How to Stay ‘Body {Positive|Favorable}’ with Diabetes – Healthline

13 December 2020

What {worries|frets|stresses} {experts|professionals|specialists} about the {long-term|long-lasting} {impacts|effects} of {negative|unfavorable} body image is {simple|easy|basic}: It {only|just} takes one {comment|remark} to {send|send out} {someone|somebody} down {a dangerous|a harmful|a hazardous|an unsafe} {road|roadway}. And if diabetes is {involved|included}, the {effects|impacts|results} can be {compounded|intensified}.

“It’s the well-meaning {doctor|physician|medical professional} who {says|states} something like ‘you {better|much better} {clean up|tidy up} your act or you’re going to have type 2 diabetes,'” Nicole {Patience|Persistence|Perseverance}, a nutrition and diabetes {educator|teacher}, and {eating|consuming} {disorders|conditions} {specialist|expert|professional} at Joslin Diabetes Center in Boston, {tells|informs} DiabetesMine.

Dr. Samar Hafida, {staff|personnel} {physician|doctor} at Joslin, {agrees|concurs}. She is the assistant medical director of {global|worldwide|international} education and care and a weight management and {clinical|medical|scientific} nutrition {specialist|expert|professional}.

“It’s not {uncommon|unusual}; in {fact|truth|reality}, {a majority|a bulk} of {people|individuals} {have|have actually} had this experience,” she {tells|informs} DiabetesMine. “{A person|An individual} {comes in|is available in|can be found in} (to their medical {provider|service provider|company|supplier}) with a non-weight-connected {complaint|grievance|problem}, and the {suggestion|recommendation|idea|tip} is ‘{lose weight|reduce weight|slim down|drop weight} and you’ll feel {better|much better}.’

“The {result|outcome} of those {kinds of|type of|sort of} experiences {compounded|intensified} by the world’s {focus on|concentrate on} thin as {beautiful|gorgeous|stunning|lovely} can be the {proving|showing} ground for {depression|anxiety}, self-loathing, and {devastating|ravaging} eating {disorders|conditions}. That’s {an impact|an effect} that can {hit|strike} {anyone|anybody} in society,” she {says|states}.

For {people|individuals} with diabetes (PWDs), this can be {devastating|ravaging}– as they are {also|likewise} {faced with|confronted with} blame over their {disease|illness} by {an uneducated|an ignorant} {general public|public}, {comments|remarks} from the medical field on how weight {reduction|decrease} or {diet|diet plan} {change|modification} is the center of {everything|whatever}, and the {challenge|difficulty|obstacle} of {living with|dealing with|coping with} a body one feels is failing them.

Could {a new|a brand-new} {focus on|concentrate on} “body positivity” be the {solution|service|option}?

{Experts|Professionals|Specialists} feel this {movement|motion} can and will {help|assist} PWDs not {only|just} feel {better|much better} about themselves {psychologically|mentally|emotionally} {but|however} be {healthier|much healthier} {overall|general|total}.

While it {may|might} {feel like|seem like} {a new|a brand-new} buzz {phrase|expression} to some, the “body positivity {movement|motion}” {has|has actually} been around {since|because|considering that|given that} the late 1960s when {women|ladies|females} {first|initially} {started|began} {pushing|pressing} back on the {notion|concept|idea} that all {women|ladies|females} {should|ought to|must|need to} be thin.

It {took off|removed} {in recent years|recently|in the last few years|over the last few years} for {a number of|a variety of} {reasons|factors}. {{First|Initially}, in the late ’90s, a psychotherapist {named|called} Connie Sobczaka|In the late ’90s, a psychotherapist {named|called} Connie Sobczaka} {struggling with|battling with|fighting with|dealing with|having problem with} an eating {disorder|condition} {morphed|changed} her background and {personal|individual} experience to {create|produce|develop} www.thebodypositive.org, {a site|a website} {dedicated|devoted|committed} to {helping|assisting} {people|individuals} with self-acceptance.

