Now, here is the good part, if you stick to the rule book, NICE guidelines and the spiel from the BDA, your failure rate can be 100%, and no one gives a monkeys. Your obese patients stay obese, your diabetics go down with complications, and all you have to say is they did not comply with the rules and diabetes is always progressive. It doesn't even matter if you are obese and unhealthy yourself, so many dietitians are, as are so many healthcare professionals. If you really hit the jackpot, outfits like Coca Cola and Mars and Rosemary Conley pay you lot's of money to spread the word, sure helps with those lease payments on the Porsche.
Compare that to my job as a Production Engineer in the Aerospace Industry, failure was not an option. I can assure you a hell of a lot of questions get asked when a plane goes down with two hundred people on board. Every part on a commercial and military plane is issued with a certificate of conformity, right down to the smallest washer. Woe betide anyone that forged those certificates and lied regarding quality of materials, inspection or workmanship.
So, the bottom line here is, millions of diabetics can can die early before their time, killed by ridiculous dietary information and big pharma drugs, them's the breaks. 93% of UK type one diabetics fail to get to a safe HbA1c (NHS Stat's) them's the breaks, the obesity and often linked type two diabetes epidemics get worse by the day, them's the breaks. On second thoughts, I am glad I am not the average dietitian, I like to sleep at night.
Disclaimer. I am fully aware there are some fantastic dietitians in this world, what a pity they seem to be so thin on the ground. But times are a changin'