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Lucky for me my parents were both "I didn't save anything for retirement, my kids will take care of me when I'm older", so I don't have to suffer through this.
This one hit too close to home. My mum has diabetes, dad is close to it, I can't get them to stop eating sweets
There’s an odd mentality that you just need to dose more insulin, no big deal, when eating poorly with diabetes. Understanding is sometimes the problem.
Here’s a better way to think about it in terms of body damage over time.
Think of sugar as fuel, because it is. When you have diabetes you lack the capacity to regulate the concentration and intensity of that fuel once you ingest it. You can add other things to the mix that can and will help (insulin and various oral agents) but the efficiency and immediacy of the inherent system simply isn’t there when you have diabetes.
Think of excess sugar in the blood as a caustic fuel that slowly (speed varies by individual as well as food consumed) burns out the vasculature (blood vessels) over time.
This burn out due to excess fuel is why nerves in the feet die. Neuropathy is the official name for the numbness and tingling in toes and feet that diabetics generally, eventually, experience. The burnout is also why toe tissue dies and toes need to be amputated, along with a foot or even an entire lower leg with knee, depending. Eye tissue is another location hit particularly hard by this burn out effect from sugars.
So there’s impact over time based on how much caustic sugar fuel you pour into your own bloodstream.
Also, sugar is addictive. Like meth or heroin, people struggle with letting it go.
Theres also a ton of people, medical professionals included, that treat type two diabetes as a permanent problem with no possibility of reversing it. This leads to people focusing on the medication they need to take instead of the food they eat.
Doctors have been saying “you need to lose weight” for a very long time, decades at least. Aside from a small sliver of patients this advice is typically ignored. People want a pill for this, not to have to give up that bucket of KFC or the supersized McDonald’s French fries.
Recently, patients raise hell with healthcare workers’ bosses if weight loss is advised because it’s “mean” or is “impacting my mental health” regarding body image. So the suggestion is not made as much in general in the last 5 years.
The problem on this one isn’t often the doctors.
Now, if a patient needs surgery and is too obese for it to happen then there’s a path forward to advise weight loss without repercussions. If cholesterol is high there’s also a path forward for advising diet change, again, without repercussions. Diabetes, again, diet recommendations so you don’t fall into a coma and die, and so you can potentially keep both your feet.
All of that said, you hit diabetes phase you do have it forever, but with type 2 you can manage it by diet if you behave well, reduce weight, and maintain healthy eating. This is great, but it doesn’t mean the type 2 diabetes is gone just that it’s well managed, or “diet managed”. Another way to think of it is that it’s in remission by virtue of your good behavior but not cured. Go on a month long food bender and things can change back again.
To reverse, you need to lose weight and adjust your diet, per your doctors instructions, as soon as your doctor tells you you are pre-diabetic.
Nutrition consults typically come with the diagnosis, but people are notorious for not following up with the next specialist. Diabetic educator is a position as well. Your doctor is booked like an airport by his/her bosses and probably can’t cram that into the 15-20min time slot allowed. Referrals are made for a reason.
Two things that commonly happen to thinking on this topic. Oh, I’m prediabetic, whatever, it’s something we watch, nothing to do here, I’m safe because no insulin required. Or, I no longer need Metformin or insulin or whatever, so I must no longer be diabetic. Both are typically wrong.
Another thing that happens is hardcore denial of even having type 2 diabetes because “I don’t take insulin.”
This isn’t all people, this is simply a piece of the mess involved with diet and exercise advice in health care alongside type 2.
In keeping with the probabilities game that is the human body, here’s a fun fact. There are morbidly obese people in the 500-700lb zone who are not diabetic and still guzzling sugar like none other. Someone has to exist on the tails of the bell curve.
As always, bring your health questions to your doctors, don’t take some random dipshit on the internet seriously.
My wife reads click bait articles all the time, and thinks diabetes can be cured. And is always quick to tell me that if i did this fad diet, or ate that diabetes curing food I would be right as rain.
Thanks to Ozempic I've had it under control for 3 years. And it's not easy, the Ozempic benefits go away after a while. So you need to make the most out of the weight loss. Unfortunately, I went undiagnosed for too long and the nerve damage has been done and I wouldn't wish that on anyone. I knew 20 years ago that I was on an express train to diabetes town, but depression and anxiety caused by yet another undiagnosed condition made me not care.
Cured is the same as remission, which is what you are describing you are in now. Most doctors won't say cured because it could come back in the future, so the term remission is used more often.
Very well put, thank you!
Don't I know it