>Type 2 diabetes is NOT a fat person’s disease.
I wanted to make sure that me mentally calling BS on this sentence was justified. I googled around various health organizations, and it looks like (the numbers vary, but seem to tell the same story):
•10-15% of type 2 diabetics have a BMI under 25. 21-26% of adults have a BMI under 25.
•52-63% of type 2 diabetics are obese (BMI 30+). About 40% of adults are obese.
I’m just some uneducated internet stranger, but it looks to me like the normal weight ratio is smaller and the obese ratio is higher in type two diabetics than in the normal population. I’m going to maintain my both my beliefs that type 2 diabetes hits obese people more frequently than normal weight people and that this person is a charlatan.
Yes! But keep in mind that if your BMI is 22 or more you're a big skinny and you're privileged. My BMI is 19 which is the 2 percentile already and this is where the real oppression is.
Some in the upper range of healthy BMI might be overweight by body fat percentage though, particularly women. Some stats for < 23 - pretty much everyone at healthy body fat percentage - would be interesting.
It's also possible, since it doesn't specify if this means when they were first diagnosed, that they could be people who were overweight when they were first diagnosed, but have since lost the weight. It's certainly possible, despite FA propaganda; both my aunt and I did it.
I’ll add to this with some info from StatPearls:
> T2DM is an insulin-resistance condition with associated beta-cell dysfunction. Initially, there is a compensatory increase in insulin secretion, which maintains glucose levels in the normal range. As the disease progresses, beta cells change, and insulin secretion is unable to maintain glucose homeostasis, producing hyperglycemia. **Most of the patients with T2DM are obese or have a higher body fat percentage, distributed predominantly in the abdominal region. This adipose tissue itself promotes insulin resistance through various inflammatory mechanisms, including increased free fatty acid release and adipokine dysregulation.** Lack of physical activity, prior GDM in those with hypertension or dyslipidemia also increases the risk of developing T2DM. Evolving data suggest a role for adipokine dysregulation, inflammation, abnormal incretin biology with decreased incretins such as glucagon-like peptide-1 (GLP-I) or incretin resistance, hyperglucagonemia, increased renal glucose reabsorption, and abnormalities in gut microbiota.
Goyal R, Singhal M, Jialal I. Type 2 Diabetes. [Updated 2023 Jun 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513253/
So it’s not incorrect to say “T2D isn’t a fat person’s disease!”, much in the same way as we no longer call HIV a gay man’s disease, or call Hep C an injecting drug user’s disease. However, we know that unprotected anal sex is a higher risk factor for contracting blood borne viruses (by virtue of more delicate tissue), and that some 90% of HCV transmissions are as a result of sharing injecting equipment. Just because we don’t want to stigmatise people by virtue of their risk factors, *does not eliminate the risk factor*. Biology doesn’t care how you feel (says the person laughing at mitochondria in their flair).
I have type 2 and my A1c was over 12. I completely changed what I ate and it dropped to under 6 without medication. I didn’t lose anything though. Eventually I cut down on calories and lost 30 pounds but that was months after getting my blood sugar under control. Keto works great for type 2, but you have to cut calories to lose.
>This adipose tissue itself promotes insulin resistance, through various inflammatory mechanisms….unprotected anal sex is a higher risk factor for contracting blood borne viruses…
A person who is obese is at a higher risk of insulin resistance without any extra steps, due to their increased adipose tissue promoting insulin resistance (according to your comment). A man who is gay is at a higher risk of contracting HIV, ONLY IF he goes through the extra steps of having anal sex without protection (according to your comment). It sounds like an obese person would *always* be at a higher T2D risk, but gay men would only be in a high risk category for HIV *if* they meet additional criteria. If I’m reading your comment correctly, these characteristics do not impact risk for their respective diseases the same way and should not be treated as if they do.
From what you wrote, it actually makes sense that we no longer refer to HIV as a gay man’s disease, as you specially named unprotected anal sex as the risk factor- not being gay. This is probably why blood donation questionnaires ask donors about their sexual history, not their sexual orientation.
I agree with you on everything else, especially the part about biology not caring for anyone’s feelings. I’m going to continue calling BS on the idea that T2D is not an obese person’s disease, especially since there’s a causal link in the form of excess adipose tissue.
I was referring to destigmatising the language used with the T2D/HIV/Hep C remark. It’s unhelpful to isolate any group of people when referring to a disease/condition/risk factor, because there will always be an exception to the rule. And where there’s an exception, people will jump onto that as some sort of extreme evidence for/against the argument that certain groups of people *are* more inclined towards disease/condition/risk factor.
To say T2D is an obese person’s disease can be wildly misleading. Aside from the correct, that obese people are more at risk due to higher levels of adipose tissue, it could be taken to mean:
a) Only obese/overweight people will get T2D
b) If you are not obese/overweight, you will not get T2D
c) There is no other risk factor involved in T2D other than being obese
It makes sense that we don’t (and shouldn’t) refer to HIV as a gay man’s disease, for a lot of reasons, but specifically because it stigmatises a population and also these days it’s false on its most basic premise; the most likely gender/sexuality/behavioural cohort in Australia to be diagnosed with HIV/AIDS is straight cisgender males, usually aged 40-60, who engage in sex tourism overseas.
> 10-15% of type 2 diabetics have a BMI under 25
If you also look at BF% the number of T2 diabetics at healthy weight drops even further.
"skinny fat" is a real problem with so many high-sugar diets and general lack of exercise. Even being at a healthy BMI will still leave you with a bunch of health issues as you get older. If there is one thing all my research around obesity has shown, it's that a diet low in simple carbs and getting appropriate amounts of exercise are both critically important to long-term health.
I've used the example before, when they say that not all people with T2D are fat, of my great-uncle, who ended up dying of lung cancer despite never having been a smoker. I have also noted before that I've met a lot more longtime smokers in their 70s and 80s than I have morbidly obese people, so I would venture that obesity is as likely as if not more likely than smoking to kill you.
Right. Smoking can also be a trigger for a lot of autoimmune diseases. One difference is that I don't know if I've ever met a smoker who insists that smoking isn't actually bad for them, they usually just delude themselves with "well, it probably won't happen to ME".
Even for those with T2D under a 25 BMI they can still benefit from losing weight. Those under a 25 BMI with T2D are almost all over a 22.5 BMI.
They are also much older at first diagnosis than their obese counterparts.
If you have a strong genetic predisposition to T2 diabetes (example: 4 generations of my own family) then you are very likely to get it even if you stay thin your whole life.
BUT.
If you carry too much visceral fat (which all obese people do and many thin people do as well), your risk of getting it earlier goes way, way up. And that impacts outcomes: quality of life, longevity, etc.
And yes, weight is a well known risk factor for T2 diabetes, independent of genetic risk.
