Abstract
For many people with diabetes there are visible consequences that may contribute to the development of a negative body image. However, there is a dearth of literature concerning the effect of diabetes on body image and physical intimacy. The extent of body image-related distress can lead to suboptimal glycaemic control and perpetuate the problem. This article presents a psychological model to understand the contribution of diabetes mismanagement as a coping strategy in the reduction of emotional distress. To reduce body image-related distress, it is essential that treatments integrate both psychological and diabetes-related factors. Negative body image can be treated successfully with cognitive behavioural therapy but further research is required into the triad of body image, intimacy and diabetes.