Yup,Its all about the Benjamin's.
I knew a type 1 diabetic that continued to gain weight over the 8 plus years I visited weekly. My son had a weekly play date. Garbage fed to the kids for snacks. Chips, sugary ice pops and such. Never an apple. Never cheese.

While sad when that arrangement came to an end, the bright side was my son was eating less garbagy snacks.

She had no apparent understanding of food. Yet had high tech insulin pumps and the ability to closely monitor her blood sugars.

She put on some 40-50# slowly over the years.looking pudgy and inflamed.

Anything I suggested fell on deaf ears. She was captivated by the medical system using insulin to justify eating SAD.