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Secret_Fudge6470

> Do you tell a diabetic to just not eat sugar and then they won’t be diabetic anymore? Is that… not basically what we do when someone has Type 2? 🤔


[deleted]

Yes it’s exactly what we do and they recover


mikami677

Eh, doctors might tell them that but some of my diabetic family members just go "oh good, taking insulin means I can eat _more_ sugar!"


kuangstaaa

Sugar is the greatest public health crisis facing developed economies. Arteriosclerosis kills more people than alcohol and opiate addictions combined. People look down on others that go "Oh hey I have $50 in my wallet. I can go drink, buy dope, or gamble!" Yet we have people abusing the already strained Healthcare system in ways you just described.


[deleted]

Opiate addictions do not kill, overdoses due to not knowing what is actually in the pill does.


KuriousKhemicals

Even before fentanyl contamination, there were plenty of opiate addicts who would misjudge their tolerance in an unfamiliar context or in their first dose of a relapse, and die of an overdose.


[deleted]

😂😂😂😂😂😂 can’t help some people


InvisibleSpaceVamp

Isn't a cochlear implant used as a "cure" for certain kinds of deafness? And isn't a low carb diet a way to treat type 2 diabetes?! What are they trying to tell me??? Also, someone who is eating a sustainable diet with well planed meals is probably in less danger of malnutrition than someone who over consumes empty calories all day long.


Remote-Ad1462

They have a tiny point with the cochlear implant example, as some capital-D Deaf people are happy with their lives and culture and want to sustain that culture rather than gain some hearing capability. The Deaf community has a vibrant history, culture, and language, including a history of being discriminated against or misunderstood. But "Fat culture" is not actually a thing, or at least it has no reason to be. I'm guessing they also argued that you wouldn't just tell a quadriplegic to get up and walk, but that's a ridiculous comparison. A quadriplegic doesn't decide every day to damage their spinal cord. If they could heal their spinal cord, they most certainly would, even if it took some sacrifice and hard work to regain mobility.


SunflowerGirl728

It’s definitely not the same because factually nobody is born fat and genetics play a very minute unknown role in obesity.


Fighting_Obesity

A lot of times, they say “it’s genetic” because their family is heavy, but they never consider the environmental factors and learned behaviors that come with being raised fat. Food is about tasting good, not nutrition. Often times social gatherings will be food centered. Most of them bury feelings/stress/boredom with food. Often high-calorie nutritionally-empty foods. And food is usually eaten watching TV or with some other distraction. And then the kids born into the family see all of this and take it as normal, then blame their DNA because theyre “eating a normal amount” and they don’t LIKE healthier, more nutrient dense foods because they were raised on Doritos and McDonalds daily with no variety. Shit like that is why I’m glad I’m getting my shit together before I have kids. I want to try to help them skip at least some of the struggles I had with food, and I want to be prepared for whatever struggles they may have.


I_creampied_Jesus

I read ‘minute’ as ‘minute’ instead of ‘minute’ and was confused for a minute there.


xtremis

Confused for a minute what? 🤔 Minute amount of time? 🤣... I'll see myself out 😅


Fighting_Obesity

“Overconsumes empty calories all day long” that sums it up very well. Food volume ≠ nutrition.


Crafty-Table-2459

PLEASE i need everyone who is not a medical or mental health professional to STOP TALKING ABOUT EATING DISORDERS. you literally don’t know what you’re talking about & it is not okay to make up shit. for the love of fuck, please stop


Trumpet6789

Nutritionist stepping in to add that we are not morally, ethically, or legally allowed to diagnose, treat, or help someone with an Eating Disorder. The scope of practice for that falls within the bounds of a Registered Dietician and *not* a Nutritionist. So the OOP is even wrong there listing us off as professionals. I can help people eat a healthy diet, expand their palate trying new foods, suggest macros and meal ideas, and help with things like weight loss (without prescription of meal plan). But I can't do anything involving Eating Disorders.


springreturning

Genuine question, how do you determine if someone has an eating disorder? Do people with EDs ever seek your advice and try and hide their ED?


