I've been dying to read this book ever since I saw it recommended to me on Goodreads a few months ago. It has all of these things I thought would be interesting to read about: a 400+ lb main character, binge eating, a threat of suicide, people cheering on unhealthy habits. To be a little bit TMI, as someone who's dabbled in NSFW commissioned writing, binge eating / weight gain has been one of the topics I've had to write about. So I *had* to read this book. I had to see how it could be covered in a way that would be publishable--because lord knows I would personally never publish what I've had commissioned, and I can't imagine the other stories in that genre being on the shelves in my public library (which is where I got my hands on this book).
And Butter (the book, not the main character) starts out as this screaming shout out to anyone who knows about feederism. Like, page two, there's the binge scene with the obese main character and the crumbs in the couch, the candy bar wrappers, the potato chips and m&ms. You're sitting there, if you're part of the community, and you're like 'oh shit what level of hell am I going to? is this really going to take this where I think it's going? Is it really gonna drag all this shit out into the limelight that none of us want to be in?'
The answer, thankfully (or not-so-thankfully, if you're into that sort of stuff), is no. After that initial scene, Lange does a really good job of making sure this book is NOT written for the feederism community to fap behind. It is not about binging and weight gain as a fetish and it's not gonna get anybody off and you aren't going to be uncomfortably wondering if you're gonna go to hell or not.
And honestly, I thought this book was fantastically written, except for a giant red flag, which I'll get to in a bit. The pace was fantastic, the humor on point, the characters very real. Lange does an amazing job with making you understand everything that Butter's going through, what teen drama is like, and honestly, what it's like being overweight. All of that is perfectly captured.
THAT SAID, Lange apparently thought it'd be a great idea not to do a google search on diabetes before she decided to write about a character who it. And it's not just once instance--it's the entire way she treats diabetes. As someone who's fresh off from learning about diabetes in nursing school and as someone with a long family history of diabetes on both sides, I was appalled at the utter lack of knowledge regarding it. I feel like it's important to tackle this, so I'm just going to rant for a bit.
The first thing to bother me regarding the diabetes research was that Butter, who plays saxophone and virtually only plays the blues, has never, ever, EVER heard of B.B King. Ever. The king of the blues just doesn't exist. Never mind that BB literally made ads to promote diabetes awareness and is basically the unofficial face of type 2 diabetes. Let's just ignore that BB King would go play shows on stage and sit the entire time--and I know this because I saw him do it. I was at the Indy Jazz Fest in like 2001, 2002, something like that, and I distinctly remember that he was sitting when the show started and he stayed sitting even when it ended. But in this book, apparently playing a musical instrument while sitting has never happened and is physically impossible. Obviously if you're overweight, well, you just can't play blues. No heroes for you, Butter.
But it gets worse. And I understand that Butter and his family clearly are not the best at adhering to a general diabetic diet, but OH MY GOD DO YOUR FUCKING RESEARCH. Butter, who probably has constant hyperglycemia from his diet, randomly starts skipping entire meals but never becomes hypoglycemic? He goes like 4 days without eating ANY carbs and doesn't go into ketoacidosis? They only check is blood sugar ONCE in the entire book????? In the real world, you literally have to check it 3 times a day. 3 times. But he never goes to the nurse before lunch to get that checked, or to take insulin before binging on his lunch.
There's also the part where his doctor tells him to do exactly what he shouldn't do: eat more carbs. See, carbs are sugar. Carbs cause hyperglycemia, which is clearly Butter's problem. Yes, you need like 40% of your diet to be carbs if you're diabetic, but what you really need to focus more on is fiber and proteins and fats. He could have at least specified complex carbs, but nope, apparently empty calories are a-okay in this household.
