Fanning the Flames of the Diabetes Epidemic

INTRODUCTIONIt is my pleasure to introduce tocolon cancer, they eliminated the toxins from their
you, a new Diabetes Prevention Education, Publicbodies through sweat and perspiration. They may
Relations Campaign established under the namehave been tired, but they had healthy bodies. So
Fannie Estelle Hill Grant, started by me, Lyndiaall of these diseases that are out of control
Grant-Briggs, after the loss of my mother whotoday, like Diabetes came along later due to the
succumbed to Type 2 Diabetes on Christmasmany lifestyle changes of Americans.Let us all
Day, December 25, 2000. I noticed a fire burninglearn a very important lesson from this bit of
in the Diabetes health arena, and it is still burninghistory: According to all legislations and laws today,
out of control. The diabetes prevention andAfrican Americans can Be whatever they want
education public relations campaign was started into be, they can Do whatever they are capable of
an effort, to "Fan the Flames", and put out thedoing, and they can Have whatever they can
fire.Fannie Grant was 73 years old, a homemaker,manage to work hard enough to achieve. We
who loved her family very much, and sheknow that this is a true statement, when you
believed in preparing wonderful home-cookedlook around and you see such role models as
meals for the family. You name it, and we had it.Oprah Winfrey, the queen of talk shows, Bill
We would have desserts any day of the week.Cosby, Michael Jordan, we have had several black
Mama enjoyed cooking, cleaning and washingMiss America's, including the current reigning
clothes, and although she raised nine children ofqueen, we have Tiger Woods, the best golfer of
her own, she always had room for other needyall times and The Williams Sisters, who have
children.In our early years, from 1945-1965,broken all records. The list goes on and on. Today,
Mother was the wife of a sharecropper in Northwe live in fabulous homes; our children can now
Carolina, but they moved the family togo to college, (sidebar: yet we have more African
Washington, D.C. in 1965. So for more than 30American men in prison today, over 900,000 than
years, Mother Grant, our father and all of uswe have in college today, only 600,000, that's
children called the Washington Metropolitan Areaanother article.)The trouble with this whole thing is,
home.Our family learned that Mother had Type 2African Americans continue to enjoy many of the
Diabetes after a major stroke she had back indelicious foods handed down to us by our
1988-89. She lived 11-12 years after the diagnosis.ancestors, our diets haven't changed very much,
Lyndia and her Sisters, (The Grant Sisters)but we've forgotten one very important
pledged to begin the educational preventioningredient, our ancestors worked 12-16 hour days,
campaign while they visited with and/or cared forperforming physical labor. They received the
their mother during her last year of life.Afternecessary exercise daily, therefore, they didn't
moving back home to North Carolina, Motherget sick with diabetes, and all of the fat was
Grant enjoyed her latter years in a very peacefulburned off in blood, sweat and tears.Today, in
way. Us children purchased her a new home, tookorder for us to get proper exercise, we must
over all of the mortgage payments, and she wasplan to have physical exercise at least 30 minutes
happy. Mother Grant enjoyed living on thisdaily, one-hour is preferable, but no less than 30
wonderful 227-acre farm, near Kinston, Northminutes. That's not a lot, compared to the
Carolina. She was one of the heirs to thisamount of time our forefathers worked, but
wonderful farm left to her family by their father,according to studies done by the National Institute
and my grandfather, Floyd Hill.She enjoyed walkingof Diabetes & Digestive & Kidney Diseases, the
around the farm, following my father, Bishoplittle time we manage to put in, while exercising
Benjamin Grant, around the garden as he worked.for 30 minutes, 3-4 days/week can prevent the
She enjoyed shopping with her sisters going tooccurrence of Diabetes.Today, we continue in the
yard sales. Shopping gave her considerable joytradition of eating our "soul food" diets, very
near the end of her life.Mother suffered numerousmuch the same as we did 200 years ago, except
strokes, seven to ten to be specific. During onetoday, most of us don't use lard, and we can eat
stoke, she lost the use of her tongue and couldn'tall we want. We've graduated to vegetable oils like
speak at all. Mother Fannie's kidney failed, she wasCrisco and other vegetable oils. (Olive Oils are
receiving kidney dialysis for the last two years ofbetter for us, less cholesterol). Families today still
her life, she had high blood pressure for manyenjoy foods, which include far too many
years, and both of her legs were amputatedcarbohydrates like macaroni and cheese, desserts,
above her knees.The ProblemWe wanted toand lots of bread. We have enjoyed these foods
know more about the disease that took ourfor hundreds of years, but now, we sit at
mother in such a brutal fashion. There was socomputers, walk out to our cars, drive
much pain and suffering prior to her death. Mothereverywhere, including to the grocery stores, we
Grant was a Christian, she was an Evangelist whodon't have to walk to school for miles any longer,
preached the gospel in churches throughout thewe can ride the school buses, and exercise has all
Washington D.C. Area, and everyone loved herbut been eliminated. America is overwhelmingly
and called her Ma.Our mother was very special,FAT, even our children in many cases are
and as her oldest daughter, I promised to carryoverweight and/or obese.It's a simple problem,
out a public awareness campaign, to educatebad diets that includes too much junk food from
