Doing clinic and taking the opportunity to shitlord the fuck out these fats.
The main purpose is we are helping small communities get better informed about health. A smug fucking beach ball shows up, so I look at it and say "You obviously need to learn to better control your diabetes through weight loss."
Eyes fly open, chuff chuff. The pachyderm is enraged and offended. "I don't have diabetes."
"I can tell by looking at you that you do. You are morbidly obese and have acanthosis nigricans on your arms and neck." I say, pointing at the tell tale dark skin patches.
"That's fat shaming. You can't tell Health from..."
"Yes, I can. You are glucose metabolically impaired."
"But muh numbers are JUST FINE." It screams the last two words.
I take out my glucometer and say, "Prove it."
The obeast shakes a bit looking at the glucometer. "I don't like needles."
"You said your numbers were fine. Let's check your glucose," I say, changing out the needle.
We prick the beast. It takes a setting of 7 to pierce its hide. The glucometer reads 305 mg/dl.
"I just ate!" It barks, eyes fixed on the number.
"A normal post-prandial blood glucose is under 140 mg/dl. The ADA defines a random plasma glucose result of 200 mg/dl or more as sufficient evidence for a diagnosis of diabetes. Your levels are high enough to raise fears of diabetic ketoacidosis, a potentially life threatening condition. I recommend you go to a hospital immediately. Your lifestyle has permanently compromised your health."
From now on a glucometer should be part of our shitlording kit. Meet a fatty whose numbers are fine?
Pull out the glucometer and say "Prove it."