if excessive sugar made you fatter, why some diabetes patients is skinny?
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The metabolism is really, really complicated. People like to simplify it to gain a sense of control, but there are many, many mechanisms controlling how digestion and blood chemistry come together.
Some people’s bodies get a lot of energy out of the food they eat, others less. Some people’s bodies store lots of excess energy in fat cells, some only a little. So two people could have similar diets and very different weights.
Excess sugar may not make you fat. High blood sugar is dangerous, so there are many mechanisms to prevent this. One is the kidneys dumping glucose out of the blood straight into the urine. Diabetes was once diagnosed by the doctor tasting the patient’s urine to check for sweetness! If you go to a party and eat a lot of dessert do you gain five pounds the next day? Nope, but you can bet your urine is coming out like store-brand soda.
Similarly, a diabetes patient might be taking their medications properly, eating right, exercising, and maintain a good weight, but their liver might be dumping glucose into the blood stream and raising A1C anyway. Not their “fault”.
So there are a lot of factors at play, it’s not just a two or three part formula.
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