Understanding Type 1 Diabetes

A Comprehensive Guide for Patients and Caregivers

Endocrinology

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Last updated: Mar 24, 2025

What is Type 1 Diabetes?

Type 1 diabetes is an autoimmune condition where the body's immune system attacks and destroys insulin-producing cells in the pancreas. This leads to little or no insulin production, requiring lifelong insulin therapy.

Key Characteristics

  • Usually diagnosed in children and young adults
  • Not preventable or lifestyle-related
  • Requires daily insulin administration
  • Cannot be cured, but can be managed effectively

Common Symptoms

  • Increased thirst and frequent urination
  • Extreme hunger
  • Unintentional weight loss
  • Fatigue and weakness
  • Blurred vision
  • Irritability and mood changes

Diagnosis

  • Blood glucose testing
  • HbA1c testing
  • Antibody testing
  • Ketone testing

Treatment Approaches

1. Insulin Therapy

  • Multiple daily injections
  • Insulin pump therapy
  • Different types of insulin (rapid-acting, long-acting)

2. Blood Sugar Monitoring

  • Regular blood glucose checks
  • Continuous glucose monitoring systems
  • Target blood sugar ranges

3. Lifestyle Management

  • Carbohydrate counting
  • Regular exercise
  • Meal planning
  • Regular medical check-ups

Complications

Short-term

  • Hypoglycemia (low blood sugar)
  • Diabetic ketoacidosis (DKA)

Long-term

  • Cardiovascular disease
  • Kidney damage
  • Eye problems
  • Nerve damage

Living with Type 1 Diabetes

  • Regular monitoring and adjustment of treatment
  • Emergency preparedness
  • Support system importance
  • Educational resources

When to Seek Medical Help

  • Blood sugar levels outside target range
  • Signs of DKA
  • Frequent hypoglycemia
  • New or worsening complications

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