Jasmine Profile picture
Jun 4 8 tweets 5 min read
Always great to see a familiar face at #ADA2022! @janespeight from the @ACBRD is presenting on diabetes stigma

Diabetes has an image problem: it is often represented inaccurately in the media e.g. stock images of sugary foods. The first slide of Jane's presentation. Jane is pictured on
The language used about diabetes is often stigmatising too. People with diabetes can experience stigma from the media, but also family, friends and health care professionals.

Consequences include emotional distress, hiding their diabetes, and impaired self-care

4 in 5 people with diabetes have some experience of stigma. Up to 20% have been discriminated against at work due to their diabetes.

There's a long list of relationships between diabetes stigma and other outcomes: e.g. reduced self esteem, increase in depressive and anxiety symptoms, increase in diabetes distress

So what now?

It's great to see organisations like @AmDiabetesAssn talk about the importance of addressing diabetes stigma.

We need more research into this area: into the impacts, what works to reduce it

We also need better campaigns. Few focus on diabetes stigma

An exception is the brilliant @DiabetesAus campaign on diabetes stigma. #ADA2022
It's fantastic to see more countries taking up the #LanguageMatters movement and putting out language position statements.

You can find the @DiabetesAus language position statement here: diabetesaustralia.com.au/research-advoc…

Finally, and most importantly, we need advocacy. The @diaTribeNews have put together a great resource at dstigmatize.org

Where you can learn more about diabetes stigma, access resources, and join the movement to end diabetes stigma. #ADA2022

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More from @JasmineSchipp

Jun 5
I'm now attending the symposium at #ADA2022 on diabetes care among people who are LGBTIQA+ 🏳️‍🌈🏳️‍⚧️

Great to see this on the program, especially during Pride Month.

(pinging @edjpedjp and @KaiSchweizer as you might want to follow the ADA hashtag for this session!)
First is Dr Nicole VanKim (umass.edu/sphhs/person/n…) speaking on social determinants of health.

Lesbian and bisexual women had a higher risk of T2D than straight women. This varied by age: 144% higher in those aged under 39

Dr VanKim:

Prevalence of poverty is also higher in the LGBT community.

This statistic comes from the "LGBT poverty in the United States" report by Badgett et al: escholarship.org/content/qt37b6…

Read 21 tweets
Jun 5
Attending a very important and timely discussion at #ADA2022 on "Diabetes During Humanitarian Crises with Special Focus on Ukraine" 🇺🇦

(ping @DIPadvocate17)
1st @DrBobGabbay

What's important to think about in an emergency:

What information, resources + supplies do people need?
What advocacy is needed?
Are there research opportunities here? e.g. COVID pandemic
Partnerships: how can we work together?

Nuha El Sayed: When a conflict happens, there's often a limited supply of insulin. People might have to switch to a type of insulin they didn't use before. There's a good switching guide available, but it was US centric. They've adapted it for the Ukraine.

Read 10 tweets
Jun 5
At #ADA2022 this morning, Dr Anne Peters talking on "diabetes technology - panacea meets reality"

There's been a marked increase in the use of technology in the last decade. Mean A1c has improved significantly, but not enough to meet guidelines. Hospitalisations haven't reduced.
We have to take social determinants of health into account, and common stressors (e.g. deportation, loss of job, imprisonment, food insecurity). Giving people who are struggling devices won't necessarily help, and they're often stolen.

Having stressors like this makes it really hard to manage an already difficult condition.

It's also really hard to get help if you don't speak English. For example, calling a pump company if you require a translator often involves much longer hold times.

Read 9 tweets
Jun 4
Dr Rebekah Walker speaking at #ADA2022 about the influence of food insecurity on quality of life.

food insecurity = uncertain of having or being unable to get enough food because of insufficient money/other resources
10.5% of US households were food insecure at some time during 2020. Those with diabetes and prediabetes are more likely to be food insecure. #ADA2022
Food insecurity in those with diabetes is associated with higher levels of diabetes distress, lower self efficacy, and worse glycemic outcomes. But what about quality of life? #ADA2022
Read 5 tweets

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