Diabetes is that rare brand of nasty disease that fails to strike real, visceral fear. It doesn’t carry the weight of a cancer or an AIDS or a heart disease. It’s something you get, like a gut, a long list of prescriptions, and a walker, as you grow older. People just live with it – millions upon millions across the world – and are rarely shocked or surprised to hear that others have it. Their ranks are ever growing, with, if a recent study on the effects of gestational diabetes on the fetus has anything to say about it, much of the conscription taking place in the womb. It’s called intergenerational diabetes, and it means that pregnant women with diabetes or even just poor maternal glucose tolerance could be turning their little ones into future type 2 diabetics. This is fetal diabetes without a genetic component; this is epigenetic owing to environmental (womb) input. The authors speculate that pregnant mothers with type 2 diabetes (diet and lifestyle induced, remember) could engender irreversible alterations to both the unborn kid’s hypothalamic neural network (where leptin, the satiety hormone, does its thing), pancreatic function, and muscle and liver insulin signaling. The idea is that they pop out with type 2 diabetes right off the bat. It’s diet-induced, sure, but not how we normally think of it. No baby bottle full of Coke required here. Of course, I still see this sort of condition as being reversible with diet and exercise…it’s just that it will require a LOT more adherence and starting at an earlier age. Moving on…
It’s a question that frequently comes my way. Teenagers, who have found MDA and jump on board with the PB, have their brand of difficulties going Primal: skeptical – if not disapproving – parents, decidedly un-Primal school lunches and social outings, team fast food stops, etc. How does a high schooler go Primal when his/her family isn’t? What does the choice mean for navigating other areas of teen life?
I’m 17 and have been trying to switch over to the PB, but some areas are harder right now than others. I’m really getting into the workout ideas and love the simplicity of your Primal Blueprint Fitness ebook program. For me, the eating part is the most complicated. My parents are unsure about the diet and don’t offer much support for the choices I make with the PB. I think they believe it’s just a phase that I’ll give up if they just wait long enough. The social thing is a little bit of a challenge, and don’t get me started on the McDonald’s runs my basketball team makes every time we have an away game. Do you have any suggestions for those of us in high school? By the way, your site is great. I’ve even got some of my friends reading it now. Grok on!
I’ve received the question numerous times, and last month several readers raised the issue in my “Ask Me Anything” post. For all the innumerable benefits of the Primal Blueprint diet, there are a handful of situations that oblige a few modest accommodations. In the past I’ve suggested Primally-minded adaptations for endurance athletes. Today I’ll take up the question of nursing. Do the long-term, intensive demands of breastfeeding require modification of the typical Primal diet? What special considerations are there for nursing mothers? And what about specific scenarios readers have mentioned: ketones, reflux, ammonia-scented urine? There’s a lot of Primal ground to cover today, so let’s jump right in. But first a reminder that I’m not a doctor and that everything on this site should be viewed as my opinion and not medical advice.
Although for many of us starting a family simply happens (surprise!), others among us take an intentional approach. Maybe we delay having children for professional, financial or relationship reasons. Maybe we begin trying when we’re young. Regardless of timing, facing our fertility (so to speak) is an intensely personal and often emotional passage. It can inspire joy and wonder in our basic human capacities – our deep-seated physical impulse and emotional expansion toward parenthood. For some of us, however, the journey takes on anxiety and disappointment. Although varied and nuanced factors define our reproductive health (some not fully understood even today in the medical community), experts agree that lifestyle factors contribute to overall fertility.
As we all know, our Primal lifestyles don’t exist in a vacuum or (more than likely) even a very compatible environment. That goes double for our kids. However committed and exacting we might choose to be at home when it comes to their diets, the minute they walk out the door they encounter a whole world of competing interests and influences: grandparents and other family members, friends’ houses, school lunches, social outings, even sports team trips (ah, the big yellow buses pulling up to McDonalds…). While some of us might keep our Primal commitments more personal, all of us want to see our kids eat and be healthy. That’s easier said than done unfortunately. Sometimes the challenges hit closer to home, as in this reader’s email.
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