Escola Anna Nery Revista de Enfermagem
https://eanjournal.org/article/doi/10.1590/2177-9465-EAN-2020-0270
Escola Anna Nery Revista de Enfermagem
Pesquisa

The relationship between women with diabetes and their body: the risk of diabulimia

La relación entre mujeres con diabetes y su cuerpo: el riesgo de diabulimia

A relação entre a mulher com diabetes e o seu corpo: o risco da diabulimia

Letícia Braga Ribeiro; Claudia Maurício Pieper; Giovana Andrade Frederico; Mônica Antar Gamba; Anderson da Silva Rosa

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Abstract

Objective: to understand the relationship that women with diabulimia have with the body.

Method: a qualitative research, developed with the Thematic Oral History Method, with four women between 18 and 30 years of age who reported diabulimia.

Results: women's relationship with their bodies has been guided by the social pressure of female thinness that distorts self-image, generates dissatisfaction with the body and diminishes self-esteem. Weight loss is proportionally associated with increased social acceptance and justifies the use of harmful methods to health such as reducing the dose or suspending the use of insulin. The narrators showed to know the risks, but admitted to repeat it in certain contexts.

Final considerations and implications for practice: the desire that women with Diabetes Mellitus have to lose weight needs to be incorporated into the strategies of care with the attention of health professionals to subjectivity, acting to recognize and prevent eating disorders in women with diabetes and minimize the adoption of actions harmful to health.

Keywords

Diabetes Mellitus; Eating Disorders and Food Ingestion; Bulimia Nervosa; Diabetic Cetoacidosis; Nursing

Resumen

Objetivo: comprender la relación que tienen las mujeres con diabulimia con el cuerpo.

Método: investigación cualitativa, desarrollada con el Método de Historia Oral Temática, con cuatro mujeres entre 18 y 30 años que autoinformado diabulimia.

Resultados: la relación de la mujer con su cuerpo estuvo guiada por la presión social de la delgadez femenina que distorsiona la imagen de sí misma, genera insatisfacción con el cuerpo y la disminución de la autoestima. La pérdida de peso se asocia proporcionalmente con una mayor aceptación social y justifica el uso de métodos nocivos para la salud, como reducir la dosis o suspender el uso de insulina. Los narradores demostraron conocer los riesgos, pero admitieron repetirlo en determinados contextos.

Consideraciones finales e implicaciones para la práctica: el deseo que tienen las mujeres con Diabetes Mellitus de adelgazar debe incorporarse a las estrategias de atención con la atención de los profesionales de la salud a la subjetividad, actuando para reconocer y prevenir los trastornos alimentarios en mujeres con diabetes y minimizar la adopción de acciones nocivas para la salud.

Palabras clave

Diabetes Mellitus.; Transtornos de Alimentación y de la Ingestión de Alimentos; Bulimia Nerviosa; Cetoacidosis Diabética; Enfermagem

Resumo

Objetivo: compreender a relação que as mulheres com diabulimia têm com o corpo.

Método: pesquisa qualitativa, desenvolvida com o Método da História Oral Temática, com quatro mulheres entre 18 e 30 anos que autorreferiram diabulimia.

Resultados: a relação das mulheres com o seu corpo foi pautada pela pressão social de magreza feminina que distorce a autoimagem, gera insatisfação com o corpo e a diminuição da autoestima. A perda de peso é proporcionalmente associada ao aumento da aceitação social e justifica a utilização de métodos deletérios à saúde como a diminuição da dose ou a suspensão do uso de insulina. As narradoras demonstraram conhecer os riscos, mas admitiram repeti-la em determinados contextos.

Considerações finais e implicações para a prática: o desejo que as mulheres com Diabetes Mellitus têm de perder peso precisa ser incorporado às estratégias de cuidado com a atenção dos profissionais da saúde à subjetividade, atuando para reconhecer e prevenir os transtornos alimentares em mulheres com diabetes e minimizar a adoção de ações prejudiciais à saúde.

Palavras-chave

Diabetes Mellitus; Transtornos da Alimentação e da Ingestão de Alimentos; Bulimia Nervosa; Cetoacidose Diabética; Enfermagem

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Submetido em:
26/07/2020

Aceito em:
29/01/2021

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