"Peter Attia: What if we're wrong about diabetes?"

I hate videos...

Have to run so will have to read the articles later. But I can say that I’ve known I had PCOS and insulin resistance from pretty early on. Staring in high school I had a very hard time not gaining weight. I didn’t consume too many calories, was active. Sometimes riding my bike miles to school, having a dance class there, and then doing jazzercize when I got home...and still barely maintained. Often gained. My body did not respond to food and exercise like my peers, that’s for sure. Very frustrating, as you can imagine.TFS will read when I get home!

I remember reading The South Beach Diet and the diabetes warning signs such as metabolic syndrome, etc., that should give us pause. I mean like, WHY give yourself diabetes if it is preventable with exercise and diet.

Please take note of course, that this thread deals with Type 2 Diabetes. Type 1 diabetes is a whole 'nother issue and the advice and so-called knowledge above does not apply.

In other words, edjamacate yourself.

Layce

It's really upsetting how much disdain many health professionals have for overweight people. They often have very little training on the issues but a lot of attitude, shame, and stigma.

I have to totally agree with mellyw and  I have to politely disagree with inkedup. 

My dd was diagnosed last April at age 18 with type 1.  You can't believe the number of people who have said oh wow and she's not overweight how would she get diabetes, she should try this pill or that pill, she'll grow out of it if she loses weight (at diagnoses she was 5"10 and 126lbs she definitely did not need to lose weight) on and on and on.  IME most people don't have a clue that Type 1 is actually an autoimmune disease and lump both types together.

Isn't the cause of the metabolic issues the same as what they think was the cause of the diabetes?  It seems like a "what came first" type of question.  

I have listened to several podcasts this week that had Dr. Alan Christiansen as the guest.  He has a new book out, that I haven't read yet, but it is about the liver and the role it plays in weight loss, diabetes and other health issues.  One take away that stuck out to me is that they now believe that people have high fasting blood sugar because it is being excreted by the liver during the night.  That resonated with me because I often have high fasting blood sugar, even though my blood sugars throughout the rest of the day and after meals are good.  I always thought that there was nothing I could do about the fasting blood sugar but now I know that isn't the case.  They are even able to tell the difference between glucose that is a result of the meal that you ate vs what came from your liver.  

IF YOU HAVE EVER GIVEN SOMEONE WITH DIABETES ADVICE, EVEN WELL INTENTIONED ADVICE, OR HAVE EVER BLAMED A PERSON FOR GETTING DIABETES DUE TO THEIR DIET OR LIFESTYLE, YOU PROBABLY DONT WANT TO READ THIS. DONT SAY I DIDNT WARN YOU.

I feel compelled to preface my following remarks by disclosing I have type 1 diabetes. I also work in the medical field specializing in diabetes. AND I AM REALLY, REALLY ANGRY.

None of this is new information. It’s been known for decades. It’s even been reported in newspapers, on tv, on radio, on every reliable website... not just the medical journals. If you don’t know this it’s because you’ve had your head buried in the sand, or more likely, you chose to ignore it because it doesn’t fit neatly into your pre-conceived about diabetes. You should also know no one gets diabetes unless they have the genes (yes that’s plural) for it.

People, including physicians, who blame the patient are wrong and ignorant.

I don’t understand why people think it is acceptable to voice their uneducated opinions and give unsolicited and incorrect treatment advice to people with diabetes. Why on earth would you think that’s ok to do? In general you don’t do this with other diseases. Why diabetes? Do you really not understand how stupid you look?

I’m so tired of hearing you express your ignorance. I’m so tired of having to console and comfort my patients because of your ignorant expressions. I’m so tired of not being able to get through a single day without having to confront the obstacles your ignorance builds. I’m just tired.

Diabetes is so difficult to live with. Why do you & your good intentions insist on making it even worse? And in case you’ve missed this too:
1. The way people with diabetes should eat is also the way you should eat.
2. The way people with diabetes should exercise is also the way you should exercise.
3. The way people with diabetes should lose weight or maintain a healthy weight is the way you should lose weight or maintain a healthy weight.
4. The way people with diabetes should always maintain a positive attitude and never express their fears or suffer from depression while living with this disease and its horrific complications is unrealistic.

I want to go on, but I won’t. Thank you for allowing me to vent. OK, getting off my soap box now. And please, please, please just shut the f—-k up. And I will shut up too. (Reminder: I did warn you.)

I wish the general population knew the difference between Type1 & 2, I really do.

My Niece passed away 4 years ago from complications due to Type 1. The unsolicited bullshit overheard at her funeral, within earshot of my Type 1 DD was unbelievable. These people watched my Niece grow up, there was no reason to be so uneducated about the difference, but trust me, it was there.

My DD has had to explain the difference so many times (she was diagnosed at 9), she basically has a standard response. I’ve had to explain it over and over.

We’ve lived all over the world, and we’ve encountered it everywhere we’ve lived.

This seems like a dumb thing to get mad about. Take the opportunity to educate someone about the difference. In my experience, some people don't know the difference between types of diabetes, but most do.

My DD has what her endocrinologist termed "a metabolic disorder". She has PCOS and insulin resistance, and therefore Type II diabetes. I have the same thing to a lesser degree. She takes metformin. There is no doubt that we have better control over our blood sugar when our weight is controlled and we are eating healthy (me and DD).

Whether we are genetically predisposed or not, the treatment is the same. I cannot prevent having insulin resistance, I just do. What I can do to help myself is exercise and keep my weight reasonable.

According to my endocrinologist, it isn't even as simple as type 1 and type 2. There are diabetics who don't meet the diagnostic criteria for type 1, but their bodies don't quite behave like one would expect a type 2's body to behave.

Something else to consider - between both TYPE 1 and TYPEll are genetics. Plain and simple. Sometimes you can do all the right things and still get it. DH's family is a testiment to that. They are also Scandanavian 1st generation. He was the first the youngest to be diagnose just one day... (a joke between him and his DR.) he joined the rest of his family. Now a niece was just diagnosed with Type ! . There is still discussion on some if it was TYPE ! to start. And yes I do know the difference.
When we first got married my job was working with a large well known company that made the meters and test strips and then more diabetic products. The training was intense. We joked at the end that we all felt like nurse or should have DR title lol. We learned the ins and outs and that was almost 15yrs ago. I know how the medical field changes. We live it everyday, between the two of us.

I'm not sure I agaree with is his summary to some extent there is soo much more..

mygigiscraps DH started on two different meds, plus insulin. Now he's down to one med and no insulin.. I fully understood you post shaking me head yes yes and Im sorry for the struggle.

DH's grandma had a cousin do her shots, that was a nurse, she was similar.