Let's say it's raining, and you notice your roof is leaking.
A contractor shows up, glances at the roofline from his truck, and hands you a bucket. "Set this under the leak," he says. "Works for most people. If it gets worse, we've got bigger buckets."
You ask about finding the hole and fixing it. He tells you not to worry about the roof.
That's the standard treatment model for type 2 diabetes. The rising blood sugar is the water on the floor. The metabolic dysfunction causing it is the hole in the roof. Most of what passes for diabetes care in this country is an increasingly sophisticated collection of buckets — with almost no effort spent finding the hole.
This book is about finding the hole. And then fixing it.