{Then, around 2012, the Body {Positive|Favorable} {movement|motion} {took root|settled} with {bloggers|blog writers}, {celebrities|stars|celebs}, medical {experts|professionals|specialists}, and {researchers|scientists} all {pushing for|promoting} {the public|the general public} to not {just|simply} {accept {but|however} {embrace|accept|welcome} the {concept|idea|principle}|{embrace|accept|welcome} the {concept|idea|principle} {but|however} accept} of all bodies being {beautiful|gorgeous|stunning|lovely}.

| Around 2012, the Body {Positive|Favorable} {movement|motion} took root with {bloggers|blog writers}, {celebrities|stars|celebs}, medical {experts|professionals|specialists}, and {researchers|scientists} all {pushing|pressing} for the public to not {just|simply} {accept {but|however} {embrace|accept|welcome} the {concept|idea|principle}|{embrace|accept|welcome} the {concept|idea|principle} {but|however} accept} of all bodies being {beautiful|gorgeous|stunning|lovely}.

} {In recent years|Recently|In the last few years|Over the last few years}, {celebrities|stars|celebs} like {singer|vocalist} Lizzo {have|have actually} been {{vocal|singing} and {visible|noticeable}|{visible|noticeable} and {vocal|singing}} in the {movement|motion}, bringing {even more|much more|a lot more} attention to it. The {recent|current} October 2020 Fenti {fashion|style} {show|program} from {singer|vocalist} Rihanna {featured|included} {models|designs} of all sizes, colors, and {looks in|searches in} a nod to body positivity.

Joslin’s {Patience|Persistence|Perseverance} {says|states} that it’s {all about|everything about} “{taking care of|looking after} the body you {live in|reside in}. It{‘s about| has to do with} {respecting|appreciating} it and {recognizing|acknowledging} how it serves you in {very|extremely|really} {positive|favorable} {ways|methods}.”

What body positivity is not, she {says|states}, is a call to {ignore|disregard|neglect|overlook} healthy {suggestions|recommendations|ideas|tips} and interventions that you {may|might} {need|require}.

“Some see it as a double-edged sword,” {explains|discusses|describes} Hafida. “Some {worry|fret|stress} that {embracing|accepting|welcoming} oneself as you are will {block|obstruct} {people|individuals} from accepting (medical {help|assistance|aid}). {{But|However} it’s not an either/or {concept|idea|principle}.|It’s not an either/or {concept|idea|principle}.} Being body {positive|favorable} {should|ought to|must|needs to} not {mean|imply|indicate|suggest} you’re not {receptive|responsive} to {taking advice|listening} and {taking action|acting|doing something about it}.”

What it does {mean|imply|indicate|suggest} is this: {Loving|Liking|Enjoying} the body you {are in|remain in} as it {is in|remains in} this {moment|minute} {leads to|results in|causes} {better|much better} health {outcomes|results} {overall|in general}.

It’s {a difficult|a challenging|a tough|a hard} thing to {embrace|accept|welcome} for the {overweight|obese}, Hafida {says|states}.

“Society {tells|informs} us we {need|require} to look {a certain|a specific|a particular} {way|method}, be {a certain|a specific|a particular} {way|method}. That’s {hard|difficult|tough} to {overcome|conquer|get rid of}.”

For the PWD of any kind, the {challenge|difficulty|obstacle} of finding body positivity is {exacerbated|intensified|worsened} by the {need|requirement} to {wear|use} medical {devices|gadgets}, the {struggle|battle} with weight {control|manage} some face, things like scarring on the body, and {just|simply} the {feeling|sensation}, {overall|in general}, that your body {has|has actually} failed you.

And there is {of course|obviously|naturally} the {stigma|preconception} and “blame” that the {general public|public} {associates with|connect with|relate to} any {type of|kind of} diabetes.

“Even with type 1 (and {often|frequently|typically} with type 2), others {say|state}, ‘Oh, you {must|should|need to} have {caused|triggered} your diabetes,'” {says|states} {Patience|Persistence|Perseverance}.

She {points out|explains|mentions} that her {first step|initial step|primary step} with {a patient|a client} is {reminding|advising} them that with type 1 or type 2 diabetes: This is not your fault.

“There is no {reason|factor} to blame yourself,” she {says|states}. “Body size is not a direct {indication|indicator|sign} of whether you {take care of|look after} yourself or not.”

