I have often thought and said out loud that I think we should take all the drugs and put them in big piles for everyone to take for free. As much as they want for ever and ever.
That way there wouldn’t be any money to be made and then those jerks that make money off of human misery would have to go elsewhere.
Oh to live in a lollipop world
So, here is my 3 cents 
I am not diabetic, nor are any of my children.
One of my children has an amputation due to a congenital condition. That said, amputation is hard. Its hard to go through, and hard to live, especially if one does not have insurance to get a good prosthetic. My child is able to be active and do pretty much anything that a kid can normally do.
What I see here is that between the diabetes and food addictions it can be hard to get weight under control, and it can be very difficult to exercise. Now, couple that with an inability to be mobile because of an amputation. I’m certain that designing sockets for people who are of “large size” (no offense intended to anyone here) can’t be easy. Residual limbs change, and the limb may not be capable of supporting the prosthetic. Also, any damage that exists in the leg needs to be dealt with, such as pressure sores, non-healing scars, etc. And if the limb changes enough then a new socket has to be made. Its not good enough to keep piling on the ply-socks (anything more than 5-7 in my opinion is too much). My child currently uses between 3-5 ply socks, but I’ve heard of people going up to 20-25+. That’s a case when a new socket should be made, but again, money and insurance comes up and if someone can’t afford it they will make due with an ill-fitting leg.
The point is that, yeah, I can see that death rate goes up after amputation. Put people on keto early on so that they can reverse diabetes and other metabolic conditions. Amputations shouldn’t have to happen, but if they do then people should also be put on keto at the same time to better their health.
I’ve talked to a few people. My boss is diabetic but refuses to give up bread and beer. I said, “Jerry, I am not diabetic, but I have given up carbs, and yes, it wasn’t easy. My fasting BG went from 97 to 85. All other lipid markers improved.” He flat out said he would rather enjoy life and take medication. Facepalm.
Alas, I think this is a common stance. I sometimes wonder about the level of regret when bad things start happening. I think our role is to educate and lead by example. You can’t force.
True, I thought I had another person interested. No, turns out her “metabolism” needs more glucose than other people’s. A neighbor offered me cornbread (which I detest.). Saul was standing by and detailed the list of what I didn’t eat. The look of horror on her face!
I wonder of the influence that the insulin manufacturing companies have had over the years.
I trained as a nurse in the 1980’s, I was instructed that type 1 diabetes was the insulin dependant type most likely secondary to an autoimmune event… The insulin regimes at that time were morning and evening types and the idea that you would dial up your insulin to eat more carbs was not really a thing. Type 1 diabetes was controlled by limited carbs and insulin combined. Snacking with a carby food was not allowed. Diet menus in hospitals had diabetic options that had a carb count shown. The same carb restriction was advocated for the type 2 diabetics. It was described as diet controlled diabetes. The addition of medication was to considered a help for controlling the blood sugar, but not the core treatment.
But then came along dial up and dial down insulin pens, brought in originally to help the newly diagnosed teenager eat the same carby diet that their peers could eat. Of course, the use of the pens spread, and became normal standard practice, and type 1 diabetes no longer needed the carb control.
It seems to me that over the years the thought that diabetes could in some part be managed and controlled by low carb diet has been lost.
I saw a younger GP who suggested going on metformin to get my blood sugars in control. But I then saw the old and bold GP who suggested cutting the carbs. So glad that I saw the senior “been there and done that” GP!
From the humor thread today,
https://www.ketogenicforums.com/uploads/default/original/3X/3/7/377adc1876bd5271289d89644626568e77f58348.jpeg
