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Diabetes

Diabetes and blood sugar: Symptoms, Complications, cost and Treatment

What is diabetes mellitus type 1?

Diabetes mellitus type 1 also known as juvenile diabetes, is a form of diabetes in which very little or no insulin is produced by the pancreas. Insulin is a hormone required for the body to use blood sugar. Before treatment this results in high blood sugar levels in the body. The classic symptoms are frequent urination, increased thirst, increased hunger, and weight loss. Additional symptoms may include blurry vision, tiredness, and poor wound healing. Symptoms typically develop over a short period of time.

Diabetes Mellitus Type 1 is the most severe form of diabetes, in which not enough insulin is produced by the body. The lack of insulin results in high blood sugar levels.

Insulin is a hormone produced by the pancreas that allows your body to use glucose (a type of sugar found in many carbohydrates) for energy. Insulin also helps to balance your blood glucose or blood sugar levels, by preventing it from getting too high (hyperglycemia) or too low (hypoglycemia).

Please Note: If your glucose levels are below 50 mg/dL or above 200 mg/dL you need to be admitted to the emergency room without delay.

How does diabetes type 1 occur?

The exact cause of type 1 diabetes is unknown. Medical experts agree on the fact that this is an autoimmune condition in which the immune system of the body is mistakenly conditioned to attack and destroy the cells in the pancreas, which produces the hormone insulin.

Insulin helps to unlock the cells of the body to allow the sugar (glucose) to enter them so that the glucose is transformed into energy. If there is more sugar in the body than is required, the insulin helps to store the sugar in the liver and releases it when the blood sugar level is low, or when the body needs more sugar, such as in between meals or during vigorous physical activity. Therefore, insulin helps to balance out the blood sugar level and keep it in a normal range. As blood sugar level increases, the pancreas secrete more insulin.

If your body does not produce enough insulin or the cells in your body are resistant to the effects of insulin, you may develop hyperglycemia (high blood sugar). If the blood sugar levels stay elevated for long periods of time it can lead to long-term complications.

In diabetes type 1, insulin does not get produced in the body. Without insulin, the cells are starved of energy, and the sugar levels keep rising in the blood.

Who is prone to diabetes type 1?

People can be prone to diabetes mellitus type 1 due to :

  • Viral Infections: such as German measles, coxsackie, and mumps, which can prompt the immune system to turn against the body instead of fighting for it.
  • Ethnicity: Some ethnicity have a higher incidence of diabetes mellitus type 1.
  • Genetics: If anyone in your family has type 1 diabetes, you are at an increased risk of developing it.
  • Cold Weather: It has been observed that there are more occurrences of type 1 diabetes among people living in colder climates.
  • Chemicals and drugs:Some chemicals and drugs selectively destroy pancreatic cells. Pyrinuron was withdrawn from the U.S. market in 1979 and it is not approved by the Environmental Protection Agency for use in the U.S. Streptozotocin (Zanosar), an antineoplastic agent, is selectively toxic to the beta cells of the pancreatic islets. It is used in research for inducing type 1 diabetes on rodents and for treating metastatic cancer of the pancreatic islet cells in patients whose cancer cannot be removed by surgery. Other pancreatic problems, including trauma, pancreatitis, or tumors (either malignant or benign) can also lead to loss of insulin production.
  • Childhood Diet: It has been observed that children who were breastfed were less likely to develop type 1 diabetes. On the contrary, children who were given cow?s milk at an early age have a higher risk of developing type 1 diabetes.

What are the symptoms of diabetes mellitus type 1? How is diabetes type 1 diagnosed?

Symptoms of high blood sugar or Diabetes Mellitus Type 1 include:

  • Excessive urination
  • Excessive thirst
  • Sudden weight loss
  • Fatigue
  • Increased hunger
  • Blurry vision
  • Slow healing wounds

Diagnosis

Diagnosis of diabetes type 1 usually includes one or more blood tests:

  • The doctor will advise you to undergo a Glycated haemoglobin (A1C) test. This test indicates your blood sugar levels for the past two to three months.This test measures the percentage of haemoglobin ? an oxygen-transporting protein in red blood cells ? to which the blood sugar is attached. A high percentage of haemoglobin (6.5 % or higher) indicates diabetes.
  • After the Glycated haemoglobin (A1C) test the doctor will ask you to undergo an autoantibody test, which checks for antibodies that attack the pancreatic cells.

The doctor may also ask you to undergo a Random Blood Sugar Test, Fasting Blood Sugar Test and an Oral Glucose Tolerance Test (OGTT).

What are the complications of diabetes type 1?

If not managed properly, diabetes type 1 can lead to some serious complications such as:

  • Hypoglycemia or Low Blood Sugar - Low blood sugar develops when you take more than the required dosage of insulin.
  • Microvascular Complications - Damage to both tiny and large blood vessels due to uncontrolled blood glucose which may lead to eye, kidney or nerve diseases.
  • Macrovascular Complications - Plaque build up in the in the arteries leading to possible heart attack or stroke.

What is the treatment for diabetes type 1?

Medical Treatment

The medical treatment for diabetes type 1 includes taking insulin either through injections or through insulin pumps. Additional medicines may be prescribed by the doctor to keep your blood pressure and cholesterol under control. Regularly checking your blood sugar levels is necessary.

Please consult a general physician, diabetologist or an endocrinologistif you suspect that you suffer from symptoms of diabetes.
Treatment for type 1 diabetes includes:

Personal care

  • Taking insulin
  • Carbohydrate, fat and protein counting
  • Frequent blood sugar monitoring
  • Eating healthy foods
  • Exercising regularly and maintaining a healthy weight

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  • B Roy says:

    I had been having great problems in controlling my Diabetes as itd type 1diabetes, despite taking multiple injections per day it was never comfortable. ..used to many low sugar episodes. ..But post meeting/ consultation with Dr.Raja and team , I feel very comfortable. .I have no hypo episode s and my blood sugars are very well controlled. I feel very confident after meeting Dr.Raja and team..