Navigating Food and Festivities: Support for People Living with Diabetes Who Struggle with Food & Eating

By Alexandra van Essche, Eating Free founder and lead coach

When the Festive Season Feels Overwhelming

The festive season is a time of family, friends, and celebration – and food and festive meals often take centre stage. For people living with diabetes, especially those who also struggle with their relationship with food, the holiday season in December and New Year celebrations in January can feel overwhelming rather than joyful.

Many people living with diabetes understandably feel that this season is uniquely challenging. What is helpful to realise is that even people without diabetes, and those who don’t struggle with eating or weight, often feel overwhelmed by constant snacks, meals, events with rich foods, and family gatherings.

However, managing Type 1 diabetes over the festive period is far more demanding than most people realise.

The Hidden Work of Living With Diabetes

Living with diabetes is a constant balancing act: monitoring blood sugar, taking insulin, tracking what and when you eat, and working out how much to inject – all while managing personal and work commitments and the usual stresses of life.

Add festive events, rich meals, sweet treats, and changes to your routine, and things can quickly feel unmanageable. It’s easy to feel disarmed, unsure of how to cope, and still expected by those around you to “just manage” your diabetes.

Many people with diabetes also struggle with food, eating, and even eating disorders – making the year-end and New Year period particularly difficult.

You Are Not Alone

One of the key messages from Eating Free is that you are never alone. Many people face the same challenges during a holiday season that should be fun, but often isn’t.

Eating Free coaching is a wise investment for people with diabetes who want to end their struggles with food once and for all – so that future festive celebrations can truly be Eating Free celebrations.

The good news is this: the holidays don’t have to be stressful or unenjoyable. With planning, focus, practical strategies, and self-care, you can look after yourself, enjoy the foods you love, manage your diabetes, and still make the most of what is often called “the silly season”.

Choose the Foods You Want to Enjoy – and Enjoy Them

It’s okay to enjoy richer or sweeter foods during the holidays. You’ve been managing your diabetes all year, sticking to routines that help keep your glucose levels stable.

Over the festive season, the focus is on staying hydrated, supporting stable glucose levels, and eating in a way that serves you – not on rigid rules.

For people with diabetes who struggle with food, the word moderation can sometimes feel triggering. Eating Free coaching supports you in navigating these difficult feelings with compassion and practicality.

Key Eating Free guidance over the festive period includes:

  • Serve yourself a portion and savour it. You can go back for more, but notice how much you enjoyed it and how you might feel if you eat more.
  • Ask about ingredients. It’s okay to check with hosts, family, or friends about unfamiliar dishes. Knowing ingredients helps you estimate carbohydrate, protein, and fat content, and dose insulin more accurately.
  • Understand how foods affect blood sugar. Sweet foods and carbohydrates raise glucose quickly, protein more slowly, and fats only after several hours. This awareness supports safer insulin dosing.
  • Be gentle with fullness cues. When you struggle with eating, being told to “stop when satisfied” isn’t always helpful. This festive season, focus on self-care and eating in ways that best support you and your glucose control.

Learning to recognise hunger and fullness cues is a core part of the Eating Free Coaching Programme. We help you differentiate types of hunger and respond in ways that support both your emotional wellbeing and diabetes management.

Take Care With Insulin and Medication

For people with Type 1 diabetes, understanding how different foods affect blood sugar is essential. Carbohydrates typically raise glucose within about 30 minutes, while proteins and fats have slower effects.

Careful dosing of short-acting or bolus insulin is vital to maintain stable glucose levels. Over-injecting to compensate for unfamiliar festive foods can lead to dangerous highs and lows.

Movement Can Be Fun – and Supports Glucose Management

Movement is an important pillar of glucose management. If you already have a routine, try to sustain it over the festive season.

If you don’t exercise regularly, gentle movement still helps: a walk after meals, swimming, or playing actively with children. Movement helps prevent glucose spikes, supports steady energy levels, and contributes to overall wellbeing – and it may gently set the stage for healthier habits in 2026.

Water Is Your Best Friend

Hydration is crucial – especially during the hot South African summer, and just as important for those celebrating winter elsewhere. Water is always the best choice. Avoid sugary drinks, limit alcohol, and remember that thirst is often mistaken for hunger.

Managing Stress During Family Gatherings

Family gatherings can bring stress or conflict with siblings, relatives, in-laws, or friends. Protect your wellbeing by prioritising yourself. Step away from tense situations and express your needs calmly once emotions have settled.

Stable blood sugar is easier to maintain when you feel calm. Deep breathing, stepping outside for fresh air, or finding quiet moments during the day can make a meaningful difference.

Focus on Fun Beyond Food

The festive season is about connection, not just cuisine. Board games, sports with children, walks, or shared activities with friends can shift attention away from food and help reduce “food pressure”.

Using the Festive Season to Build Gentle, Healthy Habits

Small, mindful habits can support a smoother start to 2026. Balanced meals, movement, hydration, and stress management help prevent the “reset” feeling many experience after the holidays.

Many people “go all out” in December and January, planning to start fresh in the New Year. At Eating Free, we believe the festive season itself can be a foundation for an empowered, confident, and healthier 2026 – something we explore in our coaching sessions.

A Final Word of Support

The festive season is about joy, connection, and celebration – food is just one part of it. With planning, self-compassion, and support, you can protect your health, maintain stable blood sugars, and truly enjoy time with your loved ones.

And if this season feels overwhelming or distressing, Eating Free is here to support you every step of the way.