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What Is It?Type 1 diabetes is a disease in which the body does not make enough insulin to control blood sugar levels. Type 1 diabetes occurs when some or all of the pancreas’s insulin-producing cells are destroyed.
Type 1 diabetes is not caused by the amount of sugar in a person’s diet before the disease develops. If the disease is untreated, sugar and ketone buildup in the blood can cause weakness, confusion, coma and even death.
Eye damage (retinopathy) — Tiny blood vessels at the back of the eye are damaged by high blood sugar. Nerve damage (neuropathy) — High blood sugar can damage nerves, leading to pain or numbness of the affected body part. Heart and artery disease — People with type 1 diabetes are more likely to have heart disease, strokes and problems related to poor circulation. Diabetic ketoacidosis— This occurs when ketones are made by the body as a substitute for glucose.
Hypoglycemia— Low blood sugar (hypoglycemia) can result from insulin treatment (see Treatment section, below). DiagnosisType 1 diabetes is diagnosed by a combination of symptoms, a person’s age and blood tests.
Oral glucose tolerance test (OGTT). Blood sugar is measured two hours after drinking 75 grams of glucose.
Hemoglobin A1C (glycohemoglobin). This test measures the average glucose level over the prior two to three months.


In order to properly regulate their insulin intake, people with type 1 diabetes need to monitor their blood sugar levels several times per day. Newer glucose monitors have test strips that take the blood directly from the spot that was pricked. Fast-acting insulin may be taken as needed, depending on the amount of carbohydrates ingested.
When To Call A ProfessionalCall your health care professional if you experience a sudden increase in thirst and urination.
If you or your child have type 1 diabetes, see your doctor regularly to make sure that you are keeping good control of your blood sugar. PrognosisPeople with type 1 diabetes generally adjust quickly to the time and attention that is needed to monitor blood sugar, treat the disease and maintain a normal lifestyle. Caught early, retinopathy can be stopped by tightly controlling blood sugar and laser therapy. Other patients use semiautomatic injector pens that help to measure precise amounts of insulin. A healthy diet for someone with type 1 diabetes keeps the amount of glucose in the blood relatively constant. Your doctor or dietitian will help you determine the best insulin and diet schedule for you or your child. You should also be checked regularly for early signs of complications such as heart disease, eye problems and skin infections.
These may include a podiatrist to check your feet and an ophthalmologist to check your eyes for signs of diabetes complications.


But it can be reduced greatly if you strictly monitor and control your blood glucose levels. In type 1 diabetes, the immune system destroys insulin-producing cells (beta cells) in the pancreas. Other monitors allow blood to be taken from the forearm, thigh or the fleshy part of the hand. It also helps to control blood sugar by causing muscles to use glucose and by keeping body weight down.
Likewise, avoiding cow’s milk during infancy may possibly prevent type 1 diabetes in genetically susceptible infants. Insulin pumps deliver a regulated dose of insulin through a needle implanted under the skin.
Low blood sugar may occur if too much insulin is taken or if not enough carbohydrates are ingested in to balance the insulin. A person with type 1 diabetes typically is advised to eat, exercise and take insulin at about the same times every day.



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