My observations are that T2D is both famlial and genetic. I've had several heated discussions with several of my doctors regarding this topic. As soon as I say that for the most part, diabetes is neither food caused nor food cured, we get into an argument. How could it be otherwise? My wife has dementia, and as a result I do all the cooking, shopping and cleaning. We are the same age and eat the same foods in roughly the same amounts. She is sedentary, guzzles orange juice and is a chocoholic, whereas I drink relatively little juice, only an occasional chocolate, and swim and walk for exercise. I sleep well, still work part time and remain active. Yet her fasting glucose is about 110, whereas mine is 160-180. My younger brother and my dad were both T2D, and none of her family is, including her obese 300 lb younger sister. Am I missing something???