Stella wrote
I know the difficulty of gaining while being diabetic. The important thing is the sugar levels being maintained, while eating in a reasonably healthy manner. Gains will actually come with the medications as the reduced sugar levels will help with the increase in gaining. It is also important to consider that 20 years ago doctors were not concerned with patients whose blood sugars were in the 200 range. Most adults at the time were averaging this anyway. When sugar levels exceeded 300 then modifications to diet were in order. It seems that most people have the disease simply because the standards were lowered. The result is more med sales, lab work and doctor visits. The same rule applies to weight charts, and the modern immage of beauty.