So when Butter finally DOES go into hypoglycemia (because hyperglycemia doesn't exist inside this book, which I'll get to), his only symptom is shaking hands and possibly irritability--which he doesn't actually explain, I'm just putting it there as a benefit of the doubt. In the real world, the "big three" of diabetic symptoms - which is pretty common knowledge - is sweating, thirst, and confusion. As it gets worse, you lose the ability to see and move. It's like getting really drunk. Then you go into a coma, and then you can die. In this book, there's a part where Butter becomes hypoglycemic while driving, right? I can tell you from my mother's experience that if you become hypoglycemic while driving, you will wreck your car. Ask her 2001 Cavalier if you don't believe me. But in this book, even having the fat guy sweat is apparently just too much for the reader. Can't have him suddenly drinking a lot of water. No time for swerving in and out of the lane. He can't even have sweaty palms, that'd be too fucking accurate. Handshaking is PG enough.
And the biggest red flag of all was the 100% complete lack of knowledge about hyperglycemia. Did you know that the majority of diabetics end up being hyperglycemic instead of hypoglycemic? Because Lange fucking doesn't. According to Lange's information if you're diabetic and you eat a 5 pound bag of sugar you'll just get a little fatter. In the real world, you will LITERALLY DIE. Your blood sugar will turn to syrup. I don't know what part of the body would shut down first but you would shut down - just like with hypoglycemia - and, fun fact, it's a lot harder to cure hyperglycemia than hypoglycemia. But in the book, of course, Butter has to cut all the sugar out and take insulin, because he's immune to glucose.
And one last misinformation before I stop ranting, when Butter decides to cut sugar. Ok. So. All food. Everything you eat. If it's potato chips, if it's a bowl of m&ms, if it's Kobe beef, if it's mac n cheese, kale salad, literally anything. For the body to use it, it gets converted into glucose. Maybe you get some amino acids and some omega 3 fatty acids and other stuff thrown in there, but mainly what you eat gets broken down and broken into sugar. So to OD on insulin while binging on food - even if it's not sweets - literally counteracts itself. That's not how it works. And I think Lange realized this, because in the scene she made it sound mostly like anaphylactic shock, But I'm banking onthe fact that it might have been because she didn't do any fucking research on diabetes to begin with.
And one final, FINAL thing. This part includes a spoiler. Within a month, Butter loses 51 pounds. According to the book, his old clothes are still snug and his belt only moves one space. That's 12 and 3/4 pounds a week. I can honestly tell you that despite what Biggest Loser tells you, that is unhealthy, and coupled with the little exercise he's doing, that's impossible. With his diabetes, he would unquestionably have been in the hospital. His old clothes definitely would have fit, and he definitely would have noticed his new size.
Rant (finally) ended.
So as much as I wanted to make this a 5 star book, I can't. And I wanted to. I was on page 2 like 'here's my 5 stars, take it.' On page 60 I was wondering if I could just prematurely review the book with 5 stars.
But it's so inaccurate, medically-speaking, and the more I thought about it, the more it bothered me. And I started thinking about the intended audience more and more. In my library, Butter is in the YA section. That means teens are - theoretically - reading it. And the book kind of targets obese teens, either ones who have diabetes or who may be at risk for it. And this book goes out of its way to be inaccurate in portraying what it's like to be diabetic. My mom's had diabetes since before I was born and I can tell you right now there is NEVER a skipped meal. All carbs are counted. Blood sugar testing and insulin administration is like an additional pre-dinner prayer. Glucose tablets and pineapple juice are always on hand. A bagel with cream cheese has enough carbs to throw my mom's blood sugars off for a full day. Everything is counted and recorded and measured. That's what diabetes is really like. And I can't just sit back and ignore that this book, which tries SO HARD to give an accurate view of what it's like to be big, plays diabetes off like it's just a side thing. It's not a side thing. It controls your life. And I think that when you're putting this book into the hands of teens who may have these problems, brushing off health issues is a really bad idea. Having a doctor give advice that's contraindicated for a person's condition isn't a good idea. Pretending that entire aspects of the disease you're writing about don't exist - aspects that your character sets off in at least 4 different places through the book - is, honestly, unethical, in my opinion.
So I can't justify giving this book a positive rating. In fact, I'm going to have to change my rating from 3 stars to 1, because there's no excuse for the lack of knowledge. I read the "about the author." Lange is a journalist. Journalists know to do their research. She should know better, and shame on her for not. Shame on her, shame on her editor and copy-editor, and shame on the publisher. Recall this book, edit it to make sense, and publish it again, because it deserved 5 stars.