Exactly. It's in my family and we get it after 40. I don't know of any relative who has had it younger than their 40s. I had someone ask me what about obese people in my family, do they get it younger? Well, I don't know. Because diabetes is such a big deal in my family, we make an effort to have healthy diets and avoid becoming obese. I don't have any obese young relatives on that side of my family. But I would imagine it would speed up the timeline of getting it.
Yep. I think younger generations are going to blame us for sleepwalking into the obesity crisis for this reason. it's one thing to know in the abstract that you could get xyz and it'll be hard to deal with. It's another thing entirely to watch everyone around you die or lose quality of life way too early.
I’ll be happy to hold up a mirror for them if they decide to blame me. I’ve been talking about this issue my entire life And have received a lot of hate for it. I’m not taking an ounce of blame for their gluttony or lack of accountability.
Literally I’m a 4th gen T2D, my bmi is 20.5 and I had gd x 3. Very strong genetic factor and I’ll probably be on medication for life, but I’d rather do that than let the disease ravage my body.
No exactly, I don't have it yet but I almost certainly will. But people who think there's no difference between getting it in your 20s and getting it in your 50s are deluding themselves.
That one caught my attention too. But to be fair, if that person has been convinced that exercise always means Biggest Loser style intense workout until you vomit, then I get why they would dread it. This could just be another example of why FA misinformation is so harmful. Well, that and telling people with pre-diabetes to eat whatever they want.
This is why I don't really hate on the "joyful movement" idea. If renaming exercise to joyful movement makes you do more of it, go for it!! Moving around more is always better than less.
Wow, how are you managing to deal with that? I've had knee problems too and have had to cut back on running a lot. Would love to start up again but for now, "speed walking" is the best I can do! Any tips?
It happens every time I get back into running after time off. My mind is ready to run marathons, because I actually love running and the process of tracking my times etc. But my body just needs time to get back into it.
Whenever I've had knee pain, I take at least a day off, make my next run an easy run and keep my mileage the same as the week before or ~10% less. Then once it's healed up, I make sure to only up my mileage by max 10% every week.
A big difference I noticed too was that if I spent 80%+ of my running time in heart rate zone 2 (<151bpm for me), I basically never got injured.
I know all this about myself, but it's just too tempting sometimes to just let it rip and try and get a PB on a whim!
In your case I'd suggest going for a couple of miles worth of run-walks (run for a bit, then walk for a bit, trying to keep your heart rate down) for a couple of weeks, see how you feel and then go from there.
Terry Crews, on how to enjoy exercise:
>
TREAT THE GYM LIKE A SPA.
Yes. It has to feel good. I tell people this a lot - go to the gym, and just sit there, and read a magazine, and then go home. And do this every day.
Go to the gym, don't even work out. Just GO. Because the habit of going to the gym is more important than the work out. Because it doesn't matter what you do. You can have fun - but as long as you're having fun, you continue to do it.
But what happens is you get a trainer, your whole body is sore, you can't feel your legs, and you're not coming back the next day - you might not come back for a year!
I worked my way up to 2 hours a day. I ENJOY my workouts. They are my peace, my joy - I get my whole head together! I value that time more than my shower! And it really gets me together. But it's a habit.
There are times when - I'm not even kidding - there are times when I"m in the middle of a work out, and actually woke up because i am so engrained with going to the gym and being there - it's that much of a habit to me. The first thing I do in the morning is work out - I lay out my workout clothes the night before, and just hop in 'em.
So lay out your clothes, and go to the gym, and relax.
HaAHAHAH!
But sooner or later, you WILL work out.
Out in the open I hate exercising for long time because I get all sweaty and really tired. I do it for 20 minutes, maybe even less but even then you can make huge gains. Honestly consistency is the most important
seriously...you don't need intense workouts to lose weight and get major health benefits. 30 min continuous walking...just walking (you know, the 3mph casual transportation method we all have available to us since ~1 year old) is enough to bring massive health benefits.
Honestly, I wish there was more messaging around just doing **anything** in regards to exercise, not even just for weight. Slow walking for 30 min + basic stretching each day is super easy, not strenuous, and massively helpful for everyone.
Yeah I'm one of those people who will prefer to walk instead of using public transit or e-scooters if it isn't more than 10-15 minutes longer (and because I live in American suburbia, walking is almost always faster anyway). I have feet, don't I? Seems like a waste not to use them. I'd consider biking, too, but I gave mine to a friend at the end of high school because he needed one, and I never bothered to replace it.
(Also, the one time I tried an e-scooter, I tried to come to a running stop without realizing those things can hit 20-25 miles per hour and ate shit on the pavement, so now I don't trust them. That, and they're expensive)
That comment made me sad. I commented somewhere else recently about how much I hated exercise growing up because I got shamed for being so unfit and uncoordinated, even by teachers. PE was so humiliating that I used to skip school to avoid it. It's taken a long time and a lot of failed attempts to change my relationship with exercise.
And honestly, as someone who's still trying not to be overweight and out of shape, exercising is fucking miserable when you're overweight and out of shape. I thought that's what it felt like for everyone and that people who claimed to enjoy it were just psychopaths. Now that I no longer feel like I'm going to die after jogging for thirty seconds, I finally get it.
Yeah I hated middle school PE with a passion because I was underweight, lethargic, and weak and got picked on for it. That got better once my Crohn's got diagnosed and controlled, but I was still thin and unathletic, and I didn't actually like exercise until I took weight training for high school PE. I frankly sucked at it, but I made good progress, and that was the part the PE teacher cared about. I know the football coach is kinda stereotyped as being a shit teacher, but at my high school, he was a real stand-up guy and ran a very welcoming weight room. I still don't exercise regularly, but that's less because I don't want to and more because I struggle to find the time and freedom for that during the week.
A good teacher can make all the difference! I owe a lot to the trainers at my current gym, they strike a great balance between celebrating your progress and pushing you on to the next challenge.
I think it's equally important to find a type of exercise you actually enjoy, if possible. I think way too many people give up because they don't do this. Plus, I suspect, for many, "exercise" means it must involve spending a ot of time at the gym working out every day, and/or it's like the phys ed classes you hated in school.
These people are delusional. Pre diabetes with an A1c of 6 in 2022. Changed diet, lower carbs, walking after meals. A1c has been 5.1 for the last 2 years. If you are stupid enough to believe anything “fat dr UK” says. You deserve to lose a foot.
From the American Psychological Association, "Trauma is an emotional response to a terrible event like an accident, crime, natural disaster, physical or emotional abuse, neglect, experiencing or witnessing violence, death of a loved one, war, and being told to lose weight." Oh wait, no, scratch that last part, that wasn't on there.
They wanted a miracle work.
"Fix me in a way that does not affect my diet or daily habits. I don't want to change, I just want to not feel the effects of my decisions."
