low high carb fuds

8/8/2019 Low High Carb Fuds

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Mushroom Tapenade

By : Karen

Mushroom Tapenade

Makes about 1 cups

1 lbs. mixed, fresh mushrooms, button, portabello, shiitake, oyster, etc.3 Tbsp. extra-virgin olive oil tsp. salt3 cloves garlic, minced6 anchovy filets1 Tbsp. drained capers2 tsp. minced fresh rosemary or thyme - cup extra-virgin olive oilsalt and pepper to taste

Preheat the oven to 425 F. Remove any tough stems from the mushrooms. Toss with the 3 Tbsp.

olive oil and salt. Spread out in a single layer onto a baking sheet and roast for 20 minutes. Somewill be shriveled and this is fine. Let cool.

Place in a food processor with the garlic, anchovies and capers, rosemary or thyme. With themotor running, slowly add the olive oil to form a juicy paste. Taste and season with salt andpepper.

Calories: 2148Fat: 221 gramsCarbs: 30 gramsFiber: 8 gramsProtein: 28

Easy Tuna Spread

By : liz (lizzy38)

1 cup ricotta cheese2 tbs. fresh chopped basil or 2 tsp. of dried.2 tbs. lemon juice2 tbs. sour cream1 can (12 oz.) tuna in water, drainedPlace all ingredients in blender or food processor. Blend on medium speed until smooth.Place this in a mold lined with plastic wrap or in several sm. molds and refrigerate about 2 hrs. oruntil set. Carefully remove from mold and set on serving plate.

Calories 20 carb. 1 gr. protein 4 gr.

You can put this on a wheat thin or by itself on a plate and top it with a sliced tomatoe and alfalfasprout.

Ingredients:


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1 lb very firm tofu (I use one labeled "high protein extra firm")

oil

salt and/or other seasonings

Preparation:

1. Heat about 1/4 inch of oil in a large skillet (I like to use a non-stick pan) .

2. Slice the tofu into rectangles about 1/4 - 1/3 inch thick. They will shrink slightly duringcooking.

3. Place tofu pieces in the pan (if the oil doesn't sizzle, it isn't hot enough yet). Leavesome space between the pieces.

4. Fry each piece until golden brown in the bottom, about 3-4 minutes. You will start tosee the edges turning color. Turn and brown on the other side, about 2 minutes or so.

5. Remove from pan to a cooling rack or absorbant toweling. If using salt or otherseasoning, do it while the chips are still hot.

Serving Suggestions

There are lots of ways to use tofu chips. Here are but a few:

1. Use instead of chips for nachos, by melting cheese over the top and serving withguacamole, salsa, and sour cream.

2. Sprinkle with cinnamon and granulated sugar substitute, then use butter and sugar-free

syrup or jam, similar to French toast.

3. Use similar to crackers as a vehicle for spreads and dips, or as the foundation for

appetizers that might ordinarily go on bread, such as pesto or eggplant spread.

4. Same as above, only sweet - cover with peanut butter and/or sugar-free jam.

5. Sprinkle with hot pepper, or any other spice that strikes your fancy, when hot.DEVILED EGG

Ingredients:

12 eggs, hard boiled 1/3 cup regular mayonnaise 2 T prepared mustard (yellow or brown)

1/4 cup sugar-free sweet pickle relish, or see note above

A few drops of hot sauce

Salt (about 1/4 teaspoon, or to taste)

Pepper to taste

2 T chopped chives (not totally necessary, but good)
http://lowcarbdiets.about.com/od/snacks/r/guacamole.htmhttp://lowcarbdiets.about.com/od/snacks/r/guacamole.htm


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Paprika, sweet, hot, or smoked, depending on your taste

Preparation:

1) Split hard-boiled eggs, and remove the yolks.

2) Mash the yolks with a fork, and mix with the other ingredients.

3) Fill the cavities in the egg white, smoothing the mixture over the top (or pipe it in, orhowever you want to do it).

4) Sprinkle paprika over the top.

Nutritional Information: Each serving (1/2 an egg) has less than half a gram of

carbohydrate plus 3 grams of protein, and 59 caloriesFRENCH TOAST

Ingredients:

2 eggs

4 T ricotta (or cream cheese)

dash cinnamon and nutmeg

2 pkt Splenda

Directions:

Heat frying pan. Mix all ingredients together.

Melt some butter in small frying pan and pour batter in, spreading a little.

