Again, this basic thing is not what the medical world does. It does pills and insuline injections, at best backed up with advise that simply doesn't work.
Why do I say that the advise doesn't work? For a very simple reason; the advise is what I tried to apply in the long run up to this situation. Control what I eat (you kknow, that whole low-fat nonsense most of us grew up with) and exercise. I know what exercise does, I've been there too. And indeed it works, in my case if I spend around 4 hours a day in a gym and/or swimming pool (I kid you not). Then it works. While living a somewhat more normal life, where a job actually took up some serious time I only half-jokingly used to say that I merely had to think of food to pack the pounds on.
In the USA dabetic or pre-diabetic is the majority condition. One has to wonder how many people in that group think - like I did - that they know how to live healthy and don't understand why it simply won't work for them.
A little bit of ranting extra : when Covid broke out my BMI was 42,8. I realized that a survival strategy would have to include losing weight. A traditional diet got me down to a BMI of 40 after about 8 months. During that same period I started to feel real bad. And I mean real bad. Then the diagnosis came and I got the Metformin pills. And the resolve to do something about it. In the months since my BMI went down to 32. Mostly because, after a short spell with calory restriction I started to get informed and realized that it wasn't a matter of too much food, but simply the wrong food. I tried that out and it had drastic effects. 'Official information' on what I was doing was that it wasn't likely to succeed because it would involve drastic changes in life style.





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