I saw a comment on your blog that says 'the way you eat does not cause diabetes'...are you able to expand on that or provide a source I could read? I've been told by doctors that my pre-diabetes was due to weight gain because I get more hungry on my anti psychotics and I'd like to fact check what they've told me! Thank you so much!

Pre-diabetes was rejected as a diagnosis by the World Health Organization (although it is used by the US and UK) - the correct term for the condition is impaired glucose tolerance. Approximately 2% of people with "pre-diabetes" go on to develop diabetes per year. You heard that right - TWO PERCENT. Most diabetics actually skip the pre-diabetic phase.

There are currently no treatments for pre-diabetes besides intentional weight loss. (Hmm, that's convenient, right?) There has yet to be evidence that losing weight prevents progression from pre-diabetes to T2DM beyond a year. Interestingly, drug companies are trying to persuade the medical world to start treating patients earlier and earlier. They are using the term “pre-diabetes” to sell their drugs (including Wegovy, a weight-loss drug). Surgeons are using it to sell weight loss surgery. Everyone’s a winner, right? Not patients. Especially fat patients.

Check out these articles:

Prediabetes: The epidemic that never was, and shouldn’t be

The war on ‘prediabetes' could be a boon for pharma—but is it good medicine?

Also - I love what Dr. Asher Larmie @fatdoctorUK has to say about T2DM and insulin resistance, so here's one of their threads I pulled from Twitter:

1️⃣ You can't prevent insulin resistance. It's coded in your DNA. It may be impacted by your environment. Studies have shown it has nothing to do with your BMI.

2️⃣ The term "pre-diabetes" is a PR stunt. The correct term is impaired glucose tolerance (or impaired fasting glucose) which is sometimes referred to as intermittent hyperglycemia. It does not predict T2DM. It is best ignored and tested for every 3-5yrs.

3️⃣ there is no evidence that losing weight prevents diabetes. That's because you can't reverse insulin resistance. You can possibly postpone it by 2yrs? Furthermore there is evidence that those who are fat at the time of diagnosis fair much better than those who are thin.

4️⃣ Weight loss does not reverse diabetes in the VAST majority of people. Those that do reverse it are usually thinner with recent onset T2DM and a low A1c. Only a tiny minority can sustain that over 2yrs. Weight loss does not improve A1c levels beyond 2 yrs either.

5️⃣ Weight loss in T2DM does not improve macrovascular or microvascular health outcomes beyond 2 years. In fact, weight loss in diabetics is associated with increased mortality and morbidity (although it is not clear why). Weight cycling is known to impacts A1c levels.

6️⃣ Weight GAIN does NOT increase the risk of cardiovascular OR all causes mortality in diabetics. In fact, one might even go so far as to say that it's better to be fat and diabetic than to be thin and diabetic.

Dr. Larmie cites 18 peer reviewed journal articles (most from the last decade) that are included in their webinar on the subject, linked below.

Everyone knows it's that time of year when many people feel compelled to set goals to alter their body and restrict their food. The pressure to be thin is everywhere---it's the water we swim in. If you want to take care of your body, I hope this is the year you learn more about weight-neutral approaches to health! The Health At Every Size movement and books by fat activist Aubrey Gordon are great places to start!

my friend hassina had cancer & she didn’t want 2 hear this shit.

The Body Mass Index is racist, sexist and ableist.

Art by Liberal Jane

Digital illustration of a fem with a purple layered bob haircut. She’s wearing a green sports bra, black pants and has a insulin pump. She is pointing to text that reads, ‘BMI is racist sexist and ableist.’

skinny-shaming is absolutely not the same as fat-shaming and if you think it is you are fucking delusional lmao

Yo mama so fat, she is far more likely to be misdiagnosed by a doctor due to weight stigma in the medical industry.

"Discrimination based on body size is common and persistent in American workplaces — but it's largely left out of diversity and inclusion training, and overlooked in employment law.

Why it matters: There's an economic cost to not being thin.

"Weight stigma is present at every stage of the employment cycle," says Rebecca Puhl, a professor at the department of human development at the University of Connecticut. It's harder to get hired, promoted and paid."

From

Note also : we don't have a way to make fat people permanently thin. Medicare’s Search for Effective Obesity Treatments: Diets Are Not the Answer (PDF) by UCLA reviews 31 studies on diets and recommended that Medicare not cover diet programs because they are not effective enough to be worth Medicare coverage.  News articles summarized these findings here and here.

For more about being fat, see https://living400lbs.com

If you're new to fat liberation, this article (and basically anything written by the amazing Aubrey Gordon), is a great place to start. #body neutrality

Authors, we have to be careful when we describe the evil, less-intelligent, or gross characters as fat. Being fat is not a bad thing. But when your only fat character is the gross shopkeeper, it just reinforces the message that fat = bad. It's not something we always do consciously, we just have to be more vigilant so we don't perpetuate negative stereotypes

This could be a hot take for radblr, but fat women and their specific experiences shouldn’t be excluded or ridiculed.

I’m having an ok day at work. Productive. But my personal life is playing in my head in the background and it’s usually not like that. I just can’t stop thinking about weight stigma, how I’m treated differently now, and how desperately I want to lose weight. It’s all so frustrating. I want my mind to shut up. I feel like this body is not “me” if that makes sense. I’ve never been at this weight. I just need to lose it all asap. 🤬

People often talk about the need for representation in media, while others (usually the overrepresented ones) argue that it doesn't matter. It matters so much, though. I'm already happy to see more and more fat and disabled people being depicted in various places, but I have one problem with it - even if fat and/or disabled, we are still being shown mostly conventionally pretty people. I don't think that I've ever seen a person with a body like mine and a condition like mine being shown in a different context than medical photographies showing its (condition's) symptoms. This makes me sad and really ashamed of showing my body in any setting, public or private. Maybe other people with similar issues also feel the same, and that's why I can't see them anywhere? It usually takes a lot of courage to show one's own body to the public, I can already sense the comment section in those posts, and I don't think that I could have what it takes to deal with it. But if it doesn't show the need to normalise looking "not pretty", then I don't know what does. I feel like too many people in large bodies or people with disabilities feel the need to take care of their appearance even more than it's usually expected from able- bodied and thin people so others would maybe at least consider their right to exist and be treated as a human being. The pressure put on the already heavily marginalised folks is huge, and someone who has never experienced it probably couldn't ever imagine how it really feels.

Before and after pictures are fatphobic, period.

Eating disorders and weight stigma:

Weight stigma, also known as weight bias or weight based discrimination, is discrimination or stereotyping based on a person's weight. Weight stigma can I crease body dissatisfaction, a leading risk factor in the development of eating disorders.

The best known environmental contributor to the development of eating disorders is the sociocultural idealization of thinness. It is never acceptable to discriminate against someone based on their size, but shaming, blaming, and "concern trolling" happen everywhere- at work, school, on social media, in the home, and especially at the doctor's office.

Weight stigma poses a significant threat to psychological and physical health. It has been documented as a significant risk factor for depression, body dissatisfaction, and low self-esteem. Victims of weight stigma report physicians and family members are the most common source of weight bias. Among family members, weight based teasing and diet talk are linked to binge eating, weight gain, and extreme weight control behaviors.

Research shows that healthcare providers, when talking to a fat patient tent to:

• Provide them with less health information

• Spend less time with them

• View them as undisciplined, annoying, and noncompliant with treatment.

More than 40% of U.S. adults, across a range of body sizes and even greater numbers abroad report experiencing weight stigma at some point in their life.

Weight stigma also undermines health behaviors and preventative care, causing disordered eating, decreased physical activity, and health care avoidance.