546
RFK Jr.’s FDA chief says diabetics should take cooking classes instead of insulin
(www.the-express.com)
this post was submitted on 29 May 2025
546 points (98.1% liked)
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Without medication some people will die, others will be permanently disabled. No amount of lifestyle changes will help them with out medication.
Maybe you are misunderstanding, or maybe I'm not explaining it clearly.
With lifestyle related illness (like type-2 diabetes), the "cure" isn't medication, but a change in lifestyle.
The prevention is also based on a healthy lifestyle, not a shortage of medication.
Therefore, if you want to fix a lifestyle related illness, backed by decades of research, then the priority is to get patients to at least practice a healthy lifestyle.
If you don't, then you're fighting a losing battle, and people will be dependent on medication for their entire life.
That's not to say that medication can't be used during the transition phase to a healthy lifestyle, but doctors who only push meds are doing harm.
T2 is not just a lifestyle related illness.
Some people are genetically predisposed and get T2 no matter what lifestyle changes they make.
Some people have a damaged pancreas and develop T2 no matter what lifestyle changes they make.
Some people with disabilities can't really change their lifestyle.
The lifestyle change first regimen without medication would kill many.
I understand for many, if not most, the lifestyle change is all that is needed, I even advocate lifestyle changes in another comment. I spent 5 years on an organization committee for the ADA's tour de cure and have given presentations on the ADA's Choose your plate, nutrition for life. You don't need to convince me lifestyle changes are important.
I also know many people that developed T2 in spite of a healthy lifestyle. I know people that would be dead if not for their medications because T2 is not just a lifestyle related illness.
Again T2 is not just a lifestyle related illness.
I'm not going to argue this, because I'm repeating what health orgs, researchers, universities, and governments say.
Are meds needed by some? Yes.
Are meds needed for everyone? Research says no, but only if lifestyle is improved.
As one example, obesity is strongly correlated with type-2 diabetes risk. Even just reducing your weight can reduce the amount of insulin you need. That's a good thing. That's in addition to other benefits gained from reducing your weight.
If doctors aren't making this message clear, and if people aren't giving affordable, accessible means to improve their health, then society has failed those people.
There are no downsides to living a healthy lifestyle. Even if you still get sick, your chances of having a better outcome are greater, so we must start there.
All true except T2 is not just a lifestyle related illness.