Eating ourselves to death
A lot of people think the obesity epidemic is about how people look. That is wrong. The startling number of Americans with Type 2 diabetes tell us that the epidemic has real and severe health consequences.
Type 1 diabetes is an autoimmune disease that usually strikes in childhood. It is a genetic disease that has nothing to do with body weight. It accounts for about 5 percent of diabetes cases and the incidence rate has not changed.
Type 2 diabetes is caused by obesity and genetic susceptibility. Our genes haven’t changed but the numbers of Americans known to have Type 2 diabetes doubled over the last decade to more than 14 million.
The government estimates more than 5 million Americans have Type 2 diabetes and they don’t know it. That group is the walking time bomb. The extra glucose in their veins breaks down their circulatory system which in turn causes heart attacks, blindness, loss of arms and legs, kidney damage and stroke. If diabetes is treated properly all that can be mostly avoided.
The saddest people to see in my visits to diabetes clinics are the overweight teenagers with Type 2 diabetes. Controlling their sugar for decades may not be possible and their lives could be shortened by a decade or more.
Currently, death certificates in America list diabetes as a cause of death for about 70,000 a year. But because it causes all those side effects, the true number of diabetes-caused deaths could be closer to half a million. We are truly eating ourselves to death.
Read more on diabetes from Robert Bazell | Fact file
Read more from Robert Bazell
Politics of the playground
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You are incorrect in saying that the incidence rate of type 1 diabetes has not changed. It is increasing at a rate of about 4% per year, world-wide. It requires 24/7 care, and the child must receive insulin shots & check his/her blood sugars 6-8 times every 24 hours. While it is true that type 2 affects many more people, type 1 is a public health catastophe in the making.
J. Woolf, Boston, MA (Sent Sep 27, 2006 8:34:18 AM)
Instead of blaming the victim for obesity caused Type 2 diabetes, what about the culpability of the food industry. It is now known that since the introduction of high fructose corn syrup additive into our processed food industry, the rate of diabetes has increased into an epidemic. The processed food industry's practice of adding HFCS must be carefully examined before we can just blame the victim for obesity caused type 2 diabetes.
Dave Cornish, Philadelphia, PA (Sent Jun 14, 2006 7:26:22 PM)
It is true that obesity is considered the root of all evil medical diseases. I have had asthma since 84 and due to shortness of breath I started to gain weight because I could not exercise as much as I wanted to. Then a doctor (called himself one) who was more like a dumb butcher screwed up my feet. Then I could not walk. Had to leave NYC, NY to live in upstate NY. Had to leave my job. Shortly thereafter my husband of 23 1/2 years died and I became depressed. I had vegetative depression which means all I wanted to do was eat and sleep. More weight. Now I have GERD (reflux disease) from the asthma meds. WHY CAN'T PEOPLE JUST LEAVE OTHER PEOPLE ALONE. I am obese but certainly not morbidly obese. The worse ones are the doctors. They are all healthy as horses and wealthy to boot. You know everybody gets to die...we don't live forever.
Joan Mack, Ravena, New York (Sent Jun 14, 2006 7:25:11 PM)
Type 2 diabetes can be reversed with the control of blood sugar regardless of weight. Control over blood sugar is helped with an increase in the diet of cinnamon and fenugreek. Spices! Prickley pear cactus is also known to help. Use it like any green veggie. There are other spices and herbs to increase metabolism and decrease appitite. Look on the internet.
Jeni Quiriconi, Longview, WA (Sent Jun 13, 2006 7:53:51 PM)
Is there a new diabetes pill, drug or ?? We heard tonite from one of the network shows that there is a new drug. Do you know of this?
