Hmmmm, Diabetes is not caused by bad choices. When I was 6 and lying in bed in a coma, it was not my choice. Type 2 may be caused by (overweight, no exercise and such) but I still think " caused by bad choices" is not a good choice of wording. Ummm my blood sugar can get to 400-500 without changing a thing I've done or eaten. There are many things that can cause a high blood sugar. I take very good care of myself , been living with Diabetes for 38 yrs. Please be careful in saying your residents are lying to you, do you really know that or is it a guess? Not trying to be nasty here, I just want to give you a perspective from a Diabetic. We as Nurses treat the blod sugar, educate Pt's on diet and what not, but we are not here to judge anyone.