Treatment FAQ

what is the treatment for type 1 diabetes?

by Amos Konopelski Published 3 years ago Updated 2 years ago
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People who have type 1 diabetes must take insulin as part of their treatment. Because their bodies can't make insulin anymore, they need to get the right amount to keep their blood sugar levels in a healthy range. The only way to get insulin into the body now is by injection with a needle or with an insulin pump.

Medication

Type 1 diabetes is treated with:

  • insulin,
  • exercise, and a
  • type 1 diabetes diet.

Nutrition

  • Do your best to keep your blood sugar under control.
  • Monitor your blood pressure and cholesterol.
  • Eat well and exercise.
  • If you smoke, quit.
  • Take care of your feet and teeth.
  • Have regular medical, dental, and vision exams.

See more

Type 1 diabetes is a disease in which your pancreas doesn’t make enough insulin. Without insulin, too much glucose (sugar) builds up in your blood. Untreated Type 1 diabetes can cause serious health complications, including coma or even death. People with Type 1 diabetes need insulin every day. What is Type 1 diabetes?

What are various treatment options for Type 1 diabetes?

Type 1 diabetes in children

  • Diagnosis. Random blood sugar test. ...
  • Treatment. You'll work closely with your child's diabetes treatment team — doctor, diabetes educator and dietitian — to keep your child's blood sugar level as close to normal as possible.
  • Clinical trials. ...
  • Lifestyle and home remedies. ...
  • Alternative medicine. ...
  • Coping and support. ...
  • Preparing for your appointment. ...

What to do if you have type 1 diabetes?

Is type 1 diabetes a serious disease?

How do we treat type 1 diabetes?

See more

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What is the first treatment for type 1 diabetes?

Insulin injected subcutaneously is the first-line treatment of type 1 diabetes mellitus (DM). The different types of insulin vary with respect to onset and duration of action. Short-, intermediate-, and long-acting insulins are available.

How can type 1 diabetes be treated or cured?

The truth is, while type 1 diabetes can be managed with insulin, diet and exercise, there is currently no cure. However, researchers with the Diabetes Research Institute are now working on treatments to reverse the disease, so that people with type 1 diabetes can live healthy lives without medication.

What is type 1 diabetes and what is the treatment for this disease?

Despite active research, type 1 diabetes has no cure. Treatment focuses on managing blood sugar levels with insulin, diet and lifestyle to prevent complications.

Can type 1 diabetes be treated without insulin?

For people with “traditional” T1D, particularly those diagnosed in childhood or adolescence, to survive without insulin, “they would need to stay on carbohydrate restriction and stay very hydrated,” Kaufman says. But their survival rate is “multiple days, to a few weeks, getting sicker and weaker as time goes on.

What causes diabetes type 1?

What Causes Type 1 Diabetes? Type 1 diabetes is thought to be caused by an autoimmune reaction (the body attacks itself by mistake). This reaction destroys the cells in the pancreas that make insulin, called beta cells. This process can go on for months or years before any symptoms appear.

Can type 1 diabetes be treated with tablets?

If you have type 1 diabetes, you'll need to use insulin to treat your diabetes. You take the insulin by injection or by using a pump. If you have Type 2 diabetes, you may have to use insulin or tablets, though you might initially be able to treat your diabetes by eating well and moving more.

What is the best treatment for diabetes?

Metformin is generally the preferred initial medication for treating type 2 diabetes unless there's a specific reason not to use it. Metformin is effective, safe, and inexpensive. It may reduce the risk of cardiovascular events. Metformin also has beneficial effects when it comes to reducing A1C results.

Which is worse type 1 or type 2 diabetes?

Type 2 diabetes is often milder than type 1. But it can still cause major health complications, especially in the tiny blood vessels in your kidneys, nerves, and eyes. Type 2 also raises your risk of heart disease and stroke.

How to manage type 1 diabetes?

By taking insulin, working with your doctor to get the right medications, eating a healthy diet, and getting regular exercise, you can keep your blood sugar levels under control, prevent complications, and stay healthy for the activities you enjoy.

How to control blood sugar levels in type 1 diabetes?

Monitoring carbohydrates can help you avoid a blood sugar spike and plan ahead for the amount of insulin you need to take. Eating a healthy diet with plenty of fruits, vegetables, and whole grains, and limiting animal proteins, sugars, and refined carbohydrates like white bread can also help you stabilize your blood sugar and keep your heart and cardiovascular system healthy.

How does diabetes affect mood?

Managing type 1 diabetes can be stressful, and fluctuating glucose levels can affect your mood throughout the day. Diabetes can also increase your risk of depression. It’s important to manage your stress by getting enough sleep and finding support.

What is an insulin pump?

Insulin pump. An insulin pump is a device you wear on your body at all times. Instead of injecting yourself throughout the day, the pump delivers a steady dose of insulin, as well as supplemental doses at meal times. You’ll need to maintain and refill the pump, and move it to a different site on your body every few days.