William Bruce, Marion, IL (Sent Jun 13, 2006 7:18:42 PM)
I am a 59 yr. old woman who is 100 lbs. overweight. The increase in weight came on in the past ten years after I fell ill with what was diagnosed as fibromyalgia and chronic fatigue. I went from a lean strong body, always on the go with plenty of energy and after raising 8 children to being almost totally incapacitated. I have worked with medical doctors and natural therapies of every kind and still get just a little bit worse every year. Exercising makes all of my symptoms worse, even the slightest stretching and walking. I have to take some kind of pain reducer just to stay up and on my feet to do the simplest tasks. I am very concerned that I am going to end up with heart disease or diabetes. My testing so far has not revealed that I am diabetic. However my cholesterol numbers are above normal. My question is would it be safe for me to try the medifast diet program that would not require me to be on my feet a lot preparing the foods or going shopping to get some of the weight off.
cheri simmons, salt lake city, ut (Sent Jun 13, 2006 1:14:25 PM)
Yet another report based on the "Obesity is the root of all evil" school of medicine.
Human beings are more complicated and complex than that. I guess those in medicine find it easier to blame mere obesity for Type 2 diabetes, heart disease, cancer, etc., than other psychosocial factors that can bring about such serious illnesses--stress, depression, etc.
Stress and/or depression can also lead to obesity--often individuals feeling psychological pain seek refuge in "comfort foods"--ones that either are foods eaten in their childhood, or which remind them of foods eaten as children--which don't often include dressing-free salads, cottage cheese, etc. Then, they eat those to excess without sufficient exercise to burn off the calories--hence, obesity.
A doctor can order her Type 2 diabetes patient to go on a strict diet and exercise, but if she has no clue about what else is going on in his personal life--whether or not he is experiencing stress or depression, and how he can deal with whatever is troubling him--he might lose weight for a while, but won't be able to keep it off, which happens to a lot of dieters. That's what's wrong with the "Obesity is the root of all evil" school of medicine.
Olivia Elizabeth Burdon, Peoria, Ill. (Sent Jun 13, 2006 9:27:24 AM)
Your statement "Type 1 diabetes ... accounts for about 5 percent of diabetes cases and the incidence rate has not changed" is incorrect. The incidence of the autoimmune conidition known as type 1 diabetes has increased by a statistically significant margin over the past 100 years. A 5-year study known as "SEARCH for Diabetes in Youth" which ended in
October 2005 also revealed that the incidence of type 1 diabetes has accelerated in recent years as well. While it is true that the incidence has not increased as the same rate as the incidence of type 2 diabetes, nevertheless, your facts are incorrect.
I would suggest double-checking the facts before making such
Scott, New York, NY (Sent Jun 13, 2006 9:14:15 AM)
Isolation and lack of excersize due to same are the main reasons for obesity and hense diabetis in our society. As a medical practitioner I feel disgusted at the lip service I hear about caring and action while all that I actually see being done is books being made on the subject and money being pocketed. Interaction, community and working together is what will help cure both as well as raise the self esteem and quality of life for all of us!
Dee NYC NY (Sent Jun 13, 2006 6:38:26 AM)
I have Diabetes, am not overweight, the Dr who first diagnosed it said it was type 2, I was 38 years old. I was underweight at diagnosis (a syntom), but was underweight before (I have Cerebral Palsy). There are five of us in the extended family with Diabetes. Just a part of fate that it had to be somebody already battling something like Cerebral Palsy. My conclusion: Cerebral Palsy is easy...
Joan Madden, Arlington, VA (Sent Jun 13, 2006 12:22:56 AM)
This is a blog entry Robert?
Was a well prepared report that made air. Isn't the blog for another realm, if you will, an inside look at the preparation for the report and the blood, sweat and tears from you the reporter, in the field, as well as the office? Wouldn't your report be more magnetic if you supplemented with your own thoughts in addition to the edited report that makes it to broadcast?
Andrea Richards West Hartford CT (Sent Jun 12, 2006 9:56:07 PM)
I'm confused. You talk about type 2 diabetes being associted with being overweight, and I am by no means overweight. I am 5'3, and I weigh 135 lbs. What happened to me? I was supposed to have the lantus shots, but had to stop because they got too painful. What else can I do? Losing weight is out of the question, and so is giving myself the shots. Any ideas on waht happend, or how to "fix it"?
(Sent Jun 12, 2006 9:04:09 PM)
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