(I was frustrated after a conversation with my Biochem professor last night. Though I'll never send it to her, this letter is the result.)
Dear Professor Know-It-All,
I really don't appreciate it when you tell a future doctor that 99% of patients don't need to be put on statins or medications to aid in blood sugar control because both conditions are preventable and controllable by diet and exercise. I appreciate it less when I happen to be standing Right. There. And when I try to explain that high blood pressure and high blood sugar are not the same in terms of how "easily" they can be controlled, the proper way to react is NOT to tell me that I'm wrong and that they're both lifestyle diseases.
Did you know that insulin resistance is NOT a preventable disorder? That, in most cases, it's caused by an ingrained biological problem, not lifestyle? That sometimes the person who has it does EVERYTHING they can, completely changes their lifestyle, and still has to be put on medication? I know, because that happened to me.
I know that I'm different than most patients. That I'm "too young", "too thin", "too active", eat "too well", etc. to fit the "profile". HOWEVER. Just because I'm not a sixty year old with a BMI of 40 who sits around and eats french fries all day does not mean that I apply to what you said any less. I spent four months eating almost no carbs. I lost 8% of my body weight (which, by the way, is more than the amount necessary for seeing improvement in blood sugar management). I went to the gym. I walked miles every day. And do you know what happened? My blood sugar went UP, not down.
Yes, I begged to be put on Metformin. But it wasn't because I was being "lazy" about what needed to be done. It was because the more I cut out carbs, the less I could eat. It was because despite the exercise and the weight loss and the diet, I still took naps AND went to sleep early every day. I actually fell behind in my schoolwork (and am still playing catch up more than two months later) because I was too sick to do any work.
So please, do your research. Don't talk about these disorders like you know everything about them. Your class is my favorite this semester, despite the fact that it's at 6:30 at night twice a week. You're one of my favorite teachers EVER. Please don't make me hate you because of something so stupid.
The Student Who Knows Better