There are other {specific|particular} other body image challenges that {come with|included|featured} diabetes, she {adds|includes}, {pointing to|indicating} these as {just|simply} {a few|a couple of}:

  • {Visible|Noticeable} {devices|gadgets} that {draw attention to|accentuate} {the {person|individual} or the body|the body or the {person|individual}}
  • How {clothes|clothing} fall on the body around those {devices|gadgets}
  • Scarring, such as lipohyperatrophy from years of shots and insulin pump {sites|websites}, which, {Patience|Persistence|Perseverance} {says|states}, while not {always|constantly} {visible|noticeable} to the world, {is visible|shows up} to the {person|individual} who has them

All this can {lead to|result in|cause} {dangerous|harmful|hazardous|unsafe} {reactions|responses} in PWDs.

Marcia Meier, program {manager|supervisor} at the {Patient|Client} {Services|Solutions|Providers}
International Diabetes Center in St. Louis Park, Minnesota, {has|has actually} {treated|dealt with} over 500 diabetes {patients|clients} with {eating|consuming} {disorders|conditions} and other body-related {struggles|battles} {since|because|considering that|given that} 2005.

The {ugly|unsightly|awful} {truth|reality|fact}, she {tells|informs} DiabetesMine, is that the {impact|effect} of {negative|unfavorable} body image on PWDs, {particularly|especially} {women|ladies|females}, can be {profound|extensive}.

“About 36 to 40 percent of {women|ladies|females} with type 1 diabetes {manipulate|control} insulin to {control|manage} their weight,” she {says|states}.

“There is this {concept|idea|principle} of insulin {use|usage} {equals|equates to} fat, and right there, you{‘ve| have actually} got a predisposition to {some of|a few of} those {problems|issues}.”

Meier traces the {issue|problem|concern} back to the {general public|public}, {of course|obviously|naturally}, {but|however} {also|likewise} to {a place|a location} that {may|might} {surprise|amaze|shock} {many|numerous|lots of}: the endocrinology {office|workplace}.

“{Just about|Practically|Almost} every {article|short article|post} you {read|check out}, all that you can {pick up|get} right in your endocrinology {office|workplace}, {clearly|plainly} {says|states} that insulin {causes|triggers} weight gain,” she {says|states}.

“{Most|Many|A lot of|The majority of} {women|ladies|females} {want to|wish to} be a body size that is {smaller|smaller sized} than they are, diabetes or not,” she {says|states}.

The {dangerous|harmful|hazardous|unsafe} {difference|distinction} {between|in between} the PWD? Access to {a relatively|a fairly|a reasonably} {simple|easy|basic} yet life-risking {way|method} to drop the weight.

“{Most people|Many people|The majority of people} do not have the {kind of|type of|sort of} {touch on|discuss} the body that {people|individuals} with diabetes do,” she {says|states}. “All {a person|an individual} with diabetes {had to|needed to} do to {lose weight|reduce weight|slim down|drop weight} is not do something. They {don’t|do not} {have to|need to} {{exercise|work out} or starve|starve or {exercise|work out}}. They {just|simply} {have to|need to} omit their insulin.”

Of the {patients|clients} she’s {treated|dealt with}, she {says|states} {negative|unfavorable} body image “{has|has actually} {been a part|belonged} of (the {struggle|battle}) of {every single|every|each and every single} {one of|among} them.”

{It’s not {always|constantly} insulin omission, {though|however}.|It’s not {always|constantly} insulin omission.} She’s had a diabetes {patient|client} who {purposely|intentionally|deliberately} let her glucose levels run low {because|since|due to the fact that} “she {only|just} {gave|provided|offered} herself {permission|consent|authorization|approval} to {eat|consume} when low.”

This drive to be thin does not {necessarily|always} {stem from|come from|originate from} being raised in {a household|a home|a family} {judging|evaluating} you. {In {fact|truth|reality}, Meier {says|states}, even the {person|individual} raised with all the {right|best|ideal} {cues|hints} can fall {prey|victim} to public {comment|remark}.

| Meier {says|states}, even the {person|individual} raised with all the {right|best|ideal} {cues|hints} can fall {prey|victim} to public {comment|remark}.

}”That’s {a huge|a big|a substantial} {challenge|difficulty|obstacle} I see. You can be raised (with body positivity) in your {household|home|family} and {literally|actually} {delve into|explore|look into} an eating {disorder|condition} from {one thing|something} {a person|an individual} {says|states}.”

