{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:45:32Z","timestamp":1790379932944,"version":"4.1.0"},"reference-count":125,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001778","name":"Deakin University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001778","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Language profoundly shapes how diabetes is perceived, experienced and managed, with the potential to perpetuate stigma or promote dignity and respect. This expert review, conducted by an international, multidisciplinary team, traces the evolution of the global diabetes\n                    <jats:italic>#LanguageMatters<\/jats:italic>\n                    movement and synthesises evidence on the effects of language on diabetes management, health and wellbeing, alongside community\u2010preferred terminology. We identified 32 language position statements\/guidance documents published in more than 19 countries. Most are applicable to all diabetes types, diverse audiences and address verbal communication; many also consider non\u2010verbal, paraverbal and, to a lesser extent, visual communication. Beyond recommendations of terms to use or avoid, these statements articulate overarching principles grounded in person\u2010centred, strengths\u2010based, empathic and non\u2010judgemental communication. Evidence of uptake is emerging, including incorporation into clinical standards and research presentation guidance, alongside gradual shifts in language use within some research and media contexts. However, implementation remains uneven, and stigmatising language persists across healthcare, research, policy and public discourse. Despite growing momentum, empirical evidence on community preferences and robust evaluation of adoption and impact remain limited. Language practices are also evolving alongside new technologies, screening approaches and therapeutics, creating additional challenges and opportunities. We identify key gaps in evidence, guidance and implementation mechanisms, and highlight persistent and emerging forms of hidden stigma within systems and structures. We propose a constructive agenda centred on community partnership and system\u2010level implementation. Treating language as foundational to person\u2010centred, equitable and compassionate diabetes care is essential to ending diabetes stigma and discrimination across all settings.\n                  <\/jats:p>","DOI":"10.1111\/dme.70311","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T04:41:32Z","timestamp":1775450492000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["From language matters to stigma\u2010free communication in diabetes: Evolution, challenges, and next steps"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9139-4663","authenticated-orcid":false,"given":"Elizabeth","family":"Holmes\u2010Truscott","sequence":"first","affiliation":[{"name":"School of Psychology Institute for Health Transformation, Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes (ACBRD) Diabetes Victoria  Carlton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Ekpor","sequence":"additional","affiliation":[{"name":"School of Psychology Institute for Health Transformation, Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes (ACBRD) Diabetes Victoria  Carlton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4618-1068","authenticated-orcid":false,"given":"Eloise","family":"Litterbach","sequence":"additional","affiliation":[{"name":"School of Psychology Institute for Health Transformation, Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes (ACBRD) Diabetes Victoria  Carlton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1779-5316","authenticated-orcid":false,"given":"Renza","family":"Scibilia","sequence":"additional","affiliation":[{"name":"Diabetogenic  Melbourne Victoria Australia"},{"name":"Breakthrough T1D  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Partha","family":"Kar","sequence":"additional","affiliation":[{"name":"Portsmouth Hospitals NHS Trust  Portsmouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0732-8116","authenticated-orcid":false,"given":"Jane K.","family":"Dickinson","sequence":"additional","affiliation":[{"name":"Department of Health Studies &amp; Applied Educational Psychology Teachers College Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Guzman","sequence":"additional","affiliation":[{"name":"Behavioral Diabetes Institute  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Garza","sequence":"additional","affiliation":[{"name":"The diaTribe Foundation  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9849-7147","authenticated-orcid":false,"given":"Mariam","family":"Asaad","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery, and Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark T. 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