How to help someone with diabetes?

Your physician might have a counselor or social worker on their diabetes care team, or you can find a therapist to speak with on your own. There are also many diabetes support groups where you can talk with people who understand the challenges you are facing and can share their experiences and suggestions. Finally, talking to a supportive friend or family member can help reduce your stress.

How long does it take for insulin to work?

Rapid-acting insulin, which starts working in 15 minutes after injection and lasts three to four hours.

What happens when you have type 1 diabetes?

With type 1 diabetes, your pancreas loses the ability to make enough insulin, a hormone that helps the body absorb blood sugar, or glucose, and convert it to energy. When this happens, the sugar builds up in your blood. Over time, this can damage your blood vessels as well as important organs throughout your body, like your heart, kidneys, eyes, and nervous system.

How to treat type 1 diabetes?

Another form of treating type 1 diabetes is to have an injection of insulin producing cells. This procedure, known as islet cell transplantation, allows the transplanted insulin producing islet cells to produce insulin inside your body. Islet cell transplantation can help to reduce the amount of insulin you need to take ...

What are the skills needed to control type 1 diabetes?

Ability to calculate how much insulin is needed for that amount of carbohydrate. Carbohydrate counting and insulin dose adjustment are key skills to learn in order to best control type 1 diabetes.

What happens when the immune system kills the insulin producing cells?

In type 1 diabetes the body’s immune system kills of the insulin producing cells leaving the pancreas unable to produce enough insulin to keep blood glucose levels at healthy levels.

Why is carbohydrate counting important?

Carbohydrate counting and insulin dose adjustment. Because the carbohydrate in food raises blood sugar levels, it is important that we balance the amount of insulin we take at meals in proportion with the amount of carbohydrate we eat. Carbohydrate counting and insulin dose adjustment are key skills to learn in order to best control type 1 diabetes.

What happens when you are diagnosed with type 1 diabetes?

The thought of injecting each day can be a big shock at first but once you get the hang of it, it becomes a manageable part of life.

What does DAFNE stand for in diabetes?

One popular type of carbohydrate counting courses is called DAFNE which stands for dose adjustment for normal eating .

What is an alternative to insulin?

An alternative way of taking insulin is to use an insulin pump. An alternative name for insulin pump therapy is continuous insulin infusion therapy because insulin pumps work by continuously delivering small amounts of insulin into the body.

How to manage diabetes?

This section focuses on the medical management of type 1 diabetes. And as the term “medical management” implies, this management is done with the guidance of your medical provider and medical team. The key principles of medical management are: 1 Regular blood sugar (and ketone) self monitoring as a part of daily living 2 Taking insulin 3 Problem solving how and when to make adjustments in your food and insulin doses to prevent high or low blood sugars 4 Understanding complications and how to screen for, prevent and treat them

What does self blood sugar monitoring mean?

The self blood sugar monitoring will indicate if you need to adjust the dose of insulin. Regular screening for diabetes-related complications may pick up a complication that is in the early stages, and early treatment usually gives the best results.

What is the test for type 1 diabetes?

If your doctor thinks you have type 1 diabetes, your blood may also be tested for autoantibodies (substances that indicate your body is attacking itself) that are often present with type 1 diabetes but not with type 2. You may have your urine tested for ketones (produced when your body burns fat for energy), which also indicate type 1 diabetes instead of type 2.

How common is type 1 diabetes?

Type 1 diabetes is less common than type 2 —approximately 5-10% of people with diabetes have type 1. Currently, no one knows how to prevent type 1 diabetes, but it can be managed by following your doctor’s recommendations for living a healthy lifestyle, managing your blood sugar, getting regular health checkups, and getting diabetes self-management education and support.

What is a DKA?

Diabetic ketoacidosis (DKA) is a serious complication of diabetes that can be life-threatening. DKA develops when your body doesn’t have enough insulin to allow blood sugar into your cells for use as energy. Very high blood sugar and low insulin levels lead to DKA. The two most common causes are illness and missing insulin shots.

What is the hormone that helps blood sugar enter the cells in your body?

Insulin is a hormone that helps blood sugar enter the cells in your body where it can be used for energy. Without insulin, blood sugar can’t get into cells and builds up in the bloodstream. High blood sugar is damaging to the body and causes many of the symptoms and complications of diabetes. Type 1 diabetes (previously called insulin-dependent ...

How does Type 1 diabetes happen?

Type 1 diabetes is thought to be caused by an autoimmune reaction (the body attacks itself by mistake) that destroys the cells in the pancreas that make insulin, called beta cells. This process can go on for months or years before any symptoms appear. Some people have certain genes (traits passed on from parent to child) ...

How to prevent diabetes complications?

