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Diabetes Stigma

Change Words, Change Lives: Ending the Stigma Around Diabetes

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Understand the Impact

WHO diabetes stigma


Diabetes stigma refers to the negative attitudes, beliefs, and judgments directed toward people living with diabetes, particularly type 2 diabetes. This stigma often stems from the misconception that diabetes is solely the result of poor lifestyle choices, leading to blame, shame, and discrimination.

People with diabetes may be unfairly labeled as lazy, non-compliant, or responsible for their condition, which can affect how they are treated by healthcare providers, employers, and even friends and family. This stigma can also be internalized, causing feelings of guilt, embarrassment, or low self-worth. As a result, individuals may delay seeking care, avoid disclosing their diagnosis, or experience poorer mental health.

Addressing diabetes stigma requires education, empathy, and a shift in public perception to recognize diabetes as a complex chronic condition influenced by genetic, environmental, and social factors, not just personal behavior.

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Stigma Basics - dStigmatize

The dStigmatize "Stigma Basics" page offers a comprehensive overview of diabetes stigma, defining it as the unfair blame, judgment, and discrimination people with diabetes face due to misconceptions about their condition.

Diabetes Stigma - CDC

The Centers for Disease Control explains what diabetes stigma is, how it manifests, and how it affects people's lives.

Diabetes Stigma - Diabetes Canada

Diabetes Canada discusses how people with Type 2 Diabetes (T2D) face significant "blame-the-victim" stigma due to misconceptions linking it solely to lifestyle, despite strong genetic and socioeconomic factors, leading to negative mental and physical health impacts, and advocates for media accuracy, empathetic healthcare, and public education to combat this pervasive issue.

Stigma: Why Words Matter - Gov Canada

This Government of Canada webpage, published by Health Canada, is a fact sheet titled “Stigma: Why Words Matter” that explains how negative language and stereotypes about people who use drugs contribute to stigma, and offers practical guidance on using respectful, person-first language to reduce discrimination and support compassionate care.

Stigma Stories - dStigmatize

The dStigmatize "Stories" page features personal accounts from individuals living with diabetes, offering powerful insights into their diverse experiences with stigma and how they navigate its challenges.

Stigma Resource Library

The dStigmatize "Resources" page provides a curated library of articles, videos, and guides designed to help individuals, healthcare professionals, and organizations understand, reduce, and advocate against diabetes stigma through education, effective communication strategies, and community action.

Watch Educational Videos

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Destigmatizing Diabetes - Diabetes Canada

Diabetes Canada is pleased to present a webinar on destigmatizing diabetes. This conversation features Dr. Michael Vallis, Austen McDonald, and Quentin Valognes and will cover what we mean by stigma, how it affects us differently across life stages and types of diabetes, and how to recognize and respond to stigma when we encounter it.

Spoonful of Laughter Campaign - dStigmatize

Spoonful of Laughter is a national campaign to use comedy to educate about diabetes and push back against stigma and stereotypes.

Tackling Diabetes and Inequity with Dr. David Campbell 

Dr. Campbell shared compelling insights from his research and emphasized the need for solutions rooted in empathy and mutual respect. He also presented his team’s innovative knowledge mobilization projects, including the short film Low and the impactful photo voice exhibit Home Sweet Homeless.

Understanding Stigma in T2D with  Dr. Diane Finegood

In this insightful discussion, Krista Lamb interviews Dr. Finegood, a professor at Simon Fraser University, about the impact of stigma in Type 2 diabetes. They explore: The current landscape of diabetes stigma, what people living with diabetes want to change, and how healthcare providers can make a difference.

More Science, Less Stigma with Obesity Canada

We explore the role Obesity Canada plays in supporting healthcare providers and people with lived experience of obesity. Obesity Canada is a not-for-profit organization dedicated to eliminating weight bias and expanding access to quality, evidence-informed care. They support the development of the Canadian Adult Obesity Clinical Practice Guideline, which is recognized internationally as a leading resource in obesity management.

The Emotional Toll of Diabetes - FreeStyle
 

There are millions of people living with diabetes. But did you know that 40% of people with diabetes have skipped or missed a doctor's appointment due to shame or stigma?

Tackling Stigma-What Diabetes Isn't - Diabetes Canada

Diabetes is not your fault. This episode addresses common misconceptions, tackles diabetes stigma, and helps you talk about diabetes with confidence.

Heads up Diabetes Campaign - Diabetes Australia (1)

The "Heads Up" campaign by Diabetes Australia aimed to tackle the pervasive issue of diabetes stigma and its negative impact on the mental and emotional well-being of people living with the condition. Launched as part of National Diabetes Week, the campaign sought to challenge widespread misunderstandings and stereotypes about diabetes, emphasizing that it's a complex condition not simply caused by lifestyle choices, and that no one should be blamed or shamed for having it.

Heads up Diabetes Campaign - Diabetes Australia (2)

The "Heads Up" campaign by Diabetes Australia aimed to tackle the pervasive issue of diabetes stigma and its negative impact on the mental and emotional well-being of people living with the condition. Launched as part of National Diabetes Week, the campaign sought to challenge widespread misunderstandings and stereotypes about diabetes, emphasizing that it's a complex condition not simply caused by lifestyle choices, and that no one should be blamed or shamed for having it.