It {could|might} be as {simple|easy|basic} as your {aunt|auntie} {saying|stating} you {should|ought to|must|need to} {skip|avoid} the dessert so you {don’t|do not} get fatter and “{worse|even worse} with your diabetes.” Or {a magazine|a publication} {spread|spread out} with the “plus-sized {models|designs}” who are {actually|really|in fact} a size 8 or 10. Or the {doctor|physician|medical professional} who {tells|informs} you your weight is the {cause of|reason for} all {troubles|difficulties|problems}. One {negative|unfavorable} {comment|remark} is all it takes, she {says|states}, to set {a person|an individual} down {a dangerous|a harmful|a hazardous|an unsafe} {road|roadway}.

{Like so|Thus} {many|numerous|lots of} other things, this takes {a village|a town}. PWDs {need|require} the world, media and yes, their own {doctors|physicians|medical professionals}, to {understand|comprehend} and {embrace|accept|welcome} this, {experts|professionals|specialists} {say|state}. They {also|likewise} {need|require} themselves.

Some {ways|methods} to {build|develop|construct} body positivity {include|consist of}:

It {starts|begins} with you. {Patience|Persistence|Perseverance} {says|states} when {a person|an individual} {meets with|consults with|meets} her for the {first time|very first time}, she{‘s quick| fasts} to {strike down|overrule} any self-negativity.

“{People|Individuals} {come in|are available in|can be found in} and make {derogatory|negative|bad} remarks about themselves {because|since|due to the fact that} it’s been {normalized|stabilized} {so much|a lot},” she {says|states}. “I {tell|inform} them {right away|immediately|right now}: it’s not {acceptable|appropriate} here.”

She {helps|assists} those {struggling|having a hard time} {learn|discover|find out}, {understand|comprehend}, and, {most|many} of all, {embrace|accept|welcome} seeing that their body does {many|numerous|lots of} {good things|advantages|good ideas} for them every day {and that|which} {loving|liking|enjoying} it for that {helps|assists} {overall|general|total} health.

Meier {agrees|concurs}, {adding|including} that while society {needs|requires} {change|modification} here, “I can not {change|alter} the world. What I can do is {help|assist} them {deal with|handle} those {comments|remarks}.”

“They {need|require} to {develop|establish} a belief system so that when things are {said|stated} to them (even by {doctors|physicians|medical professionals}), they can {recognize|acknowledge} that– even if coming as well-intentioned– those {comments|remarks} {may|might} not be healthy for them, {or even|and even|or perhaps} be the {truth|reality|fact}. It{‘s about| has to do with} not {believing|thinking} {everything|whatever} you {hear and {read|check out}|{read|check out} and hear}.”

PWDs {also|likewise} {need|require} to {recognize|acknowledge} the {good|great|excellent} that both their body and insulin does, Meier {says|states}, {as well as|in addition to|along with} the {good|great|excellent} {technology|innovation} they {may|might} {wear|use} does.

{{For example|For instance}, {beauty queen|model} Sierra Sandison|{Beauty|Charm|Appeal} queen Sierra Sandison} was {a teenager|a teen} when {diagnosed|identified|detected} with type 1 diabetes, and due to body image {notions|concepts|ideas}, she {pushed|pressed} off getting a pump and CGM for {a period of time|a time period|an amount of time}.

“I was a senior in high school and {already|currently} having {a hard time|a difficult time|a tough time} with body image when I was {diagnosed|identified|detected},” she {tells|informs} DiabetesMine.

“I was {angry|upset|mad} at my body {before|prior to} that, and {once|when|as soon as} I was {diagnosed|identified|detected}, I was {angry|upset|mad} at it for what I {saw as|viewed as} failing me on the {inside|within} too.”

She {decided|chose} to {hide|conceal} her diabetes {until|up until|till} she {heard about|found out about|became aware of} Miss America 1999 Nicole Johnson, who has type 1 and {proudly|happily} {displays|shows} it.

That led Sandison to make it into the 15 finalists for Miss America as Miss Idaho 2014, where she {walked|strolled} the {stage|phase} in the {bathing suit|swimwear|swimsuit} {competition|competitors} {proudly|happily} {showing|revealing} her pump. Thousands followed her lead, making the hashtag #ShowMeYourPump go viral, and more {importantly|significantly|notably} {helping|assisting} others {heal|recover} as she did herself.

