05/18/2011 03:42 pm ET Updated Jul 10, 2011

Opinions on Type 2 Diabetes

Since I started writing articles for the Huffington Post about diabetes, and how diet and exercise impact the development of the disease, my pieces have received some pretty spirited comments. I really like it when I receive comments on my articles because it means people are reading them and that they have an opinion. Regardless of whether a reader's opinion agrees or disagrees with my own, I really enjoy reading what he or she has to write.

I began writing about diabetes in the Huffington Post because, after teaching patients for nearly 18 years about all aspects of type 2 diabetes, I realized that there were things about their diabetes that they didn't understand; that had never been explained to them. A large majority of the patients I taught didn't have a good understanding as to why they developed type 2 diabetes. They also didn't understand the value of losing weight (body fat) and getting regular exercise, as it pertains to controlling their diabetes. I started writing here because I wanted to get that message out to more people.

What I have found so interesting is that although there are those that appreciate my information and appear to learn from it, there are many strong opinions out there that differ from mine.
Although many agree that improper eating habits can lead to the development of type 2 diabetes, there are widely different attitudes as to what type of diet will prevent or improve diabetes control.

Many readers condemned and blamed the shift to a higher percentage of carbohydrates in the American diet in recent years. Some comments went so far as to recommend a near abstinence of carbohydrates, in favor of a higher fat diet. A more moderate view expressed was that people should consume only complex carbohydrates and avoid as many simple sugars as possible, pinpointing the large consumption of simple sugars as responsible for the development of type 2 diabetes.

Because some people that develop type 2 diabetes are reportedly of normal body weight and exercise regularly, a large number of people commented that type 2 diabetes is a result of genetic influence, apparently unrelated to being overweight or getting little exercise. Recently, I read a comment stating that insulin resistance only got worse with age, could never be improved or reduced, and that it seemed as time went on less and less carbohydrates could be tolerated.

All of these comments were very interesting and I was for some reason surprised as to the confidence each writer had that his or her viewpoint was the right one. Some readers even suggested I read the work of this guy or that guy. And some really impressed me by what they seemed to know about diabetes.

I see that I do have my work cut out for me. I will keep writing and explaining that insulin resistance causes type 2 diabetes about 80 percent of the time. I will also keep writing about how weight loss and exercise can work wonders to improve it.

Thanks for reading and please keep writing.