Food is the most powerful medicine

Round & About

Round and About

We all know that the NHS is under considerable pressure. The cost of diabetes alone to the NHS is over £1.5 million per hour, says Diabetes UK. The conventional medical view on type 2 diabetes (T2D) is that this condition is irreversible and requires long-term medication to control.

T2D typically responds very well to specific dietary and lifestyle interventions. Working in collaboration with their GPs, I have seen, firsthand, clients come off/reduce their diabetic medications by making substantial changes to their diets and lifestyle.

I am therefore somewhat perplexed by the fanfare that has surrounded the results of a very recently published randomised controlled trial in The Lancet, that has concluded that after the participants focused on a weight loss programme for 12 months that ‘almost half achieved remission to a non-diabetic state and off antidiabetic drugs. Remission of type 2 diabetes is a practical target for primary care’. This is great news, but not new news. There is considerable existing evidence to suggest that calorie restriction (in particular carbohydrate restriction) is one of the most beneficial approaches to optimally managing diabetes, which, after all, is an intolerance to carbohydrate. Obviously any such intervention does need to be carefully managed by a suitably, qualified health care practitioner in conjunction with the client’s GP/medical consultants. The reality is that standardising this type of approach, has the potential to save the nation around £7 billion.

It is time to stop simply focussing on how much more money the NHS requires and really start thinking about reducing overall load on the system, by using well-managed dietary and lifestyle interventions that are supported by unbiased science. Food is one of the most powerful medicines known to human kind.

Call Mark BSc (Hons) BA (Hons) mBANT CNHC on 01183 219533 or visit www.entirewellbeing.com

Mulch in March

Cherry Butler

Round and About

A mulch is a soil covering of thick organic matter, such as bark or inorganic membrane, which helps to control weeds, keeps in moisture and retains soil structure.

Why mulch now!?

It looks nice and is better to walk on than bare soil. It also keeps annual weeds at bay (by smothering them) and helps reduce evaporation, keeping valuable moisture in the soil and protecting it from summer sun. Mulching also keeps plants clean (preventing soil from splashing on them in the rain), provides an excellent habitat for soil fauna and can feed the soil (depending upon material). It’s also a great way of recycling and composting and essential for reducing maintenance!

Choice of materials

Think carefully before using weed membrane; it’s an excellent solution for under gravel; large areas awaiting planting like an allotment. But don’t cover your whole garden in it because weed seeds germinate through it and you end up with a bigger problem! Fresh bark and wood chips can rob the soil of nitrogen; it is better to choose products already been composted. Fresh manure can be too strong and burn young stems, so ensure it’s well rotted. Spent mushroom compost contains lime so beware of this around acid-loving plants such as rhododendrons and camellias. Garden compost can spread weed seeds and slugs but we should all be composting kitchen and garden waste and returning to the soil (vis. my November article). All gardens benefit from the addition of organic mulch like manure or garden compost every year, ideally twice a year.

Cathie’s garden army and consultancy

Cathie can spend half a day in your garden identifying plants, advising on planting and design as well as helping you with tasks such as pruning. Lost control? Cathie’s qualified garden army can transform your garden in a day following a consultancy. New for this year, ask Cathie about small and exclusive RHS groups for dedicated students! Email [email protected], visit www.cathiesgardeningschool.co.uk and follow Cathie’s Gardening School on Facebook, Instagram and Twitter.

Bright Ideas

Liz Nicholls

Round and About

As winter rolls into spring, hunger strikes as our animal instinct is to fuel up. Our stomachs hanker for warm and comforting, yet nourishing food. Recipes from Katie Kingsley.

Blood orange margaritas

Refreshingly delicious, even sans alcohol. Prepare a jug of this to accompany your premier barbecue of the year and, even if the sun isn’t shining, your guests will bask in its nectarous harvest.

Chill glasses while you prepare the drink. Juice enough blood oranges to yield 300ml of juice, add 100ml of fresh lime juice and mix. Pour a small amount of honey on to a side plate and use a pestle and mortar to grind together 1 tbsp of salt flakes with 1 tbsp of demerara sugar to a course powder. Zest half a blood orange and add to the salt and sugar, using your fingers to rub to release the oils from the zest. Pour the juice, (two parts tequila and one part Cointreau or Triple Sec) into a cocktail shaker with ice and shake for 20 seconds. Take your chilled glasses and dip first in the honey then the salt and sugar mix before carefully pouring the cocktail into the glasses. Enjoy chilled or with crushed ice.

