I honestly think it’s just a form of suicide. I don’t currently work with with older diabetic patients (just gestational diabetics who are also often delusional) but when I did, I felt like swearing every single day. Looked like the majority just gave up on life and continued to enjoy their sodas and cakes despite multiple co-morbidities, gangrenous limbs etc. It almost seemed like they didn’t care much if they lived.