Throughout my career, both in General Practice, and as a Specialist in Integrative Care, from time to time a patient would ask me if I had a diet sheet.
I didn’t.
But the question opened the possibility to discuss this particular patient’s current eating habits, and to give some guidance and recommendations. The reason I didn’t have a diet sheet is because, as with much else in life, there is no one size fits all.
There is no “perfect diet”.
There’s no diet which, no matter who you are, where you live, and what you normally eat, will be a healthier diet for you. I know, I know, there are masses of posts and articles which promise you that if only you’d eat this particular foodstuff every day, this other one twice a week, and add an extra helping of something else, then your blood lipids would plummet, your blood sugar would normalise, and the inflammation in your body would calm right down. I’m especially sceptical of those articles which claim that a particular food will produce a specific outcome – reduced risk of cancer, or strokes, or whatever. There really isn’t any way to know what a particular foodstuff will do for an individual, because there are so many other factors in play.
However, there are some broad guidelines which seem worthy of consideration. Michael Pollan. I like his “Eat food. Mainly plants. Not too much” because it captures three useful principles – that we should eat food which is nutritious, that we should privilege plants over meat, and that we shouldn’t over eat. I also like the principle that we should eat ultrahigh processed foods, as little as possible. It seems the bigger the list of chemicals whose names are hard to pronounce, or are presented just as letters and numbers, then the less likely the food will be to be nutritious (and the more likely it will have adverse effects on the body).
I also like the broad teaching that more colourful your plate, the healthier it is likely to be. There’s an awful of beige food in the world, and, to be honest, I prefer a bit of colour (as long as the colour doesn’t come from an industrial chemical!)
I also like the teaching to try to eat seasonally. In France, really every town of any size has a weekly, or more frequent, market, and it’s pretty obvious what’s in season, and what isn’t. I look forward to Corsican Clementines every year, for example, but there are many other plant based foods which only appear on the stalls when they’ve been harvested that year.
But, I think perhaps the most important thing to say before giving anyone dietary advice, is “tell me what you normally eat”. It can be difficult for people to that, so, sometimes I’d ask them to go off for a couple of weeks and write down in a notebook, every single thing that passes their lips. Reviewing their pattern, even over a fortnight, can be revealing. It’s also important to explore food allergies, sensitivities and preferences. So, as is usually the case, it’s best to start by listening, or, if you’re doing this yourself, by observing.
I think if you decide to keep a food diary for a period of time to discover your normal habits, it’s important to write down absolutely everything you eat or drink every day, and it’s actually better to it for thirty days, than just a fortnight. Also, no cheating! Because you’d just be cheating yourself! Don’t avoid what you’d normally eat, to record a diet which you think you SHOULD be eating!
Once you’ve listened or observed, then that’s the time to see what might be tweaked, or changed. And, at that point, it’s pretty obvious, we are all different. There’s no point recommending fish twice a week to someone who is allergic to fish, for example.
Bottom line is, there is no perfect diet, so there is no perfect diet sheet. What we can all do is become more aware, and choose to make the changes we would really like to make – whether that involves a move away from UHP foods, from takeaways, from snacks or sweets, or from cutting down on alcohol consumption.
That photo at the top of this post, by the way, is one day’s harvest from our “potager” (veggie plot) here in France. I can honestly say everything in that basket tastes delicious, and all of it has enhanced my quality of life…..which strikes me as a pretty good way to choose my own diet. You should choose yours.
Heroes Not Zombies 