– Tip – Use a dash of orange bitters, sugar syrup or jalapeno sugar syrup depending on your personal tastes.

Ricotta and spinach gnudi

Lighter than you might expect and “nude” because the mix is a popular ravioli filling without the pasta jackets. I like to make these as a starter at this time of year when spinach emerges as one of our first spring crops. Feel free to adopt nettle tops if you can forage them! Place about 300g of spinach into a pan and pour over boiling water to wilt.

Transfer to a colander and when cool enough to handle, squeeze out as much liquid as possible and chop finely. Place 200g into a bowl then pour over 30g of melted butter and mix. Place 200g of ricotta into a large bowl, sieve over 100g of plain flour, add three egg yolks, 150g of grated Parmesan and half a grated nutmeg. Add the buttery spinach and combine but try not to over-mix. Check the seasoning, adding salt or pepper if needed, then refrigerate for at least an hour. Lightly flour a chopping board and bring a pan of salted water to a boil then use two spoons and the palms of your hands to help you create small balls (somewhere in between gnocchi and a golf ball) placing on the floured surface as you go. Cook in batches taking care not to overcrowd the pan and boil gently for five or six minutes and they have risen to the surface. Drain on kitchen paper and dress the little gnudi in a simple sage butter for all-round scrumptiousness; toss in melted butter and fresh sage until the sage turns crisp and serve with Parmesan.

Poached fish with creamy saffron leeks

If you want to see your future husband, sleep with a leek under your pillow but, if you want to reap the benefits of not only its mystical powers but hugely nutritional benefits, then this recipe is a great way of utilising this fine vegetable at its best. Try to choose a fish that is sustainable; shellfish such as mussels or scallops would also work well with this sauce.

Finely chop a shallot and sauté in a knob of butter for a few minutes before placing your fish fillets on top. Pour over 100ml of fish stock and 100ml of white wine then place a tight-fitting lid on the pan and bring to a boil. Once at a rolling boil, reduce heat and simmer for a minute or two. Remove lid and carefully transfer the fish on to a plate covered with foil so it continues to steam and keeps warm. Pour your poaching liquor into a measuring jug and pour 150ml back into the pan with a pinch of saffron threads, simmer for a few minutes before adding a small squeeze of lemon juice, a knob of butter, three finely sliced leeks and continuing to cook for three minutes, adding more poaching liquor if the pan gets a little dry. Add about 150ml of double cream and season to taste then stir through a handful of basil, cut into thin ribbons. Transfer your fish on to heated plates and spoon over the creamy leeks, serving immediately.

Winter Fuel

Liz Nicholls

Round and About

As the chill of winter bites, hunger strikes as our animal instinct is to fuel up. Our stomachs hanker for warm and comforting, yet nourishing food. Recipes from Katie Kingsley.

Saucy lamb shanks

This is a great alternative to a Sunday roast and guaranteed to satisfy at a dinner party. There is enough sauce for six lamb shanks, if you wanted to serve more people. I think these are delicious on a bed of risotto Milanese. Ultimate comfort food!

Preheat your oven to 180°C. Rub rapeseed oil into four lamb shanks and season well. Heat a pan to a medium-hot heat and brown the shanks all over (about two minutes on each side) then set aside. Add more oil to the pan if it is a little dry and then add your sofrito (two celery stalks, two carrots and a large onion) all chopped fine with four minced garlic cloves. After about five minutes and as the vegetables begin to brown, add 5 tbsp of tomato paste, cooking out for a few minutes before then adding 400ml of red wine, 200ml of white wine, 3 tbsp of white wine vinegar, leaves from a sprig of fresh thyme, two bay leaves, 2 tsp of black peppercorns, 2 tsp of juniper berries, five chopped anchovy fillets then bring to a boil and cook for five minutes to burn off some of the alcohol before adding 500ml of chicken stock.

