But diabetes isn’t simple — and it never has been.
Those lists assume:
- Everyone responds to food the same way
- Carbohydrates behave uniformly
- Avoidance equals control
None of that is supported by science.
We’ve known for years that blood sugar responses vary dramatically between individuals, even with identical meals. Ignoring that variability strips diabetes care of nuance.
The unintended consequences are real:
- Long-term avoidance instead of understanding
- Unsustainable eating patterns
- Anxiety and guilt around food
- Disordered behaviors — especially when “perfect” compliance fails
Diabetes management works when people understand:
- Basic nutrition principles
- Their individual blood sugar responses
- How sleep, stress, activity, and timing influence outcomes
Lists remove responsibility and agency.Understanding restores both.