A sweeping generalization such as that made by Diabetes News Hound misses several confounding factors in addressing the socioeconomic and medical issues of Type 2 diabetes.
(1) In developed countries, many people with Type 2 diabetes are people are in the lower socioeconomic classes. The price of healthy eating exceeds their income levels and – because they are often working several jobs to pay the bills – the time needed to prepare healthy meals and snacks.
(2) In developed countries, many people with Type 2 diabetes in the middle classes are working too many hours to prepare healthy food and rely instead on fast-food and chain restaurants for many meals, often resulting in the observed “poor diet”.
(3) Many people with Type 2 diabetes are senior citizens. In addition to the issues of income, there is a decreasing physical ability to cook in, plus there may be issues of “selective memory” and trouble adopting lifestyle changes. There may also be a belief that this is a normal part of aging, not to worry about it.
(4) There are some indications that the “prescribed” diet for people with Type 2 diabetes may not be the healthiest diet for at least some of us. Some of us react better to a whole-foods, produce-oriented diet; others need something closer to a whole-foods, Mediterranean-style diet; others swear by a super-low-carbohydrate diet closer to an Atkins diet. Because there are different etiologies of Type 2 diabetes it is possible that the “optimal diet” needs to be different for each underlying sub-type of T2DM.