Ya know, I have to say… the fact that she fucked herself up this bad by 40 is kind of impressive.
All Americans, but especially those of the southern variety, have seen it. That person who has raging diabetes into their 70s or even 80s before the consequences really start to catch up. In the meantime, they’re riding around town with a 44oz soda every day, chain smoking, eating fried food almost exclusively and haven’t exercised more than walking to the mailbox in decades. They’re swollen, they have all kinds of shit wrong with them, but they keep going to the doctor and inexplicably they keep also coming back. It gets really bad for a year or two right before the end, or maybe cancer finally gets them, but they manage to live a normal lifespan.