I just finished reading through an excellent discussion started by @Brian_BSC about words, his (and others) frustration over fat-shaming and T2 diabetes; the misconception by so many that T2s cause the disease with poor eating habits; that the disease can be cured by losing weight.
The guilt heaped upon T2s unjustifiably by these misconceptions is a big problem.
However, seeing this topic again -- it comes up regularly here -- got me concerned about how we, the D community, seem to have gone too far in the other direction, in my opinion.
The fact is, you did not cause your diabetes by anything you did. There are plenty of people with a similar lifestyle, and many hugely obese sloths with far worse lifestyles, that are not and never will be diabetic. It is something genetic that you've been cursed with that makes YOU unable to process carbohydrates properly.
That said, some other facts are also important to shout out too, especially on a diabetes support forum. These are:
- Obesity generally increases insulin resistance.
- Lean diabetics have a greater total carb handling capacity in any given digestion cycle than obese diabetics
- T2 diabetics are more prone to other metabolic disorders, like high cholesterol, when obese than non-diabetics
Because of these, and other aspects of the disease, most T2 diabetics who are overweight, especially those clinically obese, will benefit from losing weight. Getting to a lean BMI may even improve insulin sensitivity and carb processing by their "system" enough to get off exogenous insulin, oral beta cell stimulants, and other somewhat "nasty", drugs like GLP agonists, etc.
As a community we do nothing good by shaming people for being fat, and causing their diabetes. Thankfully, we don't, and indeed provide a place to get some loving comfort from this harsh, erroneous judgement by society at large.
Yet, we do our fellow diabetics no favors if we downplay, deny, sugar-coat, or otherwise diminish the very real, and substantial benefit gaining a lean, fit body mass has on the day to day treatment of, living with, and future progression of T2 diabetes.
I say all this as I, at this very moment, struggle to take off excess weight. I've dropped 20, and still have another 30 to go. It ain't easy, took me 6 months just to drop 20.
If you have T2 diabetes and are overweight and sedentary, the hard truth is the single most effective thing you can do for your disease is to lose weight and establish a daily exercise program.