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Watch Films and Documentaries

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A Touch of Sugar- PBS Documentary
 

A Touch of Sugar dives into the diabetes healthcare epidemic that affects every community in the United States.

Beyond Access to Insulin: A Story of 2 Approaches to Care

Ensuring access to insulin is essential for all who need it. But for people to use insulin optimally, they must also have access to many other elements, including care, education and support. Ensuring access to these elements can be especially difficult in low- and middle-income countries, where financial constraints, limited capacity and a lack of public awareness can create additional obstacles.

Science in the Cinema presents LOW

Dr. David Campbell from UCalgary's Cumming School of Medicine, and community co-researcher, Brian Bowridge, share the story behind Low, a film based on lived experience and research from the Calgary Diabetes Advocacy Committee. Transcript

Diabetes: The Silent Killer

"Diabetes: The Silent Killer" is a documentary that explores the pervasive and often underestimated impact of diabetes, revealing its silent progression and the severe health consequences it can inflict if left unmanaged.

Above the Bias - Abbott

Short film highlighting emotional and psychological challenges from diabetes stigma.

Campaigns & Advocacy - Join the Conversation

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Heads Up – End the diabetes blame and shame 

Diabetes Australia. Widespread community misunderstanding and stigma about diabetes are driving high rates of mental health problems for people living with diabetes experts warned today.

Let's End Diabetes Stigma - Diabetes Canada

National campaign to raise awareness and create stigma-free environments.

Global dStigmatize campaign (diaTribe Foundation)

Global initiative promoting stigma reduction via education, advocacy, and community action.

End Diabetes Stigma Campaign
 

Global pledge and summit to end diabetes stigma.

News - Stay up to Date

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Barbie with diabetes will 'break down stigma' - BBC

The new doll, designed to increase representation, was launched last week by 22-year-old model and diabetes sufferer Lila Moss for toy manufacturer Mattel.

New international research on diabetes stigma

New multi-study, cross-country research funded by Diabetes Canada shows that people with diabetes face stigma globally, highlighting a significant worldwide health issue.

Breaking the stigma around diabetes - CTV

The ‘Above the Bias’ campaign aims to break the stigma surrounding diabetes.

Breaking the Stigma:  Diabetes Misconceptions

In this interview, Dr. Susan Guzman, PhD, a clinical psychologist specializing in diabetes, discusses the findings from Abbott’s survey and their new initiative, Above the Bias. She shares how stigma affects people with diabetes, the most common misconceptions, and practical ways we can all help dismantle diabetes-related bias.

Many Canadians with Diabetes report facing stigma.

Some 4 million Canadians are living with Diabetes and a new national survey finds a majority say they've been blamed or shamed for having the disease. Health reporter Katherine Ward explains how this can impact a person's ability to manage the disease and what can be done to help.

Toolkits & Guides - Empower Yourself

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dStigmatize Language Guide
 

Guidelines for neutral, person-first, non-stigmatizing language in diabetes communications.

Language Tools to  Decrease Stigma in Diabetes

Being mindful of potentially negative language is crucial because stigma is linked to poorer self-care, higher A1C levels, and more complications, highlighting the vital role healthcare professionals play in reducing the stigma experienced by people with diabetes.

Anti-Stigma Toolkit - CATIE
 

Toolkit with communications and community resources for stigma reduction, adaptable for diabetes stigma among community health organizations.

Speaking the Language of Diabetes - CDC

Language Guidance for Diabetes-Related Research, Education and Publications

Diabetes & Emotional Health: A practical toolkit

The ‘Diabetes and Emotional Health’ practical guide aims to support health professionals to identify, address and communicate about emotional problems during consultations with adults with type 1 and type 2 diabetes.

PAID - Problem Areas In Diabetes Scale
 

The PAID (Problem Areas in Diabetes) scale is a 20-item questionnaire used to assess the emotional and psychological distress a person experiences due to living with and managing diabetes. It is a well-regarded tool that helps both patients and healthcare providers identify specific issues that are causing distress.

BounceBack British Columbia
 

BounceBack® is a free mental health program from the Canadian Mental Health Association (CMHA) in British Columbia. Based on cognitive behavioral therapy (CBT), it helps adults and youth manage mild to moderate depression and anxiety.

Patient Health Questionnaire-9 (PHQ-9)

The Patient Health Questionnaire-9 (PHQ-9) is a widely used, self-administered questionnaire for screening, monitoring, and measuring the severity of depression. It's a key tool used by healthcare professionals in primary care settings.

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Research Studies - Explore the Facts

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Diabetes Stigma and Clinical Outcomes: An International Review

Review of prevalence, cultural factors, and impacts of diabetes stigma on management and clinical outcomes globally.

Experiences of diabetes stigma among adults with  diabetes

This multi-country study, involving 11 studies from six countries, found a high and consistent prevalence of diabetes stigma among adults with both Type 1 (91%) and Type 2 (77%) diabetes, with blame and judgment being the most common forms, underscoring the urgent need for global action.

