I watched a documentary on the BBC this week which focused on women suffering from Diabulimia. This is a type of eating disorder where someone with Type 1 Diabetes reduces the amount of insulin they take in order to control their weight. Without enough insulin, sugar builds up in a diabetics blood and urine. Chronically high blood sugar, known as hyperglycemia, can cause irreversible damage to the eyes, kidneys and nervous tissue. If the body is starved of glucose for long enough, it will start to beak down muscle and organ tissue in a process called diabetic ketoacidosis which can be fatal if untreated.
I had never heard of the condition before but straight away I could relate to the women as I am well acquainted with that deep sense of inadequacy that could cause you harm yourself in this way. It was so sad to see these beautiful women causing such harm to their body in order to stay slim. It made me angry that as a society we have created such a fear of weight gain that people are willing to risk their lives to achieve the “ideal body”.
The lack of support for this complex condition reminded me so much of my own visits to my GP. Admitting that you have a problem can be so challenging and reaching out for help is often a shameful experience. To then be told that there is nothing available because you don’t fit into the standard boxes of anorexia or bulimia is ridiculous. It is time for us to open up the definition of disordered eating to include all of those whose preoccupation with food and weight is subtracting from their quality of life. I think we would be shocked at the number of people, especially women, who would come forward.
There is a need for a general education on the harmful effects of dieting and support for building a healthy body image. Children are growing up surrounded by diet products and perfect insta-filtered bodies and they need to be prepared to avoid a generation of damaged self esteem. The focus needs to shift from focusing on weight to teaching people to eat well and move their bodies to improve their health and internal sense of well being. There are some great programs emerging in the NHS which are encouraging healthy habits but for some reason the scale always takes centre stage.
The Health at Every Size movement focuses on encouraging positive lifestyle changes for people in all body shapes and sizes, reducing weight discrimination and improving bodily acceptance and self-confidence. This is an area that I am really interested in and going forward into a career in Public Health, I hope I can help raise awareness and be part of bringing these ideas into the mainstream. This change won’t happen overnight – diet culture is well established and we need a total reprogramming of our beliefs and values. But I do believe the shift has started and it is only a matter of time before people wake up and take back the power over their own health.