10% of NHS budget is spent on t2 diabetes vast majority is self inflicted, aibu to think they should contribute?

[Lauranda]

Its estimated that the cost will go up 17% by 2020. Something needs to change or the NHS will collapse.

Maybe make people that are overweight pay something towards their treatment would in courage people to eat better and exercise more.

I will save it to look at later.

I still think the answer could be that straightforward as eating too much of the wrong food and not moving enough. Don't think the human body has evolved in a generation, therefore lifestyle seams more likely. Only in a generation has there been the advent of factory food, artificial sweeteners etc.

I am still waiting for your peer reviewed evidence laurandra, along with your comments regarding other questions put to you, or do you just ignore that which you are unable to comprehend?

No sillier than "T2 diabetes patients should have to pay for their own healthcare as it's all their own fault", but that was kind of my point

Obesity is a RISK Factor, not a cause, and I fail to see how you being patronising and smug and rather twattish to everyone that says it will change that.

Don't listen then! You, if anything, are now being the one to come out with "silly" statements. I'll be sure to refuse my next research grant, despite all the evidence supporting my and other people's work, because you've solved it all!

The human body hasn't evolved in a generation. We are designed to like sugar and fat to build us up. We are designed to use our calories sparingly to have a fat store ready for the next time of famine.

As a society, for the first time, in the last, say, 60 years, food has been in abundance. There is no time of famine anymore but we continue to eat as if there might be. The obesogenic genes, which were controlled before because of all the factors I suggested above, had been kept at bay, but now the environment (food and activity) is different. I don't know how many different ways to explain it!

Thats just a play on words.

Just like saying smoking is a risk factor for lung cancer.

My post was clearly meant for lauranda and not the two far more sensible posters above mine!

To be fair, daisy, I would say that obesity is a cause of T2DM in some people, but it certainly isn't clear cut. See my comments at 22:39 for example on the "healthy obese".

So your saying its not peoples fault if they gorge on sugar and fat?

Watch the blooming lecture! Spend 50 minutes away from MN and posting your uneducated comments and then come back and ask your questions if you still have any!

(which I will answer in the morning as I need to go to bed but I have enjoyed watching his lecture and was glad to have found it! He is a great speaker, even if I have heard variations on that talk just a few times!)

"Thats just a play on words.

Just like saying smoking is a risk factor for lung cancer"

Are you for real? It is just like saying smoking is a risk factor for lung cancer, because...we... it is And in the same way that not all fat people get T2, not all smokers get lung cancer

Are you incredibly bloody minded and failing to accept what appears to be the majority view, or that other people are allowed to even have a view or incredibly stupid; I'm struggling to figure out which, so will leave you to your "I'm right and you're all stupid" bubble.

If your so educated and I'm so uneducated you could help out more as I can't watch video on mobile.

I know Dino, I'm not disputing that, rather the view that it all the fault of them greedy and lazy fat people, end of discussion.

your use of terms like "gorging on fat and sugar" is quite offensive Lauranda, for one who professes that she isn't fattist.

I think I'm going to have to hide this thread now, but I will definitely watch your video Dino. I have an auto-immune condition that predisposes me to other such conditions, diabetes being one of them so I try to do all I can to mitigate my risk.

I've tried to help and you are not having any of it, so I am at a bit of a loss! You obviously have your own ideas about things (not sure what that is based on but it certainly isn't up to date peer-reviewed medicine) and won't be persuaded otherwise!

Here are some papers by Prof O'Rahilly that might help (I've picked on him as I've linked to his lecture above):

www.ncbi.nlm.nih.gov/pubmed/22915015

www.ncbi.nlm.nih.gov/pubmed/22065844

www.ncbi.nlm.nih.gov/pubmed/20870709

"That video on YouTube that is supposted to answer many things hardly has any views and just the one comment saying "that guy is wrong" lol"

If you need to confirm the credentials of Professor Sir Steve O'Rahilly MD FRCP FRCPI FRCPath FRS FMedSci, then there is a biography at his lab website here www.mrl.ims.cam.ac.uk/staff/hod/ or indeed at his Wikipedia entry.

dino, thanks for the links, I shall spend some time reading and watching. May I suggest that the hard of thinking are best ignored.

In response to the OP - YABU in the numerous reasons pointed out.

Also, slight hijack here, attitudes like yours along with misunderstanding (including medics, they are often the worst) has ensured Type ONE diabetics like myself have been patronised, pigeonholed and lectured.

Thanks.

As you were...

Although I do find dismissing a link from "cam.ac" to be supremely arrogant. Perhaps the op would care to share her credentials?

Thank you, dawn. You are right, but it is just so tempting when someone (especially someone claiming to be a HCP) is wrong on the internet!

xkcd.com/386/

I spent serious amounts of nhs time and resources during my first pregnancy, which saw me hospitalised several times, and then special neo natal care for dc1 when he was born prematurely. As my pregnancy was "self inflicted" should I have contributed to the cost?

Dc 2 and I were both treated for sports - related injuries in the last couple of years, again "self inflicted" in that we choose to take part in the respective sports. Should we be paying for that as well? Or perhaps we should stay at home, being couch potatoes, so we don't run the risk of being a drain on the nhs with our sport-related problems. Oh no, wait a minute, then we'd be more likely to suffer from type 2 diabetes.......

nancery, just as a matter of interest, we are now seeing a huge crossover between T1DM and T2DM. It is often not clearcut when a patient presents with a new diagnosis which type they have and indeed with an ageing, heavier population, we are seeing more patients with probable T1DM AND significant insulin resistance. There shouldn't be patronising, pigeonholing and lecturing of any patient of course!

slightly different cancery, but I have coeliac disease and am constantly getting the look as people just assume I'm being faddy when I say I can't eat anything with flour, barley, rye and most oats in.

I've reported your last comment OP for being goady and fattist. And in the interests of fairnessI've reported myself for calling you patronising, smug and twattish even though you are as that is a personal attack and not allowed.

*Nancery sorry!

I still think the answer could be that straightforward as eating too much of the wrong food and not moving enough

Why would you persist in this stupid belief when more qualified people have pointed out that you are wrong?