With World Diabetes Day being commemorated on Nov 14, we are reminded again of the urgent need to examine the complex psychological factors that influence our eating habits, and ultimately, our health. Many individuals view healthy eating as an expensive and challenging endeavour, leading to dietary choices that may harm long-term well-being. These perceptions can complicate efforts to manage conditions like diabetes, highlighting the importance of addressing the mental barriers that impact our relationship with food.

Given that Malaysia is the “fattest” country in South-East Asia, have we thought about how our culture may have played a role in this? Cultural factors significantly influence our food preferences, with traditional dishes often taking precedence over healthier options. Food is very much a part of our Malaysian identity and we’re fiercely proud of our cuisine – nothing unites Malaysians faster than an outsider insulting our food! In fact, festive occasions like Hari Raya or Chinese New Year often encourage indulgent eating as we may feel licensed to enjoy traditional foods and treats in the spirit of celebration and togetherness. We have noticed that diabetic or prediabetic patients are sometimes resistant to the idea of changing their diet or lifestyle, thinking that it involves drastic changes and a lifetime of joyless, tasteless food.

I believe we need to recognise this unique challenge for Malaysians and adjust our advice and coaching accordingly. How.