I’m getting older and I have a family risk, and taking care of myself in the best possible way (where “best” sometimes means “good enough”) is something I’m always working on.
And of course, I don’t diet anymore and never will again. So the standard “lose weight to lower your risk” advice just isn’t going to fly with me (sorry, Doc!). I eat as healthfully as I can (knowing I get to determine what that means for me) and move joyfully, but those things don’t make me thinner, just like they don’t make most people thinner which is why people end up going on whackadoodle diets. But I do know that they can help to make me healthier, and hopefully decrease my risk for diabetes.
My Grandmother was diagnosed later in life and ended up living quite a long time despite some seriously flawed self-care over the years, in part due to becoming my Grandfather’s full-time caregiver after a stroke. She had been a life-long dieter who ended up at a much higher weight by the time she was in her 60s. She really did eat like a bird from what I could see, which doesn’t actually surprise me given what I know about how dieting affects metabolism. (Fun fact: this would drive my Mother crazy when she would cook a massive Christmas dinner once a year and Gram would then pick deliberately at it and leave most of it on her plate. Ah, families) All this backstory to say, she had diabetes and she still managed to have a life. I think it’s important to remember that a diagnosis of diabetes does not mean the end of one’s life.
At one of my day jobs, I have done a lot of diabetes education. Not once did I recommend weight loss. Why? Because we know that route, even if it did help with blood sugar control, is temporary at best and usually results in massive disinhibition with food later on which is definitely not good for blood sugar control.
Yet there persists this idea that while Health at Every Size (HAES) and intuitive eating are fine for the perfectly healthy person, it’s simply not doable for those with medical conditions.
I disagree, and so does much of the science. People who have a good relationship to food have been shown to be healthier physically, socially and psychologically. Once a good relationship to food and eating has been established, from there it’s easy to work to improve diet quality (if that’s what’s needed) or add in joyful movement and compassionate self-care.
Back when I ran my Facebook group, time and again, people would post about how they were struggling to manage their diabetes diagnosis or risk (or other metabolic-type condition) without it feeling like they were going on a diet.
I’ll admit, there is an art to this. Nobody knows this better than a HAES RD.
That’s why my friend and mentor Rebecca Scritchfield, author of the non-diet self-care book Body Kindness, and I came up with something we think is much needed in the HAES world. We’ve developed a new VIRTUAL support and education group called HAES Care for Diabetes Concerns.
This 4-week group (done via video conference) is open to anyone with a diabetes diagnosis or risk, or any other metabolic-type condition (hypertension, high cholesterol) and members will get direct support from the two of us.
Group size is intentionally small so that people get the attention they need. We have a few spots left in both tracks (Mondays 9 am and Thursdays 5:30 pm Pacific Time) so we hope you’ll join us.
Check out all the details here: HAES Care for Diabetes Concerns.
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