Monique Marais addresses the shame that people with diabetes can experience when loved ones question or misunderstand their food choices.
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There are several common misconceptions regarding what a person with diabetes should eat and what needs to be avoided at all costs. It is, however, important to note that dietary needs can differ among individuals, and people with diabetes should work closely with health professionals who understand the condition and can give relevant and practical guidance to create a meal plan that is appropriate for them.
It’s also recommended to approach conversations about dietary choices with sensitivity and empathy, especially when discussing restrictions. It may be counterproductive to point out what people are allowed to eat and what not and can affect the person living with diabetes on an emotional level. People living with diabetes often face enough challenges in managing their conditions without the added stress of feeling ashamed about their food choices.
It’s therefore more constructive to focus on positive and supportive communication and understanding their dietary needs. Encourage them to make healthier choices, provide information on balanced nutrition and highlight a variety of foods that are beneficial for their well-being. Educating yourself as a family member is vital to effectively support them in their journey, and this means eliminating inaccuracies.
Common misconceptions
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Sugar must be avoided completely
While it’s true that managing sugar intake is crucial for people with diabetes, it doesn’t’ mean they must eliminate sugar completely. The focus should be on monitoring carbohydrate intake, as carbohydrates directly impact blood glucose levels. The type and amount of carbohydrates, along with proper portion control, are important considerations.
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People with diabetes can only eat diabetic foods
Specialised diabetic foods are helpful, however, are not a must or an only and can be expensive. These products often still contain carbohydrates and kilojoules, and they may have sugar alcohols or artificial sweeteners that can have laxative effects if consumed in excess. A balanced and varied diet is more beneficial.
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Starchy foods are off-limits
Starchy foods like bread, rice and pasta can affect blood glucose levels, but when they are part of a balanced diet and consumed in moderation, the effect on the blood glucose levels is reduced. Whole grains are also a better option to include in your meal plan.
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Fruit is forbidden
Fruits contain natural sugars, but they also provide essential nutrients and fibre. Moderation is key, and it’s advisable for people with diabetes to choose fresh, whole fruits over fruit juices or dried fruits, which can be more concentrated in sugars.
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Skipping meals controls blood glucose
Skipping meals can lead to irregular blood glucose levels and overeating later. Regular, well-balanced meals and snacks are essential for managing stable glucose levels.
A family disease
Diabetes is known as a family disease, as it can affect many people within one family in various ways. It’s important for people with diabetes – and their family members and support system – to understand how different foods affect an individua’s body.
By understanding the condition, and specific red flags, you can avoid spikes in blood glucose levels, and will be able to have a more consistent average.
Approaching conversations with empathy and understanding can help create a supportive environment for people with diabetes to make informed and positive choices regarding their diet and overall health. This is important for family members and friends, but also for healthcare professionals. Have patience with your patients, work from where they are and support them in their journey. Take the time to understand where they are in the process and how you, as the healthcare professional, can support them to make effective and sustainable lifestyle changes.
As a loved one, you can support your family member by:
- Understanding the impact that a chronic illness has on their emotional well-being. This is a long-term condition, and some days may be easier to deal with than other days.
- Avoid blaming. Do not constantly nag your loved one about what they are eating and add more pressure, as it often leads to conflict in the relationship.
- Ask your loved one what they need from you; support them in their journey.
- Attend appointments with your loved one. This way you also get the feedback from the doctor and will be able to support them more effectively.
Learn to identify symptoms of high or low blood glucose levels so that you can intervene quickly and effectively.
MEET THE EXPERT
Monique Marais is a registered social worker at Care@Midstream sub-acute, specialising in physical rehabilitation for the past 11 years. She has a passion for the medical field and assisting people to understand and manage their diagnoses and the impact on their bio-psychosocial well-being.
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