11/16/2020
In honour of Diabetes Awareness Month, I want to address another misconception around type 2 diabetes. There is so much stigma around the disease in general, and one specific area is around medications used to manage diabetes.
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Many people express guilt, shame, and feelings of failure around using medications to manage their blood sugar with type 2 diabetes. There is this narrative that the ârightâ way to manage type 2 diabetes is through âhealthy lifestyle changesâ, and if you end up needing medications, you have failed.
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Now, donât get me wrong, Iâm not against lifestyle changes! I am a dietitian, after all, so obviously I believe nutrition can play a role and enjoy supporting people with making changes that work for them. Nor do I want to dismiss anyoneâs very valid concerns about the potential risks & costs associated with medications.
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However, stigma, judgment & shame help no one. In fact, it can lead to delays in starting treatment - treatment that can provide immense benefit in management of blood sugar levels, which is key in preventing long term complications from diabetes. Stigma can also lead to stress, social isolation, and avoidance of healthcare - all things that hurt peopleâs health.
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Diabetes is a complicated and progressive disease, and appropriate & effective treatment needs to be individualized. Of course, a thorough exploration of risks & benefits of all the different options is necessary, but can we stop putting those different options in some sort of moral hierarchy?