What is the harm in promoting weight loss in diabetes care?
The typical messaging surrounding diabetes is goal-based, or outcome-focused, such as lose weight or lose 10% of your current body weight.
Unfortunately, this messaging erroneously associates weight loss with curing or treating diabetes. This unintentional association is popularized in the media and press, with books, websites, and health campaigns to “prevent, beat, defeat diabetes” instead of focusing on the day-to-day support needed to manage diabetes. It is easy to concentrate or emphasize weight-based outcomes, which only reinforce the fallacious notion that weight loss is a behavior. The level of harm that is associated with promoting weight loss is far more complex than avoiding treatment, and it is woven into the research of weight-stigma, weight-bias, and the impact of disordered eating, which we have addressed in separate questions.
On the right is a screenshot image from the WN4DC professional Facebook group, that was taken on May 28, 2019, where a member posts about a client delaying care because he thought eating ‘better’ would cure diabetes.
The diabetes community is encouraged to look at the erroneous messaging that associates health with weight. The ADCES has clear language guidelines and the ADCES 7 self-care behaviors to help the diabetes community reduce weight stigma and focus on behaviors (not weight) to provide nonjudgmental, patient-centered medical care.