<p>Scout, “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>Here is my wildly speculative hypothesis:
Genetics. You were born with the lowish side of working pancreas islet cells. So despite all efforts, they pooped out on you and now you are virtually a type 1 diabetic. Possible causes of pooping out? Age, inflammation, who knows.</p>
<p>Agree with nrdsb4: health, disease, body types etc have to do with a combo of nature and nurture. You can only control 1 of these. Unfortunately, you can’t select your parents.</p>
<p>Lastly, how does one work best to ensure living to a very ripe old age? Choosing one’s parents correctly (based on theirs and your genetics). This is the wildly hilarious joke that many MDs tell their patients. Yes, we are the life of the party!!</p>