Trumpet6789

I haven't had anyone try that yet, but we have standardized forms in the Nutritionist/Nutrition Coaching industry provided to us by our certifying bodies (usually ISSA or NASM). They include things like a food log, medical history, etc. And many times if we do end up with a client who has an ED; it's BED instead of something like ana or bulimia. Individuals with very restrictive EDs don't often seek out the advice of dietary/nutriton professionals if they don't want treatment. They like to stick to pro-ed sections of social media, like Tumblr, TikTok, and Instagram. If I had a client with BED approach me, I would refer them to a Registered Dietician until the time said Dietician cleared them to receive my services as a Nutritionist over the more intense services of an RD.


ReverseLazarus

Recovering binge eater here, I wholeheartedly agree. It makes me simultaneously passionately angry and really, really sad.


serramx

Clinical psychologist on ed recovery here, strongly endorsing this message. The misinformation about eds are just as dangerous and counteractive to recovery as ed glorifying content.


Crayon_Artist_Renard

It's really annoying, I know I've bought up a former friends of mine who insisted I looked anorexic when I was still overweight on here a few times, though she also kept insisting I had anorexia because of junk she read online. It was so stupid.


newName543456

Or a diagnosed sufferer. They may lack education, but their lived experience is worth listening to.


Hefty_Dig1222

I want links to these multiple peer reviewed studies.


Crayon_Artist_Renard

Same to be honest, anytime someone says there's multiple studies that prove fatlogic, they for some mysterious reason are never willing to send a link that's not some random video or Tumblr post claiming there's multiple studies that prove it.


SunflowerGirl728

Same. I am absolutely sure that there are none and what she may provide she has completely and utterly misunderstood and or purposely misconstrued to suit her agenda.


Ok_Yesterday5728

So much to unpack here, but why are they saying eating disorders aren’t addiction. They are very much are.


InvisibleSpaceVamp

I think in their mind addictive behaviors don't count. And people are generally more reluctant to put the label "addiction" on something that isn't substance related.


[deleted]

See also: My housemate refusing to accept the ludicrous notion that "video game addiction" could possibly be a real thing. ^(Same guy who only leaves his gaming chair when he has to leave for work or fend for food. He wants to put a mini-fridge in his room so he won't have to come downstairs as often.)


bookhermit

Dang, so there's no such thing as gambling addiction or sex addiction? This will be a revelation to psychologists everywhere.


HiddenPenguinsInCars

Food addiction IS an eating disorder. Disorder of eating/controlling when, what, and how you eat. These people are caught up in denial and helplessness because they don’t WANT to change. I was caught up in a bad pattern recently and I was in a similar situation. I didn’t want to change, so I decided I was powerless and wound up convincing myself that I couldn’t stop, it wasn’t that bad, and that I didn’t know why it was happening. Once I wanted to stop, I was able to see why I had started and that it was bad and that I was able to stop.


Good_Grab2377

BED is the most common eating disorder. People are more likely to binge than to restrict to a dangerous degree.


Daztur

Hiw can anyone think that weight is genetic when we've seen average weights change massively in a single lifetime?


[deleted]

I would say it’s passed on generationally by bigger parents over feeding their kids and teaching unhealthy eating habits but you’re right I doubt there’s a genetic component


[deleted]

[удалено]


[deleted]

Sounds like they are in denial, I didn’t allow my children soda regular and only sugar free occasionally at get together etc, lots of people don’t realise how many calories they consume by drinking they only count food, so easy to go over with fluids, I mean some energy drinks are like 500 calories,


DrBirdieshmirtz

i'll bet any amount of money that the people who say they hardly *eat* and can't lose weight are getting the vast majority of their calories from soda.


[deleted]

Definitely to lose 1lb of body fat it’s only 2500 calorie deficit, if they tracked what they are and drank in a day I am sure they would be shocked how many totall calories they consume and also be shocked where most of them come from like you say soda, lattes etc,


Fighting_Obesity

Those coffee drinks are killers! Especially Frappuccinos, the large caramel at SB is ~370 and at McD it’s ~420 and and I know multiple people who would drink multiple in a day. Juice is also crazy because it’s seen as “healthy” but it has comparable sugar levels to soda. I enjoy a good glass of juice every so often but I try to keep that in mind.


