Sunday, April 3, 2022

Diabetes: Crisis or Cause?

 The NY Times notes:

After older people and nursing home residents, no group perhaps has been harder hit by the pandemic than people with diabetes. Experts hope policymakers will take notice, and finally get serious about tackling the nation’s diabetes crisis.

 Type 2 diabetes is a disease most often self induced by obesity. It is akin to cirrhosis of the liver, induced by the excess consumption of alcohol. Obese and morbidly obese people initiate the processes which result in Type 2 diabetes. If such a person would get their BMI below 23 then the T2D goes away. No medicine, no hospital, no costs! Now there are certain cases where the pancreas just does not produce enough insulin no matter what but they are far and few between.

The person seen in the article is morbidly obese and self induced. He had a choice, cut down the calories and get well or continue as he was an just eventually die, after a long and costly illness. 

We examined this phenomenon almost fifteen years ago as new health care plans were being introduced. Yet in the period obesity has exploded. The Government cannot fix this. It is an individual's decision to become and remain obese and thus enter into a T2D state with all the negatives that accompany it.

The Times continues:

But many advancements have been unevenly distributed. The uninsured cannot afford the latest glucose monitoring or insulin delivery devices, and in economically disadvantaged communities with low digital literacy, experts say that doctors are less likely to offer new technologies and treatments to Black and Hispanic patients, even when they are covered by insurance.

The uninsured need look no further than the mirror or even better their waistline.  As we had an anti smoking campaign which over 50 years worked we need an anti obesity campaign. As we had rotting humans resulting from smoking we need the same for obese and morbidly obese people. The cure is free, stop eating so much, get the weight off.