Keeping your blood sugar levels as close to target as possible will help you prevent or delay diabetes-related complications. Stress is a part of life, but it can make managing diabetes harder, including managing your blood sugar levels and dealing with daily diabetes care.

Why do you need insulin every day?

If you have type 1 diabetes, you’ll need to take insulin shots (or wear an insulin pump) every day to manage your blood sugar levels and get the energy your body needs. Insulin can’t be taken as a pill because the acid in your stomach would destroy it before it could get into your bloodstream.

What type of insulin is used for diabetes?

Two major types of insulin are used to treat patients with type 1 diabetes: rapid-acting or short- acting and long-acting insulin.

When is insulin taken?

The usual treatment schedule is: The long acting insulin is typically taken at bedtime and/or morning. Nutritional insulin is taken before each meal, based on how many carbohydrates are in the meal, ...

What is correctional insulin?

Correctional insulin corrects high blood glucose before meals. Similar to nutritional insulin. Similar to nutritional insulin. Most patients with type 1 diabetes are treated with “intensive” or “basal-bolus” insulin therapy, which requires four injections a day. This method allows a great deal of flexibility with regards to the types ...

Can type 1 diabetes produce insulin?

For that reason, persons with type 1 diabetes cannot produce any insulin on their own.

Is every treatment regimen individualized?

However, every individual treatment regimen is individualized; talk to your health care provider about the best regimen for you.

Is insulin taken before or after a meal?

Nutritional insulin is taken before each meal, based on how many carbohydrates are in the meal, in addition to correctional insulin which is based on the blood glucose reading before the meal. Meeting with a dietitian can help patients learn carbohydrate counting, with specific dosing recommendations from the health care provider.

What is the biological cure for diabetes?

A biological cure means treatment that would help the body start producing its own insulin again, restoring blood sugars to normal levels without introducing other risks. This research focuses on a process called islet transplantation.

What is the goal of the Diabetes Research Institute?

With more research, our goal is to effectively reverse type 1 diabetes, restoring the body’s ability to normalize blood sugar levels naturally. Get more answers to your questions about type 1 diabetes, type 2 diabetes and gestational diabetes symptoms and treatments.

What is a clinical trial?

A clinical trial is a study that takes treatments that have been developed in lab and pre-clinical research, and tests them in human patients. DRI scientists have a number of clinical trials currently underway, including an islet transplant study that is testing the omentum as an alternative transplant site to the liver. Other ongoing clinical trials include the POSEIDON Trial, which tests whether high doses of vitamin D and Omega-3 fatty acids can help slow or stop the progression of type 1 diabetes in newly diagnosed children and adults.

How long can you live without insulin?

And in 2019, a study by DRI scientists showed that a small group of patients who received islet transplants had been able to live without insulin injections for 10 years, while maintaining blood sugar levels that were in the same range as people who had never had type 1 diabetes.

What happens if you don't have insulin?

With type 1 diabetes, your pancreas stops making insulin, a hormone that helps the body convert blood sugar into energy. Without insulin, sugar builds up in the blood and can damage your internal organs , including your heart, kidneys, eyes, nervous system, and other parts of the body. This can lead to serious or life-threatening complications ...

Can islet transplants eliminate insulin injections?

DRI scientists have already shown that islet transplantation can eliminate the need for insulin injections. Now they are working to improve the science so that more people can benefit from this treatment.

Can you reverse type 1 diabetes?

For a century, treatment for type 1 diabetes has focused on managing the disease. Thanks to past advancements in medicine, patients are able to control their blood glucose levels with regular insulin injections or an insulin pump. Now clinical trials are underway for treatments to reverse type 1 diabetes and restore the body’s ability ...

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Coping and Support

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment inlcudes lifestyle modifications and taking insulin to keep the sugar levels under control.
Medication

Insulin replacement therapy: Insulin, the hormone that regulates blood glucose is regularly administered either through injection, or by using an insulin pump.

Insulin

Nutrition

Foods to eat:

  • Foods rich in simple proteins like beans lentils and nuts
  • Foods containing complex carbohydrates like brown rice, barley and oat meal
  • Fruits and vegetables with less amount of sugars like papaya, watermelon and muskmelon

Foods to avoid:

  • Foods rich in simple carbohydrates white rice and bread
  • Foods rich in complex proteins like red meat processed meat and poultry with skin
  • Foods rich in sugars like jams, jellies and cookies
  • Foods rich in fats like butter, chips, mayonnaise and junk food
  • Fruits and vegetables with high amount of sugars like bananas and potatoes

Specialist to consult

Diabetologist
Specializes in the treatment of diabetes mellitus.
Endocrinologist
Specializes in the function and disorders of the endocrine system of the body.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Preparing For Your Appointment

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Diagnostic tests include: 1. Glycated hemoglobin (A1C) test.This blood test indicates your average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to the oxygen-carrying protein in red blood cells (hemoglobin). The higher your blood sugar levels, the more hemog…
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