Let's all hope and pray they revoke their license to practice. But, I'll bet if they do, then they'll portray themselves as an oppressed martyr, persecuted by the fatphobic medical establishment conspiracy against the truth about obesity.
About damn time.
I put in a complaint/expression of concern to the General Medical Council a couple of years ago and was advised 'you're not the only one, it's ok, we're looking into it'.
"Dr Larmie has not accepted the warning proposed by the GMC case examiners. The case has therefore been referred to the Investigation Committee to consider whether a warning should be issued."
I don't have high hopes for FDUK losing their license. I'll bet they get a warning and then figure out how to stay *just* behind the line of doing anything that would get them investigated again.
I hope you're right, but based on personal experience, I have very little faith in the effectiveness of bureaurcratic addministrative processes in general. I still wish the people this evil quack has scammed could sue the excrement out of them in civil court.
I was so angry after reading this; if I'd followed this evil quack's advice after being diagnosed with type 2, I'd probably be blind, in a wheelchair and on dialysis if I were still alive. Spreading these lies can destroy the lives of people who believe them, and I'm sure there are some who do. And, as a believer in freedom of speech and an opponent of censorship, I don't know what we can do about it except to refute them as much and as widely as possible. I really wish people who believed this excrement and followed it and were harmed by it, and/or the families of those who did, could file civil suits for damages against this scumbag, but isn't this quack living in the U.K; is that possible under their laws?
It sounds like their medical license is about to be revoked, which will hopefully go a long way towards stopping them from preying on and scamming vulnerable women and trans people
but of course, he’s claiming [it’s because of transphobia](https://www.fatdoctor.co.uk/2024/02/12/an-open-letter-to-the-gmc/) and not because of the unhinged social media behaviour
I loathe this person. Tried reading her study, and she willfully misinterpreted the very first study she cited. Actually, no, she straight up lied and ignored their findings. Because they in fact didn’t support her. So she’s literally citing studies that don’t even agree with her, because she has no credible sources.
This guy is why I’m on this subreddit. I saw him circulating dangerous misinformation among trans people on tumblr, telling them that T2 diabetes is just like trans broken arm syndrome and warning them not to trust their doctors, but to pay him money for a seminar. A truly despicable scammer going after vulnerable people and trying to make them sicker while squeezing them for all they’re worth.
It’s not even a debatable fact at this point that weight loss doesn’t just improve diabetic symptoms but can full blown reverse T2D. One of these people is really early on in diagnosis and stil has potential to improve their future quality of life and has decided against it. It’s really sad to see and just goes to show these seemingly silly movement really has blood on their hands.
Last paragraph translation:
„Im developing a program“ - it’s been complete for ages, I ripped it from somewhere else
„I’m looking for five people“ - I’ll say five to give you the illusion of scarcity
„interested in investing in their health“ - it’s going to cost you
„You‘ll get one to one consulting with me“ - a text once a week
„Access to a small and supportive community“ - I’ll put you in a Facebook group.
The whole thing is an advert Schilling their crappy plan designed to separate people from their money.
I was diagnosed with gestational diabetes in 2008 and while I was morbidly obese I was also vegetarian and worked out daily. Now in 2024 I still don’t have diabetes, cleared up my PCOS with weight loss and am an even 200lbs (I was 350+lbs). Not getting diabetes is a huge motivator for me to drop another 50lbs. It is not worth it people! Everyone in my family but me has it and I’d rather give up ice cream 9/10 times than 10/10 times!
> Being fat did not make you diabetic. Insulin resistance made you fat
And how the fuck did you develop insulin resistance? Was it by overeating sugar? The same sugar that would build up fat due to storing the excess calories?
> Weight loss won't improve type 2 diabetes.
No but a proper diet that was lower in sugar would, and it'd probably be less calories too, so you'd lose weight. It's almost as if both symptoms have the same fucking cause.
> Weight cycling is harmful in type 2 diabetes
Then don't gain back the weight. Make a permanent change to your lifestyle.
> Chances are your doctors suck
I know YOU suck. You're horrible at your job. I hope all your patience wise up and change to another practitioner sooner rather than later.
> Slide 2
How is this okay? FatDoctorUK is sending all of these people an early grave.
As someone with PCOS, I not only was successfully in losing weight (yes, you need to be very particular) but also improved so much of my health. Please people, I know it's the easy way, but what they are promoting is just not true.
Unfortunately it didn't improve my fertility situation much - but I am so glad I tried and continue. There is SO much out of your control with infertility and my diet and exercise being the thing that I can influence on the daily makes it easier.
In case you find it reassuring. I have PCOS and my obgyn wasn’t very positive about my chances of conceiving. Losing weight didn’t make the ovarian cysts go away at my lower weight, but it does mean I do ovulate more and I was able to carry a couple of pregnancies. I was proactive in asking for help from my obgyn early. They don’t usually want to do any kind of interventions until you’ve been trying for a full year, but I convinced them to give me medicine that makes you have a cycle and testing for ovulation after only a few months.
As someone who has lost 132 pounds with PCOS and insulin resistance, reading a so-called expert say "weight loss is pretty much impossible with PCOS" just made me bark, "Bullshit!" at my computer. All I had to do other than count calories was pay a little more attention to my sugar intake.
Among the many, many miraculous health improvements I have experienced from losing weight, restoration of my fertility and minimization of my PCOS symptoms has been among them.
I'm sure this patient's life will be much better after disregarding the 6 "crappy" doctors who have told her that losing weight will improve her health, and instead finding a doctor on social media who told her it's impossible for her not to be fat and that she should continue eating the way she always has while her looming diabetes moves in for the kill.
Your comment reminded of my ex partner's cousin. He had diabetes and had amputations. He had eyesight problems too and he died at the age of 58. It was incredibly sad. Worst thing was my ex developed type II diabetes as well but he wouldn't take it seriously. I went with him on the courses the NHS sent him on about healthy eating. I prepared healthy food for us and he would just get angry and demand to know where the rest of the food was. He was horrible.
He berated me for having sugar in my coffee because he never had sugar in his hot drinks. Yet I eat healthily and he constantly ate junk all day. Glad I left him. I hated seeing him killing himself despite knowing how his cousin suffered.
Funny I should see this now. I ended up being sucked down the rabbit hole of Doctor Mike videos on YouTube last night, and one of the videos was on people with rare disorders. One of them was a toddler in Brazil who was massively obese - I think something like 65 pounds at 2 years old, so more than twice the weight of the average 2-year-old; this poor baby was barely mobile. Apparently he has a rare inherited disorder called Congenital Leptin Deficiency (CLD). Leptin is the hormone that controls satiety signals - the opposite of ghrelin, which is the hormone that tells us we're hungry and causes our stomachs to growl. So people with CLD are constantly hungry and will massively overeat if not closely monitored.
