March 8, 2010

Love Ya / Mean It Sarah

LY/MI Sarah.

Sarah is one of my good friends over at CWD. Our daughters are the same age and as a result we tend to hang out at Friends for Life. Sarah wrote on D kids eating like they would if they didn’t have type 1 and ‘just’ cover it with insulin.

Sarah took this to a different level and I am so very impressed by how well she expresses a long term holistic approach that is so very hard to see in day to day variations. No where in this does Sarah suggests it is easy. It isn’t.

She wrote:
I think that the truth about food and D is far more nuanced than most of us really like to admit.

I'm a very big advocate of letting D kids be kids first and people with a chronic metabolic disease second. I have always allowed Maddie to have regular kid food. I want her to have a healthy attitude about food. I want her to able to enjoy social and communal eating. I want her to enjoy preparing good food and trying new things.
I hope that through being a broad omnivore she will come to have the sort of relationship with food that should she decide as a teen or an adult to follow a less carby, less refined diet than the average person, she will be doing so from a place of knowledge rather than with a sense of deprivation.

What I'm getting at, is that I believe that it would be easier to maintain minimal glycemic variability in an adult through eating a lower carb, high veg. high fiber, lean protein diet. But I believe that the path to this diet is through exposure to lots of foods and developing a smart palate, not through limiting a kid's food choices now.

That certainly isn’t ‘just’ giving insulin. I find there is vast complexity to balance. Balance is beyond science. It is an art form. An art that families living with type 1 can appreciate but few others even know exists.

In fact the better families are at this odd art the more invisible it becomes to others. Here Sarah eloquently points out that the art of balance goes well beyond carbs, fat, activity and insulin. She brings into focus a longer term idea of balance. Even when we get all the day to day stuff right, there are developmental, emotional and maturity complexities to consider that are difficult enough without a chronic condition. Sarah - "nuanced" is an understatement.

Type 1 care is a daily juggling act with implications that touches far more than any one blood test. I salute all of you who practice the art. Its beauty is seen in the joyous lives people living with diabetes and little external sign of the effort their normal takes.

Love Ya / Mean It Sarah. You're and artist.