millions of people regarding the causes andfast food restaurants, and a lack of strenuous
preventions of Type 2 Diabetes. In educating theexercise. How many times have you pigged out,
general public, I feel a lot better, because myafter a hard day, then, you fell asleep? That food
mother's living shall not be in vain. My sisters and Iis fattening you up, just the way that it does for
have been blessed over the past 20 years, we'venewborn babies. Remember how babies eat and
had lots of success in publicizing several majorsleep, and soon, you notice their little legs
events, we coordinated a major festival, calledbeginning to get a little meat on their bones. But
Georgia Avenue Day in Washington, D.C. Theyou can almost look at them grow and gain
festival and parade attracted more than 200,000weight. But they are still babies, and that's what
people, major corporate sponsors and celebrities.they need, nutrition to grow.For adults though, it's
We worked for two Presidential Inaugurala different story, we have already grown up, and
Committees, one was for the Republicans,all we can do now is grow OUT!!! We just keep
George Herbert Walker Bush and for other forgetting BIGGER and BIGGER and BIGGER! We
the Democrats, President Bill Clinton, for two D.C.look bad to ourselves and to others, we can't fit
Mayors, Marion Barry and Sharon Pratt Kelly, andinto our nice clothing, we have to keep buying fat
three D.C. City Councilmembers, Charlene Drewclothes. And worst of all, our hearts cannot stand
Jarvis, Frank Smith and Eyde Whittington. Anotherthis, and neither can the rest of our organs. (I
major achievement was an appointment that Igive a speech entitled "Let Not Your Heart Be
received as project director by Councilman FrankTroubled" - How to have a healthy mind, body &
Smith, to erect the Spirit of Freedom Memorial, aspirit). It's no wonder that our starvation genes
new national African American Civil War Memorialare reacting the way that they have, this
located in Washington, D.C. This monument paysso-called "thrifty gene" that is found in African
tribute to 209,145 United States Colored TroopsAmericans seems to store even more of this
who fought in the American Civil War.As you canforeign food that we continue to ingest into our
see, Mother Grant passed down some strongbodies. We came from strong, lean backgrounds,
self-worth values. She taught us that we can doAfrica has never been a "fat" nation, but as
anything that we want, and that we can be theAfrican Americans, we have Americanized our
best at whatever we choose. The business ofbodies so badly, that our health problems are
public relations is "in my blood." There was no wayout-of-control!If you take a look at the stats
that I could see the devastation caused byprovided by the National Institute of Health,
Diabetes and understand this disease, and doToday, diabetes mellitus is one of the most
nothing about it. I wanted to know "whatserious health challenges facing the United States.
happened to Mother, how did this happen, couldThe following statistics illustrate the magnitude of
we have done something differently, if only wethis disease among African Americans.2.8 million
had known that an improved diet and regularAfrican Americans have diabetes.On average,
physical exercise could have made a difference."IAfrican Americans are twice as likely to have
know that I've been chosen to get the word outdiabetes as white Americans of similar
regarding this disease that's burning "out ofage.Approximately 13 percent of all African
control" in the African American community. It hasAmericans have diabetes.African Americans with
been extremely hard to continue to live withoutdiabetes are more likely to develop diabetes
our Mother, but in sharing this information withcomplications and experience greater disability
others, it gives me some relief from my grief.So,from the complications than white Americans with
what exactly is Diabetes? Diabetes mellitus is adiabetes.Death rates for people with diabetes are
group of diseases characterized by high levels of27 percent higher for African Americans
blood glucose. It results from defects in insulincompared with whitesNational health surveys
secretion, insulin action, or both. Diabetes can beduring the past 35 years show that the
associated with serious complications andpercentage of the African American population
premature death, but people with diabetes canthat has been diagnosed with diabetes is
take measures to reduce the likelihood of such,increasing dramatically. The surveys in 1976-80
according to recent studies found by the Nationaland in 1988-94 measured fasting plasma glucose
Institute of Health. Some researchers believe thatand thus allowed an assessment of the
African Americans, (Hispanic Americans, Asianprevalence of undiagnosed diabetes as well as of
Americans, and Pacific Islanders were also includedpreviously diagnosed diabetes. In 1976-80, total
in the study) inherited a "thrifty gene" from theirdiabetes prevalence in African Americans ages 40
African ancestors. Years ago, this gene enabledto 74 years was 8.9 percent; in 1988-94, total
Africans, during "feast and famine" cycles, to useprevalence had increased to 18.2 percent--a
food energy more efficiently when food wasdoubling of the rate in just 12 years.Prevalence in
scarce. Today, with fewer such cycles, the thriftyAfrican Americans is much higher than in white
gene that developed for survival may insteadAmericans. Among those ages 40 to 74 years in
make the person more susceptible to developingthe 1988-94 survey, the rate was 11.2 percent
type 2 diabetes.The problem dates back to thefor whites, but was 18.2 percent for African
