<p>“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”
-I believe that you have answered your question - “obsessive focus on control”, got to have fun with everything, with your food, with your exercise. In addtion, I do not think that 45 min. is significant enough, it depends on what else you are doing during day. If you are construction worker, you might not even need those 45 min. If you sit for whole day, then 45 min. is not significant at all. And your diet might not fit your specific needs at all, again, it all depends. In your case, it sounds like it all stress related, you seem to be very “intense”. In our family case, it is very straight forward. We all eventually get it and all die from it, simple as that. I do not have it so far, but I exercise much more than 45 min., no BMI=22, not even close, but I am not overweight. I still believe that eventually, maybe in my 70s or 80s (if I live that long), I will get it. My H. has it, the entire side of his father’s family die from it. He can loose weight and get rid of it, but he would not do it. Pretty simple in our cases. We are more or less very relaxed about everything in our lives, do not watch closely what we eat besides we practically never go out, we historically do not consume bread, pasta, potatoes, rice, but we both eat huge amount of fruit on a daily basis. My H. would prefer to have beef every day, but since I am not crazy about it, we have it about 2 times / month, chicken maybe ones / month, fish unfortunately almost every day, I was not able to cut this one down, I know it is too much mercury and I might pay for it later, but it just taste so good. Well, at the end, we all die from something.</p>