@noblehead I hope I don't misunderstand you? Are you saying that lack of exercise IS to blame for obesity?
If so how would you explain the experience of people from Tokelau who emigrated to New Zealand from their tropical island paradise(?) in the 60-80s (I think) who rapidly gained weigh and became obese, got diabetes and heart problems.
In Tokelau their basic diet was fish and coconut and apart from occasionally having to climb a tree - if there weren't any on the ground they were a pretty laid back lot. However, when they got to NZ, despite working very hard (hence lots of activity) the change in diet to refined carbs. sugar etc resulted in obesity and metabolic syndrome?
My reference for this is the Diet Delusion - Gary Taubes chapter 8
Who here has recently had to climb trees and fish for their meals?
I'd be willing to wager vast sums of money (if I had it!) that few, if any, members of this forum could be dumped on yesteryear Tokelau and cope with the physical demands of sourcing their own meals. Occasionally climbing a tree is probably most days and without a nice ladder or cherry picker.
A bit of fishing? The women and children would fish the lagoons but the men would be off shore in a wooden canoe using traditional hoop and hand line methods. Catching tuna with a hand line? Serious work. Paddling a canoe out in all conditions? Serious work.
I'd suggest Mr Taubes has a bit of delusion over what constitutes physical activity when you live in a World of subsistence fishing!! Moving to New Zealand, an industrialised country, was probably a holiday on the body for these guys but not the brain!
If the government want to help reduce the long term complications from diabetes why are they not looking at putting provisions in place for every diabetic who wants to move from injections to be offered insulin pumps. I, like many others had to fight to get my pump, was refused 3 times and had to jump through hoops to get it. I feel that the flexibility the pump has offered me will mean that my long term health will benefit.
The short term cost would probably be the main reason. As long as my control is good I am personally happy with needles and my consultant does mention pumps at each appointment but tells me I'd not be prioritised. I'd rather see them go to help people who need them, especially children.
i agree that children should be prioritised, but if people want to benefit from pumps it is short sighted to look at the short term cost, when long term health can be improved if it allows you to control your diabetes better. I understand that pumps are not for everyone, but they should be an option and not so difficult to get if you do want one. Over a 4 year period the overall cost for pump vs injections was £400 extra for the pump.The short term cost would probably be the main reason. As long as my control is good I am personally happy with needles and my consultant does mention pumps at each appointment but tells me I'd not be prioritised. I'd rather see them go to help people who need them, especially children.
If you are going to dismiss Taubes but recommend Keys surely it follows that you should read both of them? Or how can you know?
Dillinger
Not to meUnderstood, but we are talking multi-national dogma (based on Keye's 'cherry picking') that has changed the world's health. That's a pretty big deal.
But as patients, isn't that all we can do? Doctors and public health experts base their views on statistics relating to wide populations to advise what is most likely to work for the average person. I base my diet on my meter readings, which is subjective in that it applies only to me but objective in that it is an unbiased measure of my body's response. We aren't experts; all we can do is say "this worked for me, and if you try it it may work for you".I think (sorry controversial statement alert), some of us on forum also use anecdotal and subjective evidence to support the dietary regime we believe in.
Why ? Because I don't read those books lol ! Never heard of them, not interested in them ! Thanks for your concern and I'm glad you place such importance on themMethinks your nickname should be 'ostrich.'
Totally agree but there are a few on the forum that don't say "this worked for me.....", some here believe their particular diet/lifestyle is the ONLY way and will push it all day long. Don't ask me who lol ! Just look for yourselves ! It's out thereBut as patients, isn't that all we can do? Doctors and public health experts base their views on statistics relating to wide populations to advise what is most likely to work for the average person. I base my diet on my meter readings, which is subjective in that it applies only to me but objective in that it is an unbiased measure of my body's response. We aren't experts; all we can do is say "this worked for me, and if you try it it may work for you".
Kate
My point entirely @mo1905Don't really care about Taubes or Keys to be honest. Just stick with a diet that suits. You can search the internet and you can always find opposing arguments for pretty much anything. Who doesn't cherry pick ? We all like to read papers that back up our own ideas.
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