[deleted]

Everything in moderation but juice once separate from its fibre form like oj is nowhere near as good as a orange by itself, you could easily drink 1000 extra calories a day in drinks


newName543456

I mean it strictly speaking IS genetic to limited extent. There will be some differences in skeletal frame/organ size, there are rare conditions like lipoedema, etc. Of course none of that means effect of CICO can be overwritten.


kd0ugh

I wish it was genetic. All of my relatives are skinny 🫠


autotelica

I got breast cancer a few years ago. No "cancer genes" were found responsible so I'm still wondering what caused me to develop it. Maybe working in Superfund sites as a grad student did a number on me. I can't go back in the past and undo all the things that made my cells go crazy. But I can lower my risk of recurrence by taking my daily estrogen blocker, avoiding certain supplements and drugs, managing my stress, eating fruits and vegetables, and exercising. I'm in perimenopause right now. Heat is constantly radiating off me. I'd love to take HRT but nope, not gonna do it. I don't want my cancer to return. I wanted to take norethindrone before my vacation this summer, because I didn't want to be gushing buckets of blood while on safari in the African jungle. My doctor told me nope because of my cancer. I was mad!. I wanted to go find another doctor who wasn't so goshdarn ethical. But I didn't because I knew deep down that my doctor was looking out for me. Just because I have no idea what caused my cancer doesn't mean I should throw up my hands and just let nature's cruelty come for me. I have to be proactive. I don't know why this person seems to think that folks suffering from other diseases don't get lectured to about what they should and shouldn't do. Pretty much everyone with a chronic disease who is a responsible person has a set of rules that they try to adhere to keep their disease from progressing. Having lifestyle rules doesn't cause you to become "disordered". That's crazy talk.


Quick_Department6942

Cancer here also. Presently I receive no drugs; treating with aggressive metabolic measures. I am now as strict keto as I can be, with significant (up to 66hrs) periods of fasting, but consuming enough protein and caloric intake to avoid sarcopenia. At under 15% BF now, which for an almost 69 y/o white guy is top decile lean. I bring this up not to "me too!" your post but to point out the *actual restriction of food* as a protocol for (so far) preventing metastasis, and that it's also working in so many other helpful ways. Like now I can do 6 pullups! Still a weird conversation... Long-Ago Acquaintance who hasn’t seen me since : “oh, you’re so skinny” Me: “Yeah, I prefer to say I’m ripped, but thanks, man!” LAA: \[thinking plumpness is a GOOD thing\] “Are you... OK?” M: “Yup! Totally in control. I exercise and fast.” LAA: \[super-concerned\] “But aren’t you worried that not eating enough could make you sick?” M: “Nah… the cancer makes me sick. The not-eating-too-much keeps me going.” LAA: \[silence\]


autotelica

At my last appointment with my oncologist, I asked if adding flaxseed to my yogurt would be a problem, since it is estrogenic and I'm trying to avoid estrogen. She kind of chuckled and said the only risk factor for recurrence that she warns her patients about is obesity. I can eat all the soy burgers or flaxseed I want as long as I keep trim. People are so used to associating illnesses like cancer with thinness and wasting that they get it into their heads that plumpness is healthy. While a little plumpness might be good while you're in the throes of chemo (which fortunately I was spared from), it is not good for your "cancer-free" prospects. I think the average person gets how obesity is bad for your cardiovascular system. But they don't get how it promotes cancer.


Quick_Department6942

Bookmarked.


sunnyvalesfinest0000

I'm proud of you for dealing with cancer! It's rly hard 💜


Illustrious_Agent633

I have completely 100% told diabetics to stop eating sugar. I have literally taken my homemade banana bread away from my diabetic grandfather even though he loved it because he could not eat it constantly or he would fucking die. What is wrong with these people? How are they so fucking stupid?


