Why are doctors such meanies? They have no filter!

It is a doctor's job to tell you the truth.

It's what the patient is paying for - to help the patient get healthier and stay alive for as long as possible.

Also, if the doctor did not tell you this in a very forceful way, she could be sued for negligence, and possibly lose her job (lose her licence to practice).

The truth is, according to American government statistics,
66.6% of Americans are dangerously overweight.
So what seems normal, because you see it everywhere, is actually a cultural disease caused by too much wealth and poor diet (eating the wrong kinds of foods.)

This creates a huge burden on society due to the enormity of the medical costs when these people start developing long-term serious and fatal health conditions.

Diabetes is one of the most common.
Some of the symptoms of diabetes include: excessive hunger, excessive thirst, fatigue, weight gain, frequent urination, blurred vision, and poor wound healing.
Wounds often become infected, and if not properly treated will turn to gangrene and can result in amputation to save the person's life.
When lacking slow-release energy, a diabetic may fall unconscious.
In days gone by, diabetes was also a cause of blindness, though due to treatments this is now very rare.
Diabetes is deadly if not treated.

Diabetes is a very serious disease.
I can guarantee you that even though going on a diet and exercising is difficult, having the disease is far worse.

The other issue, picking and self-harming, is also serious.
This type of thing, if you are unable to stop yourself, is a process-addiction and a compulsion. The wounds can become infected, and with diabetes that is dangerous.

Picking can lead to progressively more dangerous and self-harming behaviours. It can be treated, but you must be willing to choose and accept the treatment.