This was the moment that my husband and I realized that the
indoctrination of our ten-year-old son was complete. When diagnosed
with Type 1 diabetes at the age of seven, Danny's entire list of
acceptable foods was Annie's macaroni and cheese, grilled cheese,
French fries, Cheerios, juice, and dessert. Occasionally he would
consider some fruit or a slice of cucumber. Now, here he was,
surrounded by fast-food outlets, and all he wanted was teriyaki
chicken with vegetables.
Recently a friend who was eating dinner with our family commented,
"You seem to have your own family culture." I knew what she meant.
Danny, now thirteen, and his sixteen-year-old sister Jess are as
committed to our whole foods complex-carbohydrate diet as we are. That night the kids actually thanked me for a meal of steak tips,
green beans and spinach salad that five years earlier neither child
would have touched.
Now they enjoy sprouted grain bread, every
vegetable and a wide range of protein, and more importantly, know
why they are eating it. As my friend left that evening, she asked
me, "How did you get your kids to eat like that?"
The truth isn't pretty. It's taken years of concentrated effort,
which started when we realized that the foods Danny preferred before
his diagnosis were sending him on a blood sugar roller coaster ride.
When you have a child with an autoimmune disorder, you want to
provide him with the healthiest diet possible. I learned that
complex-carbohydrates created smaller blood sugar swings than simple
ones. The foods we were eating for their high nutritional value also
gave him better blood sugar control.
This was the start of many tearful meals - sometimes my tears - as
Danny, and occasionally his sister, rejected the healthier foods I
offered. It became clear that I wasn't going to be able to force the
kids to change. In order to convince my children that they might
actually love healthy food, Brian and I had to resort to the
following strategies.
1. Family meetings around the dinner table
One of the first changes was that we established family meetings. We
didn't call them that. We just refused to let the kids be excused
early from the dinner table. I would mention that the processing of
white flour removed one hundred nutrients from the original whole
wheat and that a few synthetic replacements were added to call it
enriched.
Then I'd present the problem: "How do you think we could
eat more whole wheat bread?" and wait . . . until invariably Jess or
Dan would pipe up with, "Could we disguise it in French toast?" or
"I'd try the kind of bread my teacher eats." These conversations
gave the kids choices and made them an integral part of our team.
2. Clear reasons for making the changes
I didn't want to blame diabetes for our changes in diet. Yes, we
were aiming for better blood sugar control, but it was clear to me
we needed better overall health in our family. We had had many colds
and instances of the flu each winter, and additional fruits and vegetables would
give us more of the vitamins and minerals we needed. We were an
active family, and protein, healthy fats, and whole grains would
more fully nourish our bodies.
We all had high and low energy
swings, and nutritionists said that complex-carbohydrates helped
avoid mood swings and the crash that came after eating a bagel.
These would be permanent changes, not only for Danny, but also for
the overall health and well-being of every member of our family.
3. Giving information without preaching
In all our comments, Brian and I emphasized to Jess and Dan that we
were sharing information, trying to educate them as we learned more
ourselves. One day, I heard Brian reading to the kids from Consumer
Reports magazine, "Listen to this! Can you believe that every Dunkin
Donuts cookie has 1/4 cup of sugar and 14 to 29 grams of fat?" The
kids were shocked.
Although they were young, it was easy to explain
the long-term benefits of eating nutritionally rich foods, the
effects of fats and proteins on blood sugar, and the difference
between simple and complex carbohydrates.
Brian and I found a nutritional video that we thought was worth
viewing, but I knew it would be hopeless to say, "Hey, do you want
to watch an educational video with Mom and Dad?" Instead, we settled
onto the couch and started the DVD in the same room where both kids
were doing homework.
Usually, there is no television during homework
time, so it didn't take long for both kids to look up and watch
covertly. They were delighted that they were getting away with
something. Later, they actually went into the kitchen and started
looking at the labels on the food. "Wow, did you know these crackers
aren't really 100% whole wheat?" and "This sugar-free syrup has
aspartame in it."