Add your shanks to the pot returning to a boil before securing the lid and placing in the heated oven for one hour (or simmering on the hob). Remove the lid and continue to cook the lamb at a gentle simmer for three hours or until very tender, turning every half hour. The meat should be falling off the bone. Carefully remove the shanks and pour your braising liquid through a sieve, discarding the solids. If you want to thicken the sauce, simmer this down for longer then serve your shanks on a bed of risotto Milanese and pour over your sauce.

Smoked haddock and corn chowder

An excellent mid-week supper, really simple to put together, wholesome and nutritious, it ticks all the boxes! This can also be adapted to keep it seasonal, peas, asparagus, spinach or diced tomatoes are great additions, frozen sweetcorn is respectable instead of fresh and tarragon or dill can be used instead of or in addition to the thyme.

Melt a generous knob of butter in a deep pan, (I use a casserole) then add four finely sliced leeks. Sprinkle over your chosen herb (thyme leaves, chopped tarragon or dill) and cover with a circular piece of baking paper big enough to tuck down around the sides of the leeks. Put the lid on your pan, cooking the leeks for 10 minutes then lift off the lid and paper, add sweetcorn from two cobs and 250g of halved new potatoes, place the paper back on top, tuck around the edges again, replace lid and cook for a further 10 minutes.

While this cooks, poach a 300g piece of smoked haddock in whole milk (enough to cover the haddock in a small pan) with two bay leaves and a sprinkle of peppercorns for about 8 minutes. When cooked, empty the pan contents over a sieve, reserving the milk. Discard the pepper and bay leaves then remove any skin and break up the fish with your hands into chunks taking care to remove any bones. Remove the lid from your vegetables then add the haddock and milk bringing to a simmer then finish with a handful of freshly chopped parsley. Serve in bowls with crusty bread.

Rhubarb pudding

This dessert is not overly sweet, the sharpness of the rhubarb follows both recipes well as it cuts through the richness. I like to serve this with ice cream or thick cream. Make sure you bake the pudding in a shallow dish that fits into a roasting dish as you will need to bake it in a bain marie.

Preheat oven to 170°C. Trim and cut rhubarb stalks into 4cm pieces (you need about 600g) then lay them in an ovenproof dish. Scatter over 50g of caster sugar and 3 tbsp of water then bake for 20 minutes until the rhubarb is tender but intact. Butter a shallow two-litre baking-dish then carefully remove the cooled rhubarb with a slotted spoon and place in the dish. Separate three large eggs and beat the yolks with 175g of caster sugar until pale and light. Add the zest of two lemons and juice from 1 then fold in 75g of self-raising flour and 150ml each of single cream and milk. Beat the egg whites with 1/2 tsp of cream of tartar until stiff and glossy then fold into the batter with a large metal spoon. Pour the batter over the rhubarb and set the baking dish into a larger dish (such as a roasting tin) then pour in boiling water to reach halfway up the sides of your baking dish. Bake for an hour until puffed and golden, sift icing sugar on top and serve warm.

Irises in February?

Cherry Butler

Round and About

Winter and spring

The iris in flower during the winter months is iris unguicularis. It’s low-growing, pale mauve and even scented! During February and March the delightful Iris reticulata and Iris danfordiae come into their own in an array of mauves, blues, creams and yellows. It’s a miniature bulb so perfect for the rock garden or containers. There are many new hybrids available on the market.

Summer into autumn

Iris germanica or the bearded iris is probably the most widely recognised but often in the wrong place. They grow from rhizomes which they enjoy being baked in the sun on poor sandy soil. The range of colours is infinite! Cultivars like Cruise to Autumn, Autumn Princess and Autumn Circus as their name suggests can flower much later in the year so look out for them to extend the season.

Irises in the wet?

The yellow flag iris I. pseudacorus is a familiar sight grown as a marginal in ponds. I. sibirica can be grown in the bog garden. Both make large clumps and can be divided readily.

Surely not shade too?

Yes a few irises will grow wild in woodlands and hedgerows, notably I. foetidissima with its pale flowers followed by bright orange berries. Often called the stinking iris as when you cut it back the leaves are somewhat pungent!

