Return on Life: Whose fault is it?

The June 16-19 edition of USA Weekend included a section of myths and realities related to diabetes. One of the stated myths, that it's your own fault if you have diabetes, is refuted by Dr. John B. Buse with the statement that "no one with diabetes has it because he wants to have it." This is followed by the explanation that our bodies are genetically designed in a way that supported our ancestors, which allow our bodies to store extra food and energy when there's plenty available (gain weight quickly), and to lose weight slowly during lean times. This genetic predisposition becomes a problem, the article explains, when we live in an environment where very little physical labor is required and there's plenty of food available.

I'm with Dr. Buse so far. But he seems to end the discussion there. It reads to me as if he is saying that because we live in an environment where there is plenty of food and physical activity is not required, it follows that diabetes will develop. Based on research I have read, it is not inevitable in all cases that diabetes just develops and we have no control or influence in the matter. The American Diabetes Association actually provides an assessment to determine whether you are at risk for diabetes and suggestions for reducing the risk and avoiding development of diabetes. These suggestions include monitoring your diet and getting regular exercise.

Certainly it is true that many cases of diabetes cannot be avoided, but an article like Dr. Buse's gives the impression that we have no say in the matter whatsoever. I would counter that just because we live in an environment where plenty of food is available doesn't mean we have to overindulge and eat in an unhealthy manner. And just because little physical labor is required certainly doesn't mean that we can't build some in.

My biggest concern is that we live in an environment where everything seems to be either someone else's fault or unavoidable just because "it's there." This is sort of like saying that because we live in an environment where designer jeans are available, it's inevitable that families will spend money they don't really have to clothe their teens in them. Yes, it happens frequently, but it's not inevitable. It's a choice. Unhealthy eating and lack of exercise happen frequently, but they are not inevitable. They are choices. Think about the choices you are making, and don't blame the results on someone or something else!