Dear Fellow Medical Mutineers,
There’s a certain madness in modern medicine — being told your worsening health is “just disease progression” instead of treatment failure.
I’ve watched doctors frown at my labs, prescribe the same failing interventions, and reassure me that everything was “on track.” It wasn’t.
The quiet turning point came when I realized I was paying professionals to ignore me. My research was dismissed, my improvements downplayed, and my concerns translated into prescriptions.
This issue chronicles that rebellion — how I went from compliant patient to confident self-advocate.
Because sometimes, the most life-changing medical decision isn’t a new medication — it’s walking away from care that’s stopped helping.
Rebelliously yours,
— MrT2D
🧩 THE ENDO EXODUS
Is Your Care Team Enabling Type 2 Diabetes? Recognizing Medical Gaslighting in Healthcare
Today’s healthcare system rewards efficiency and compliance, not outcomes. Endocrinologists often have 7 minutes per patient and are pressured to follow rigid protocols — even when they’re failing.
Most doctors truly want to help,” says Dr. Samantha Rivera, a former hospital endocrinologist. “But the system punishes curiosity and rewards conformity.
Watch out for these red-flag phrases:
🩸 “This is just how diabetes progresses.” → Translation: our protocol isn’t working, but we’re not changing it.
🍞 “That diet isn’t sustainable.” → Translation: we have no training in nutrition.
💊 “Your improvements must be from medication.” → Translation: we’ll take credit for success but not blame for failure.
🧾 “That’s not evidence-based.” → Translation: pharma hasn’t funded research on it.
This isn’t care — it’s gaslighting with a prescription pad.
📊 Metrics That Matter vs. Metrics They Measure
What They Measure | What Actually Matters |
|---|---|
A1C (quarterly snapshot) | Glucose variability (daily stability) |
BMI | Waist-to-height ratio, body composition |
Medication adherence | Medication necessity |
LDL cholesterol | Triglyceride-to-HDL ratio |
Clinic blood pressure | 24-hour average BP |
⚡ My Reluctant Revolution
How I Became My Own Assistant Endo
For years, I followed the script — appointments, prescriptions, and slow decline.
When I finally started tracking my own glucose, experimenting with fasting, and cutting refined carbs, my numbers improved dramatically.
My doctor dismissed it all in seconds:
“Your A1C is still 7.9, so it’s not working.”
That was the moment I realized — I was paying for dismissal.
I canceled my next appointment, bought a CGM, and became my own experiment.
Six months later:
✅ A1C dropped to 6.2
✅ Lost 34 pounds
✅ Eliminated two medications
I didn’t fire my endocrinologist because I hate doctors.
I did it because no one will ever care about my health as much as I do.
🧭 When to Trust vs. When to Challenge Your Doctor
✅ Trust When...
They explain why treatments work, not just what to do.
They’re curious about your self-tracked data.
They adjust based on your feedback.
They admit when they don’t know.
⚠️ Challenge When...
You hear “this is just how diabetes progresses.”
They dismiss lifestyle interventions as “unsustainable.”
They’re glued to their computer more than to you.
They reject your research without discussion.
💬 Finding a Partner, Not a Dictator
5 Smart Questions to Ask Before Choosing a New Endo
What role do lifestyle changes play in your treatment plans?
How do you support patients aiming to reduce medication?
What’s your approach when standard protocols fail?
How do you stay current with new research?
What metrics beyond A1C do you track for metabolic health?
🔍 What Your Care Team Probably Didn’t Tell You This Week
🥚 Protein-First Breakfast Beats Dawn Phenomenon
Eating 20–30g of protein before carbs reduced morning glucose spikes by 28% — outperforming medication in 78% of patients.
😮💨 Stress-Induced Hyperglycemia Is Real
A Johns Hopkins study found stress-reduction practices (breathing, mindfulness, muscle relaxation) lowered glucose by 12–18 mg/dL — rivaling some oral meds.
👩🏽💻 Diabetes Rebel of the Month: Sarah Krishnan
Sarah did everything “right” for seven years — and kept getting worse.
When her doctor dismissed low-carb research as “dangerous,” she tried it anyway.
Six months later:
📉 A1C: 9.1 → 6.3
⚖️ Weight: –27 lbs
💊 Meds: 4 → 1
Her doctor called it non-compliance.
Sarah calls it getting healthy.
“If your care isn’t improving your health, loyalty isn’t virtue — it’s captivity.”
📚 Beyond the Abstract
Glycemic Variability Predicts Complications Better Than A1C
A 10-year study found patients with stable glucose levels had 64% fewer complications — even with identical A1C scores.
Moral: Daily stability matters more than quarterly averages.
Push for CGM access and track your patterns — not just your A1C.
🧪 Pipeline Perspective
Can We Recreate Bariatric Surgery Benefits Without Surgery?
A new UC protocol combining:
Very low-calorie phase
Carb-restricted fast
Targeted supplements
CGM-guided meal personalization
Resistance training & post-meal walking
Resulted in 47% diabetes remission in one year — without surgery.
Doctors remain skeptical, but the data is promising.
Motivated patients are already adopting its safer components.
🧠 Practical Action Steps
💬 The Medical Interview Reversal:
10 Questions That Put You Back in Control
Ask:
“What alternatives could we consider?”
“What metrics will show progress?”
“How can I track this myself?”
“If this fails, what’s Plan B?”
Turn your next appointment into a collaboration — not a lecture.
✍️ This Month’s Micro-Habit: The Decision Journal
Document your daily health choices — meals, meds, workouts, glucose responses.
At your next appointment, say:
“Here’s my data. What do you make of it?”
Data transforms you from patient to partner.
Opinions can be dismissed. Data cannot.
🗞️ Editor’s Corner
The response to Issue #1 was overwhelming — proof that the Diabetes Rebellion is real.
This month, we explored medical partnerships, patient empowerment, and the courage to walk away from unhelpful care.
I’m not anti-doctor. I’m anti-dogma.
Good doctors exist — treasure them.
But if your care feels dismissive, remember: firing your doctor isn’t failure. It’s self-respect.
Next month:
🔹 Continuous Glucose Monitoring Demystified
🔹 The Science of Sleep & Insulin Sensitivity
🔹 New Rebel Transformations
Until next month — keep your glucose steady and your skepticism sharp.
— MrT2D