Consultancy & Cathie’s Garden Army

I can spend half a day in your garden identifying your plants and teaching you how to look after them. I can advise also on planting projects and design as well as helping you with tasks such as pruning. If you have lost control of your garden completely we are here to help! A qualified team of can transform your garden in a day following a consultancy.

RHS courses

New for February small and exclusive groups for dedicated students! Email [email protected], visit www.cathiesgardeningschool.co.uk and follow Cathie’s Gardening School on Facebook, Instagram and Twitter.

Treating urinary tract infections (UTIs)

Round & About

Round and About

Urinary tract infections (UTIs) are very common, especially in women. It is estimated that one in five women will have a UTI at some point in their lifetime and once you have had one infection you are much more likely to have another. The standard medical treatment is with antibiotics. The problem with antibiotic treatment is that, while it will tend to work in the short term (and is often an essential treatment to avert a more serious infection of the kidneys), there is an increased risk of developing imbalances in the beneficial bacteria (microflora of the gut and urinary tract). Antibiotic resistance has also recently been described as a significant threat to our future health by Professor Dame Sally Davies – England’s Chief Medical Officer).  Microflora disturbance and growing antibiotic resistance mean UTIs often reoccur.

Thankfully numerous clinical studies indicate several natural substances work well to help prevent UTIs and there is also considerable evidence to suggest they can work very effectively even in acute infection scenarios, as long as the intervention is initiated as soon as an infection is suspected.

The best studied natural agent to help with UTIs is D-mannose (a simple sugar, from any good health store), which also helps with infections caused by E.coli bacteria(as is the case with the majority of UTIs). When however E.coli is not the cause, the use of D-mannose is unlikely to help. A number of other bacteria can cause UTIs; often it is possible to find out which bacteria are involved through testing.

Another reason to consider, if natural compounds such as D-mannose do not work, is biofilm issues. Biofilms surround a collection of bacteria that are attached to the body, effectively creating a shield that protects them from being attacked/controlled – this makes this type of infection very difficult to control. The key to breaking this cycle is to therefore disrupt the biofilm, which can be done using specialised enzymes.

Call Mark BSc (Hons) BA (Hons) mBANT CNHC on 01183 219533 or visit www.entirewellbeing.com

Sinless Sensations

Liz Nicholls

Round and About

With all the good intentions that emanate with the New Year, our tastes turn to fresh flavours, writes Katie Kingsley.

Minestrone

My family love this soup, it’s a great way of giving everyone a healthy dose of vegetables. A lovely warming supper for chilly nights and sore throats, too!

Heat 2tbsp olive oil and knob of butter in a frying pan. Cook 150g smoked, cubed pancetta until golden then add two finely diced onions. Add three minced garlic cloves for the last few minutes of cooking the onions, when they are starting to brown. Finely chop three carrots, two celery stalks and two skinned tomatoes then add to the pan, sweat the vegetables for about 30 minutes with the lid on the pan, stirring occasionally then add 1.5 litres of chicken stock and 2tbsp of tomato puree, simmer for another 30 minutes with the lid on. Finely chop two leeks and a quarter of a green cabbage and add to the soup with 100g of small pasta shapes and continue cooking uncovered for 10 minutes or until the pasta is cooked. Finally check the seasoning, stir through a handful each of torn basil and chopped parsley and serve with plenty of grated parmesan.

Salmon en papillote

This is a simple, fresh dish to add to your weekly repertoire that’s real healthy fast food and no washing up. I like to serve this with steamed Chinese vegetables and rice or noodles.

« Tip – I like to add half a lemon to my rice when cooking then squeeze it to taste and stir it through the rice when cooked.

Heat oven to 180°C. Place your salmon fillets in the middle of parchment paper measuring about 30 x 40cm. Finely slice a few handfuls of mange touts diagonally then place atop the fillets. Slice a two-inch piece of peeled root ginger into very fine matchsticks and lay over the mange touts then finely slice four spring onions and lay over the ginger. Carefully pour 1 tbsp of soy sauce and 1 tsp of mirin over each fillet then use an egg white to brush around the edge of the paper and carefully fold to enclose so the salmon has room to steam in the airtight parcels. Bake in the oven for 20 minutes.

