Getting started with type 1 diabetes

If you've just been diagnosed with type 1 diabetes, here's what you need to know to get started:

What is type 1 diabetes?

Type 1 diabetes, also known as diabetes mellitus type 1, juvenile diabetes, or insulin-dependent diabetes, is a chronic condition. But what does that mean? What is type 1 diabetes?

Type 1 diabetes occurs when your immune system is unable to recognise your beta cells as belonging to your body. As a result, it attacks and destroys them – making it an autoimmune disease.

Unfortunately, beta cells are the cells in your pancreas which produce insulin. Insulin is an essential hormone that converts glucose into energy, by moving it from your bloodstream into your body's cells. Without insulin, the glucose in your body can’t be taken into your cells and your blood glucose levels will increase. This can lead to serious health problems.

What causes type 1 diabetes?

Type 1 diabetes usually occurs in childhood or adolescence, but it can also develop in adults.

While the exact type 1 diabetes causes are unknown, it’s generally believed that people with an underlying genetic predisposition are more likely to get type 1 diabetes.

However, that’s not always the case. Research has shown that some viruses and environmental factors might also contribute to the appearance of type 1 disease in children and adults.

Here are some of the risk factors associated with type 1 diabetes:

  1. Genetics – If you have certain genes (HLA class II) you may be at a higher risk of developing type 1 diabetes.
  2. Family history – If someone in your family has type 1 diabetes, such as your parent, grandparent or siblings, you have an increased risk of developing it too.
  3. Age – Type 1 diabetes usually presents in children between the ages of 4-7 or 10-14 years old. However, type 1 diabetes can develop at any time, and it’s not uncommon for it to present in adults.
  4. Location – Rates of type 1 diabetes tend to be higher in northern climates. So the further you live from the equator, the higher your chance of developing the disease.
  5. Other autoimmune conditions – As type 1 diabetes is an autoimmune condition, if you have other autoimmune conditions these can increase your risk of developing type 1 diabetes as well.
  6. Viral infections – Some viruses (such as German measles, mumps, and coxsackie) may trigger type 1 diabetes, encouraging your immune system to attack your body instead of defend it.

Again though, it’s important to remember that the specific causes of type 1 diabetes aren’t known. And it’s not uncommon for someone with no family history or pre-existing conditions to develop type 1 diabetes, even as an adult.

So even if you don’t have any of these risk factors, if you’re experiencing the symptoms of type 1 diabetes you should get yourself tested for it.

What is the difference between type 1 and type 2 diabetes?

There are several different types of diabetes. The most common are type 1 and type 2 diabetes, and people often get confused between the two.

So, what is the difference between type 1 and type 2 diabetes?

The main differences between type 1 and type 2 diabetes are the cause, and the level of insulin produced.

Type 1 diabetes is generally thought to be an inherited autoimmune disease, and type 1 diabetics produce either no insulin or very little.

Type 2 diabetes on the other hand typically develops due to lifestyle, and type 2 diabetics still produce a normal level of insulin. However, their cells have lost sensitivity to insulin, and the insulin they produce is not sufficient to keep their blood glucose at a healthy level.

Here are some of the other ways type 1 and type 2 diabetes are different:

Type 1 Diabetes Type 2 Diabetes
Age of onset: Usually occurs in children Commonly occurs in middle-aged adults (over 40 years old)
Speed of onset: Develops quickly, and suddenly Develops slowly, and gradually
Prevalence: Less than 10% of all diabetes cases More than 80% of all diabetes cases
Treatment: Injections of insulin are required to control blood glucose levels Can often be managed through lifestyle changes, such as weight reduction, physical exercise, and diet. Blood glucose levels can be controlled through oral medications, and insulin injections are only required in severe cases
Prevention: No known methods of prevention May be prevented through healthy lifestyle choices

What now?

Now that you know what type 1 diabetes is, and what causes it, it’s time to think about how to live with it:

  • Understand the symptoms If you’ve not been diagnosed, what are the signs and symptoms that can help you identify if you have type 1 diabetes? How can you tell if your blood glucose levels are high or low?
  • Know the treatment As a type 1 diabetic, you’ll need to take regular injections of insulin. How much insulin do you need, and how often should you take it? Are there different types of insulin, and how do you measure blood glucose levels?
  • Learn to live with itWhat does having type 1 diabetes mean for you and your lifestyle? How will a diagnosis of type 1 diabetes affect your diet, exercise program, and travel plans?

Type 1 diabetes is a disease that requires a lot of awareness and control. However, with the right planning and lifestyle choices, you can still lead a healthy and complication-free life.

And it starts with getting informed, staying active, and keeping a positive mindset.

Frequently asked questions - Type 1 diabetes

How serious is type 1 diabetes?

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Type 1 diabetes is a serious condition that requires lifelong management. If it's not treated or well managed, type 1 diabetes can lead to serious complications such as heart disease, nerve damage, kidney damage, and blindness. However, with proper treatment and management, people with type 1 diabetes can live long and healthy lives.

Is type 1 diabetes an autoimmune disease?

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Yes, type 1 diabetes is an autoimmune disease.
An autoimmune disease is when the body's immune system attacks the body by mistake. In type 1 diabetes, the body's immune system attacks and destroys the cells in the pancreas that make insulin.
This means your body doesn't have enough insulin and can't break down glucose (sugar) as effectively as it needs.

Is type 1 diabetes communicable or noncommunicable?

