The other night, at an event I attended for work, an incredibly overweight woman walked in and was offered a bottle of pink lemonade, as we all were. “Does it have sugar in it?” she asked. “I have diabetes.” The host confirmed that yes, unfortunately it did, and gave the lady some cold water instead.
Minutes later, the diabetic lady returned to the drinks stand. “I’ll just try one bottle,” she said sheepishly, “diluted with water.” Over the next half an hour, I watched her guzzle down two bottles of the stuff, while her young daughter – probably around 13 and already overweight – looked on.
It made me sad, but it also made me feel guilty. Her disease may manifest more obviously than mine, but I am making the same mistakes despite having a serious illness. We both need to be accountable to someone for our dietary choices. She clearly isn’t – and at the moment, neither am I.
Why it’s hard to stick to a disease-fighting diet
It’s incredibly tough to stick to strict diet, even when you have an illness and you know that diet is integral to the healing process. For me, the hardest part has been sticking to SCD or AIP (autoimmune paleo) while my medication keeps everything under control so well. Even dairy, which in the past has left me a bloaty, achy mess, is no match for my Asacol – I could probably eat a tub of ice cream and feel little if any discomfort.
Add to that the fact that I don’t experience any negative side effects of the mediation – or at least, I haven’t yet – and you’ll understand why it’s sometimes so hard to stick to my diet.
When I did 100 days on SCD, I was fastidious about sticking to it – and that’s because I was accountable here on my blog. Now that I’m not documenting my daily progress, it’s been easier and easier to ‘slip up’; to take chances with my diet. And when I do – and I’m fine – I once again think, ‘why bother?’
Why diet matters
For anyone whose IBD is raging out of control, medication is essential. Steroids and anti-inflammatory drugs like Asacol can get the dangerous symptoms under control before you end up dehydrated, anaemic or worse.
But over the long term, it’s a good idea to pay attention to the foods you eat, and to modify your diet if you know that certain foods can trigger flares. For me personally, I feel that while the drugs are keeping my symptoms under control, they may also be masking the effects that food may be having on my gut.
Over and above ulcerative colitis, I could be suffering from leaky gut (which can be exacerbated by certain food), or a variety of gut infections, excess yeast (fed by sugar), low stomach acid or other ailments that are preventing me from enjoying optimal gut health, and many of which can be improved through proper diet.
Why accountability works
Everyone knows how hard it is to drastically change one’s diet. Which is why having someone that you’re accountable to is essential. The diabetic lady needs it, I need it, and you probably need it. Identifying who that person is is the hard part – after that, it gets a lot easier.
I’ve kept a food diary for myself in the past; it hasn’t kept me accountable. Because after I’ve berated myself for those chocolate-coated indiscretions, I’ll forgive myself. Keeping a food diary for my nutritionalist, however, worked a treat. She’d be seeing everything I ate, and I’d be embarrassed and ashamed if she could see that I was abusing my body with food.
This blog kept me accountable too – especially as I gained followers, and read your amazing comments, felt your support and heard your stories.
Lately, while I’ve mostly been sticking to the AIP protocol, I have slipped up. I’m eating nuts when I shouldn’t; I’m consuming way too much sugar (“natural” sugar from fruit is STILL sugar – a little fact I like to kid myself about); I’m shovelling the odd mouthful of rice when I’ve had a drink or two – both of which I shouldn’t be doing.
Getting back to blogging, for me, might be the best way to get my bad habits back under control. What’s it going to take for you? A nutritionalist, a blog, a family member, a friend? Find who or what it is, let them know, and then stick with it. It’s one of the most important tools you need in sticking with your new lifestyle. And, if you can do the diet with someone else, even better! Strength in numbers, after all.
Who are you accountable to?