> There's a lot of interesting and controversial research coming out - SciAm
> just did a nice overview of the arguments raging about the health effects of
> obesity.  Since I just read the article it reminded me of this thread.
> 
> For example while most people "know" that being fat causes diabetes the CDC
> studies show that while the incidence of obesity grew sharply in the 1990's
> the incidence of diabetes didn't.
>
> Also studies of morbidly obese kids show no predilection to diabetes.

I was under the impression (note that it's just an impression, and I
totally could be wrong) that the studies only looked at type I diabetes.
 So, um, am I wrong about that?

> Even among adults there's interesting findings.
> 
> One trail found that regardless of diet or weight regular exercise (walking
> 2.5 hours per week for example) reduces the risk of diabetes by up to 69%.

Hmm.  I know that excercise can actually allow cells to absorb a small
abount of glucose without insulin.  I wonder if that has anything to do
with it.

> Nobody's saying that massive weight gain is good (although, as an aside,
> being underweight poses a much more severe health risk that being
> overweight).  There are other health risks (even if only "mechanical" risks
> like muscle ache) and definite social ramifications.

Oh, I know all about the health problems of being underweight.  I'm
almost 6' and bottomed out at about 115lbs.  I currently weigh just
under 130 (and am gaining slowly).  I've been the chunky kid and the
skeleton both, and both have social ramifications.  :-(

> But the ingrained notion that "fat" is the root cause of all these ills is
> being challenged.  At a simple level, for example, we're finally asking:
> does being overweight cause diabetes or does having diabetes cause weight
> gain?

Well, being overweight is usually more of a straw-->camel kind of thing.
 Most people with type II diabetes have a genetic predispostion that
causes them to have or develop a higher tolerance for insulin.  I have
this tolerance, incedentally, and take enough insulin for someone
significantly heavier than myself who doesn't.

As far as weight gain as a symptom goes, everything I've ever heard says
that running a high blood sugar level (regardless of whether you are
getting enough glucose into cells to keep them going) causes weight
loss.  So I'd say (though I can't really back it up with studies or
anything) that weight gain is a cause, not a symptom.

--Ben


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