Losing the Overweight Stigma with Type 2 Diabetes

By David Mendosa, Health Guide Tuesday, April 10, 2007
For lots of people the hardest question is, “What are you doing to control your diabetes?” That’s what a leader of some new focus groups tells me.“If they have type 2 diabetes, they feel guilty about it,” she tells me. “So they won’t open up about their diet, exercise, testing, and h...
Keep Off the Weight
4/11/07 5:43am
I can add that this repeated feeling of guilt not only happens to people with type 2. I (with type 1) often curse myself when numbers fluctuate one way or the other, blaming it on my own behaviour. And of course the behaviour can often be blamed in one way or another, which makes it even harder not to feel guilty.
4/12/07 1:36am
trying to fix the blame on whose fault it is that someone has diabetes and or is obese or has lung cancer from smoking, or hypertension, etc, etc, is not constructive. (i am reminded of 2 kids arguing: "am NOT!" "are TOO!", repeating ad infinitum.) it is also easy to blame oneself and then give up because it looks so overwhelming.
A constructive alternative is to explore possible avenues of change to ameliorate disease processes, as a society, as families and as individuals.
every one of us can point our fingers in attempts to deflect real or assumed blame re: why in the past we have not been doing absolutely everything we can to improve our health.
However, ALL of us also have the ability to drop the blame games, and instead take stock of where we are right now, objectively, and identify what specific aspects of our health we really want to work on and why it is important. Then set 1 or 2 SMART* goals and when the goal time is reached, evaluate our successes and failures, focusing on the successes to empower us to then set 1 or 2 more SMART goals.
This is the essence of diabetes self management support.
Sincerely,
Karen LaVine, RN CDE
*Sensible, Measurable, Attainable, Realistic, Timely
4/16/07 2:15pm

I think it is time to sue the AMA and ADA for slander and libel of type two diabetics.  Both organizations front the information that type two diabetes is caused by obesity.  I am not for sure why this hatred campaign against us "lazy gluttons" has fomented.

 

Diabetes causes less than 2 percent of the deaths in the United States.  And, diabetes causes less than 3 percent of the deaths in most parts of the world.  I looked at the death cause graph put out in the United Nations assessments of worldwide death causes.  In all countries in the world, you are more likely to die from being run over on the street than from diabetes.  (Go to the ADA site and access the United Nations report.)

 

In the United States, diabetes is less than 7 percent of the population.  Obesity is now 65 percent of the population.  The fat boogeyman argument is a hoax.

 

I am furious about current diabetes treatment for type twos.  When I read that they cured type 1 diabetes in lots of people in Brazil with a bone marrow transplant, I realized that the same experiment should have been done on type twos.  Why isn't NIH trying this procedure on diabetics dogs at the navy health institute?

 

The Swiss have been stating for l0 years that type two is an immune system disease.  And, it coudl be cured with antibody specific vaccines.  Why don't we have national health researchers looking at the antibodies in our blood>?

 

Fat bigotry and hatred is why type twos are being written off for a cure.  Only lawsuits work.  We should ban together and sue the drug companies and the AMA for fat bigotry, slander and libel.  The ADA should be banished from the realm.

Anonymous
nonegiven
2/ 2/08 4:00pm

Yeah!  What she said.  It's not the war on obesity, it's the war on fat people and it's past time to start fighting back!

 

I'm not even convinced that being overweight is unhealthy.   What study has there ever been that shows intentional weight loss improves longevity? Where is it written that a lot of the risks attributed to being overweight, besides genetic factors, aren't caused by obsessive dieting, malnutrition and/or avoidance of routine medical care because, "Oh, they'll just tell me I'm fat."  And a lot of the time we are told to lose weight and all our problems will go away even when our skinny relatives have the same problems.  Or we're growing 90 lb tumors and no one notices because fat people are so often denied adequate medical care even when we try to get it. 

 

It's pretty clear now that risk of heart attack can be tied directly to A1c level whatever your weight or cholesterol number.  If you want to lower your risk of the number one killer of us all, fat, thin, male, female, black, white, diabetic or nondiabetic, get that A1c down.  (How many nondiabetics do you know have ever had an A1c test even though it predicts heart attack better than cholesterol?)

 

 

Anonymous
Anonymous
4/18/07 3:55pm
70% of the people who have type 2 die of some type of heart or circultory problem, what comes first heart disease or type 2 ???
4/11/08 10:22am

As long as we're being somewhat contrary here, the book THE LAST WELL PERSON by Nortin Hadler, MD, posits the idea that much of what is done in the way of medical testing and treatment for various risk factors and diseases does NOT affect longevity much. He challenges routine mammograms, colonoscopies, statins, and also questions how much benefit is obtained by keeping various numbers within the "normal" range. Yes, I know those are outrageous and disconcerting ideas, but what if it's all true?

 

I would like to ask the author if altering risk factors along the way makes for a more comfortable life journey, though. The human lifespan may very well be what it is (75 to 80 years for most folks), but will certain changes in how we live, make our declining years freer of various complications and disabilities?

 

Still, it's an interesting hypothesis.

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By David Mendosa, Health Guide— Last Modified: 10/11/11, First Published: 04/10/07