Congratulations on your personal performance. That is an achievement.

I cannot say the same about the Tour de Cure and the American Diabetes Association. I used to be a very strong supporter. Then I found that the current diabetes epidemic is, as far as we know, mainly caused by poor individual diet and exercise choices. What is commonly called Type II diabetes is overwhelmingly the bulk of current diabetes cases. From what information was available from the ADA they are doing, depending on how you want to phrase it, a very poor job at finding motivational method to help people make better choices or have become primarily a fund raising organization for unknown benefit.

Although perhaps awkwardly worded I guess the point is that we pretty well know the cause of the current diabetes epidemic, people's decisions. What we don't know is how to protect people from themselves and their poor decisions. Don't think the ADA is doing much in that regard.