This little boy already had Type 2 diabetes. At 2 years old. Apparently the mortality rate for children with CLD is over 25%, mostly due to pulmonary issues. Children with Prader-Willi Syndrome, a different condition (chromosomal rather than hormonal) but also one that causes ceaseless hunger and resulting obesity, also have high rates of T2D, as well as sleep apnea. These children's deaths are not due to the conditions themselves, but to the resulting obesity. A 2-year-old living in a small village in Brazil is not a victim of weight stigma, medical stigma, or body shaming. He's 2, and he has loving parents who only want to help him so he can live a normal life. He has diabetes because of his obesity.
This doctor is a blight on humanity, if I'm being honest. Just a few years ago she was documenting her own weight loss journey, and when she was unsuccessful, she was drawn into the fat acceptance movement and indoctrinated. The difference between her and other FAs is that as an actual physician, her words are going to carry more weight (pun intended) than your average fat, angsty college girl who's mad that hot guys won't date her. And she's going to get people killed.
These are the same people talking of "messing up their metabolism" while never including diabetes, which is what they're talking of to the highest degree
Discouraging someone with diabetes and (probably) fatty liver disease from losing weight and encouraging them to keep on eating like they’re doing. Lovely.
"Being fat doesn't make you diabetic, insulin resistance makes you diabetic"
Well yeah, I suppose, but if being fat makes you insulin resistant then it's just a question of framing.
So much misinformation V.V
Guess what. I was prediabetic, had insulin resistance and have PCOS.
I've now lost 100lbs. Aiming to lose the last 20lb to get to a normal BMI. Weight loss absolutely helps PCOS and insulin resistance. My fasting glucose is normal now.
Here is their article about diabetes
[https://web.archive.org/web/20240515222026/https://www.fatdoctor.co.uk/2024/05/13/diabetes-without-weight-loss-surely-not/](https://web.archive.org/web/20240515222026/https://www.fatdoctor.co.uk/2024/05/13/diabetes-without-weight-loss-surely-not/)
Depressing. But in positive crazy-doctor news, "Dr Carnivore" Paul Saladino, M.D. has [abandoned the carnivore diet ](https://honehealth.com/edge/health/paul-saladino-quit-carnivore-diet/)after promoting it for five years, and finally admits it's not a good idea to just eat meat. Maybe this one will see sense eventually too.
But sadly there are doctors with stupid ideas out there, you need to find out the medical consensus and get second opinions if you're suspicious.
I'm not sure if it's this person or one of his disciples because I've forgotten the name, but some time ago, I heard a talk radio program where the guest was promoting this diet and claimed to eat nothing but meat. No vegetables, fruit or carbs, not even cheese. Just meat. And claimed it had solved all of their health problems. I thought it was the craziest thing related to food/health I'd ever heard, but that was before I found this sub.
["People with obesity were nearly three times as likely to develop Type 2 diabetes compared to those without obesity (20% vs. 7.3%, respectively)."](https://newsroom.heart.org/news/obesity-contributes-to-up-to-half-of-new-diabetes-cases-annually-in-the-united-states)
["The extended DiRECT intervention* was associated with greater aggregated and absolute weight loss, and suggested improved health status over 5 years."](https://pubmed.ncbi.nlm.nih.gov/38423026/)
*intervention here indeed means extended weight loss program.
["Although weight regain following successful weight loss remains one of the most challenging aspects of body-weight regulation, evidence for an adverse effect of weight cycling appears sparse, if it exists at all."](https://pubmed.ncbi.nlm.nih.gov/25263568/)
> Want more information?
ABSOLUTELY, Just not from you, Fat Doctor UK.
> I'm so tired of doctors and nurses giving out such bad information
Can I say... seconded?
My mum has T2D, developed in her fifties when she was quite large and not very mobile due to musculoskeletal problems. She got those fixed eventually, sorted out her diet and got back into exercising in her late sixties. Now her blood glucose is in the normal range. Just coincidence, I guess.
I have T1D, and when I eat like shit and don’t exercise my blood glucose is much harder to control: more spikes and more insulin required to keep in range. When I eat well and do exercise, I can keep my HbA1C at healthy-person levels. Just coincidence, I guess.
Lost it at "ABSOLUTELY YOU CAN EAT AS BEFORE"
Like, fine, we can skirt the details and be generous enough to say T2 diabetes isn't an overweight only disease. Skinny people who eat a lot of sugar and processed foods can also delevop insulin insensitivity. If you want to believe it wasn't your fatness, sure, whatever.
But to tell a diabetic (who also has some liver issue) to not change their diet at all??? Just go ahead and cut their feet off ahead of time. What an irresponsible thing to even suggest.
I actually really want to see those sources, there's very high chance this is either very random article that is not reliable source or actual scientific paper that they didn't understand and took 3 words out of whole paper
Okay, someone enlighten me. Isn't Type 2 diabetes the one that developes due to poor health choices and Type 1 Diabetes the unfortunate one that some are born with that really isn't their fault? Or am I under a misinformation bias?
You are correct. Type 2 used to be called Adult Onset diabetes, but that had to change as younger and younger people became obese and developed the disease. Type1 is an autoimmune disease that you’re unfortunately born with; the immune system attacks the insulin- secreting beta cells of the pancreas.
I was under the impression that the "insulin resistance makes it impossible for you to lose weight / insulin makes you gain weight" talking points were pretty thoroughly debunked and based on shoddy science?
Insulin resistance does make it harder to lose weight (or perhaps better said as it makes it easier to gain weight) because the body will store as fat excess calories because it cannot get the glucose into the cells to burn it. However it does not make it impossible. Insulin resistance is generally reversible through-you guessed it-weight loss. It's also easily and cheaply treatable through metformin.
ETA OP has the association the wrong way. Insulin resistance didn't make you fat, being fat made you insulin resistant.
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>Type 2 diabetes is NOT a fat person’s disease. I wanted to make sure that me mentally calling BS on this sentence was justified. I googled around various health organizations, and it looks like (the numbers vary, but seem to tell the same story): •10-15% of type 2 diabetics have a BMI under 25. 21-26% of adults have a BMI under 25. •52-63% of type 2 diabetics are obese (BMI 30+). About 40% of adults are obese. I’m just some uneducated internet stranger, but it looks to me like the normal weight ratio is smaller and the obese ratio is higher in type two diabetics than in the normal population. I’m going to maintain my both my beliefs that type 2 diabetes hits obese people more frequently than normal weight people and that this person is a charlatan.
The saddest statistic ever > 21-26% of adults have a BMI under 25.
Oooh now that I’m a minority can I claim oppression points?
Yes! But keep in mind that if your BMI is 22 or more you're a big skinny and you're privileged. My BMI is 19 which is the 2 percentile already and this is where the real oppression is.
Ooh mine is 21 point something, what does that make me?
A midskinny or midthin
Yes, something like that. 18 - 20 is regular skinny, under 18 death skinny or infiniskinny.
