Diabetes and heart disease roll through my family history. A past generation stopped farming, but kept eating three squares plus in-between all with a strong coffee. They dropped eating pie at ten and two, but substituted snack foods. Then there were the midnight suppers on card club nights. Three bowls stood on the table in our family room: nuts, pretzels, and chocolate kisses. Somehow I was a skinny kid and stayed that way into my mid-twenties.

One grandfather was tall and thin, one short and wiry. They ate substantial food and drank a fair amount of alcohol. Then there is the picture of my mother’s mother with two of her sisters. They were all in their late forties and belts in the middle of their dark dresses suggested they once had had waists.

Pregnancy brought gestational diabetes my way. For seven months I managed my nutrition with extreme care. The rewards were simple: a healthy baby and no need for insulin. The years since have not been worth noting. I stay physically active. I stay away from excessive eating, alcohol, and eat a relatively balanced diet. But I eat too much, have just recently scaled back carbohydrates and sodium and given up French fries. My doctor wouldn’t call me stout, but said I had muscle structure that meant I’d never be thin again.

Having lost sixty pounds in his forties, my father watched everything he ate to manage diabetes and congestive heart failure. If the scale was up two pounds he reviewed the prior day and made adjustments. That was his daily discipline for decades.

I watched his diligence with admiration and an increasing sense of doom. But I have to admit that as he began hospice and food restrictions were lifted the message was odd: Now that you’re too frail to make it to the dining room, too tired to sit with your family or friends, too confused to enjoy an old favorite meal, eat whatever you want. All those gooey caramel rolls, omelettes, steaks, grapefruits, glasses of orange juice he had given up over the years; all the notebooks he filled with blood sugar levels, calorie counts and sodium amounts; helped prolong his life. Food could have killed him.

The only living member of my birth family, I wish the lessons learned as my brother and parents passed were enough. On a daily basis, treat food as fuel, don’t confuse eating with comfort. Now. It’s a statement about self-worth and the larger hunger for more good years.