beginning of the slave trade, documented asAmericansRegular physical activity is a protective
beginning in 1790, and for those enslaved ones,factor against type 2 diabetes and, conversely,
food was still scarce, thus the "thrifty genes"lack of physical activity is a risk factor for
protected them. If you research thedeveloping diabetes. Researchers suspect that a
documentations found on record at the Nationallack of exercise is one factor contributing to the
Archives and Records Administration, slaveshigh rates of diabetes in African Americans. In the
received rations. It really doesn't matter what theNHANES III survey, 50 percent of African
diets were of African people hundreds of yearsAmerican men and 67 percent of African
ago, as they roamed around freely on the AfricanAmerican women reported that they participated
continent, in townships like Johannesburg,in little or no leisure time physical
Freetown, Rwanda, Sudan, South African andactivity.ConclusionIn furthering the causes of this
Sierre Leone. What does matter is the fact thatDiabetes Educational Prevention Campaign, the
those Africans who managed to survive the slavefirst order of business has been to make my
trade here in America, arrived on the shores veryvery own Lifestyle Change. My Mother was buried
strong. The majority of them worked in the fieldson December 30th, 2000. When I returned home
from sun-up to sundown, six days per week, andto Silver Spring, Maryland, it took a few months
in many cases, seven days/week. Slaves atebefore I could go on, the grief period was
scraps, like hog mauls, chitterlings, pigtails, pig feet,extremely hard, but the first order of business,
pig ears, and they drank milk from a trough alongwas to begin a regular exercise routine. Walking
side other animals.African people becamebecame my exercise of choice -- two to four
Americanized, they were no longer in theirmiles three to four days each week. Some
homeland, so to live, they had to eat whateverweeks I walked, and continue to walk, five days,
was made available to them, they were fed last,even six days a week, and recently, I've added
after the horses and the pigs had been taken"walking up and down the stairs in five minute
care of, whatever was left was given to thoseincrements, for 12-15 minutes. There is an
enslaved people -- scraps, left-overs, garbage. Inextreme difference in the way that I look and
an effort to create a delicious meal, the womenfeel. The pounds and inches have been steadily
worked at creating recipes that they could allcoming off.I've changed my diet. I'm now drinking
enjoy. They loved collard greens with fat backgreen mineral drinks each morning, (you can buy
meat, and learned to bake sweet potato pies,green drinks at organic stores); and I'm no longer
cleaned chitterlings and made them into a delicacyeating white bread. In fact I don't eat very much
to be eaten on special occasions. They made potsbread at all, but when I do, it is whole grain or
of beans seasoned with ham hocks, or pigtails,wheat bread, brown rice, more fresh fruits and
and they seasoned with pork.They madegreen leafy vegetables. I enjoy using my juice
home-made biscuits from self-rising, white flourmachine for fresh green spinach and carrot
and lard, and they learned to make hush puppies,drinks.Recently, I found myself with excellent
candied yams, lots of potatoes, and they atehealth results from my physical examination. My
plenty corn bread, so even until this day, Africancholesterol level was low, at 126, and my glucose
people who became African Americans beginninglevels were average. My blood pressure was 120
in the late 1700's, had a very different diet than80, which is fine for me, and I feel wonderful too.
Euro-Americans. Even though this wasn't a "good"There is one area that I'm still working on, and
and "healthy" diet for the slaves, they ate it, theythat is my Ideal Body Mass, IBM. I'm still
enjoyed it, and they were able to sustainoverweight, but I've lost 30 lbs., and still counting.If
themselves easily. They worked so very hard inyou are reading this article, and you're at risk for
the fields 12-16 hours a day. But of course, sinceType 2 Diabetes, consider making a major
they had the so-called "thrifty genes" whichLifestyle Change. It's very simple: 1-Change your
allowed their bodies to preserve food in andiet, eliminate most of the carbohydrates from
appropriate manner, when food was scarce,your diet; 2-Exercise regularly for the rest of
seems that was probably a good thing, since theyour life, and 3-Get rid of the extra pounds, work
enslaved didn't always have ample foodtoward maintaining your ideal body weight. If you
supplies.There is a bright side to this though, asmake this promise to yourself, to change your
they worked, they were receiving strenuous dailylife, you will be "Fanning the Flames of the
exercise, which kept them healthy. It really didn'tDiabetes Epidemic in America," and soon the fire
matter what the slaves ate, because what theywill be put out, but it will take millions of people to
ate, in today's standard would have fattenedjoin this fight. Won't you begin today? You don't
them too, but it didn't, because they burned it offhave to get Diabetes, it can be prevented, you
every day out in the fields working. It was adon't have to lose one limb to this vicious disease,
vicious cycle. They ate, and they worked off thenor do you have to lose your kidney. Change
carbohydrates. They ate and they worked offyour life, and enjoy your Thanksgiving Dinner -
more carbohydrates, and they didn't die fromwith all of the trimmings, but the next day, get
diseases back then, as they do today, diabetes orback to the business of getting fit and staying
cancer, and don't think that their bowels didn'thealthy.
move regularly as well, thus eliminating all of the