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The South Beach Diet

I'm Bipolar Journal - August 2003

by Marcia Purse

Why diet? Because from 1994 to 1999 I gained 60 pounds on Prozac and other medications prescribed for my bipolar disorder, and a lowfat diet and increasing exercise have failed to do any good at all. And why the South Beach Diet in particular? Glad you asked ...

  1. My family history includes a great deal of heart disease and related issues, and I'm already on medications for two of those - high cholesterol and high blood pressure - and the South Beach Diet was developed by a cardiologist initially for heart patients.

  2. There's also a history of diabetes in my family, and South Beach is very conscious of keeping a healthy blood sugar level.

  3. My doctors had recommended a modified Atkins diet, but frankly, what I've read about Atkins scares me. I just don't see how it can be healthy. The South Beach Diet eliminates the starchy carbohydrates that raise blood sugar but not healthy ones like vegetables, and focuses on the "good," monounsaturated fats.

  4. Plus - Kimberly, my partner in this site, had started the South Beach Diet just a few days before I was ordered to start dieting!
It took awhile for me to adapt to the diet - and vice versa. I'm not a cook. I hate cooking. I'm also a somewhat picky eater. My mother complains about how much she has to read labels at the store to make sure what she buys doesn't contain onion. (I tell her she can buy stuff with onion if she eats it and I don't.) Our fridge, freezer and pantry were stuffed with food not allowed on the South Beach Diet - low-fiber bread, potatoes, rice, white-flour pasta, Hostess mini-muffins - and very short on the foods the diet permits. I had to do a lot of shopping ... and a lot of experimenting.

Here's a comparison table - on the left, typical meals from before I began dieting, and on the right, typical meals on the diet.

BEFORESOUTH BEACH
Breakfast
Can of Slim-Fast Dark Chocolate RoyaleScrambled eggs
Small can of V-8
Morning Snack
None1 Part-skim mozzarella stick
Lunch
Sandwich on medium-fiber bread:
*Brummel & Brown spread
*Lowfat mayonnaise
*Lowfat turkey breast slices
*Lettuce
Water
Large salad:
*Lowfat chicken chunks
*Lots of Romaine lettuce
*Feta cheese
*Chopped tomatoes
*Olive oil
*Lime juice
Water
Afternoon Snack
Nonfat cottage cheese
Del Monte "Fruit to Go" sliced peaches
Nonfat cottage cheese
(I really miss those peaches)
Dinner
4 ounce pork chop
Applesauce
Small muffin (or two)
New potatoes
Brummel & Brown spread on the two above
Cauliflower with "I Can't Believe It's Not Butter" spray
Skim milk
Salad
4 ounce pork chop
Huge serving of cauliflower with "I Can't Believe It's Not Butter" spray
Water
Salad
Ricotta crème dessert

The diet on the left contains a lot more of the types of carbs that convert to sugar and then fat. Slim-Fast, for example, has 40 grams of carbohydrate: 5g fiber and 35g sugars. It may be lowfat - but it's definitely NOT South Beach material.

Problems I've Encountered

First is a logistical problem - I am not a morning person. My preferred routine is to get up at 7:00, get dressed, have a cup of coffee and a cigarette, then stare at the computer screen, slowly allowing the glue to seep out of my brain, until 8:15, when I put my makeup on, gulp down my meds with the aforementioned can of Slim-Fast, and leave the house at 8:35. (Mom would make my sandwich, the way she used to do for my dad long ago.)

But now - ye gods! In the time when once I de-glued my head, now I have to fix or reheat and eat, not drink, breakfast, and put together my luncheon salad and afternoon snack. (Salads, in my opinion, are soggy and nasty if kept overnight in the refrigerator - they have to be made fresh in the morning.) It's not working. I have been late to work more often than not for three weeks, and often arrive without makeup because I forgot it.

Second - I keep cheating with chocolate. I'm sure I'd have lost more weight by now if I weren't a chocoholic.

Physical adjustments - on the second day of the diet I had a stomach-ache all day, and on the third, an all-day headache. This was my body adjusting to a radically different intake of starches and sugars and a lower, more stable and healthier blood sugar level. Since then, I have had ongoing problems with sleepiness, apathy of lack of energy that I now believe are related to the new blood pressure medication, Tenoretic, that I started taking the same day I began the South Beach Diet. (I have begun to tinker with my night-time medications and the time of day I take Tenoretic to see if I can minimize this problem, because it's getting worse instead of better. I'll talk to my psychiatrist about the issue on Thursday.)

Success!

In two weeks of Phase 1 and a week of Phase 2 (where certain carbohydrates such as some fruits and high-fiber bread are slowly incorporated back into meals), I've lost 8 pounds! What? No cheers? No congratulations? Come on now - I haven't been able to lose this much in so short a time in all the time I've been trying to lose weight, and that's several years now. Let me hear you cheering!

I'm Bipolar Journal
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