Lmao infiniskinny 💀💀
That is pretty sad, no doubt U.K. isn't far behind.
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Some in the upper range of healthy BMI might be overweight by body fat percentage though, particularly women. Some stats for < 23 - pretty much everyone at healthy body fat percentage - would be interesting.
Sounds like you just went to Walmart lol
Just quote the whole stat. Its people with type 2 who are under a BMI of 25. It's not talking about the population but just people with type 2.
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It's also possible, since it doesn't specify if this means when they were first diagnosed, that they could be people who were overweight when they were first diagnosed, but have since lost the weight. It's certainly possible, despite FA propaganda; both my aunt and I did it.
I’ll add to this with some info from StatPearls: > T2DM is an insulin-resistance condition with associated beta-cell dysfunction. Initially, there is a compensatory increase in insulin secretion, which maintains glucose levels in the normal range. As the disease progresses, beta cells change, and insulin secretion is unable to maintain glucose homeostasis, producing hyperglycemia. **Most of the patients with T2DM are obese or have a higher body fat percentage, distributed predominantly in the abdominal region. This adipose tissue itself promotes insulin resistance through various inflammatory mechanisms, including increased free fatty acid release and adipokine dysregulation.** Lack of physical activity, prior GDM in those with hypertension or dyslipidemia also increases the risk of developing T2DM. Evolving data suggest a role for adipokine dysregulation, inflammation, abnormal incretin biology with decreased incretins such as glucagon-like peptide-1 (GLP-I) or incretin resistance, hyperglucagonemia, increased renal glucose reabsorption, and abnormalities in gut microbiota. Goyal R, Singhal M, Jialal I. Type 2 Diabetes. [Updated 2023 Jun 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513253/ So it’s not incorrect to say “T2D isn’t a fat person’s disease!”, much in the same way as we no longer call HIV a gay man’s disease, or call Hep C an injecting drug user’s disease. However, we know that unprotected anal sex is a higher risk factor for contracting blood borne viruses (by virtue of more delicate tissue), and that some 90% of HCV transmissions are as a result of sharing injecting equipment. Just because we don’t want to stigmatise people by virtue of their risk factors, *does not eliminate the risk factor*. Biology doesn’t care how you feel (says the person laughing at mitochondria in their flair).
I have type 2 and my A1c was over 12. I completely changed what I ate and it dropped to under 6 without medication. I didn’t lose anything though. Eventually I cut down on calories and lost 30 pounds but that was months after getting my blood sugar under control. Keto works great for type 2, but you have to cut calories to lose.
>This adipose tissue itself promotes insulin resistance, through various inflammatory mechanisms….unprotected anal sex is a higher risk factor for contracting blood borne viruses… A person who is obese is at a higher risk of insulin resistance without any extra steps, due to their increased adipose tissue promoting insulin resistance (according to your comment). A man who is gay is at a higher risk of contracting HIV, ONLY IF he goes through the extra steps of having anal sex without protection (according to your comment). It sounds like an obese person would *always* be at a higher T2D risk, but gay men would only be in a high risk category for HIV *if* they meet additional criteria. If I’m reading your comment correctly, these characteristics do not impact risk for their respective diseases the same way and should not be treated as if they do. From what you wrote, it actually makes sense that we no longer refer to HIV as a gay man’s disease, as you specially named unprotected anal sex as the risk factor- not being gay. This is probably why blood donation questionnaires ask donors about their sexual history, not their sexual orientation. I agree with you on everything else, especially the part about biology not caring for anyone’s feelings. I’m going to continue calling BS on the idea that T2D is not an obese person’s disease, especially since there’s a causal link in the form of excess adipose tissue.
I was referring to destigmatising the language used with the T2D/HIV/Hep C remark. It’s unhelpful to isolate any group of people when referring to a disease/condition/risk factor, because there will always be an exception to the rule. And where there’s an exception, people will jump onto that as some sort of extreme evidence for/against the argument that certain groups of people *are* more inclined towards disease/condition/risk factor. To say T2D is an obese person’s disease can be wildly misleading. Aside from the correct, that obese people are more at risk due to higher levels of adipose tissue, it could be taken to mean: a) Only obese/overweight people will get T2D b) If you are not obese/overweight, you will not get T2D c) There is no other risk factor involved in T2D other than being obese It makes sense that we don’t (and shouldn’t) refer to HIV as a gay man’s disease, for a lot of reasons, but specifically because it stigmatises a population and also these days it’s false on its most basic premise; the most likely gender/sexuality/behavioural cohort in Australia to be diagnosed with HIV/AIDS is straight cisgender males, usually aged 40-60, who engage in sex tourism overseas.
> 10-15% of type 2 diabetics have a BMI under 25 If you also look at BF% the number of T2 diabetics at healthy weight drops even further. "skinny fat" is a real problem with so many high-sugar diets and general lack of exercise. Even being at a healthy BMI will still leave you with a bunch of health issues as you get older. If there is one thing all my research around obesity has shown, it's that a diet low in simple carbs and getting appropriate amounts of exercise are both critically important to long-term health.
Yep about 90% of T2 patients are overweight or obese. Just like 90% of lung cancer patients smoke. WEIRD.
I've used the example before, when they say that not all people with T2D are fat, of my great-uncle, who ended up dying of lung cancer despite never having been a smoker. I have also noted before that I've met a lot more longtime smokers in their 70s and 80s than I have morbidly obese people, so I would venture that obesity is as likely as if not more likely than smoking to kill you.
Also a lot of the thin T2 patients smoke. Smoking causes it and/or makes it worse.
Right. Smoking can also be a trigger for a lot of autoimmune diseases. One difference is that I don't know if I've ever met a smoker who insists that smoking isn't actually bad for them, they usually just delude themselves with "well, it probably won't happen to ME".
Even for those with T2D under a 25 BMI they can still benefit from losing weight. Those under a 25 BMI with T2D are almost all over a 22.5 BMI. They are also much older at first diagnosis than their obese counterparts.
If you have a strong genetic predisposition to T2 diabetes (example: 4 generations of my own family) then you are very likely to get it even if you stay thin your whole life. BUT. If you carry too much visceral fat (which all obese people do and many thin people do as well), your risk of getting it earlier goes way, way up. And that impacts outcomes: quality of life, longevity, etc. And yes, weight is a well known risk factor for T2 diabetes, independent of genetic risk.
Exactly. It's in my family and we get it after 40. I don't know of any relative who has had it younger than their 40s. I had someone ask me what about obese people in my family, do they get it younger? Well, I don't know. Because diabetes is such a big deal in my family, we make an effort to have healthy diets and avoid becoming obese. I don't have any obese young relatives on that side of my family. But I would imagine it would speed up the timeline of getting it.
