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Read our Diabetes FAQs for more on the symptoms of diabetes and the health complications it can cause.
About 10% of people with diabetes have type 1. It happens when your immune system malfunctions and attacks the pancreas, damaging it so it can’t produce insulin.
This autoimmune reaction often runs in families. If you have a parent or sibling with type 1, you have a 12 times higher risk of getting it yourself than someone without a close relative with the condition.
Type 1 cannot really be cured. But it can be treated.
You’ll need to inject insulin, perhaps 2-4 times a day. (It has to be injected because insulin would get broken down by the digestive system instead of entering the bloodstream if given in tablet form.) Your care team will show you how. Common methods include the insulin pen or insulin pump.
Your blood sugar will be monitored long-term by your care team (using the HbA1c blood test) and often several times a day by you. This is usually through a blood glucose meter (which involves pricking your finger to get a drop of blood) but there are also continuous glucose monitoring (CGM) devices available which are worn just underneath the skin and measure blood sugar automatically every few minutes. Ask your care team about CGMs.
You may need other meds to reduce the risk of complications.
If levels get too high in type 1, it can lead to diabetic ketoacidosis (DKA).
Symptoms of DKA include peeing a lot, thirst, lack of energy, blurred vision, stomach ache, being sick, collapsing and unconsciousness. There is often a smell of ketones on the breath. High levels of this chemical in your blood are a sign that the body is burning its own fat for energy not glucose. Ketones smell sweet, a bit like pear drops or nail polish.
DKA is very serious and can kill if untreated. If you develop DKA symptoms (even if you have not been diagnosed with diabetes), get to hospital immediately. It’s important to be aware of this as sometimes the first adults with late onset type 1 know about it is a when they have a DKA.
Hypogalcaemia, or low blood sugar, is sometimes called a hypo.
You feel shaky and weak with slurred speech and confusion (a little like being drunk). A quick hit of sugar (or glucose tablets) followed by a slower carb like fruit or a sandwich should return blood sugar to safe levels in an hour or two. In more serious cases, you can lose consciousness and may need an injection of the hormone glucagon.
It is important to react quickly to a hypo so, if you have diabetes, make sure your family and friends know the signs and what to do.
|This content is wholly based on the Men's Health Forum's Diabetes For Men which was prepared in line with the NHS England Information Standard of which the MHF is a member. Follow the links for more information or to buy copies.|
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Date of last review 02/08/18
Date of next review 02/08/21
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