Type 1 Diabetes Mellitus in Movies: The Hollywood Effect

Abstract

Introduction. Type 1 diabetes mellitus (T1D) is one of the most common chronic diseases with childhood onset. Cinematic films and movies have the capability to reach populations worldwide and effect their concept of this disease. This research examined the accuracy of these movies depicting T1D from childhood into adulthood. Methods. We conducted an internet search of several databases that resulted in a list of 39 movies from 2000 to 2022 with characters that had diabetes. We ultimately assessed 13 fictional movies that dealt with management of disease, character development, access to care, and complications. Results. Movies portray severe but rare diabetes manifestations such as comas. They emphasize access to basic diabetes supplies and cost of care. Only starting in 2020, a continuous glucose monitor (CGM) and insulin pumps are shown. Female characters are presented as resilient and unaffected by the struggles of their T1D. Conclusions. This sample of fictional movies portrays extreme T1D symptoms and mostly outdated technology for monitoring and treatment. It would be beneficial if future movies reflected the advances in closed-loop CGM/insulin pumps. It is important for clinicians to be aware of how the movie industry is presenting the disease to their patients. Clinicians can use popular movies to start difficult discussions with their patients about topics pertinent to the comprehensive care of T1D.