@davep

We're talking about two very different things.

You're talking about the obvious and understood point that dietary changes and exercise can increase insulin sensitivity and decrease the work your pancreas is required to do. This can pull people below the A1C level of diabetes or pre-diabetes. Agreed.

I'm talking about the less known phenomenon that viral infection and stress can kill the cells in your pancreas that you need to not have diabetes.

And specifically, I'm talking about the silliness of people like RFK and Hegseth suggesting that diet and exercise can make up for a fatally damaged pancreas. It can't.

And I'm talking about the victim blaming harm of talking about diet and exercise, when the conversation should be about protecting people's pancreases at a public health level. This is especially important, as the "just eat better and exercise!" accusation is often aimed at Black women, by white and Black men. Yes, Black men.

This is ironic, as Black men are less "obese🤡" than both Black women and white men, and get more of the best type of exercise for reducing diabetes risk than both (strength training), but Black men get diabetes at much higher rates than Black women or white men.

@nshr @mekkaokereke and the auto industry making it easy to not get enough exercise, and sprawly sub/urban planning making it difficult to not drive. Friend of mine *is* a medical researcher, he approves a lot of my daily bicycle commute -- "keeps the big leg muscles good at burning sugar".

But that depends on having the option to have a daily bicycle commute. 12 mostly protected miles/day is easy, 40 "share the road" miles/day, not so much.