T1D, Self-Esteem & Body Image
For many children and teens, self-esteem can be a rollercoaster. Add T1D into the mix- constant blood sugar checks, devices attached to their body, carb counting and the occasional hypo at the worst possible time- and it’s no surprise that confidence can take a hit.
From feeling “different” to worrying about how insulin affects their body, children with Type 1 can sometimes struggle with self-image. As parents, it’s tough to see them feel this way- but there’s plenty we can do to help them embrace their diabetes, build self-confidence and feel good about themselves.
Let’s break it down.
1. Why Type 1 Can Affect Self-Esteem and Body Image
Feeling “Different” from Friends
Whether it’s wearing a CGM or pump, injecting at the lunch table or having to sit out of PE due to a low, diabetes can make children and teenagers feel like they stand out.
Many at this age just want to be like everyone else- and the extra attention can make them self-conscious
Visible Devices & Scars
CGMs, pumps and injection marks can make some children feel embarrassed about their bodies, especially in social situations like swimming or getting changed for PE.
Older teens might worry about how others perceive their diabetes devices, fearing unwanted questions or stares.
Weight Changes & Insulin
Insulin plays a crucial role in helping the body process food properly, but weight fluctuations (losing weight before diagnosis, gaining weight after starting insulin, or changes over time) can sometimes impact body image.
Some teens may struggle with their relationship with food, feeling pressure to restrict carbs or avoid eating in front of others.
Diabetes Burnout & Frustration
Constantly managing diabetes can lead to feeling frustrated, overwhelmed or even resentful- which can impact overall confidence and self-worth
If a child feels like they’re “failing” at managing their blood sugars, they might start doubting themselves in other areas of life.
2. Boosting Confidence & Encouraging Positive Self-Image
Normalise Their Diabetes (And Make it Cool!)
Show them role models with Type 1- famous athletes, actors, musicians and influencers who are thriving with diabetes
Find fun, stylish CGM/pump covers or stickers to let them express their personality
Encourage them to take ownership of their diabetes so they can see it as a strength rather than a burden
Help Them Feel Comfortable Answering Questions
Many children worry about what to say when people ask, “What’s that on your arm?”
Practicing confident, simple responses can help them feel in control:
“It’s my diabetes sensor- it helps me stay healthy!”
“This is my insulin pump. It’s kind of like a pancreas, but cooler.”
If they’re not in the mood to explain, that’s okay too! Let them know it’s their choice how much they share.
Encourage Body Positivity
Talk about all the amazing things their body can do- like running, dancing or simply keeping them alive!
Reframe scars and devices as symbols of strength:
“These marks show how strong and capable your body is.”
“Your diabetes tech makes you a total superhero!”
Celebrate Non-Diabetes Achievements
Help them see their worth beyond diabetes by celebrating their talents, hobbies and achievements
Whether they love football, art, music or gaming- remind them that diabetes is just one part of who they are
3. Handling Social Situations & Peer Pressure
Navigating Friendships & Social Events
Some children worry that their friends won’t understand diabetes- but most just need a little education!
Encourage them to bring a friend along to an appointment or show them how their devices work
Remind them that real friends won’t judge- and that diabetes doesn’t define their friendships
What About Dating?
For older teens, dating with Type 1 can feel intimidating. They may wonder when to tell someone about their diabetes or fear being treated differently.
Help them see that confidence is key- the right person will appreciate them for who they are, diabetes and all!
4. Supporting Their Mental Health
Watch for Warning Signs
If your child is avoiding injections, skipping insulin or showing signs of disordered eating, it’s important to check in with them. “Diabulimia” (deliberately restricting insulin for weight loss) can be a serious issue in teens with Type 1. If you’re concerned, reach out to a diabetes specialist or mental health professional.
Encourage Open Conversations
Let them know it’s okay to talk about their feelings- good or bad
Reassure them that they are never alone and that you’re there to support them, no matter what
If they don’t feel comfortable opening up to you, suggest a diabetes support group or speaking to a counsellor
Teach Them Self-Compassion
Diabetes isn’t about perfection- help them see that they’re doing their best, and that’s what matters
Encourage them to talk to themselves the way they would talk to a friend- with kindness and patience.
5. Remind Them That They Are More Than Their Diabetes
At the end of the day, the most important thing is helping your child see that they are so much more than their condition.
Diabetes does not define them
Their devices, scars and routines are signs of resilience, not flaws
They are strong, capable and worthy- just as they are
And whenever self-doubt creeps in, remind them:
Diabetes makes you different, but different is strong, different is brave and different is incredible.
Final Thoughts
Growing up with Type 1 Diabetes can come with self-esteem challenges- but with the right support, your child can embrace their uniqueness and feel confident in their own skin.
By helping them navigate social situations, build resilience and see their diabetes as a strength, you’re giving them the tools to thrive- not just as a person with Type 1, but as a strong confident individual for life.