Potential Gains in Life Expectancy Associated with Diabetes Treatment Goals [pdf]
jamanetwork.com
jamanetwork.com
Sounds like its additive, so potentially up to 10 years if you're going from the worst quartiles in everything to the best, though I suspect that is extremely difficult. I am a bit surprised by the relative unimportance of HbA1C. I guess mortality is different that QALYs, which losing toes/eyes definitely affect, even if they don't kill you.
Not to mention I now have a general dislike for doctors and avoid them as much as possible, because inevitably everything I'd complain about would be blamed on excess weight or trans broken arm.
Love to see how empathetic doctors affect life expectancy. I'd assume quite a lot.
How about a little empathy for them? No need to lose weight, but also no need to bother them with it then. Which is essentially what you're doing, a net win for everyone :)
Exactly the kind of thoughtless answer that presumes I'm just angry about being told the hard truth or something I needed.
Being obese does NOT IN FACT lower your risk of every disease (except apparently heart failure?) that is not caused by obesity. Obese people need doctors for non-obesity related issues too.
Responding to this from an entirely egocentric place is just going to make the problem worse. Why not approach such things with compassion; at least you may get somewhere with this person. It is hard to make diverse friends if you cannot do so.
Failing to treat me is a professional failing with severe adverse effects for me. And it's entirely based on the judgemental assholeness of such doctors. If you can't stop blaming people for their conditions, find another job. I'm not my GPs therapist.
Also, they've been dead for close to a decade.
Cursing at me and telling me I will literally die in 10 years (I survived the guy by at least 10 years by now) and assuming the shock from that will get lazy me off the couch or something just put me into an extremely anxious state loop that didn't help me whatsoever. I didn't need to be told to eat less, I needed any coping mechanism that wasn't overeating. And I needed coping mechanisms a lot back then, the anxiety just contributed to that. I went through life for almost a decade just accepting my imminent death because I couldn't fix it.
People almost universally know that severe obesity is bad for them. You don't need to tell them.
There are many reasons people are obese. For me it was mostly a psychological issue. Doctors need better training in this regard, because telling someone to stop being lazy and eat well will almost never lead to them to improvement. Dieting, in the long term, it almost universally a failure. It just doesn't work. It doesn't address the right issues.
Yet, for doctors and those unaffected it seems like such a trivial thing that any deviation seems self-inflicted. They must be doing it willingly. They must be shamed. But it is never is that simple.
It is an attitude they constantly carry into conversations with patients. They need to take that attitude and throw it into the trash, because all it does is make the patient feel horrible about the lack of control they have over their condition that they supposedly should have, according to their doctor.
https://pubmed.ncbi.nlm.nih.gov/25041462/#:~:text=Conclusion....