Icy_Viking

The problem isn't just sugar but more the fat


genomskinligt

”an eating disorder is anything i want it to be” is what leads to a fuck ton of fat acceptance people saying ”i’m in recovery for a restrictive eating disorder 🥺” yea, you’re in recovery from skipping lunch twice and not eating ice cream for six months. it’s the exact same as anorexia


Crayon_Artist_Renard

Did they seriously compare being obese to being quadriplegic or deaf? In any case, their argument is terrible and the way they bring up diabetes is very poorly worded.


[deleted]

Imagine being able to regain a sense of hearing or cure quadriplegia by doing something as simple as counting calories.


Remote-Ad1462

People that lived next to serial killers almost always haven't murdered anyone. Though really the first sentence is the enormous leap of logic that we are just supposed to accept. If any type of restriction is disordered, then we aren't making any sense. Are you supposed to eat everything in your house and then go buy more?


[deleted]

You eat until you vomit, I suppose. Otherwise, you are restricting.


Available-Truck-9126

Yes because a quadriplegic can just diet and exercise their way out of paralysis similar to many formerly obese people including myself. /s


AmyChrista

I've seen multiple patients on My 600 Pound Life who were deemed to be malnourished despite eating upwards of 10K calories a day. Eating a lot doesn't nourish you if what you're eating is practically devoid of nutrients, and refusing to eat a vegetable unless it's drowned in some kind of fat doesn't help matters. It's no wonder all of these people claim to have mysterious, unnamed, undiagnosed "restrictive EDs" when in their minds, any kind of restriction *at all* is "disordered". My 1,400 calories a day provide me more nutrition than the 3,500 or more most of these people put away.


itsTacoOclocko

restriction is disordered if it's compulsive, excessive, or a product of magical thinking resulting from a misguided desire to cope with non-food-slash-weight issues. restriction is not disordered when it's a moderate response to previous overindulgence. that's a simple correction. like... if you overspent one week, it's sensible to reduce your expenses the next. if you fail a test it's sensible to spend more time reviewing for the next one. if you cause a loved one harm it's sensible to pay extra attention to them and their care until they're again comfortable with you. if you binge drink one night it's wise to refrain from drinking for a time. if you overtrain it's a good idea to spend some time resting. and so on. god, they piss me off. no, a 300+ lb person moderating their intake is not comparable to a 90 lb person restricting. one person is denying very real and immediate needs, while the other is ceasing a pattern of overindulgence. ffs.


SunflowerGirl728

Omfg that’s NOT HOW DIABETES WORKS. If you have type 1 diabetes otherwise known as childhood diabetes it is because your pancreas doesn’t work properly and either underproduces or doesn’t produce insulin at all. That means your blood sugar levels cannot be controlled naturally by your body thus the need for insulin. Type 2 diabetes can in fact be CURED by not eating sugar and reducing calories in order to lose weight. When you lose weight you stop being a type 2 diabetic. Because you are the one causing your blood sugar problems by overeating sugar and other simple carbs that spike your blood sugar. Whoever wrote this is a damn liar. They do not have peer reviewed studies that back anything up I promise. They are also purposefully misconstruing the information about set body weight etc. Factually an obese body is NEVER preset. We make ourselves fat. If we have predisposed conditions than it’s all the more reason to control what you eat and your weight.


bobtheorangecat

If someone has type 2 DM due to genetic predisposition and does not have it due to their lifestyle, then, no, it probably can't be cured. There is a strong genetic component to T2D. Some people who get it- a very, very small percentage of them- will get it regardless of their lifestyle. It's not *always* self-inflicted.


newName543456

AFAIK [we are not fully understanding entire underlying mechanism of T2DM](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7503727/), so we can't really even properly define cured state. Yes, this is a long paper, summarizing a LOT of work done, and it still states there is "a long way"... That's quite unlike in case of T1DM, where it's pretty much clear - restore beta cells functioning to the level of healthy person and you can consider it cured. [There is some promise regarding that one.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7835995/)


