Typecasting
In part two of their latest series on diabetes, The New York Times delves into differences -- and divides -- between the type 1 and type 2 diabetes communities. Not much new in that those with type 1 are still frustrated that their disease is often confused or lumped in with type 2 diabetes and that the public comprehends little about it, an understandable reaction.
The NYT also touches on a less-talked-about phenomenon that those with type 2 diabetes face, the public perception that "they inflict the problem on themselves." This stigma is one that has grown over the years in direct proportion to media attention on the American obesity crisis. One parent quoted in the piece laments that she would be thrilled if "all my kid had to do was eat healthy, lose weight and exercise....I don't want to seem resentful, but for us, there's no choice."
Yes, over 80% of the type 2 population is overweight. But what is often forgotten is that type 2 diabetes has a very strong genetic component to it - much stronger, in fact, then type 1. We know that weight distribution (i.e., apple shape) is a factor in type 2 diabetes, and is also genetically determined. While no one denies that regular exercise and a healthy diet can help delay or possibly even prevent the onset of type 2 diabetes in those at risk, the idea of "diabetes by choice" is a myth. No one wants this disease. Let's use our common voices, time, and resources where everyone with (type 1 and type 2) diabetes does have a choice -- in making smart decisions about controlling diabetes and preventing complications.