Your first point - in this respect you are just like the many people who wake up one day with a diagnosis of diabetes surely? Were you actively making choices that would lead to you succumbing to a chronic disease, or was it only when you were diagnosed that you realised you needed to make changes? Would those changes have come without the diagnosis, or would you have continued making the same choices and thinking that it only happened to other people?
On the second point, a diet rich in high glycaemic foods will stimulate excessive insulin production leading to weight gain - weight gain increases insulin resistance, so more insulin required to try and keep blood glucose levels under control, so more weight gain. With many people what may then happen is that blood sugar levels are continuously so high that glucose is shed through urine and fat is metabolised for energy, so you start to lose weight. At this point you feel so bad that you go to the doctor's and get diagnosed...
As Mike said earlier, "people diagnosed with D are living exactly the same lifestyle as everyone else - it's just that their bodies can't cope with the carb-saturated modern diet and/or have a twitchy immune system that eats their own pancreas."
I was obese and unwell and for whatever reason simply didn't do anything about it until one day I couldn't move at Paddington station without threatening to pass out! One ambulanceman and a spot BG check led to hospitalisation and the start of my wake up call.
I can see that is a possible route re: weight gain and loss, but it all starts with the initial non-D related weight gain. If that was avoided, then the following problems would have been delayed or avoided too (possibly!).
Re: this lifestyle thingy. All I can say is my lifestyle before diagnosis consisted of excessively large meal portions on one side and missed meals (usually breakfast) on the other. I also didn't exercise much. Yes, this probably corresponds with quite a few other people in this country. However, as you say, I couldn't cope with it in the end. However, I can now cope with my new lifestyle (which isn't too different from the old one actually, except I eat regularly and keep an eye on what I eat ... plus exercise more .... just walking).
All I can point to is my personal experience. It will chime with some people but not with others (we are all different, I know). Some people may be unlucky if after losing the weight they are no better off. Perhaps their pancreas has given up the ghost already (fortunately mine seems to still be kicking for the moment!).
I also suspect that there isn't just one, two or three things going on with respect to the amount of diabetes in the population and it is probably that which muddies the waters. All I can say is, if you have type 2 diabetes and are overweight then do what you can to lose the weight! It isn't easy especially if you have other health issues. But you may do yourself a lot of favours if you can. It also isn't just about visible excess weight. I understand that fat around the internal organs is also a risk factor. So you can look nice and fit and still get the dreaded D!
Right, that's me done!
ttfn
Andy 🙂