Pear tarte tatin

If your resolution is to cook more and save money on expensive cake then this one’s for you. This can’t look anything but magnificent, in fact the more rustic the better and it takes only 10 minutes to put together. Pears, apples or pineapples all work beautifully in this tart.

Heat oven to 200°C. Add 150g of golden caster sugar, 50g of unsalted butter and a small pinch of salt to a cast iron skillet with a squeeze of lemon juice and cook for about five minutes over a medium heat until it turns a deep golden. Leave to one side as you prepare your fruit. Peel three or four firm pears, halve and core then place each half cut side-down and slice along vertically four times, leaving it connected at the top. Fan the pears out and place in the caramel then cut a circular piece of puff pastry just bigger than the size of your skillet and place over the pears, tucking around the edges. Cook for 20–25 minutes until puffed and golden. Invert on to a plate carefully while still warm. If you have excessive juices, you can always reduce them in a pan and pour back over the tart.

Delightful Daphnes

Cherry Butler

Round and About

Daphnes vary greatly in size, colour and cultivation requirements. Every garden should have one, although they are not really happy in containers. Most prefer a sheltered situation in dappled shade and do not like hot sun. They do best on well-drained moisture retentive soil with plenty of organic matter incorporated. They do not tolerate drought or waterlogging but are well worth the effort!

Daphne mezereum

This is upright and deciduous growing up to a metre high and wide if it’s in the right place. It has fragrant pink flowers in the winter followed by red berries. It prefers a sheltered position in partial shade but can be grown in the sun if the roots are shaded.

Daphne odora ‘Aureomarginata’

An evergreen bushy specimen with creamy margins to the leaves. It tends to flower in late winter or early Spring with dark pink flowers that have a scent living up to it’s name. It’s not keen on drastic pruning and can get to about 1.5m in dappled shade.

Daphne bholua ‘Jacqueline Postil’

I first saw this at Wisley and was completely knocked over by the scent. It really is the queen of Daphnes growing up to 2m in a sheltered shady situation.  As with all Daphnes established plants should not be moved. It flowers in the depths of winter and the scent is intoxicating.

Horticultural consultancy 

I can spend half a day in your garden identifying your plants and teaching you how to look after them. I can advise also on planting projects and design as well as helping you with tasks such as pruning.

Cathie’s garden army

If you have lost control of your garden completely we are here to help! A qualified team of horticulturists can transform your garden in a day following a consultancy. Email [email protected], visit www.cathiesgardeningschool.co.uk and follow Cathie’s Gardening School on Facebook, Instagram and Twitter.

Some problems with coeliac disease

Round & About

Round and About

Coeliac disease (CD) is not a minor ‘intolerance’ to gluten, it is an autoimmune condition in which the body’s immune system attacks the small intestine, reducing the ability of the body to absorb nutrients from food. If left undetected, CD has the potential to cause significant long-term health complications. CD is one of the most common lifelong disorders in north America and Europe and only one in eight coeliacs are ever diagnosed. These are disturbing facts.

Diagnosis of CD currently requires a positive blood test and then subsequently the detection of damage to the small intestine via an endoscopy. The first problem is that less than 50% of coeliacs are presenting with the classical symptoms of diarrhoea and abdominal cramping. The majority of coeliacs are ‘silent’ in their presentation – no overt digestive symptoms but signs and symptoms including anaemia, osteoporosis, arthritis, neurological degradation, depression, fertility issues, migraines and chronic kidney disease. This is likely to have a significant impact on whether testing for CD is even considered.

The next potential issue is with the blood testing itself. The standard NHS test for CD is good if you are presenting with significant damage to the small intestine and your immune system is functioning properly. We know, however, that damage to the small intestine is gradual and can take years or even decades to manifest; the immune system is often underperforming and the markers measured for are not broad enough. This can lead to very high rates of false negative results (up to 70%), which is dangerous if you are told it is fine to consume gluten when in fact it is not! Remember you have to be eating gluten and not taking any steroid or immune-supressing medication for any blood test to have half a chance of picking up an issue.

Finally, it is possible to have positive blood markers for CD and no small intestine damage – ‘latent’ CD (over and above the fact that the biopsies can often miss ‘damaged’ areas of the small intestine). Is it any wonder CD is such a poorly diagnosed and managed condition?

