Controlling diabetes, controlling diabetics: moral language in the management of diabetes type 2.

Soc Sci Med

National Centre for Epidemiology and Population Health, The Australian National University, Canberra ACT 0200, Australia.

Published: June 2004

AI Article Synopsis

  • Contemporary management of type 2 diabetes emphasizes strict control over blood sugar and food intake, which can create conflicting feelings about personal responsibility and social relationships.
  • Individuals often describe diabetes behavior in emotionally charged terms, framing themselves or others as disobedient or foolish, highlighting the complexity of "compliance" with treatment.
  • While trying to avoid stigma, people with diabetes may unintentionally diminish their own autonomy as they navigate the challenges of managing a serious and demanding condition.

Article Abstract

Contemporary management of diabetes places heavy emphasis on control, particularly control of blood sugars and of food consumption. Interviews with people living with diabetes type 2 show how identity and social relationships are negotiated through what is often a contradictory language of control, surveillance, discipline and responsibility. People frequently discuss diabetes-related behaviour in terms that position themselves or others as disobedient children, or as wicked or foolish adults. These references occur alongside appraisals of the physical and social complexity of "compliance" with diabetic regimes and in some instances the difficulty of achieving effective control over blood sugar levels. Efforts to protect themselves from the stigmatising potential of diabetes may inadvertently undermine the agency of people who are already coping with a demanding discipline and a potentially disabling or life-threatening disease.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.socscimed.2003.09.002DOI Listing

Publication Analysis

Top Keywords

management diabetes
8
diabetes type
8
control blood
8
controlling diabetes
4
diabetes controlling
4
controlling diabetics
4
diabetics moral
4
moral language
4
language management
4
diabetes
4

Similar Publications

Objective: to map the available evidence on the characteristics of care coordination between Primary Health Care and Specialized Outpatient Care for users with diabetes and hypertension.

Method: this is a scoping review with 40 articles as the final sample, evaluated by means of Content Analysis, of the thematic-categorical type, with the aid of a technological tool.

Results: care coordination was defined by means of eight categories: information and communication, integration of care, improvement and quality, care management, care sharing, fundamental attribute, health professionals and health service users, with the results of the articles concentrating mainly on four categories, with information and communication standing out, followed by the category of care management and the category of care sharing, in parallel with improvement and quality.

View Article and Find Full Text PDF

This review aimed to identify the impact of the ECHO® model on monitoring people diagnosed with diabetes mellitus. It followed the Joanna Briggs Institute and the PRISMA-ScR Checklist. The search was conducted in the Cochrane Library, Embase, Virtual Health Library, PubMed/MEDLINE, Scopus, and Web of Science databases.

View Article and Find Full Text PDF

Purpose: This meta-analysis aims to estimate the global prevalence of severe, moderate, overall malnutrition and moderating factors of malnutrition in colorectal cancer (CRC) survivors.

Methods: A comprehensive search was conducted in Embase, CINAHL, Medline-OVID, PubMed, Scopus, and Web of Science from inception to February 8, 2024, without language, region, or publication date restrictions. A generalized linear mixed model and random-effects model were used to examine the pooled prevalence, and moderator analyses were implemented to investigate variations in the pooled prevalence.

View Article and Find Full Text PDF

Study Design: Retrospective cohort study using prospective database.

Objective: This study aimed to establish a risk-scoring system for predicting severe complications after pyogenic spondylodiscitis surgery.

Summary Of Background Data: Pyogenic spondylodiscitis surgery can cause severe complications.

View Article and Find Full Text PDF

Background: The optimal control of type 2 diabetes (T2D) is defined by the innate mastery of self-management behaviours. This study is designed to condense the lived experiences of people with T2D in relation to factors 'exterior' to themselves into a universal self-management inventory (Assessment of Self-Management Questionnaire in Diabetes Mellitus-External Reality; ASQ-DM-EX).

Methods: We collected responses to an online and physical survey from people living with T2D through a quantitative cross-sectional study.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!