I’ve blogged on many occasions about my frustration with our national response to type 2 diabetes. While type 2 diabetes can be dramatically improved, and often outright cured, with lifestyle interventions such as diet and exercise, our system instead treats it as an intractable chronic illness that can merely be managed, not banished. Millions of patients are immediately put on medication at the first sign of poor blood sugar control, and while they are typically given some lip service about eating more healthfully, exercising, and losing weight, the focus of their treatment over the ensuing years involves an ever expanding pharmacopeia of medications. There is certainly evidence that many of these medications do help when compared to doing nothing, but it’s clear that even well treated diabetics don’t live as long and full lives as non-diabetics. So to me, this medication-centered approach is a tragedy of epic proportions.
