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Based on interviews made with people suffering diabetes from three different locations in the Chiapas Highlands (los Altos de Chiapas) and follow-up cases, this paper makes reference to the subjectivity expressed by two women who believed that their «sugar» ailment had been caused by ak’chamel (an evil spell). The cases were selected among 16 Tseltal women with diabetes from the municipal head of Tenejapa, Chiapas State. Aged over 45, they are monolingual and illiterate; the causal association is based on certain features appearing in their dreams together with specific life conditions characterized by ongoing violence, or specific signs and symptoms.

Sufrir de azúcar por Ak’chamel (mal echado) en el marco de un horizonte cosmológico amplio: dos casos en Tenejapa, Chiapas