Here's as article about a study published in the American Journal of Human Genetics. The article notes that the study says "A total of nearly 40 gene variants have now been found to raise or lower the risk of T2D." and that "The majority of the gene variants remain undiscovered." Another conclusion is that the genetics of T2 varies across different ethnic groups although there is considerable overlap.
The article also notes that "Multiple genes and environmental factors interact with T2D". Whats the Paula Deen connection? Although diet may have played a role, to say Paula caused her T2 is not supported by science. With such a multitude of genetic and environmental factors involved and the considerable genetic variation present in T2, the only thing we can say at this point is that we don't know why one person gets T2 and another doesn't. No wonder T2 is such a complicated disease.
Unfortunately I have not found a way to read the actual study without paying a hefty fee so the article will have to do.
I agree. I'd still be more of a fan to see a celeb w/ diabetes be more open about strategies,etc.? I am a big Jay Cutler fan (ok, I live in Chicago too...) because of him explaining his strategy in more detail than we usually hear. Not a huge amount but enough to make me think "that's cool that he explained 120-180 during games". Sure it wasn't a hugely detailed explanation but I haven't seen that sort of thing from too many people in that sort of position.
It seems the more T2 is studied the more we learn of the genetic factor involved. It's nice to know that T2 is caused by more that life style. It sort of helps to relieve the guilt trip that is placed upon all people with T2.
With that said lets not forget how much life style does affect us. Poor diet and exercise habits stymies our efforts to control our disease and it speeds the progression of it. At least it did for me. I know this is not true for all but it is true for many.
It's good to know that the blame it all on the T2 mentality is not correct. It's also good to know that I can help myself by implementing a life style change to include a better diet and exercise.
I'm not happy with the fact that I have T2 but I not ashamed of it either.
The thing is, BadMoonT2, it's just so darn fun for folks to trash obese and overweight T2's. We make such easy targets:
1) We're fat in a fat-hating culture;
2) We're lazy in an athlete-worshiping culture;
3) We don't "deserve" empathy or compassion (see 1 and 2, above); and
4) We make the other diabetics suffer guilt by association, just by existing!
What's not to hate?!?
The fact that diabetes is a complex, multifaceted, gene-based disease notwithstanding, people want/need someone to rag on and who better to rag on than those "fat, lazy, did-it-to-themselves T2's"?
I mean, it's not like we're actually human beings, eh?
T2 is a complex metabolic disease. To toss it off as a "lifestyle condition" is unconscionable, along with ignorant & insensitive.
Unfortunately, a long Puritan tradition exists of blaming people for whatever befalls them. Poor--your fault for not working harder. Sick--punishment for something you did or didn't do. Convenient to blame the victim since that removes the necessity of a social contract of understanding & assistance. Also diverts attention away from inequity. Not society's responsibility if the problem is the result of the individual's actions & is therefore up to the individual to deal with & resolve. An easy out to explain away complicated topics that make people uncomfortable & affords them the false assurance that if they behave they can avert tragedy. I believe this view is so deeply enculturated that it's hard to break through with logic.
You are so right Gerri it is easy to blame the victim. At least studies like this tell me that I'm not to blame. As far as everyone is concerned I'm past the point of caring what they believe.
Being past caring is a healthy attitude. Good for you, Gary! Have to say I become ballistic hearing the blame everywhere. If only he/she didn't eat that, exercised, etc. makes me scream. Not any more to blame for diabetes than anyone is for their eye color.
Gary, someone once told me this very useful quote: "What you think of me is none of my business."
How can we blame ourselves when the research is just now (in the past few years at the most) figuring out what's wrong with us (i.e. all the different gene combinations) and how to moderate our metabolic issues with specific changes that work great for some, but not for others? When I was being told by every dietician, doctor and health guru to eat six to nine servings of grains a day -- throwing gas on my disordered metabolic fire -- was that my fault? If someone thinks so, I don't want to hear about it. They can just keep it to themselves and I'll carry on doing the best I can.
When dealing with whatever flavor of diabetes, or any of life's other issues, everyone does their best. Their best may not be up to our personal standards, but it's still the best they can do at the time. No blame, no fault.
After I was in remission from lymphoma, nearly 20 years ago now, I decided on a healthy diet and exercise lifestyle to avoid cancer returning and to avoid diabetes. I followed all instructions, cut down fat to nearly zero, no sugar, grain bread, lots of veggies, and I suppose about three years ago I started to get fat for no reason that I could see, I was, after all eating a low GI diet, so why should I get fat and what was that stupid dr. talking about saying I was nearly diabetic. To my horror and dismay 2 years ago I was dx as T2 - and don't you know T2 and lymphoma, especially the sort I had, is linked! I don't like fast food, can't eat fatty food, as I see it following the diet you are supposed to follow to avoid diabetes doesn't work.
The biomedical research facility in our area does alot of research on Type 2. This week the paper ran an article about a study done here locally.
The one quote from that article by the Director of the research facility that really resonated with me:
"Just because someone is thin does not mean they are healthy."
I don't blame Paula Deen for her Diabetes or any diabetic. But once you are dx'd with diabetes you need to figure out how to eat to get near normal bgs. For me that meant giving up my favorite carbs like bread, pasta and rice. I never ate sugar before so that was never an issue. But I did have to give up a lot of my favorite fruits. I think most Diabetics are given terrible advice from their doctors and dieticians. I'm sure she got the same advice. For some reason they think we should all be able to continue to overconsume carbs in the Standard American Diet without high bgs. Most doctors will just keep increasing meds to deal with the increased carb loads. What they need to realise is that this is the strategy that causes so many of the terrible complications in Diabetics.
Maybe contributory negligence? If you are speeding and someone turns left in front of, the speeder can be partially at fault for it.
If you have a genetic disorder *and* punish your body by choosing to be a lifestyle advocate for big, carby food AND eat it yourself, perhaps you're some percentage at fault? W/T2, I think that you could "3rd party" the doctor in had the doc told you you're doing fine.