4. Reviewing the effects of choices
We didn't want to establish rules or create a struggle over who
controlled what anyone ate. Although we gradually purged our house
of white flour, white sugar, and white rice, when we were eating
out, we never refused Danny food he wanted. Our mantra was
"Everything in moderation."
One night, Danny ordered a hamburger and
fries at a restaurant and returned home feeling sick, with a blood
sugar number of 350. The next morning, I reminded him of how bad
he'd felt and we brainstormed. He decided that next time he'd try
having only half the roll and substitute vegetables for the fries.
Eventually, he decided on his own to forego the roll altogether.
On another occasion, a neighbor had sent over a large bowl full of
apple crisp sweetened with sugar. Danny had it for breakfast two
mornings in a row. Both days at 10 a.m., I got a call from the
school nurse because his blood sugars were so high. The second
afternoon, I sat him down. "You've had apple crisp for breakfast for
the last two days. Let's look at the effect on your blood sugars."
After looking at the numbers, he went to the refrigerator and threw
the rest out.
5. Creating a culture
It is easy to feel isolated when you eat differently. There have
been many times when our family has been invited to an event where
our only choices were chips, white flour crackers and cheese, pizza,
and dessert. We have learned to eat ahead of time or to volunteer to
bring a salad or a vegetable platter. More importantly, we have
learned about solidarity and the need to plan together before we get
into those situations.
I want our kids to know they are not alone. Each time I run into
people who tell me about how dietary changes are making them feel
better, I add it to the dinner conversation. When an organic raw
food restaurant opened in a nearby town, I talked to the kids about
how popular it was. When neighborhood kids polished off the whole
wheat, maple-syrup-sweetened cookies I served, I pointed it out.
When we are in a bookstore, we look at the many cookbooks available
on whole foods nutrition.
6. Enjoying the results
Recently, my daughter, now sixteen, joined me for a talk I gave at
the Juvenile Diabetes Symposium at the University of California, San
Francisco. During the breakout session, a mother asked, "Don't your
kids binge when they go to friends' houses or out by themselves?
Doesn't restricting their food choices create eating disorders?" I
turned the question over to Jess.
"Well, I can still eat what I
want," she started, "but when I go out with my friends they usually
have pizza, Coke and an ice cream. Why would I do that to my body?
I'd feel gross afterwards. I might have a slice of pizza and a
salad, or a salad and an ice cream, but I would never eat all that
junk. I like how I feel and how I look when I eat this way."
Jess is proud of her clear skin, her long glossy hair, her strong
white teeth, and her slim figure. Danny's A1c's have been between
6.2 and 7.1 for the five years we have been eating this way. He was
the only child on his soccer team to test at the highest level of
endurance during his team trials. Both kids can see that eating well
has made an important contribution to their looking good and
performing well, highly important attributes to adolescents.
Brian
and I are also happy that our forty-year-old waists are not
spreading and that we still enjoy high energy levels. Seeing
tangible results reinforces the eating program we've established as
a family, which, as strange as it seems, no longer feels to any of
us like self-denial or deprivation.
Now, if I could have three wishes, what would they be? I wish I knew
in the beginning that food choices make such a big difference to
blood sugar control and overall health. I wish I knew that we would
get through the tears and struggles to a better place. And I wish
the lessons we learned will give other families the inspiration to
eat healthier and feel better. May it be so.
Laura Plunkett is a columnist for Diabetesincontrol.com and Diabetes Health magazine and author of the book, "The Challenge of Childhood Diabetes: Family Strategies for Raising a Healthy Child". She recently spoke at the Juvenile Diabetes Symposium at the University of California, San Francisco. The Plunkett family has been featured in the Boston area on television, radio, and many local and national parenting magazines and newspapers. Laura currently speaks on the topic of "Raising Wholesome Children in a Fast-Food World: A Framework for Family Health" with her mother, Linda Weltner, and her daughter, Jessica. She had a thriving therapeutic private practice for 14 years with families, individuals and couples. Laura can be reached at: