Guest guest Posted October 29, 2004 Report Share Posted October 29, 2004 Looking to the old ways By KAREN HERZOG, Bismarck Tribune (This is the first of two parts on American Indian food and culture. The second part runs next Wednesday.) " The Great Spirit gave us plenty of land to live on, and buffalo, deer, antelope and other game. But you have come here; you are taking my land from me; you are killing off our game, so it is hard for us to live ... and again you say, why do you not become civilised? We do not want your civilisation! We would live as our fathers did, and their fathers before them. " -- Crazy Horse, Lakota warrior and leader. " We used to be some of the fittest and strongest people, until we were stripped of our heritage, which is living off the land, " said Shelbert Chasing Crow, a student at United Tribes Technical College in Bismarck and a member of the Cheyenne River Sioux. " We need to get back to how we used to live, " he said. Chasing Crow was a student in the " Diabetes and Mother Earth " class at UTTC taught by Wanda Agnew, a licensed registered dietitian and director and instructor of UTTC's nutrition and food service program. For their final class project this spring, students reported on interviews they conducted with American Indian elders about " the old ways " of hunting, fishing and gardening. On the last day of class, Agnew asked her students -- " how many of you have been directly impacted in your family by diabetes? " Scanning the raised hands, she noted, " 100 percent, " the same as her other classes. In North Dakota, American Indians develop type 2 (or " adult onset " ) diabetes at triple the rate of the rest of the state's population, said Sherri Paxon, director of the division for chronic disease at the North Dakota State Health Department. Diabetes is the fourth leading cause of death among American Indians, and a strong contributor to the number one killer -- heart disease. Diabetics also can develop neuropathy -- nerve damage -- leading to blindness or amputation, Agnew said. The rate of gestational diabetes, which sets on in pregnancy and usually goes away after delivery, also is significantly higher in American Indian mothers than in white mothers, studies say. Agnew's class aims to educate students about diabetes so they can take that knowledge home to their families. Diabetes' high rate among American Indians probably has several causes, Paxon said, but studies point to a fast, and drastic, change of diet in the past 100 years, Paxon said. Before Europeans came, native people lived on lean meats such as buffalo, game, birds and fish, traditional garden vegetables, including corn, squash, beans, sunflowers and natural-growing fruits and berries. They lived active lives -- hunting, gathering and gardening. " The Native Americans are hit harder and faster than the rest of us (by diabetes) because they are only two generations away from the 'old way' based on game animals and fish, " said student Dawn Lambert as part of her report. Lambert's aunt, Carol Ann Schroeder, of Havre, Mont., told her that these active hunters and gardeners, confined on reservations, subsisted on government commodity foods, high in salt and carbohydrates. Some of the elders interviewed blame those commodities for the prevalence of diseases such as diabetes. Though commodities actually were offered by the government as " a very weak apology " for the havoc wreaked on the Indian way of life, Agnew said, the foods weren't the traditional healthy ones tribes had lived on for thousands of years. JoAnn Larvie's aunt, Delores Larson, of the Sisseton-Wahpeton Sioux, told her, " We need to ... bring our gardens back, our hunting and fishing. " Nursing student Terry Trottier interviewed elders on Standing Rock about health problems. What they brought up most often was the loss of the buffalo, Trottier said: " The grand beast was a way of life for our people, and its demise led to ours. " That had much to do with the spread of diabetes " like wildfire on our reservations, " he said. " It's time to go back, " to the sweat lodge, the sun dance, sobriety, he said. " All chronic diseases have a mental health component, " as well, Paxon said. Where poverty is widespread and access to medical care is difficult, depression and fatalism spread. People may just give up, she said. Education is key in breaking the cycle, Paxon said. Even if people develop type 2 diabetes, the later they get it, the less damage it will do to their bodies. Amputations and dialysis often can be avoided if the condition is caught soon enough, she said. In prediabetics, even a moderate weight loss and an extra 150 minutes of exercise a week may hold back the onset of type 2, Paxon said. Quote Link to comment Share on other sites More sharing options...
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