Our medical community does not attend to this.

Some basic facts...
1) by the time you start to have higher sugars in the diabetic range for Type II... you have 1/2 or less of your pancreas left.
So it makes sense to use insulin sooner rather than later.
Many of the oral meds...the sulfonylureas like Glyburide cause
insulin resistance to get worse.

2) There are two factors to diabetes and insulin resistance
a) how much insulin your pancreas can make
b) how the insulin works at the cell membrane locations in your tissues. It is this SECOND fact, that doctors ignore.
When they give you oral meds, it lowers your blood sugar temporarily but it does NOT help insulin work at the tissue level. So the sugar floats around and is captured by fat cells instead, and you end up hungry again, and fatter.

Give too much of the wrong insulin you get fatter too!

You'd think with all the money floating around and all the people getting type II now, there would be some improvement in the way diabetes is treated? NOPE...even the ACCORD program shows that. The answers remain elusive.

You can search PubMed and find papers on HEALTHY fat people. I've read them. Genetically if a person is destined to be bigger (and I am not saying grossly obese)... but just bigger, they will be healthier at that weight.
Each person has a set point genetically for this. So if you stress someone into being thinner than their body WANTS, they will get sick. Too Big and they will also get sick.

When the researchers find the trigger for fat cells to increase in size and get priority of the all the sugar in the blood, we will find a cure for obesity etc. It is just not so simple.

So, Mel...you have done wonders so far. But look at how much work that was?
For you ...it is working. But it is not so easy for others.