Keep a food-and-feeling record worth reading back

Tips for keeping food-and-feeling notes that still make sense when you read them weeks later.

By Dr. Loredana Gavrilovici Reviewed

In short. A food-and-feeling record is most useful when it covers many days, ordinary ones included. A believable pattern shows the days behind it and names other things that could explain it.

The answer, with its source

PCOS differs from person to person, and the 2023 guideline for PMOS (formerly PCOS) supports care shaped around your own priorities and shared decisions with your clinician. [1] A food-and-feeling journal is one way to bring your own observations to that care.

Repeated observations can reveal an association in one person’s journal, and an association is not a cause. Food and feelings can influence each other in both directions, while sleep, schedule, stress, cycle timing, medication, activity and chance can shape the same day. So a good record is many days to look back on, not a verdict on one meal.

What that means in practice

For a blank record you can use on paper or in a spreadsheet, download the PCOS food-and-feelings journal template. It keeps meal notes separate from one daily check-in and is not a diagnostic questionnaire.

Log what you ate and check in on how the day felt when you can. Keep incomplete days too. They show the record as it really was, gaps included.

Look back over weeks, not just single days. A rating is best read as the word you chose for that day, which is why Food & Fit keeps each day visible instead of smoothing ratings into a single average. [3]

How it shows up in your Food & Fit record

Food & Fit keeps meals, hunger, cravings, energy and optional symptom and medicine tags together. Its questions pair nutrition and meal timing with hunger, cravings or energy across whole days. Medicine tags are context only. They never enter the statistics, and a pattern’s method note says when they changed during its window.

When a pattern qualifies, Food & Fit shows every day behind it, the frequency on higher and lower days, and other possible explanations. When sleep or cycle context covers most of the paired days, it also checks whether the pattern holds with that context included. The check tells you what was tested. It is not proof, because adjusting for a recorded factor does not fully remove its influence. [2] Read how patterns qualify.

For new, severe or persistent symptoms, speak with a clinician.

References

  1. Monash University (2023). International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2023.
  2. PLOS ONE (2016). Statistically controlling for confounding constructs is harder than you think.
  3. Journal of Experimental Social Psychology (2018). Analyzing ordinal data with metric models: What could possibly go wrong?.

Keep your own record

Food & Fit is a free iPhone journal for women with PCOS. Log your meals and check-ins, then look back at them.