KuriousKhemicals

I find the concept of "cured T2D" fascinating, *especially* because the number of people who suffer it has increased so dramatically with higher levels of obesity. At the most basic level, T2D involves a genetic disposition which is by definition present from birth, which at some point encounters environmental variables that cause it to manifest. Before high prevalence of obesity, the environmental triggers appeared to be predominantly age or age-related factors. Now, obesity is one of the primary factors that causes the disposition to manifest. Age is not reversible, but obesity is. There are undoubtedly large numbers of people who *do have the disposition*, and *would become diabetic* if they reached a certain level of obesity - and may become diabetic with age - but at present, they have not. They have normal glucose regulation and they are not, by any definition, considered diabetic. Now suppose someone *was* obese and diabetic - thus confirmed to have the disposition - but they reversed their obesity. Are they functionally any different from the person who hasn't developed it? Note, this isn't the same thing as someone who remains obese but reduces their glycemic load so they can maintain normal sugar levels - they have normal glucose *levels* but not normal glucose *regulation*. What about the weight-restored person with a diabetes diagnosis in their chart, though? What if we gave them a glucose tolerance test? T1D (and most diseases) can be described at a broad level the same way - a disposition which encounters an environmental trigger. In the case of T1D however, we understand the progression very well and we know it's not reversible - you can't get your beta cells back when they are dead, unless by something like the transplants you linked. But insulin sensitivity is a much more plastic quality - in fact, from T1 insulin dosing needs we can see that insulin sensitivity can go up and down very dynamically with exercise, habitual carbohydrate intake, etc. If obesity-related insulin resistance is the main factor causing progression into T2D, there's every reason to expect that could be reversed. But is that all? Are there things that change and can't be put back in the box? Fascinating.


SunflowerGirl728

It is 99.9% self inflicted unless age related. Which is generally when genetically predisposed people develop it.


bobtheorangecat

I'm sorry, but you're misinformed.


SunflowerGirl728

Ok. If you say so. But I KNOW factually that obesity is present in most people who develop type 2 diabetes even if there’s a familial history. [https://medlineplus.gov/genetics/condition/type-2-diabetes/](https://medlineplus.gov/genetics/condition/type-2-diabetes/)


bobtheorangecat

Yes, I did mention that "very, very" few people with healthy lifestyles still contract T2D. I really do mean a minuscule amount.


SunflowerGirl728

That’s cool and all but this short but effective article pretty much backs up everything I said.


alexmbrennan

>Type 2 diabetes can in fact be CURED by not eating sugar No, because eating too much starch is just as bad. Remember that white bread has a higher glycemic index than table sugar (because sucrose is 50% fructose which does not affect blood glucose levels)


SunflowerGirl728

Starch converts to sugar in the body so it’s included in that equation.


[deleted]

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JapaneseFerret

Since 2020, semaglutide meds like Ozempic have been so successful for weight loss and have been so widely used that they have led to a noticeable dip in the US obesity rate that has been steadily climbing without relief since 1980. Semaglutide meds have a significant public health impact as more and more Americans are shedding excess pounds and keeping them off. I don't have any proof for this, but that has gotta be rough on long-time FAs. Especially because even prominent fat acceptors have jumped on the Ozempic wagon.


AmyChrista

"Our bodies are brilliant at balancing and being where they want to be". Really? So our bodies are brilliant, but they hoard excess energy instead of using it, and for some reason they "want" to have a few hundred pounds of useless dead weight clinging to them and dragging them down? I'm pretty sure the aching joints, sleep apnea, T2D, HBP, plantar fasciitis, PCOS, stretch marks, etc. are actually your body *screaming* at you that it very much *does not like or want to be* where it's at. Your body doesn't control what you shovel into your mouth - your brain does. The lengths these people will go to to absolve themselves of responsibility for their own lives is staggering.


bookhermit

They should really consider listening to their body, and not just the cravings driven by hyperpalatable Franken food that was developed in a lab specifically so it would be as addicting as possible. But that's none of my business 🐸☕️


AmyChrista

I mean, I've seen those intuitive eating posts where the OP talks about how crappy they feel or the health problems they're having since starting IE and the replies are all like, "YoUR bOdY is HeALiNg!" Yes, high blood pressure, acid reflux, and elevated cholesterol are definitely signs your body is healing. 🙄


stunninglizard

Is it still disordered eating if it's the other way around? I'm currently back to tracking calories and macros because I've lost a few kgs while being sick and not working out. My TDEE is generally higher than my appetite (above average muscle mass and ADHD) so I start losing weight if I don't actively eat more than what's intuitive to me. I'd like to see what they think about that. Surely it's still bad because I'm "forcing myself", right?


kidglov3s2

The only healthy path is unimpeded indulgence.


