I respectfully disagree. Refined carbohydrates mixed with toxic fats and seed oils (Stupid American Diet) is pretty much the perfect storm of metabolic calamity. No one necessarily has to have a 'dodgy pancreas' beforehand. All of the above will go a long way to giving them one.
Hi Jim, hope you're well.
Purely from an anecdotal,perspective.
My father. (No longer with us.) T2. A "slim Jim" (or Jay..) like me. Was possibly due to visceral fat gained at a "certain age..?" Junk "fast food" for him was "deviant." Yes there were certain carbs & he was on metformin when diagnosed. "I got a touch of diabetes" he confided in me when diagnosed... "Take this pill.."
Looking at the balanced diet & working out what wasn't working with a little T1 insight from me. (He was also prescribed a meter. Our family GP at the time was forward thinking.) His carb intake was reduced by around 60% & the GP cut his metformin due to an improved A1c.. (This was long before I joined this forum.)
A dog walking friend of mine. Skin tagged (oddly so was my dad.) & claiming he was also slim like me but in his case admitted he had a ravenous appetite for carbs, then gained weight after his 30s possibly an over productive pancreas?? This guy is probably not much older than me. Treating blindly into insulin resistance??
Possibly "the luck of the draw" with T2 as with T1 (or any other type.) regarding the variables on causation. There are others can carry on with no issue.. My wife for instance does adopt the same diet as me but with the addition of the odd "no no."
But due to her age regarding "well women" checks including the potential of any form of diabetes. Has no A1c issue.
So a nurse did a misinformed comedy "one liner" from "family guy..."
Focusing on her job as an HCP in the middle of a national crisis from a certain virus & caught out by the camera glare of a news crew.. Also equally the fottage could have been sensitively cut & left on the floor by an informed film editor?