The Hidden Threat of Diabetes Complications Behind the Belief “It’s Okay to Be Fat as Long as You’re Healthy”

Many people wake up every morning feeling fine. No dizziness. No pain. No visible warning signs. Their clothes may feel tighter, the scale may creep upward, but life continues as usual. Work gets done. Meals are enjoyed. Laughter still fills the room.

And so, a quiet belief settles in: “I’m overweight, yes—but I’m healthy.”

This belief feels comforting. It feels logical. After all, if the body doesn’t complain, why worry?

Yet, as life often teaches us in its quietest moments, the most dangerous problems are not the ones that shout. They are the ones that whisper. Slowly. Patiently. Waiting to be noticed.

Indonesia’s Minister of Health, Budi Gunadi Sadikin, once reminded the public that obesity is not merely a matter of appearance. It is a doorway—one that quietly opens to high blood pressure, high cholesterol, and rising blood sugar levels. Problems that do not rush. Problems that wait.

And behind that waiting, diabetes often stands.

However, Why Do Many Overweight People Still Feel “Healthy”?

The human body is remarkably forgiving. When weight increases gradually, the body adapts. Movements remain smooth. Energy feels normal. Daily routines go uninterrupted. There is no alarm bell ringing in the chest or pounding in the head.

This is precisely why many people delay health check-ups. When nothing hurts, prevention feels unnecessary.

But metabolically, something else is happening.

Excess body fat—especially around the abdomen—is not silent. Fat tissue actively releases inflammatory substances that interfere with insulin, the hormone responsible for helping sugar enter the body’s cells. When insulin struggles to do its job, blood sugar levels begin to rise, quietly and persistently.

At first, the body compensates by producing more insulin. This compensation creates the illusion of balance. Everything seems fine on the surface. But beneath it, the pancreas is working overtime, slowly approaching exhaustion.

The Minister of Health put it bluntly: blood sugar problems are often ignored because they don’t hurt at first. And that is exactly why they are dangerous.

This is the phase where many people say, “I feel healthy.”
In reality, this is the phase where early detection matters most.

A simple blood sugar test—done routinely—can reveal what the body has not yet expressed through symptoms. This is why preventive screening services are not a luxury. They are a necessity.

Meanwhile, When Excess Weight Quietly Turns into Diabetes

Scientifically speaking, obesity is one of the strongest risk factors for insulin resistance, the key mechanism behind type 2 diabetes. When insulin resistance develops, sugar remains in the bloodstream instead of being used as energy.

What makes this dangerous is time.

Type 2 diabetes often has a long asymptomatic phase, as documented in medical literature, including reviews published in the Indian Journal of Medical Research. During this phase, blood sugar is already damaging blood vessels, nerves, kidneys, and eyes—without announcing itself.

This is why diabetes is often discovered late. Not during a routine check, but after complications appear:
blurred vision, kidney dysfunction, heart disease, or even stroke.

By the time symptoms force action, treatment becomes more complex, more expensive, and more emotionally draining.

This is where proactive healthcare changes everything.

Regular metabolic screenings, HbA1c tests, and professional consultations help identify insulin resistance before it becomes irreversible damage. These services do not label you as “sick.” They empower you to stay well.

Prevention is not fear-driven. It is wisdom-driven.

Therefore, Why Early Control Is the Real Definition of “Healthy”

Health is not the absence of pain. Health is awareness.

Multiple studies confirm that early blood sugar control dramatically reduces the risk of severe diabetes complications, including heart disease, kidney failure, and nerve damage. The earlier the intervention, the gentler the solution.

Lifestyle guidance, nutritional counseling, and routine monitoring often prevent the need for aggressive medication later. This is why modern healthcare emphasizes preventive services, not just treatment.

Choosing to check your blood sugar today is choosing freedom tomorrow.
Freedom to see clearly.
Freedom to move without pain.
Freedom to grow old without being chained to complications that could have been prevented.

Being overweight does not make you unhealthy by definition—but ignoring what excess weight can do internally is where the real danger lies.

If you truly believe in being “healthy,” let that belief guide you to action:

  • Schedule routine blood sugar screenings

  • Consult healthcare professionals early

  • Invest in preventive health services before symptoms appear

Because health is not proven by how you feel today—but by how well your body is protected for the years ahead.

And sometimes, the bravest decision is not waiting until the body screams—but listening while it still whispers.