A Square Peg in a Round Hole: Social Experiences 

This study revealing that 92% of Canadians with Type 1 diabetes and 68.2% of those with Type 2 diabetes report experiencing some form of stigma. This comprehensive research highlights the urgent need to address the social and emotional realities faced by millions.

Social Experiences of Living With Diabetes in Canada

A comprehensive review highlighting that approximately 80% of adults with diabetes experience stigma, with 20% facing discrimination. The study emphasizes the need for systemic changes to address these issues.

The mediating role of diabetes stigma and self-efficacy

Explores diabetes stigma as mediator between social support, self-efficacy, and distress in T2D patients.

Association Between DM Stigma & Health Outcomes

An international review examining the association between diabetes stigma and clinical outcomes. The study found a significant correlation between stigma and adverse health outcomes, including increased risk of complications.

Diabetes-Related Social Stigma Among Uni Students

A study assessing diabetes-related social stigma among university students in Saudi Arabia. The research identified high levels of stigma and its impact on students' mental health and diabetes management.

Mediating Role of Diabetes Stigma in Diabetes Distress

Research exploring the mediating role of diabetes stigma and self-efficacy in alleviating diabetes distress. The study suggests that addressing stigma can improve self-management and reduce distress.

Meta-Analysis on Diabetes Stigma and Psych Distress

A meta-analysis examining the relationship between stigma and psychological distress among people with diabetes. The study found a strong positive correlation, highlighting the mental health implications of stigma.

Diabetes Stigma and Psychosocial Outcomes in Youth

A study assessing the association of diabetes-related stigma with socioeconomic status, psychosocial outcomes, and substance use in adolescents and young adults. The research underscores the multifaceted impact of stigma on youth.

Experiences of Diabetes Stigma Among Adults 

A study assessing the experiences of diabetes stigma among adults with type 1 and type 2 diabetes. The research identifies common themes and coping strategies.

Stigma and Medication Adherence in T2D

A study analyzing the status of stigma in patients with type 2 diabetes in China and its association with medication adherence and quality of life. The findings indicate that higher stigma is linked to poorer adherence and quality of life.

T2D stigma and its association with health outcomes

Systematic review on T2D stigma linking to distress, self-care, and clinical outcomes.

The impact of stigma on the management of T1D: A SLR

Review showing stigma adversely affects T1D self-care and technology use; advocates multilevel interventions.

Diabetes stigma and its association with diabetes outcomes

Uses Type 1 Diabetes Stigma Assessment Scale; stigma linked with distress and glycemic control.

Bringing an end to diabetes stigma and discrimination

This scientific review article published in Lancet Diabetes & Endocrinology in January 2024, titled "Bringing an end to diabetes stigma and discrimination: an international consensus statement on evidence and recommendations," discusses how diabetes stigma negatively impacts individuals and proposes a collective effort to end it.

Diabetes stigma and weight stigma among physicians

Findings highlight the need for stigma reduction interventions for physicians addressing both T2D and obesity.

Blame and Shame: The Stigma of Diabetes

The article, an editorial titled "Blame and Shame: The Stigma of Diabetes" by Stephen A. Brunton, discusses the stigma and shame associated with both Type 1 and Type 2 diabetes. It begins with a personal anecdote about the author's daughter, who felt isolated and blamed herself for her Type 1 diagnosis, highlighting that even though it's not their fault, people with Type 1 diabetes still face ignorance and stereotyping.

Podcasts & Blogs - Listen & Learn

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Living With Diabetes Podcast 30 & 35 -DRWF

This podcast discusses experiences of diabetes stigma, ignorant comments, and challenges faced by youth.

Diabetes Discussions: Stigma Podcast

Explores various forms of stigma, myths, misconceptions, and personal stories.

Episode 23: What the Stigma?! Podcast

Covers overcoming stigma in diabetes and women's health, with expert insights.

Diabetes Stigma: The Social Realities - Podcast

This podcast discusses a Canadian study on diabetes stigma and its significant impact on the emotional well-being and daily lives of individuals with Type 1 and Type 2 diabetes.

Diabetes Stigma: Understanding the Social Realities - Blog

This blog discusses a Canadian study on diabetes stigma and its significant impact on the emotional well-being and daily lives of individuals with Type 1 and Type 2 diabetes.

Understanding Stigma in T2D: Beyond the Surface 

This blog post emphasizes that Type 2 Diabetes stigma is a pervasive societal issue stemming from misconceptions about individual responsibility, deeply impacting mental health and self-management, and calls for empathy, respectful language, and systemic changes in healthcare, media, and policy.

Understanding the Social Experiences of Canadians 

This blog highlights that nearly 4 million Canadians with diabetes face significant stigma, blame, and discrimination, impacting their emotional well-being and quality of life, and calls for increased education, empathy, and support to change the narrative.

Poem: Take it in - dStigmatize
 

“Take it in,” is a haunting poem by Josh Kuntzman, commissioned for the diaTribe Foundation’s d21 Executive Innovation Lab.

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