“Now I{‘m like| resemble}: if {someone|somebody} does not {want to|wish to} date me {because|since|due to the fact that} I have a pump, {good|great|excellent} riddance,” she {says|states}.

{Finding|Discovering} medical {support|assistance} that “gets it.” {Patience|Persistence|Perseverance} {is one of|is among} more than 17,000 medical {providers|service providers|companies|suppliers} who {have|have actually} signed on as part of the “Healthy At Every Size” {movement|motion} that {{provides|offers|supplies} resources and {encourages|motivates}|{encourages|motivates} and {provides|offers|supplies} resources} {healthcare|health care} {professionals|experts|specialists} to take {a pledge|a promise} to be {aware|conscious|mindful}, {respectful|considerate}, and compassionate of all {issues|problems|concerns} surrounding body size.

{More and more|Increasingly more|A growing number of} {providers|service providers|companies|suppliers} are {adopting|embracing} this, and {Patience|Persistence|Perseverance} {suggests|recommends} you seek them out, or ask your medical {provider|service provider|company|supplier} to {check|inspect|examine} it out.

Hafita {said|stated} it can be {life-changing|life-altering} when you {seek out|look for} a medical {expert|professional|specialist} who {understands|comprehends} that if you are a bit {overweight|obese}, it makes no sense to {focus on|concentrate on} fault.

“Weight gain is {a chronic|a persistent} {disease|illness},” she {says|states}. “No matter {how many|the number of} ‘{mistakes|errors}’ you {think|believe} you {have|have actually} made, it’s not your fault.”

She asks {people|individuals} to consider this: {Some of|A few of} our {friends|buddies|pals|good friends} can gobble down all the goodies, {barely|hardly} {work out|exercise} and be thin. Others {walk|stroll} daily, count {carbs|carbohydrates} and still {struggle|battle} with weight.

“Seeing {someone|somebody} who can {understand|comprehend} is {key|essential|crucial},” she {says|states}.

{Avoid|Prevent} rash {diets|diet plans}, {particularly|especially} for {children|kids}. Keto {eating|consuming}, {for example|for instance}, can be too {extreme|severe}, Hafita {said|stated}.

“That is {absolutely not|never} {normal|typical|regular} {eating|consuming},” she {explains|discusses|describes}, in {large|big} part {because|since|due to the fact that} it is so {difficult|challenging|tough|hard} to {maintain|preserve|keep}. “There are {people|individuals} who {think|believe} you can {eat|consume} that {way|method} for the rest of their life, {but|however} the {reality|truth} is, much of our social structure centers around food. We {celebrate|commemorate} with it; we {gather|collect} around it. It’s not {the best|the very best} {idea|concept} to raise {a child|a kid} to {think|believe} they are {failing|stopping working} if they {enjoy|delight in|take pleasure in} those {moments|minutes}.”

Know when to {take action|act|do something about it}. If you {struggle with|battle with|fight with|deal with|have problem with} body image {issues|problems|concerns} and {have|have actually} ever {omitted|left out} insulin or starved yourself, you {may|might} {want to|wish to} {seek|look for} a therapist to {help|assist} you {build|develop|construct} {a better|a much better} {image of|picture of} yourself.

That can {range|vary} from a therapist you {connect with|get in touch with} to a trained {expert|professional|specialist} in diabetes and body image.

In the end, {learning|discovering|finding out} to {embrace|accept|welcome} our bodies as they are, {{big|huge} or {small|little}|{small|little} or {big|huge}}; dark or light; {tall|high} or {short|brief}; whatever you are, is {key|essential|crucial} to {overall|general|total} health, all {agree|concur}.

“It{‘s important| is essential| is very important| is necessary} to {understand|comprehend}, as I now do, that healthy {looks|appearances} {different|various} on {everyone|everybody},” {says|states} Sandison.

“We {have to|need to} {get past|surpass} this ‘skinny is healthy’ {concept|idea|principle} and we {should|ought to|must|need to} {strive for|pursue} all to do that,” she concludes.

Source: healthline.com

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