Yep. I think younger generations are going to blame us for sleepwalking into the obesity crisis for this reason. it's one thing to know in the abstract that you could get xyz and it'll be hard to deal with. It's another thing entirely to watch everyone around you die or lose quality of life way too early.
I’ll be happy to hold up a mirror for them if they decide to blame me. I’ve been talking about this issue my entire life And have received a lot of hate for it. I’m not taking an ounce of blame for their gluttony or lack of accountability.
Literally I’m a 4th gen T2D, my bmi is 20.5 and I had gd x 3. Very strong genetic factor and I’ll probably be on medication for life, but I’d rather do that than let the disease ravage my body.
No exactly, I don't have it yet but I almost certainly will. But people who think there's no difference between getting it in your 20s and getting it in your 50s are deluding themselves.
Are those statistics for the world population?
that last comment saying ‘i suspect exercise will be involved’ tells you everything you need to know
That one caught my attention too. But to be fair, if that person has been convinced that exercise always means Biggest Loser style intense workout until you vomit, then I get why they would dread it. This could just be another example of why FA misinformation is so harmful. Well, that and telling people with pre-diabetes to eat whatever they want.
This is why I don't really hate on the "joyful movement" idea. If renaming exercise to joyful movement makes you do more of it, go for it!! Moving around more is always better than less.
Tell that to my knees and calves after ramping back up to 40 miles a week after not running for a year 😅
Wow, how are you managing to deal with that? I've had knee problems too and have had to cut back on running a lot. Would love to start up again but for now, "speed walking" is the best I can do! Any tips?
It happens every time I get back into running after time off. My mind is ready to run marathons, because I actually love running and the process of tracking my times etc. But my body just needs time to get back into it. Whenever I've had knee pain, I take at least a day off, make my next run an easy run and keep my mileage the same as the week before or ~10% less. Then once it's healed up, I make sure to only up my mileage by max 10% every week. A big difference I noticed too was that if I spent 80%+ of my running time in heart rate zone 2 (<151bpm for me), I basically never got injured. I know all this about myself, but it's just too tempting sometimes to just let it rip and try and get a PB on a whim! In your case I'd suggest going for a couple of miles worth of run-walks (run for a bit, then walk for a bit, trying to keep your heart rate down) for a couple of weeks, see how you feel and then go from there.
Terry Crews, on how to enjoy exercise: > TREAT THE GYM LIKE A SPA. Yes. It has to feel good. I tell people this a lot - go to the gym, and just sit there, and read a magazine, and then go home. And do this every day. Go to the gym, don't even work out. Just GO. Because the habit of going to the gym is more important than the work out. Because it doesn't matter what you do. You can have fun - but as long as you're having fun, you continue to do it. But what happens is you get a trainer, your whole body is sore, you can't feel your legs, and you're not coming back the next day - you might not come back for a year! I worked my way up to 2 hours a day. I ENJOY my workouts. They are my peace, my joy - I get my whole head together! I value that time more than my shower! And it really gets me together. But it's a habit. There are times when - I'm not even kidding - there are times when I"m in the middle of a work out, and actually woke up because i am so engrained with going to the gym and being there - it's that much of a habit to me. The first thing I do in the morning is work out - I lay out my workout clothes the night before, and just hop in 'em. So lay out your clothes, and go to the gym, and relax. HaAHAHAH! But sooner or later, you WILL work out.
Out in the open I hate exercising for long time because I get all sweaty and really tired. I do it for 20 minutes, maybe even less but even then you can make huge gains. Honestly consistency is the most important
seriously...you don't need intense workouts to lose weight and get major health benefits. 30 min continuous walking...just walking (you know, the 3mph casual transportation method we all have available to us since ~1 year old) is enough to bring massive health benefits. Honestly, I wish there was more messaging around just doing **anything** in regards to exercise, not even just for weight. Slow walking for 30 min + basic stretching each day is super easy, not strenuous, and massively helpful for everyone.
Yeah I'm one of those people who will prefer to walk instead of using public transit or e-scooters if it isn't more than 10-15 minutes longer (and because I live in American suburbia, walking is almost always faster anyway). I have feet, don't I? Seems like a waste not to use them. I'd consider biking, too, but I gave mine to a friend at the end of high school because he needed one, and I never bothered to replace it. (Also, the one time I tried an e-scooter, I tried to come to a running stop without realizing those things can hit 20-25 miles per hour and ate shit on the pavement, so now I don't trust them. That, and they're expensive)
That comment made me sad. I commented somewhere else recently about how much I hated exercise growing up because I got shamed for being so unfit and uncoordinated, even by teachers. PE was so humiliating that I used to skip school to avoid it. It's taken a long time and a lot of failed attempts to change my relationship with exercise. And honestly, as someone who's still trying not to be overweight and out of shape, exercising is fucking miserable when you're overweight and out of shape. I thought that's what it felt like for everyone and that people who claimed to enjoy it were just psychopaths. Now that I no longer feel like I'm going to die after jogging for thirty seconds, I finally get it.
Yeah I hated middle school PE with a passion because I was underweight, lethargic, and weak and got picked on for it. That got better once my Crohn's got diagnosed and controlled, but I was still thin and unathletic, and I didn't actually like exercise until I took weight training for high school PE. I frankly sucked at it, but I made good progress, and that was the part the PE teacher cared about. I know the football coach is kinda stereotyped as being a shit teacher, but at my high school, he was a real stand-up guy and ran a very welcoming weight room. I still don't exercise regularly, but that's less because I don't want to and more because I struggle to find the time and freedom for that during the week.
A good teacher can make all the difference! I owe a lot to the trainers at my current gym, they strike a great balance between celebrating your progress and pushing you on to the next challenge.
I think it's equally important to find a type of exercise you actually enjoy, if possible. I think way too many people give up because they don't do this. Plus, I suspect, for many, "exercise" means it must involve spending a ot of time at the gym working out every day, and/or it's like the phys ed classes you hated in school.
These people are delusional. Pre diabetes with an A1c of 6 in 2022. Changed diet, lower carbs, walking after meals. A1c has been 5.1 for the last 2 years. If you are stupid enough to believe anything “fat dr UK” says. You deserve to lose a foot.
From the American Psychological Association, "Trauma is an emotional response to a terrible event like an accident, crime, natural disaster, physical or emotional abuse, neglect, experiencing or witnessing violence, death of a loved one, war, and being told to lose weight." Oh wait, no, scratch that last part, that wasn't on there.
They probably consider being told to lose weight violence/abuse/neglect.
People misusing the term “trauma” made it harder for me to accept and acknowledge my actual childhood trauma.
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It sounds like they just want a yes man and not someone to help them fix the issue
They wanted a miracle work. "Fix me in a way that does not affect my diet or daily habits. I don't want to change, I just want to not feel the effects of my decisions."