Brown on one side, and flip, and brown other side

How the medical system manages patients withsuspected or confirmed heart failure in Hungary

In Hungary, left ventricular dysfunction not causing complaints is generally not

diagnosed. Systematic screening examinations (like echocardiography or brain natriuretic

peptide) are not currently ongoing, however, diagnostic tests (ECG, chest X-ray) forabnormalities are carried out because other indications or evaluation of left ventricular

failure causing disease (hypertension, coronary heart disease, valvular heart disease,

inflammatory states) may reveal subclinical (asymptomatic) left ventricular dysfunction.

Heart failure patients generally turn to primary care physicians to seek help with theircomplaints. This means that the first level of medical care, which most of the time,

besides recording medical history and physical examination, the first ECG, blood count,

routine chemical tests and urinalysis are performed. In the case of patients presentingwith mild, non-typical symptoms the primary care physician may frequently not consider

heart failure. Only typical complaints and severe symptoms warrant suspicion of left

ventricular dysfunction at this level. In the case of acutely presenting heart failure, the


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patient is often evaluated and treated first by the emergency service. Family practitioners

when suspecting heart failure refer patients to higher levels of medical care. The possible

secondary care institutions are the following:

internal medicine or outpatient clinics specialized in cardiology, organized by

territorial assignment; hospitals with cardiology departments;

cardiology center outpatient clinics; regional internal medicine hospital or intensive care units in the case of severe or

acute clinical presentation; and

a small percentage of patients reach tertiary care cardiology centers directly at thislevel since those centers have territorially assigned secondary care obligations.

At secondary level institutions of care there is the possibility to obtain clear-cut diagnosis

of heart failure, assess left ventricular function and evaluate haemodynamic background.

In these facilities cardiology consultants, echocardiography and in some cases isotope

diagnostics are available. To evaluate the exact stage of heart failure treadmill tests areoften used as well as outpatient Holter monitoring for recognition of electrophysiological

consequences. In general, mild or medium clinical stage, heart failure patients and thosewho do not need invasive studies or treatment (cardiac catheterization, electrophysiology

procedures and cardiothoracic surgery) receive care and start treatment at this level.

Follow-up is done by the family practitioner in co-operation with secondary carespecialists.

Recently, drug therapy for cardiac failure tends to follow the up to date standards in most

of the secondary care institutions. Not only digitalis and diuretics but also ACE inhibitors

are given to patients with heart failure, however it is worth to point out in doses

lower than in the large survival studies. Treatment is usually targeted only to alleviatesymptoms; haemodynamic variables are not taken into consideration. Patients with the

exception of nitrates that are widely used ischaemic heart disease are not taking direct

vasodilators or -blockers. Newer agents in clinical phase studies are rarely used.Recently the use of calcium antagonists is pushed to the background at even the

secondary level institutions.

In the case of severe heart failure, inadequate response to therapy, the need of diagnosticor therapeutical devices not available at secondary level institutions and for the above

mentioned invasive procedures, patients are transferred to tertiary centers as in- or out-

patients, currently, there are six tertiary centers serving Hungarys population, three of

them in the capital, Budapest, and the rest in the major regional cities. In these centerscardiac catheterization, coronarography, PTCA, PTA and stenting are routine practices as

well as cardiac-surgery. In addition some of them are equipped with electrophysiology

and molecular biology laboratories. Transesophageal echocardiography is available in allsix centers of Hungary. Only one of the centers is running a heart transplantation program

and the number of operations are very limited (1012/year) primarily due to financial

reasons. Implantation of mechanical devices assisting the left or both ventricles iscurrently unavailable in Hungary.


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At tertiary level, the drug therapy of heart failure is following the 1997 European

guidelines, but it is far from homogenous. There are marked differences in the frequency

of -blocker use, the dosage of ACE inhibitors, the usage of adjunctive directvasodilators, the prevalence of hemodynamics oriented steering of drug therapy and the

spectrum of new methods currently in the phase of clinical studies.

Tertiary centers reroute patients to the primary care physician after fine-tuning their

treatment regime, however by virtue of regular outpatient control visits these patientscontinue to be followed by tertiary care specialists. Often the regional secondary level

institution also takes part in the regular checkouts. In cases of worsening clinical

condition or need of additional studies patients are usually referred back to the regionalcenter.

In Hungary, gerontology care network in its current, inadequately built state, compared to

family care physicians does not play a significant role in heart failure management.

.

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