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.

What type of education, what support?

Doctors can and do already give up to 10 free gym sessions, this tends to be unsuccessful.

It is not uncommon for overweight people to be emotional eaters and therefore counselling and therapy helps in those cases, or would they have to pay for that too because they are fat and it is therefore their fault?

The NHS can not provide counseling for 64% of adults, the overweight population.

Counseling is open ended and very very costly.

They'd have to find it first MissBattleaxe. Rare as hens teeth.

Surely 64% of adults aren't overweight. I am even sceptical if 10% of the NHS budget is taken up with diabetes. Are you including gestational diabetes in that 10%?

Where does the OP get her figures from.

So you don't want overweight people to receive help on the same basis as others if they have diabetes. You also don't want them to have access to mental health services if they need them. Did a fat kid steal your sweets when you were a kid or something?

Lauranda
Instead of answering questions with questions, or not answering at all, try doing some research. You haven't answered any questions addressing some of the issues with T2 Diabetes, nor have you answered those such as Pleaseshootme's question.
Perhaps some peer reviewed evidence for you initial figures?

OP- I'm not saying all 64% of overweight people need counselling, but that many are not just greedy and too lazy to stop eating cake!

By the way I'm being ironic when I say about being greedy and the cake stuff. Highly ironic with an arched eyebrow.

No 64% of adults are not overweight.

64% of adults are overweight or obese!

m.bbc.co.uk/news/health-25576400

What percentage of the 64% do you think are caused by medical conditions?

There are posters on this thread who are very openly discussing what would help them with their own issues around food. You have dismissed their suggestions as too expensive.

If counselling and heavily subsidised exercise and guidance programmes are going to be too expensive, then it is cheaper for the NHS to medicate.

You can't just dismiss what people actually want to help them improve their lifestyle.

Well, I mean you can, because this is just a discussion forum.

Though I am still fascinated to know what you actually think should happen because nowhere have you explained what you actually mean by 'asking people who are overweight to pay something towards their treatment'. How much? How is it gauged? Which treatments?

I do, however, hugely admire your ability to press people for more answers and explanations when you aren't prepared to give the same sort of answers yourself.

Other than that is probably a skill required from someone researching articles or talk show pieces...

Having recently spent a bit of time in hospital, there were a fair amount of overweight members of staff in the NHS, on a par with overall population statistics I assume. So, I'm terribly sorry, but I would not take advice on a healthy diet from an organisation whose staff are no healthier than the rest of the population as a whole. And the food in there was crap; I'm on a gluten free diet, yet had to take in my own gluten free bread and breakfast cereals. The menu was full of stodgy, stews and sponge puddings. Salad consisted of iceberg lettuce with a couple of bits of cucumber and tomato. not exactly inspiring anyone to choose the healthy option.

Why just type 2 diabetes OP? Could you please answer this question that has been asked of you repeatedly.

That's very true about NHS food. I remember one meal last time I stayed which was pasta and sauce with mash potato as a side, along with chocolate sponge and custard for pudding. I remember it fondly as it was the most edible thing I had in 5 days.

"Anyway the consultant I see says that being overweight does not causes diabetes and only those who are ill-informed think it does. He says that fluxuating blood sugar levels cause diabetes and they also cause obesity. So there is correlation between the two NOT causation."

What utter rubbish.

According to your consultant there has suddenly been a sudden unexplained epidemic of young people who are unable to control their blood sugar levels. Maybe she can suggest why this has happened, if it is not caused by growing levels of obesity. A virus?

In any case, her advice to you contradicts the advice given by the main diabetes charities (who I suppose are also ignorant ).

This is from the report 'Diabetes in the UK' published in 2012 here

The BBC does not constitue peer reviewed evidence Laurandra

Why type 2 diabetes?

Because its growing at an endemic rate and its lifestyle related.

Why do you demand I answer every question here but don't reply to mine?

Sorry but I don't buy it.

All these people try to blame everything and everyone else for their fat. Its the supermarkets fault! Its the government fault! Its mc Donalds fault! Its my thiroids fault!

"Diet and exercise do not "cure" diabetes, though there is currently a lot of research into looking into just what the effects of diet and exercise are on the condition. If diet and exercise alone "reversed" Type 2 diabetes, the only people who would need insulin, and/or extra medical care for the condition would be people with Type 1 diabetes."

You should have a look at this study: here

Tiny study, but very interesting. Of the 11 type 2 diabetic patients who took part in the research and were put on an 800 calorie a day diet (600 from packaged food, 200 fresh veg), 9 had no symptoms of diabetes by the end of the 8 week trial, and 7 remained diabetes free for the following 3 months. I don't know what happened in the long term follow up.

Mariene - be reasonable, if you've got a gippy thyroid, your metabolism does slow down hugely.

I've gone from a life long (44 years) of being a size 10 to a size 16 since becoming hypothyroid. In the space of 4 years. It can happen to anyone. You included.

I'm headed back down the BMI chart, but it's bloody torturous.

Why should people that gorge themselves get free gym membership? I used to be larger, I got off my ass stooped snacking on crap and pay 45 a month to go to a gym, which is very cheap for the amount of hours I spend there.

The MASSIVE increase in overweight in the UK has been caused by environmental and cultural factors.

Individual people may have a predisposition to put on weight, but at a population level this shouldn't have resulted in a quadrupling of the number of morbidly obese children in the space of 10 years.......

OK sorry, I'm talking more about the mums that blame their fat kids on a thiroid problem. Most of them are dilusional.

Why should people that gorge themselves get free gym membership?

Because some people aren't fat because they gorge themselves on food, some people are on steriod treatments that increase weight, some are on anti depressants, which increase weight, some people are on anti epilepsy medication which can increase weight.

Give us a question that hasn't been answered by someone yet, or ignored to the level you've ignored lots of posters requests that you shed some wisdom on other 'self-inflicted' conditions or injuries.

Re the 64% - for one, the BBC is not peer-reviewed. And I am not a medical professional and can't possibly make a judgement call as I have absolutely no idea of which medical conditions can cause weight gain (I've just this moment learnt that hyperthyroidism causes it, for one).

However I do believe it is a gross oversimplification to assume that people who are overweight simply "gorge" themselves on food. They may have an healthy diet because of the cost implications. They may be spending most of their monthly food budget on healthy food for their children and are left themselves snacking on cheap foods like toast, biscuits and breakfast cereals. They may have a sedentary job. They may not be able to find the time between work and childcare to do more than some walking, so not the real targeted weight-busting exercise that people like MarieNE are advocating. They may very easily not be able to afford any money at all to do exercise, and even lovely free walking isn't always possible if you don't have a proper lunch break and then can't leave the house in the evenings because of childcare.

But no, none of that matters, it is far easier to say "you're fat and you're unhealthy because you are lazy and you eat too much".

Has anyone on this thread advocating improved diets actually looked around a supermarket at what you could buy if you were on a deathly tight budget? The cheapest fruit is in a tin - in syrup. I'm not saying you can't eat cheaply and well with lots of stews and lentils and the like, but you need to learn how to cook, which takes a bit of time and could really benefit from some extensive support.