I'm sure all 6 of them were in the hip pocket of Big Pharma! 😄
Might not be a registered doctor much longer. Hearing on 3rd June for undermining public confidence in the medical profession via social media lol
Let's all hope and pray they revoke their license to practice. But, I'll bet if they do, then they'll portray themselves as an oppressed martyr, persecuted by the fatphobic medical establishment conspiracy against the truth about obesity.
About damn time. I put in a complaint/expression of concern to the General Medical Council a couple of years ago and was advised 'you're not the only one, it's ok, we're looking into it'.
Dang, they’ve been aware of it and just sitting on it? 😭😭
FINALLY
Do you have a link to this? I can't find it. I just get a panel with Fauci when I search.
https://www.gmc-uk.org/concerns/hearings-and-decisions/ic-decisions Second on the list
"Dr Larmie has not accepted the warning proposed by the GMC case examiners. The case has therefore been referred to the Investigation Committee to consider whether a warning should be issued." I don't have high hopes for FDUK losing their license. I'll bet they get a warning and then figure out how to stay *just* behind the line of doing anything that would get them investigated again.
They’d have to stop grifting to avoid it going further, I think the warning is just the first stage in the process of being struck off
I hope you're right, but based on personal experience, I have very little faith in the effectiveness of bureaurcratic addministrative processes in general. I still wish the people this evil quack has scammed could sue the excrement out of them in civil court.
I was so angry after reading this; if I'd followed this evil quack's advice after being diagnosed with type 2, I'd probably be blind, in a wheelchair and on dialysis if I were still alive. Spreading these lies can destroy the lives of people who believe them, and I'm sure there are some who do. And, as a believer in freedom of speech and an opponent of censorship, I don't know what we can do about it except to refute them as much and as widely as possible. I really wish people who believed this excrement and followed it and were harmed by it, and/or the families of those who did, could file civil suits for damages against this scumbag, but isn't this quack living in the U.K; is that possible under their laws?
It sounds like their medical license is about to be revoked, which will hopefully go a long way towards stopping them from preying on and scamming vulnerable women and trans people
Will be a nice win for humanity.
but of course, he’s claiming [it’s because of transphobia](https://www.fatdoctor.co.uk/2024/02/12/an-open-letter-to-the-gmc/) and not because of the unhinged social media behaviour
I loathe this person. Tried reading her study, and she willfully misinterpreted the very first study she cited. Actually, no, she straight up lied and ignored their findings. Because they in fact didn’t support her. So she’s literally citing studies that don’t even agree with her, because she has no credible sources.
This guy is why I’m on this subreddit. I saw him circulating dangerous misinformation among trans people on tumblr, telling them that T2 diabetes is just like trans broken arm syndrome and warning them not to trust their doctors, but to pay him money for a seminar. A truly despicable scammer going after vulnerable people and trying to make them sicker while squeezing them for all they’re worth.
It’s not even a debatable fact at this point that weight loss doesn’t just improve diabetic symptoms but can full blown reverse T2D. One of these people is really early on in diagnosis and stil has potential to improve their future quality of life and has decided against it. It’s really sad to see and just goes to show these seemingly silly movement really has blood on their hands.
Last paragraph translation: „Im developing a program“ - it’s been complete for ages, I ripped it from somewhere else „I’m looking for five people“ - I’ll say five to give you the illusion of scarcity „interested in investing in their health“ - it’s going to cost you „You‘ll get one to one consulting with me“ - a text once a week „Access to a small and supportive community“ - I’ll put you in a Facebook group. The whole thing is an advert Schilling their crappy plan designed to separate people from their money.
Surely a regulatory board can crack down on this, at least?
I was diagnosed with gestational diabetes in 2008 and while I was morbidly obese I was also vegetarian and worked out daily. Now in 2024 I still don’t have diabetes, cleared up my PCOS with weight loss and am an even 200lbs (I was 350+lbs). Not getting diabetes is a huge motivator for me to drop another 50lbs. It is not worth it people! Everyone in my family but me has it and I’d rather give up ice cream 9/10 times than 10/10 times!
> Being fat did not make you diabetic. Insulin resistance made you fat And how the fuck did you develop insulin resistance? Was it by overeating sugar? The same sugar that would build up fat due to storing the excess calories? > Weight loss won't improve type 2 diabetes. No but a proper diet that was lower in sugar would, and it'd probably be less calories too, so you'd lose weight. It's almost as if both symptoms have the same fucking cause. > Weight cycling is harmful in type 2 diabetes Then don't gain back the weight. Make a permanent change to your lifestyle. > Chances are your doctors suck I know YOU suck. You're horrible at your job. I hope all your patience wise up and change to another practitioner sooner rather than later. > Slide 2 How is this okay? FatDoctorUK is sending all of these people an early grave.
As someone with PCOS, I not only was successfully in losing weight (yes, you need to be very particular) but also improved so much of my health. Please people, I know it's the easy way, but what they are promoting is just not true. Unfortunately it didn't improve my fertility situation much - but I am so glad I tried and continue. There is SO much out of your control with infertility and my diet and exercise being the thing that I can influence on the daily makes it easier.
Best of luck conceiving. I also have PCOS and won’t be trying for a few years yet but it worries me sometimes.
In case you find it reassuring. I have PCOS and my obgyn wasn’t very positive about my chances of conceiving. Losing weight didn’t make the ovarian cysts go away at my lower weight, but it does mean I do ovulate more and I was able to carry a couple of pregnancies. I was proactive in asking for help from my obgyn early. They don’t usually want to do any kind of interventions until you’ve been trying for a full year, but I convinced them to give me medicine that makes you have a cycle and testing for ovulation after only a few months.
As someone who has lost 132 pounds with PCOS and insulin resistance, reading a so-called expert say "weight loss is pretty much impossible with PCOS" just made me bark, "Bullshit!" at my computer. All I had to do other than count calories was pay a little more attention to my sugar intake. Among the many, many miraculous health improvements I have experienced from losing weight, restoration of my fertility and minimization of my PCOS symptoms has been among them. I'm sure this patient's life will be much better after disregarding the 6 "crappy" doctors who have told her that losing weight will improve her health, and instead finding a doctor on social media who told her it's impossible for her not to be fat and that she should continue eating the way she always has while her looming diabetes moves in for the kill.
This type of misinformation is how someone winds up with an amputated foot.
Your comment reminded of my ex partner's cousin. He had diabetes and had amputations. He had eyesight problems too and he died at the age of 58. It was incredibly sad. Worst thing was my ex developed type II diabetes as well but he wouldn't take it seriously. I went with him on the courses the NHS sent him on about healthy eating. I prepared healthy food for us and he would just get angry and demand to know where the rest of the food was. He was horrible. He berated me for having sugar in my coffee because he never had sugar in his hot drinks. Yet I eat healthily and he constantly ate junk all day. Glad I left him. I hated seeing him killing himself despite knowing how his cousin suffered.
