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<p>I don’t know if this exactly true. I am living proof that you can do everything right - diet, exercise, etc.etc. - and still have your diabetes progress rapidly and inexorably towards insulin dependence. Low-carb diet, 45 minutes of exercise a day, BMI of 22: maybe YOU can tell me why I developed diabetes in the first place (at age 48) or why I progressed so rapidly, despite my obsessive focus on control.</p>
<p>I gues my point is this: there’s a lot we don’t know about diabetes and its treatment (after all, a great many overweight/obese people never get the disease). It’s really not “just” weight and/or inactivity. Genetics play a huge role. And there aren’t just two kinds of diabetes either - there’s LADA and MODY and type 1.5.</p>
<p>My other point is this: using insulin is not some kind of “mark of shame.” In many cases, diabetes IS a progressive disease that leads to the use of exogenous insulin. It’s not a punishment or a sign of failure - it’s treatment for a disease. And diabetes itself is not a punishment or a sign of failure, either. I hate that attitude that “oh, you have diabetes, you did it to yourself.” Um, no - I didn’t.</p>