Living Well with Type 1 Diabetes: A Comprehensive Management Guide

Essential Information for Patients with Type 1 Diabetes

Endocrinology

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Last updated: Mar 24, 2025

Understanding Your Condition

Type 1 diabetes is an autoimmune condition where your pancreas doesn't produce insulin. Managing this condition requires daily attention and care, but with proper knowledge and tools, you can lead a healthy, fulfilling life.

Key Management Components

1. Blood Glucose Monitoring

  • Check blood glucose 4-10 times daily
  • Target ranges:
    • Before meals: 80-130 mg/dL
    • 2 hours after meals: <180 mg/dL
  • Record readings in a logbook or app

2. Insulin Therapy

  • Basal insulin: Long-acting insulin for background control
  • Bolus insulin: Rapid-acting insulin for meals and corrections
  • Learn to calculate insulin-to-carbohydrate ratios
  • Understand correction factors

3. Nutrition Management

  • Count carbohydrates accurately
  • Balance meals with:
    • Complex carbohydrates
    • Lean proteins
    • Healthy fats
  • Time meals consistently

4. Exercise Considerations

  • Monitor glucose before, during, and after exercise
  • Carry fast-acting carbohydrates during activity
  • Adjust insulin doses as needed
  • Stay hydrated

Emergency Preparedness

Hypoglycemia (Low Blood Sugar)

Symptoms:

  • Shakiness
  • Sweating
  • Confusion
  • Weakness

Treatment:

  1. Check blood glucose
  2. Follow the 15-15 rule:
    • Take 15g fast-acting carbs
    • Wait 15 minutes
    • Recheck glucose

Hyperglycemia (High Blood Sugar)

Symptoms:

  • Excessive thirst
  • Frequent urination
  • Fatigue

Action Steps:

  1. Check ketones
  2. Take correction insulin as prescribed
  3. Stay hydrated

Regular Medical Care

  • Schedule A1C tests every 3-6 months
  • Annual eye examinations
  • Regular foot checks
  • Dental check-ups twice yearly

Technology and Tools

  • Consider continuous glucose monitoring (CGM)
  • Explore insulin pump options
  • Use diabetes management apps

Support Resources

  • Join diabetes support groups
  • Connect with certified diabetes educators
  • Utilize online resources from recognized organizations

Always consult your healthcare team before making significant changes to your diabetes management plan.

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