<p>Bay- and some of us certainly question YOURS! </p>
<p>Good. Hopefully everyone will become more well informed. </p>
<p>I live in Southern Cal, I don’t use sunscreen, just lazy, only when I go to the beach. But I was mostly outdoors in the early hours checking my garden, my old garden has trees for shade, and I’ve always a big floppy hat. My doctor told me to take Vitamin D but I don’t always take them. </p>
<p>My D2 became lactose intolerant in high school. Strange but wonderful that aged cow’s milk products do not contain lactose. And no sheep or goat’s milk products do at all. I figured out I could make lactose free condensed milk by slowly cooking down some Lactaid milk, with spices, since she loves pumpkin pie (with Earth Balance in the crust). Nice that we have so many options today. </p>
<p>My doctor uses the line: cheese is milk’s bid for immortality. It has less lactose, not none, and some people are more intolerant of it than others. </p>
<p>BTW, back on topic. I think Robert Lustig has it absolutely right in his excellent book, Fat Chance:</p>
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<p>He believes that it does people a big disservice to telll them that they will lose weight if they just exercise more. It has never been shown to work…</p>
<p>LOL, somehow I must have known that in my subconscious. 
No, not really, just kidding.</p>
<p>Exercise is the only way to keep yourself alive if you have a certain condition and unable to loose weight. One of them is a very very common these days - diabetese. Every diabetic (unless it is a rare case of a diabetic who is NOT overwieght), every single one is told by his doc. to loose weight. And how many follow? Close to nobody. However, adding exercise and making it a habit, even though may not result in weight loss at all, will make a huge difference in voerall well being even whem the numbers are high.<br>
It is the best idea to loose weight. I just wish more people do it, many just love food much more than they love the life itself. This fact is very sad, but nonetheless it is a fact that many families are dealing with unsuccessfully. In this case, take your diabetic for a walk, give them gym membership. It may not affect their weight though, but it is still beneficial.<br>
So, I agree with the notion of exercise having a great positive impact, I just disagree that it has much to do with the weight. One can even gain easily (I do) while never stop exercising intensely for 2 - 3 hours / day, every singel day. Nobody even keep up with me walking, with the exception of maybe my 15 y o athletic grandD.</p>
<p>My wife is a fitness instructor. She wakes up to T25, works out during her Zumba classes (which is about 6-8 per week) and spinning classes (1-2 per week). She is 60 pounds overweight. Why? Because she will eat 1-2 boxes of crackers in a day. Exercise alone won’t overcome bad eating habits. Someone needs to come up with a method to break the junk food addiction that has become the norm for many of us.</p>
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<p>Most people with Diabetes 1 (juvenile diabetes, which can still come on in late teens, early 20s) are NOT overweight; in fact, they often lose weight. That’s about 3M people in the U.S., so I wouldn’t say every diabetic is told to lose weight. </p>
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<p>Yes. Without the ability to produce insulin, the body cannot store fat and the type 1 diabetic steadily loses weight. They must inject insulin to keep their body weight up.</p>
<p>Because insulin regulates the storage of body fat, the opposite problem is also true. Too much insulin and the body stores too much body fat. This is a common symptom of Type 2 diabetes and, more generally, a challenge with which so many of us are familiar. </p>
<p>Fortunately, it is easy to lower insulin levels, so the second problem is more manageable through diet.</p>
<p>"Most people with Diabetes 1 " - Sorry, I was not talking about Type 1. which is basically a different desease and very rare. I was talking about current epidemic of Type 2 which is even diagnosed in kids and primarily related to weight (there are exceptional cases that are not related to weight)
Type 2 produce insuline just fine. Type 2 does not cause obesity, it is the other way around. Specifically, the belly fat is bad.</p>
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<p>Actually, I think it would be most accurate to say that obesity and Type 2 diabetes are both symptoms of an underlying metabolic disorder (insulin resistance which leads to a chronic overproduction of insulin). A significant percentage of Type 2 diabetics are not overweight, so obesity is not the cause.</p>
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<p>I wouldn’t say 3,000,000 people in the U.S. is rare. Off hand, I can think of 4 or 5 people I know who have Type 1 diabetes. </p>
<p>I can think of several thin people with type 2 diabetes too.</p>
<p>I know of men with breast cancer but that doesn’t mean it’s essentially a woman’s problem.</p>
<p>About 20% of type 2 diabetics are normal weight at the time of diagnosis. About 40% are not obese. Apparently normal weight type 2 diabetics are more likely to die from diabetes related complications (including heart disease) than obese diabetics.</p>
<p><a href=“Diabetes and the Obesity Paradox - The New York Times”>http://well.blogs.nytimes.com/2012/08/08/diabetes-and-the-obesity-paradox/</a></p>
<p>Makes sense. An ability to efficiently shunt energy into fat cells is actually protective against high blood sugar. That’s where the excess energy (glucose in the blood stream) goes when insulin lowers blood sugar. Excess energy is converted to triglycerides (fat) and sent to fat cells to be locked away. This forces the body to burn up the glucose in the blood stream. </p>
<p>A thin person who is genetically not efficient at storing fat is going to be in big trouble as insulin resistance makes it harder and harder to produce enough insulin to lower blood sugar.</p>
<p>A lot of things make sense when you start to think of fat storage as a result instead of a cause…</p>
<p>I don’t think that Type I diabetes is “rare” either.</p>
<p>To compare the number of Americans with Type I diabetes (about 3,000,000) to those with other diseases: multiple sclerosis affects 300,000 to 400,000 people in the U.S; about 700,000 people have Crohn’s disease; one million Americans are infected with HIV. </p>