help prevent heart disease or may protect against certain cancers.

Sardines are sometimes recommended for pregnant women and older adults. They contain calcium and omega-3 fats.

Serves 8

Ingredients:

8 sardines (or mackerel fillets)

1 heaped tbsp harissa paste

extra virgin olive oil

juice of 2 lemons

natural yoghurt, to serve

chopped coriander and parsley (optional)

Method:

• Mix the harissa paste in a bowl with a glug of olive oil and the juice of one lemon. 
• Gently massage the mixture into each fish. Place on the barbecue and cook for a minute or two on each side, brushing with more harrissa if desired. Turn the sardines very gently. 
• You can tell if they are cooked if you can pinch the flesh from the thickest part fairly easily. 
• Put all the fish on a platter, scatter with fresh herbs, a large squeeze of lemon and bowl of natural yoghurt with a dollop of harissa in the middle.
• Enjoy!