01422nas a2200181 4500000000100000008004100001100001100042700001200053700001300065700001400078700001300092700001100105245005300116300001000169490000700179520104000186022001401226 2017 d1 aLiu NF1 aBrown A1 aYounge M1 aGuzman SJ1 aClose KL1 aWood R00aStigma in People With Type 1 or Type 2 Diabetes. a27-340 v353 a

IN BRIEF This study quantitatively measures diabetes stigma and its associated psychosocial impact in a large population of U.S. patients with type 1 or type 2 diabetes using an online survey sent to 12,000 people with diabetes. A majority of respondents with type 1 (76%) or type 2 (52%) diabetes reported that diabetes comes with stigma. Perceptions of stigma were significantly higher among respondents with type 1 diabetes than among those with type 2 diabetes, with the highest rate in parents of children with type 1 diabetes (83%) and the lowest rate in people with type 2 diabetes who did not use insulin (49%). Our results suggest that a disturbingly high percentage of people with diabetes experience stigma, particularly those with type 1 or type 2 diabetes who are on intensive insulin therapy. The experience of stigma disproportionately affects those with a higher BMI, higher A1C, and poorer self-reported blood glucose control, suggesting that those who need the most help are also the most affected by stigma.

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