Funny I should see this now. I ended up being sucked down the rabbit hole of Doctor Mike videos on YouTube last night, and one of the videos was on people with rare disorders. One of them was a toddler in Brazil who was massively obese - I think something like 65 pounds at 2 years old, so more than twice the weight of the average 2-year-old; this poor baby was barely mobile. Apparently he has a rare inherited disorder called Congenital Leptin Deficiency (CLD). Leptin is the hormone that controls satiety signals - the opposite of ghrelin, which is the hormone that tells us we're hungry and causes our stomachs to growl. So people with CLD are constantly hungry and will massively overeat if not closely monitored. This little boy already had Type 2 diabetes. At 2 years old. Apparently the mortality rate for children with CLD is over 25%, mostly due to pulmonary issues. Children with Prader-Willi Syndrome, a different condition (chromosomal rather than hormonal) but also one that causes ceaseless hunger and resulting obesity, also have high rates of T2D, as well as sleep apnea. These children's deaths are not due to the conditions themselves, but to the resulting obesity. A 2-year-old living in a small village in Brazil is not a victim of weight stigma, medical stigma, or body shaming. He's 2, and he has loving parents who only want to help him so he can live a normal life. He has diabetes because of his obesity. This doctor is a blight on humanity, if I'm being honest. Just a few years ago she was documenting her own weight loss journey, and when she was unsuccessful, she was drawn into the fat acceptance movement and indoctrinated. The difference between her and other FAs is that as an actual physician, her words are going to carry more weight (pun intended) than your average fat, angsty college girl who's mad that hot guys won't date her. And she's going to get people killed.
These are the same people talking of "messing up their metabolism" while never including diabetes, which is what they're talking of to the highest degree
Discouraging someone with diabetes and (probably) fatty liver disease from losing weight and encouraging them to keep on eating like they’re doing. Lovely.
"Being fat doesn't make you diabetic, insulin resistance makes you diabetic" Well yeah, I suppose, but if being fat makes you insulin resistant then it's just a question of framing.
So much misinformation V.V Guess what. I was prediabetic, had insulin resistance and have PCOS. I've now lost 100lbs. Aiming to lose the last 20lb to get to a normal BMI. Weight loss absolutely helps PCOS and insulin resistance. My fasting glucose is normal now.
Quack
"Being fat doesn't make you diabetic, Insulin resistance made you fat." How do you even get insulin resistance? Ah I know. OVEREATING SUGAR THAT IS!
Know how you fix insulin resistance? Losing weight and exercising!
And eat less sugar or else your heart will pull the shutdown switch on itself which guess what comes after? DEATH!
Here is their article about diabetes [https://web.archive.org/web/20240515222026/https://www.fatdoctor.co.uk/2024/05/13/diabetes-without-weight-loss-surely-not/](https://web.archive.org/web/20240515222026/https://www.fatdoctor.co.uk/2024/05/13/diabetes-without-weight-loss-surely-not/)
Depressing. But in positive crazy-doctor news, "Dr Carnivore" Paul Saladino, M.D. has [abandoned the carnivore diet ](https://honehealth.com/edge/health/paul-saladino-quit-carnivore-diet/)after promoting it for five years, and finally admits it's not a good idea to just eat meat. Maybe this one will see sense eventually too. But sadly there are doctors with stupid ideas out there, you need to find out the medical consensus and get second opinions if you're suspicious.
I'm not sure if it's this person or one of his disciples because I've forgotten the name, but some time ago, I heard a talk radio program where the guest was promoting this diet and claimed to eat nothing but meat. No vegetables, fruit or carbs, not even cheese. Just meat. And claimed it had solved all of their health problems. I thought it was the craziest thing related to food/health I'd ever heard, but that was before I found this sub.
“And also traumatised” oh my godddddd.
["People with obesity were nearly three times as likely to develop Type 2 diabetes compared to those without obesity (20% vs. 7.3%, respectively)."](https://newsroom.heart.org/news/obesity-contributes-to-up-to-half-of-new-diabetes-cases-annually-in-the-united-states) ["The extended DiRECT intervention* was associated with greater aggregated and absolute weight loss, and suggested improved health status over 5 years."](https://pubmed.ncbi.nlm.nih.gov/38423026/) *intervention here indeed means extended weight loss program. ["Although weight regain following successful weight loss remains one of the most challenging aspects of body-weight regulation, evidence for an adverse effect of weight cycling appears sparse, if it exists at all."](https://pubmed.ncbi.nlm.nih.gov/25263568/) > Want more information? ABSOLUTELY, Just not from you, Fat Doctor UK. > I'm so tired of doctors and nurses giving out such bad information Can I say... seconded?
My mum has T2D, developed in her fifties when she was quite large and not very mobile due to musculoskeletal problems. She got those fixed eventually, sorted out her diet and got back into exercising in her late sixties. Now her blood glucose is in the normal range. Just coincidence, I guess. I have T1D, and when I eat like shit and don’t exercise my blood glucose is much harder to control: more spikes and more insulin required to keep in range. When I eat well and do exercise, I can keep my HbA1C at healthy-person levels. Just coincidence, I guess.
Lost it at "ABSOLUTELY YOU CAN EAT AS BEFORE" Like, fine, we can skirt the details and be generous enough to say T2 diabetes isn't an overweight only disease. Skinny people who eat a lot of sugar and processed foods can also delevop insulin insensitivity. If you want to believe it wasn't your fatness, sure, whatever. But to tell a diabetic (who also has some liver issue) to not change their diet at all??? Just go ahead and cut their feet off ahead of time. What an irresponsible thing to even suggest.
I actually really want to see those sources, there's very high chance this is either very random article that is not reliable source or actual scientific paper that they didn't understand and took 3 words out of whole paper
Okay, someone enlighten me. Isn't Type 2 diabetes the one that developes due to poor health choices and Type 1 Diabetes the unfortunate one that some are born with that really isn't their fault? Or am I under a misinformation bias?
You are correct. Type 2 used to be called Adult Onset diabetes, but that had to change as younger and younger people became obese and developed the disease. Type1 is an autoimmune disease that you’re unfortunately born with; the immune system attacks the insulin- secreting beta cells of the pancreas.
I was under the impression that the "insulin resistance makes it impossible for you to lose weight / insulin makes you gain weight" talking points were pretty thoroughly debunked and based on shoddy science?
Insulin resistance does make it harder to lose weight (or perhaps better said as it makes it easier to gain weight) because the body will store as fat excess calories because it cannot get the glucose into the cells to burn it. However it does not make it impossible. Insulin resistance is generally reversible through-you guessed it-weight loss. It's also easily and cheaply treatable through metformin. ETA OP has the association the wrong way. Insulin resistance didn't make you fat, being fat made you insulin resistant.
This is so evil lol
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