In theory, we'd all have a perfect, healthy, nutritious diet.
But when you're disabled, particularly with chronic conditions, it gets a bit tricky (to say the least) to prioritise all the things that have to be prioritised.
For my own diet:
- can I make it myself?
- does it conflict with my diabetes
- does it conflict with weight loss goals
- does it conflict with Gastroparesis
- does it trigger IBS
- does it meet my ARFID safe foods?
- can I afford it
And that is just diet... because I also have to prioritise:
- managing my energy levels
- getting enough sleep
- managing meds
- earning a living
- managing a home - financially
- managing a home practically (keeping it clean and tidy and not falling apart)
- medical appointments
- managing on-going wound care
- prompting ND partner to do the things he must do
- managing my own personal care
You cannot put every one of those things at the top of the list. It is not possible to have everything as number 1 priority.
For a healthy, able bodied person, managing all that might be a breeze (though from posts on MN it seems it probably isn't). Add in doing all this on insufficient sleep, with physical disabillities or mental disabilites, or both, in significant amounts of pain and with a third the energy or less of a 'normal' person...
As I say, it gets a little tricky. Some shit slips, particularly when unexpected things happen (eg. Today I was woken at 10am, now it is lovely that the DN turned up so promptly, but it means I have had 3 hours less rest as I could not go back to bed afterwards. I feel ok now, but I can guarantee that I will be running on empty at 7pm when I have 3 hours of work left! and this will impact me for the next couple of days).
Also, in amongst all of that most people try to squeeze a bit of enjoyment out of life if they can... but that also takes up energy, time, mental and physical resources that are in short supply.