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Type 1 diabetes is a noncommunicable disease. This means it can't be transmitted from person to person.
The exact cause of type 1 diabetes isn't known, but it's believed that some people have a genetic predisposition for it and that environmental factors might also contribute. It typically develops during childhood or adolescence.
You can't get type 1 diabetes by being in contact with someone who has it.

Can you have both type 1 and type 2 diabetes?

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While it's rare, it is possible to have both type 1 and type 2 diabetes. This is known as double diabetes. It happens when a person with type 1 diabetes also develops insulin resistance, which is a characteristic of type 2 diabetes.
However, this is uncommon. Most people with type 1 or type 2 diabetes only have one type of diabetes.

Why is type 1 diabetes called juvenile diabetes?

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Type 1 diabetes is sometimes called juvenile diabetes because it often develops in childhood or adolescence.
In the past, type 1 diabetes was usually diagnosed in children, while type 2 diabetes was often diagnosed in adults. The term "juvenile diabetes" was used to distinguish type 1 from type 2.
However, our understanding of diabetes has grown and we now know that both type 1 and type 2 diabetes can occur at any age. As a result, the term juvenile diabetes is used less.

What is the difference between type 1 diabetes and LADA?

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Type 1 diabetes and Latent Autoimmune Diabetes in Adults (LADA) are both autoimmune diseases that result in high blood sugar levels. However, type 1 diabetes usually develops in childhood or adolescence, and LADA typically develops after the age of 30. People with LADA may also still produce some insulin, while type 1 diabetics produce little or no insulin. This means that while type 1 diabetics need to take insulin injections, people with LADA may not and may be able to treat their diabetes with oral medications.

Can gestational diabetes turn into type 1?

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Gestational diabetes is a type of diabetes that develops during pregnancy and usually disappears after the baby is born. Having gestational diabetes may increase the risk of getting type 2 diabetes later in life, but it doesn't turn into type 1.

Can type 1 diabetes go to type 2?

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Type 1 and type 2 diabetes are 2 distinct types of diabetes and are caused by different things. As such, you can't shift from having one type of diabetes to the other. However, on rare occasions, it is possible to have both type 1 and type 2 diabetes. This condition is sometimes known as double diabetes.

Can you get type 1 diabetes in your 20s?

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Although type 1 diabetes is usually diagnosed in childhood or adolescence, yes, it's possible to develop type 1 diabetes in your 20s.

Is type 1 diabetes genetic?

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The exact causes of type 1 diabetes are unknown, but it's generally believed that people with a genetic predisposition are more likely to get it. This means that if you have a family history of type 1 diabetes, you're at higher risk of developing the disease.
However, not all people with a genetic predisposition go on to develop type 1 diabetes. And some people diagnosed with type 1 diabetes don't have a family history of the disease. Research has also shown that viral infections, toxins and other environmental factors might contribute too.

Does type 1 diabetes skip a generation?

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Having a family history and genetic predisposition to type 1 diabetes means it's more likely you'll develop the disease. However, you're simply inheriting the risk. It doesn't mean you'll definitely get it, and some people who have a family history of type 1 diabetes don't. The level of risk will also vary, depending on the number and type of genes involved, along with other environmental factors.
This isn't quite the same as when a disease appears to "skip a generation", which happens in conditions that are known to develop as a result of recessive single genes.

Does obesity cause type 1 diabetes?

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No, obesity doesn't cause type 1 diabetes. The exact cause of type 1 diabetes isn't known, but it's generally believed to be caused by a combination of genetic and environmental factors.
Obesity does, however, put you at a higher risk of developing type 2 diabetes.

Can alcohol cause type 1 diabetes?

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No, drinking alcohol doesn't cause type 1 diabetes. It's generally believed that type 1 diabetes is caused by a combination of genetic predisposition and environmental factors.
Drinking alcohol can put you at a higher risk of developing type 2 diabetes though.

How can you prevent type 1 diabetes?

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Because the exact cause of type 1 diabetes isn't yet understood, there's currently no known way to prevent the disease. However, you can decrease your risk of developing complications from type 1 diabetes by following a healthy lifestyle. This includes eating a balanced diet and getting regular exercise.
It's also a good idea to get regular health checks, especially if you have a family history of type 1 diabetes, as the earlier it's diagnosed the better it can be managed.

Which is worse type 1 or 2 diabetes?

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If not well managed, both type 1 and type 2 diabetes can lead to serious health complications, so it's not accurate to say that one type of diabetes is worse than the other.
Complications of both type 1 and type 2 diabetes can include heart disease, stroke, kidney disease and nerve damage.

How many people in the world have type 1 diabetes?

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In 2021, it was estimated that roughly 8.4 million people across the globe had type 1 diabetes.
Type 1 diabetes accounts for less than 10% of all diabetes cases.
In India, it's believed that roughly 8.6 lakh people have type 1 diabetes.

Who discovered type 1 diabetes?

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Descriptions of conditions that seem to be diabetes have been found in ancient Egypt, Greece, China and India. However, our modern understanding of type 1 diabetes as an autoimmune disease developed in the 20th century.
In 1889, German doctors Joseph von Mering and Oskar Minkowski discovered the role the pancreas caused in the condition.
In 1921, Canadian doctors Frederick G Banting, Charles H Best and JJR Macleod discovered insulin.
Autoimmunity was discovered in the 1950s, and in 1955 British doctor Philip Hugh-Jones coined the terms "type 1" and "type 2" diabetes. These terms were popularised in 1976 by English medical researcher Andrew Cudworth, who discovered a link between type 1 diabetes and a specific genetic marker.

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