While most mums enjoy occasionally indulging their Âchildren with sweets, Jane Hall knows something that simple could have devastating consequences.
Janeâs daughter, Jade, 20, suffers from a rare genetic condition which gives her an Âinsatiable appetite and a predisposition to severe weight gain.
5ft 2in Jade weighs 20 stone â" despite being on a diet of just 750 calories per day.
If left to her own devices she could eat herself to death and, for her family, trying to control what Jade eats is a daily battle.
Jane, 50, says: âJade could eat 12 courses and still think she was Âstarving.
At times sheâd be so desperate for food, she would eat soap or dog biscuits.
âBecause her body isnât able to Âefficiently convert fat into muscle we have to put Jade on a strict diet for life â" or she would become so fat she would die.â
Jane â" daughter of late EastEnders star Mike Reid â" lives near Sudbury, Suffolk, with retire d builder husband Des, 63, and Jadeâs Âyounger sisters Lucy, 17, and Lily, 13.
Her eldest was four when she was Âdiagnosed with Prader-Willi syndrome (PWS), which leaves sufferers with intense hunger pangs and an endless appetite.
Jadeâs brain doesnât send signals to let her body know when she is full, and she has learning difficulties and slower Âemotional development.
As well as putting Jade on a diet of low-fat food, Jane has had to put locks on her cupboards to ensure Jade cannot help herself.
Jane, who is Jadeâs full-time carer, said: âSheâll tell you she canât eat too much or sheâll die, but the words donât really mean anything to her.
"She canât stop herself. Until recently, we trusted Jade to tell us what sheâd eaten.
âBut then I started finding crumbs in her dressing gown pocket and chocolate Âwrappers hidden in her drawers and realised she was lying.
âIâd show her the empty crisp packets and sheâd deny having eaten them.
"Weâve now put a lock on the pantry to stop her giving in to temptation.
âJade will binge on anything she can find. It was so Âupsetting when I found her eating the soap.
"She was Âhaving a bath and I turned my back on her for one second.
âThere was another time I caught her eating dog biscuits from the dogâs bowl. Itâs times like that you realise how ill Jade is.â
At birth, Jade refused to feed and showed signs of underdevelopment. She was fed through a tube while doctors ran tests to find what was wrong.
At the age of 16 months, however, her appetite kicked in and she began to put on weight very rapidly.
Jane said: âAlthough she wasnât diagnosed with PWS until she was older, I noticed somet hing was wrong when she was still a baby.
"She didnât have much mobility and showed no interest in food. She was very small for her age.
âIn the beginning, we fed her every three hours and it took two hours to get three ounces of milk down her.
âAfter about a year and a half her appetite came back in a big way and we had to start Âcutting back on her food intake.â
Jadeâs weight climbed steadily as she got older and when she was seven she weighed five stone, a stone and a half heavier than average. At 12 she weighed eight and a half stone.
Itâs been a Âbattle for Jane. She says: âIâve been thrown out of Tesco before for confronting someone who insulted Jade.
"They talked about her weight and I couldnât hold back. I rammed my Âtrolley into them and got Âescorted out.
âBut Jadeâs got a terrible disease that makes her put on weight. So when I say sheâs fat but itâs not her fault, itâs the truth.â
The PWS condition affects one in every 25,000 live births in the UK.
Following Jadeâs birth, her grandfather Mike â" Frank Butcher in EastEnders for almost 20 years â" spent seven days in Âhospital with her.
Jane recalls: âHe used to call her Princess.
âThey were very close. He was great with her.â Managing Jadeâs eating is a constant challenge and Jane has to ensure she monitors everything her daughter Âconsumes.
Growing up, Jade would ransack the fridge and cupboards, eat leftovers and constantly beg for food.
For Jane, one of the hardest things was having to say no. She says: âNo was the first word Jade learned. Itâs very damaging to keep hearing that, but I say it out of love.
âShe learned to be crafty and would ask to make me a cup of tea so she could eat the sweeteners.
"Once, in the middle of a tantrum she started screaming, âHow can you lock your disabled daughter in her room?â
âIâd done no thing of the sort, but she was trying to wind me up. She knew I would worry the neighbours could hear.
âI have to remind myself itâs the illness talking, not her. But itâs still very upsetting.â
Yet allowing Jade to get her own way could have very real consequences. âBecause she has such a low metabolic rate, to burn off 100 calories Jade would have to walk four miles,â says Jane.
âI used to take her swimming and we encourage her to keep fit. She has an exercise bike in her bedroom â" but we have to bribe her to go on it.
"I make her go up and down the stairs by asking her to fetch things.â
Each day Jade eats between 750 and 950 calories in healthy food. She has porridge for breakfast, chicken and salad for lunch and a small portion of what the Âfamily eats for dinner.
However, any deviation can result in weight gain that can take weeks to lose.
Jane says: âHowever hard I try to keep her on a diet, Jade seems to g et bigger and bigger.
âShe can put on three pounds in a day. Iâm desperate for her to lose some weight. I sit and cry about it some days.
âSheâs seen loads of doctors but we canât force her to see one if she doesnât want to.â
Jadeâs stubbornness â" a symptom of PWS â" also means she is prone to temper Âtantrums.
Jane adds: âEvery day is full of confrontation. Jade will cause horrendous rows. She can cry and yell for two hours at the top of her voice sometimes and thereâs nothing I can do to calm her down.
âSheâll often slam doors and lash out. She has even kicked a hole in the bathroom.
âIf she acts up I send her to her room, but itâs not always easy to do given that sheâs twice the size of me. Itâs so tiring that sometimes I do the hoovering just to drown out the noise.â
Because emotionally Jade is younger than her years, Jane has been told to expect the tantrums until she is around 25.
People with PWS are also prone to Âdepression, so Jadeâs family rally round her when she is upset.
Jane explains: âWe continually have to boost Jadeâs ego and remind her how loved she is.
"We shower her with praise when sheâs been good an d canât come down on her too hard if she eats too much. We canât tell her that sheâs fat, sheâd be distraught.â
For her sisters, who have grown up Âlearning how to care for Jade, dealing with her condition has become second nature.
Eating food unsuitable for Jade in front of her would cause problems and they know to tread carefully when she is upset.
Now Jade attends a local club for young people with special needs where she can interact with others in a supervised area. It also give Jane a much needed break.
She says: âMy family is everything and I am so proud of my girls.
"Jade will never be able to manage by herself, but as long as Iâm here, sheâll always have me.â
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