We are markedly enthusiastic that you have uncovered our page about coronary heart disease.

Obviously that’s nonsense. People of all sizes and all ages get “really sick.” Yes, even if they’re perfectly slim, athletic, don’t smoke or drink to excess or eat anything “nonorganic.” All the time. Daily, in fact.

But nobody wants to hear it. Nobody wants to hear that they don’t have that much control over “wellness,” that it’s not like all the fat people who are sick or in pain would suddenly be perfectly healthy and running marathons if they could only give up the french fries (which would of course make us all slender as well as give us Perfect Cardiovascular Health). They want fat people to be sick, because they think we’re ugly, and Ugly Equals Unhealthy.

If we all get our feet lopped off from gangrene and go blind from retinopathy, then we can’t walk around their precious airports being eyesores and disrupting their upper-class-twit reveries. So of course diabetes is caused by stuffing your stupid face! It has to be!

We all get the same amount of time on this planet: one lifetime. It lasts the same length, subjectively, whether we live one day or one hundred and fifty years. Losing weight won’t necessarily get you more youth – those extra years are added on at the end of your life – and the added stress, strain and misery of dealing with myself on a diet just adds to the problems of my depression. No kidding, I found quitting dieting added about another ten years onto the point where I had to go onto medication for the depression – simply because I found that without the constant daily twenty-four hour self-hate, I felt a lot better!

I’d ask why people aren’t just being encouraged to concentrate on what makes them feel happy, but I realise that if we all did that, the marketing industry would collapse in a heap. After all, they survive by making people feel discontented, so they’ll buy more of $PRODUCT_NAME to try and feel happier.

But I think you have it essentially right: Type I diabetics who are fat have a measureably higher incidence of coronary artery calcifications; but the thinner ones who do develop calcifications get them worse.

And I would sum up their conclusion for the long term treatment of patients with Type I diabetes thus: ‘It’s entirely possible that we maybe don’t have to ride their fat asses so hard to lose weight if they’re not naturally thin. More studies are needed. Because, I mean, fat is Very Bad.’

” [it] emphasizes the complex relationship between body fat and cardiovascular risk in diabetes, ”

I like these studies because they undermine our illusions of simplicity.

Must being meaningless. Best to just ignore these findings and get back to clapping louder.