My other disability is a bad attitude

Please remember and remind others that diabetes is not your body punishing you for how you treat it, it's a left over adaption that kept us alive. It's so disheartening to meet type 2's that genuinely believe that they did this to themselves and are so entrenched in diet culture that they view it as a moral failing.

Contraband at The National concert

Type 1 happens when your body can't make enough/any insulin, and type two happens when your cells become insulin resistant and there isn't enough going around.

But what is insulin, and what does it do? Insulin is a hormone your body produces to aid in absorbing glucose (sugar) in your blood, allowing it to enter your cells and provide energy needed to live. This means that when there is no insulin, or insulin resistance is high enough, your cells can't absorb glucose. This is essentially the same as starving, because your cells aren't getting any energy. This causes not just a blood glucose to rise (which itself can cause damage to your body), but also makes you body slam the hunger button and craving for sugar- because it wants energy as fast as possible. Going through this repeatedly (a constant occurrence for many diabetics) is also super stressful on the body, and prompts it to want to gain weight as a survival strategy against starving.

keto

atkins (keto in a different package)

positive thinking

chanting mantras

sleeping (i have chronic fatigue)

taking B12 (i already do)

consuming less/no caffeine (i already do)

stop taking my meds (?????)

exercise/walking (i cant walk)

snake oil IV treatments

cryotherapy

Pilates

Fasting (I'm diabetic that'll kill me)

Prunes

Going vegan

Pre-diabetes was rejected as a diagnosis by the World Health Organization (although it is used by the US and UK) - the correct term for the condition is impaired glucose tolerance. Approximately 2% of people with "pre-diabetes" go on to develop diabetes per year. You heard that right - TWO PERCENT. Most diabetics actually skip the pre-diabetic phase.

There are currently no treatments for pre-diabetes besides intentional weight loss. (Hmm, that's convenient, right?) There has yet to be evidence that losing weight prevents progression from pre-diabetes to T2DM beyond a year. Interestingly, drug companies are trying to persuade the medical world to start treating patients earlier and earlier. They are using the term “pre-diabetes” to sell their drugs (including Wegovy, a weight-loss drug). Surgeons are using it to sell weight loss surgery. Everyone’s a winner, right? Not patients. Especially fat patients.

Check out these articles:

Prediabetes: The epidemic that never was, and shouldn’t be

The war on ‘prediabetes' could be a boon for pharma—but is it good medicine?

Also - I love what Dr. Asher Larmie @fatdoctorUK has to say about T2DM and insulin resistance, so here's one of their threads I pulled from Twitter:

1️⃣ You can't prevent insulin resistance. It's coded in your DNA. It may be impacted by your environment. Studies have shown it has nothing to do with your BMI.

2️⃣ The term "pre-diabetes" is a PR stunt. The correct term is impaired glucose tolerance (or impaired fasting glucose) which is sometimes referred to as intermittent hyperglycemia. It does not predict T2DM. It is best ignored and tested for every 3-5yrs.

3️⃣ there is no evidence that losing weight prevents diabetes. That's because you can't reverse insulin resistance. You can possibly postpone it by 2yrs? Furthermore there is evidence that those who are fat at the time of diagnosis fair much better than those who are thin.

4️⃣ Weight loss does not reverse diabetes in the VAST majority of people. Those that do reverse it are usually thinner with recent onset T2DM and a low A1c. Only a tiny minority can sustain that over 2yrs. Weight loss does not improve A1c levels beyond 2 yrs either.

5️⃣ Weight loss in T2DM does not improve macrovascular or microvascular health outcomes beyond 2 years. In fact, weight loss in diabetics is associated with increased mortality and morbidity (although it is not clear why). Weight cycling is known to impacts A1c levels.

6️⃣ Weight GAIN does NOT increase the risk of cardiovascular OR all causes mortality in diabetics. In fact, one might even go so far as to say that it's better to be fat and diabetic than to be thin and diabetic.

Dr. Larmie cites 18 peer reviewed journal articles (most from the last decade) that are included in their webinar on the subject, linked below.

Lots of people have medical conditions where they can’t or shouldn’t consume that much sugar/those many carbs in one sitting- a 20oz coke has 65 carbs which is basically a meals worth

People might just not like the taste of sugared drinks or the aftertaste sugar leaves; I know I don’t. (One of the points the guy made in the video that he doesn’t like the taste of aspartame)