Call Mark BSc (Hons) BA (Hons) mBANT CNHC on 01183 219533 or visit www.entirewellbeing.com

Comfort & Joy

Liz Nicholls

Round and About

December is crazy-busy for one and all so Katie Kingsley created recipes that sparkle without imprisoning us in the kitchen, away from the well-deserved merriment!

Maple Roasted Brussels sprouts with honeyed chorizo

We are not a sprout family but this recipe has converted us. Leave out the sprouts if you must and just try the honeyed chorizo as a tapas with a drink… it will definitely be on our table this Christmas, jewels of deliciousness!

Heat oven to 200°C. Halve about 1kg of Brussels sprouts then toss in 3tbsp of rapeseed oil, 1 tbsp of maple syrup and season. Bake for 40 minutes in a pre-heated oven, turning halfway through cooking until crisp and golden. In the meantime, chop or break up (for tapas, double or triple the quantity) 100g of chorizo and toss with a drizzle of runny honey, 1tsp of paprika, 1tsp of fennel seeds and sauté for a few minutes until golden. Place 40g of pecans on an oven tray and bake for about five minutes (careful as they burn quickly) then roughly chop and add to the cooked Brussels with the chorizo.

Christmas “Pot Luck” pie

Named so because it is made up of leftover meat, potatoes and veg, so who knows what lurks beneath the puff… only the lunch guests from the day before! A penny-wise, practical pie and a hearty alternative to bubble and squeak after bountiful prosecco consumption.

Heat oven to 200°C. Take a casserole or large saucepan and add 475g of diced chicken thighs (try to keep pieces largish), 200g of halved new potatoes, 200g of cooked ham (again, large chunks are better), three finely diced celery stalks, one leek sliced into 1cm rounds, three cloves garlic (minced), 200ml of chicken stock and 5tbsp of single cream. Bring to a boil then simmer with lid on for about 30 minutes. Drain the mix over a sieve, keeping the liquid for the roux (you will need about 350ml) which you can make up with more cream or milk, if needed. Make a roux by melting 45g of butter in a small-medium sized saucepan, add 50g of plain flour, 1 tbsp at a time, stirring continuously so the flour cooks and forms a ‘glob’ then add your reserved liquor about a third at a time, stirring continuously so you end up with a thick, smooth consistency. Add a grating of fresh nutmeg, a handful of chopped parsley and season to taste then combine it with the pie filling. Leave to cool. Beat an egg yolk with 1tbsp of milk in a small bowl and wet around the rim of your pie dish (about 25cm diameter) and unroll a sheet of ready-rolled puff pastry. Cut a few strips off the shorter end and place around the lip of your pie dish then ladle in your cool pie filling and place the rest of the pastry on top, pinching the edges and cutting off any over-hanging pastry. Brush the top with your egg wash then create designs, if you desire before brushing over these and making a 2cm slit in the middle. Bake in the hot oven for about 25 minutes, when the top should be crisp and golden.

Dutch Christmas log

Pastry and almond with a hint of festive orange, this recipe is very simple to knock-up and great with coffee between breakfast and lunch. Use a pre-made marzipan if you want to speed it up a notch, almost makeable in an ad break! Some good uses for leftover almond paste are to add to mince pies, crumble or stollen.

Heat oven to 200°C. In a large bowl, combine 400g of ground almonds, 200g of icing sugar, two egg whites, 1tsp of almond extract and the zest of an orange. Wrap in cling-film and leave in the fridge for at least 15 minutes. Unroll a sheet of ready-rolled puff pastry and when ready take out your almond paste from the fridge, roll into a long sausage shape along the long end of the pastry sheet leaving a one-inch border on one end and both sides. Whisk an egg yolk with 1 tbsp of milk and brush around the border then fold the two shorter sides over the ends of the sausage and roll so that the seam joins at the bottom. Transfer to a baking tray lined with parchment. Brush with the egg wash and bake for about 25 minutes, or until browned. Gently heat 2 tbsp of apricot jam and brush over the log then sprinkle with chopped toasted almonds and finish with a dusting of icing sugar.