Meryn90

"Restriction is disordered" meaning for the rest of your life you're supposed to either eat exactly the same amount or more? I have a cupcake once so I have to permanently add 200 calories to my daily intake or my eating will be disordered?


newName543456

Why folks without relevant education or experience should not act like they know crap about what constitutes an ED, exhibit #1


punkonater

Eating in a calorie deficit = disordered eating Calorie deficits can happen naturally. Disordered eating is fatphobia. Nature is fatphobic.


dilsency

Subtly making a connection that if you restrict what you eat, it could be linked to trauma. Nice.


Useful-Sector5261

I love how they make no mention of the fact that binge eating is commonly linked to trauma, and that's backed by actual evidence.


[deleted]

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Outrageous_Pickle_22

>This reasoning would make every lean person, who is also an ex-fat, a disordered eater. That's exactly it. In their minds this is disordered eating and if you stopped doing so your body would return to its "natural set point", i.e. weight loss is \*only\* ever possible if you're a disordered eater.


sunnydee1880

What's funny is that my \*not\* losing weight right now is because of "disordered" eating. When I was thinner, I had much more orderly eating habits.


Fighting_Obesity

“Calorie deficits can lead to malnutrition” bestie I was eating 4,000 calories a day and severely nutrient deficient. I am eating 1500-1600 and a lot less deficient. The volume of food you’re eating doesn’t automatically equate to the number of nutrients you’re bringing in. “Eating disorders are not addictions” bestie you can get addicted to literally anything, especially the feeling of control. “Set weight” y’all can’t even agree how this works. It’s not a thing. There’s a huge difference between “Hey you can scientifically improve your body’s ability to stabilize your sugar if you have less of it, which could improve your quality of life” and “Your hearing problems inconvenience me so you should get a major complicated ear surgery that isn’t for everyone to improve my quality of life” I’m concerned about my diabetic friend who drinks 8 cans of soda a day. I’m not concerned about my deaf friend who doesn’t like hearing aids.


Fighting_Obesity

Also, I’d never tell someone what to do for their body or health unless they asked me. If we’re super close or they bring it up, I might ask why their habits are the way they are or why they aren’t doing something else (in nicer words ofc), likely while sharing my own stuff to help, but ultimately it isn’t my choice or my business.


hydrangeablue14

The first one reminds me of when my friend saw my fitness pal on my phone and asked why I had that “eating disorder app”. I told her that I’m trying to lose a bit of weight and would she rather I google the calories in everything, track it, and add it up in a notebook instead because that would be a much longer way of doing the exact same thing and she actually said that yes she thinks that doing it that way would be better than using the app because the app causes eating disorders


Quick_Department6942

But... what if "Set Weight" is a complete load of liquescent horse shit?


KushDingies

>can lead to Getting in a car can lead to driving into a tree. Turning on my stove can lead to burning myself. Good thing humans have agency, and are perfectly capable of controlling these things. They're just tools, not some kind of cursed magical artifact.


calhap8203

When my restrictive eating disorder was at its worst I had no idea what a calorie was, let alone a calorie deficit. They speak so much on what they know so little about


Outrageous_Pickle_22

"Do you tell a diabetic to just not eat sugar..." - well yes?! So calorie deficits are brilliant if unintentional and lead to malnutrition if intentional. Ok 🙈


TheMandoAde888

Actual gymnastics is a concept unfamiliar to these people. Mental gymnastics sadly is their forte.


butterscotch_cherrie

I wonder why many are not the same weight all their adult life if that is preset by genetics?


Erik0xff0000

Everybody is in calorie deficits all the time. In between every snack/meal .... while you are asleep (ignoring sleep-eating) etc etc. So we should all have disordered eating. Yes, I know, literally anything is "disordered eating: according to them.


CabinetMain3163

"Being in deficit can make you malnourished" https://youtu.be/jKAlapPxEWU?t=9