Fetchie Flab Fighters
80 watchers
Nov 2024
9:07am, 14 Nov 2024
4,850 posts
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Shades
Geordiegirl - but in the case of diabetes, medication doesn't resolve the problem/condition. I agree GP's seem to be over zealous in pushing medications onto patients, but I suppose they get weary of advising better life choices that are ignored. Good news on the weight. Pix - exercise is only a small part of it. IMHO it's portion sizes, lack of ability to cook, no idea on nutrition and ultra processed food that is mainly responsible. |
Nov 2024
9:18am, 14 Nov 2024
3,852 posts
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RevBarbaraG
I don’t know everyone’s weight history on here…. but put yourself in the mindset of someone who is significantly overweight/obese despite years and years of trying to change that. You’ve done the diets, the exercise plan, the lifestyle changes - but whatever weight you have lost, you have regained with interest. Every single time. Then you go to the doctor and they say, sorry Mrs X, you have type 2 diabetes. If you lose a couple of stone, you may well be able to put it into remission. Or there are these pills. What the doctor probably doesn’t know is that the standard dietary advice of low fat calorie controlled just does not work long term, because the vast majority of people can’t sustain it AND your BMR reduces in response. There are physiological reasons for that which most doctors are not aware of. They also think that it’s really important to control your blood glucose as that’s what does the damage long term. Except it mostly isn’t - it’s the high blood insulin which does the damage. And that’s why most of the drugs used to treat type 2 diabetes are effective in reducing immediate symptoms like constant thirst and peeing, but have very little impact on actual mortality. But back to the person in the surgery getting their diagnosis. They have tried to lose weight, many, many times. Why would now be different. People need hope, not condemnation. |
Nov 2024
10:14am, 14 Nov 2024
22,732 posts
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Gooner
Whilst I mostly agree and we differ in some areas of thought on the subject, the one thing that I would say is irrefutably wrong there is that "the vast majority of people can’t sustain it". Whilst I'm not diminishing how hard it is and that everyone has their own barriers and issues, the vast majority of people 'won't' sustain it, not can't. Choice is often the main issue and it won't be going anywhere. |
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Nov 2024
11:30am, 14 Nov 2024
4,851 posts
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Shades
RevB - my neighbour with diabetes who I was referring to, was not overweight when he was diagnosed. But now on medication without dietary advice he's put on a lot of weight and I'd guess he's up to the obese range now. Whereas my friend sent on the NHS course, also not overweight, has made the dietary changes to put her back in normal range, she knows she has to maintain the changes she's made. Gooner - I agree. IMHO the difference between can't and won't can often be due to choosing a regime/diet that is unsustainable for longer than a brief period. Changes need to be permanent and that can often not be welcome by family and friends and it's so easy to revert to previous eating habits. |
Nov 2024
11:50am, 14 Nov 2024
25,144 posts
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geordiegirl
I wasn't condemning anyone and sorry if it came across that way, I was speaking from my very personal experience where asking for alternative options to a lifetime of statins (for what was a tiny risk) was met with an arsy response of take the pills. I totally see that people may well have tried and failed, crikey I am always watching my food/weight/exercise and get frustrated so for people with more of a loss to achieve it can and is daunting. Ultimately society is forcing people down an unhealthy path. I was at my auntie & uncle's last night and a TV programme came on 1980's supermarket... and where all this crazy fast food came in to play when I think back to my 1970's childhood we got 1 2lt bottle of pop per week for the whole family, we had a glass at a weekend as a treat, now its everyday for the majority of people. Similarly with biscuits/crisps they were limited to occasional treats, and those were the packets of biscuits like maryland choc chip cookies, plain digestives not kit kats, twix's etc. Convenience food wasn't heard of with all this readily available and acceptable to just graze on its no wonder people struggle and of course the UPF is addictive. I am fortunate that I was brought up with a healthy lifestyle by parents who chose to do lots of walking/cycling with us and my mam is a great cook who cooked from scratch and taught me the same. But school also taught us cooking, about healthy options and that is sadly missed in classrooms now (from what I understand, we don't have kids) The time and investment needed by the medical profession means it won't happen and drugs will continue to be offered. |
Nov 2024
12:30pm, 14 Nov 2024
1,186 posts
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GetOutTheDoor
I struggle enough with trying to maintain a healthy weight despite cooking from scratch, having a reasonable understanding of metabolism (am a biochemist), and being able to afford reasonable ingredients. Weight gain seems incredibly easy and my body surely does enjoy its insulation. There is a lot of publicity for high calorie and UPF food. This doesn't make the healthier choices easy. |
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Nov 2024
12:48pm, 14 Nov 2024
22,740 posts
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Gooner
None of it is easy in today's society, hence why obesity rates continue to rise. The fact that this thread exists shows that even amongst those with above average knowledge in the area and for at least some, above average activity levels, it can still be a real challenge. Price plays a big factor these days too sadly. Hopefully though, the positive attitude and inclusivity of places like this that exist can start to help turn the tide. |
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Nov 2024
12:56pm, 14 Nov 2024
22,748 posts
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Gooner
Oh, and just to add, my distinction between can't and won't is mainly because of those with disability or certain medical/genetic conditions truly can't and I feel that however hard it can be for those of us without, the two aren't the same.
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Nov 2024
2:39pm, 14 Nov 2024
3,853 posts
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RevBarbaraG
Whereas, @Gooner , I believe that even those without specific medical conditions/disabilities can’t maintain a lower weight long term if they use a low fat calorie controlled approach with frequent eating. Because biology is against them. That eating approach, in someone with insulin resistance (which is most of us) makes you more hungry, even as you eat more. Hunger always wins in the end. However, if you stick with real, whole food and limit carbs - especially highly processed ones - and have a decent gap between eating occasions, then hormone levels respond and appetite moves in the direction of normalising weight. We DO have hormonal systems to keep our body weight in a sensible range, in large part by influencing appetite. But the modern diet disrupts those systems. Some people are more susceptible to the consequences than others. |
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Nov 2024
2:47pm, 14 Nov 2024
25,151 posts
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geordiegirl
We've grown the food industry so quick that we haven't learnt to adapt along the way. Life being so super busy means we do often take the easy faster option, eating out is a big part of socialising and we work very hard at life as well as at work that we shouldn't feel guilty enjoying a meal out or a piece of cake/chocolate. The problem also with low fat foods is the other stuff they put in to take the fat out is often worse than the original food. What you have achieved Rev shows with hard work it can be done but there is many reasons why people can't/won't. My cousin has made me so proud, she's always struggled with her weight - with the busy life, fussy kids/husband they often reverted to takeaway's weight would go on, she'd diet they wouldn't so temptation was always there. She goes to SW but this time I said eat real food, don't buy SW meals they're rubbish. And she has she is 2.5st down and even though she gained on holiday she's got it back off. I am trying to coax her to exercise but she's not having any of it yet - sad as she drives her car 0.3m to work and back rather than leave 10min early and walking her and the youngest to school. But baby steps maybe by next spring. |
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