Post Edited By Moderator (Jeannie143) : 7/25/2007 11:33:31 AM (GMT-6)
Sorry Jeannie, I hope I haven't misunderstood.
I think obesity is a primary cause of diabetes, not the other way around. I certainly don't think that diabetes causes obesity! Obesity is caused by to much sugar in the blood which necessitates a large production (injection in my case!) of insulin which is an anabolic or fat building hormone. If we cut right down on the sugar and starch the body has an opportunity to stop storing fat and use glucagon - a catabolic hormone - to burn fat instead.
Sugar makes us fat, nothing else!
All the best,
Can I put my ignorant two cents in here? I believe I've read that it works both ways but neither is absolute. There are several factors that would make exceptions for each case. Not all obese may end up diabetic although some might be temporarily for as long as they are obese. Not all diabetics are obese for different reasons. I thought I had read that insulin could put weight on the person which is why exercise is so important as well. Too many factors here. So, in some cases, yes, obesity may lead to diabetes and vice versa but not always. (and if I'm in error on this, please correct me.)
Sorry, but you're wrong about diabetes causing obesity, which I think was your initial argument. In fact I find that if a 'diabetes nutrition class' tries to convince you of something, it pays to check all the facts before you go much further. Many are simply repeating what they've been told and don't particularly appreciate an educated argument.
Initially you said that obesity caused diabetes, but then your later reply states that it was your diabetes that made you overweight. So which was it? The sort of hunger you describe is highly likely in many cases to be a result of a poor blood sugar profile, which probably indicates insulin resistance or type 2 diabetes (full-blown insulin resistance!)
We're not going to disagree that less body fat leads to less insulin resistance. But it's best not to resort to calorie counting in an attempt to shift the pounds. That's what leads people down the blind alley of a low-fat diet. A low-fat diet is not only fundamentally unnatural and unhealthy, but increases the amount of starch in the diet and as a result messes up your blood sugars further. The 'Fat diabetics' you describe have I think generally been badly advised and fallen victim to this phenomenon. Did your 'grand experiment' not lead you to the same conclusion? Surely a 'person who processes glucose incorrectly' is probably a person consuming too much glucose, resulting in weight gain and diabetes. And we ALL turn excess blood sugar into fat, not just diabetics. Our glucagon will not start to convert stored fat into glucose unless our insulin levels are sufficiently low - which they never are on a starchy diet.
Now I'm a slim (Type 1) diabetic, and I've had the condition for 26 years. But it wasn't till I abandoned the 'recommended' diet that I became slim and started using much less insulin. Since I eat a lot more fat than I did before, I'm certainly not on a low calorie diet but my lipids are great, blood pressure too, and my blood glucose levels are those of a non-diabetic. None of those things were true beforehand. In other words, my diabetes didn't make me fat, it was the way I dealt with it.
Post Edited (What's his name?) : 8/10/2007 8:36:03 PM (GMT-6)
I guess I'll join in...
I haven't a clue which side is "right". Sounds like a "chicken and the egg" problem.
Until my diagnosis, my only "exposure" to diabetes was from my father's generation. My grandmother had diabetes and passed away from heart problems when I was a child. My late father was diagnosed when he was in his 50's (oh my, sounds familiar!), and in those days they called it "borderline". He was on pills for several years and had to go on insulin eventually. He was overweight when he was diagnosed, and in those days the thinking of the medical profession was that Type 2 was more or less "self induced". At least that's what he was told. He lost weight, but the diabetes stayed. Fast forward to now... I was recently diagnosed, I'm in my mid 50's.... let's see.... my grandmother developed diabetes in her 50's, my father developed diabetes in his 50's... I was one of those "hypos" all my adult life. I never thought it would flip, but my doctor's answer to that question was "you're not the age you were then." I think it's family history in my case.
The good news is that we have better resources now, like this place... so either way, there's more hope. That's just my 2 cents...
This is a complex matter because there are many variables. First of all, it's a fact that obesity is increasing globally, probably because of changes in diet and activity. Some of those people are developing type 2 diabetes because of their obesity. Diabetes as well as heart disease are increasing around the world simply because of the increase of obesity. However, some of those same people might have been skirting diabetes their whole lives but keeping the disease at bay if they'd stayed of normal weight and lived a physically active life. Then, they wouldn't have been a statistic but adding all the weight tipped the balance (pun intended!) and now they're diabetics. Those people would probably have a good chance to normalize their blood sugars if they lost weight and increased activity. Not all of the people who became obese would turn into diabetics, however - and that would make a good study! Diabetics who are on insulin frequently gain weight and this is a very good reason not to follow the ADA plan. Then, there's genetics. In my own family, both my grandmother and mother were type 2 diabetics, "apples" - so, here I am fighting against the genes but I'm wiser than they were. I'm not a full-fledged diabetic because I can still control my blood sugar without meds. So, the answer is complicated to be sure, but I also think the reason for the increase in diabetes worldwide is because of the increase in obesity.
Post Edited (What's his name?) : 8/16/2007 3:46:33 PM (GMT-6)