Thursday, 31 December 2015

Diabetes Trippy

I'm not even going to pretend to care about Rob Kardashian or the rest of his family. I don't get what they are for and I'm as okay with that as I am with others totally getting the point of them. But it seems Rob has got the diabetes.

The fat kind. The naughty, type 2 diabetes. The one you get for being guilty.

The twist here is he's basically a bit of a five minute fatty. Unconvincingly so at that.

According to reports, this man gained over 100lbs in one year. He was also depressed, seemingly hyperphagic and having problems with alcohol.

From my own point of view of no medical expertise whatsoever. I'd say such a cluster of symptoms, along with such ferocious weight gain signalled RK's incipient diabetes. This could be totes wrong of course. That a slim guy decided apropos of nothing to force feed himself, turn down thermogenesis and chub up by a nice round 100lbs (why not 50 or 150?) because erm, "fat logic" is far more plausible.

After choosing to enter "fat logic" whilst slim, he became depressed about it, because he was getting what he planned, yes, that sounds the ob construct mal-logic to me. Never knowingly makes sense and no-one cares because it serves a purpose, nothing of which is to be of use to any fat person whatsoever.

Interestingly enough, he was taken to hospital suffering diabetic ketoacidosis, something most indicative of type1 diabetes, the innocent, unimpeachable kind. Alas for Rob, his problems made him fat, so, the obstacle that is the 'obesity' construct will have to be negotiated.

In my strictly non medical judgement.

The ob construct is increasingly forcing medical segregation by body size. From the nonsense of "obesity-related" to this progressive cleaving of diabetes along weight lines. I'm not entirely surprised to learn that diabetes tends to be the classification for chronically elevated blood sugar. Like others, I'm not particularly convinced that they are related to each other enough to bear the same tag.Though I could not swear against it either.

However the issue here is not about weight, it's about metabolic function and whether the angle we are viewing it from is the most useful or accurate. I didn't get those suspcisions from the good doctor, I've said forever that the term "insulin resistance" has always thrown up a conceptual red flag for me. [I can't help a wry smile when I hear "auto-immune" too.]

In a way, the addition of "leptin resistance" seems to confirm my suspicions about the nature of cross over between type 2 diabetes and weight.

As will be of little surprise to you, Rob has been told his diagnosis, rather than being shock of mortality, a challenge to his personal sense of self, or a potential light bulb moment for what he may well have assumed was wholly "emotional" is simply a "wake up" call for him to stop being fat etc.,Yes, heaven forfend any fellow feeling on the impact of finding out that you have an illness.

"Everyone knows," fat people get ill solely due to the wages of sin, in order to motivate them to an anorexic triumph and the approval of people who think that's an apt response. The criterion for diagnosing diabetes has been lowered to that end. And why not? It is frequently said, that medicine is an art not a science.

RK's apparently off to rehab for the etc., part of which is probably indicative of his underlying condition. The best comment on rehab was made by the late Amy Winehouse. She was much mocked for this, but all she said was the truth, rehab is mostly hot air. Unless you count attention and time away from your normal existence.

That's usually called a holiday. 

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