My husband, Dick, who was diagnosed as a prediabetic several years ago, finally crossed over the threshold. After the latest test (his blood sugar level had once again risen), his doctor delivered the unfortunate news that Dick has joined nearly 26 million other Americans who are diabetic.
Although I've quoted this statistic before, Dick's diagnosis made the numbers real. Moreover, if Dick wants to avoid becoming part of the statistics relating to the health problems associated with diabetes (heart disease, stroke, blindness, neuropathy and so on), no more halfhearted attempts at changing his diet will be acceptable. Besides continuing on medication, Dick needs to lose 40 pounds and change his eating habits.
"The party is over" is how Dick shared the gloomy news with me. Grieving for the favorite foods that he would have to give up (including his nightly dessert) clearly showed in his demeanor. Ever the perky one, I assured Dick that he could eat very well, although he would have to eat mindfully. That is, he would have to pick and choose daily fare and occasional treats.
Like a lot of us, Dick will never count calories. So I gave him two simple rules. First, I suggested he reduce the amount of food he ate (cutting portion size and eliminating second helpings). Second, with nutrition in mind, I suggested he limit each meal to four food items.
Dick chose an egg, a piece of toast (without jam, as would be his usual fare), fresh fruit and a glass of skim milk for his first breakfast. For lunch, he chose a piece of chicken, coleslaw and a half cup of baked beans. Dick's fourth choice--a dessert—was a baked apple with a bit of Splenda for sweetening.
Dinner consisted of a bowl of clam chowder (with extra clams), a few soda crackers and a glass of skim milk. For dessert, Dick treated himself to two chocolate chip cookies. For a guy who has always eaten pretty much what he wanted whenever he wanted in whatever quantity he wanted, Dick did very well on day one. (As an added boost to his efforts, on day two, the scale was down four pounds.)
My ongoing task, however, is to convince Dick that if he maintains a healthy diet, he can still enjoy food and the pleasure of eating. Here are the assurances I gave Dick:
- You will feel better. If you give up overly rich or junk food, you'll feel more energetic and less sluggish. Pretty soon, you won't crave a Big Mac with a supersized order of french fries, and you won't like the feeling of being stuffed.
- You will eat without guilt. You can enjoy your daily fare without the nagging worry that you are undermining your health by your choices.
- You will see food as fuel rather than solely as a source of pleasure. You'll become more aware of the nutritional content of various foods and the impact foods have on your blood sugar level.
- You will learn to eat new foods fixed in healthier ways. Instead of spaghetti under a beef-laden tomato sauce, you'll enjoy spaghetti squash under a vegetarian tomato sauce. You'll eat more fish, vegetables and fruit and less processed food.
- You will have a positive influence on others. By caring for your body in a responsible way, you make it easier for those around you (including me) to stay on track.
- Your priorities will change. When you shop for groceries (Dick does almost all of the shopping), you will head to the produce section first. Your cart will contain few, if any, processed foods. The quantity of food you buy (and the total at the cash register) will be smaller.
I can confidently give these assurances to Dick because, 10 years ago, I resolved to get fit and lose weight. The benefits, including major improvements to my health, outweigh the trade-offs by a 100 to 1 margin. And because of my experience, I can give these assurances to you as well.
Receiving this diagnosis was a real wake-up call for Dick. In responding to the disconcerting news, I reflected on a quote from Ramsey Clark, who said that "turbulence is life force. It is opportunity. Let's love turbulence and use it for change."
I can't say I love Dick's diagnosis, but I can use it to make needed changes in our lives.
What changes do you need to make? Will you join Dick and me in making 2012 the healthiest year of our lives?
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