I believe you are referring to the recent publication of the Look Ahead trial in the JAMA. Hope Warshaw wrote about this over at DiabetesMine. You can read my post over there. Basically, this was an important study. A great deal of money was spent on this study in an attempt to reinforce the results of the Diabetes Prevention Program (DPP). The primary outcome of the study was to demonstrate evidence of CVD reductions with the DPP protocol. The DPP protocol uses a low fat calorie restricted diet with exercise to reduce weight. The key takeaway is:
The Look Ahead study failed to demonstrate the primary outcome and was stopped early!
OMG. Does anyone not have a clue? We have the government out betting everything that we can prevent diabetes with the DPP program. While the DPP program is marginally better than the "usual care," it really isn't very good. Did anyone not think to consider a low carb diet? I have to say, from a patient perspective, the science being funded is just weak. And then to have it spun in distorted ways, that is just wrong. As patients, perhaps we, even more than the "experts," understand that obesity is most likely just a symptom of diabetes. And we also can see some obvious things, like "Maybe low fat diet isn't very good for either controlling diabetes or reducing CVD!"
So many of us feel personally hurt and insulted to be told that we got diabetes because of personal failings. No doctor would ever call out a politician for having cancer or getting shot in the head, but they call them out for having diabetes and being obese. Perhaps people like Peter Attia get it, but sometimes I feel like only we as patients understand. And over the years I have developed an increasing mistrust in the whole medical system.