Treatment FAQ

what to do if you suspect type 1 diabetes if there is no treatment available

by Prof. Cicero Brekke Published 2 years ago Updated 2 years ago
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Medication

The bottom line is that you can manage type 1 diabetes with treatment. 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.

Nutrition

If the symptoms appear suddenly, the person should take a high-carb snack to resolve them, such as: The American Diabetes Association (ADA) recommend the following action: Take 15 grams (g) of carbohydrate and wait 15 minutes before testing blood sugar levels. If levels are still below 70 mg/dl, take another 15 g of carbs, wait, and test again.

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For type 1 diabetes, topics you want to clarify with your doctor, dietitian or diabetes educator include: 1 The frequency and timing of blood glucose monitoring. 2 Insulin therapy — types of insulin used, timing of dosing, amount of dose. 3 Insulin administration — shots versus a pump. 4 Low blood sugar — how to recognize and treat.

Can you manage Type 1 diabetes with treatment?

Untreated diabetes can lead to very serious—even fatal—health problems. Risk factors for type 1 diabetes are not as clear as for prediabetes and type 2 diabetes, though family history is known to play a part. A simple blood test will let you know if you have diabetes.

What should I do if my diabetes symptoms appear suddenly?

What questions should I ask my doctor about type 1 diabetes?

What happens if you don't treat type 1 diabetes?

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What happens if type 1 diabetes is left untreated?

Type 1 diabetes is when your pancreas doesn't produce any insulin at all. If left untreated, it can cause atherosclerosis (narrowing of blood vessels), heart disease, stroke, and eye and kidney diseases.

Can type 1 diabetics live without treatment?

If left untreated, type-1 diabetes is a life-threatening condition. It's essential that treatment is started early. Diabetes can't be cured, but treatment aims to keep your blood glucose levels as normal as possible and control your symptoms, to prevent health problems developing later in life.

How long do type 1 diabetics live without treatment?

The investigators found that men with type 1 diabetes had an average life expectancy of about 66 years, compared with 77 years among men without it. Women with type 1 diabetes had an average life expectancy of about 68 years, compared with 81 years for those without the disease, the study found.

What should you do if you suspect type 1 diabetes?

If you suspect that you or your child might have type 1 diabetes, get evaluated immediately. A simple blood test can let your doctor know if you need further evaluation and treatment. After diagnosis, you'll need close medical follow-up until your blood sugar level stabilizes.

Can a type 1 diabetic survive without insulin?

Without insulin, people with type 1 diabetes suffer a condition called Diabetic Ketoacidosis (DKA). If left untreated, people die quickly and usually alone. The tragic loss of life from DKA can be prevented. If insulin became freely accessible and affordable, lives could be saved.

How long can a type 1 diabetic survive without insulin?

The risk for people with T1D is a quick death from DKA (insulin deficiency exacerbated by illness, stress, and dehydration). “It only takes days to progress, and it is worsening over a day or two or three — so that gets you a week or so plus/minus, outside maybe 2 weeks,” Kaufman explains.

How can I reverse type 1 diabetes naturally?

The truth is, while type 1 diabetes can be managed with insulin, diet and exercise, there is currently no cure.

Is type 1 diabetes a death sentence?

Diabetes is not a death sentence.

How long can you live with uncontrolled diabetes?

A 55-year-old male with type 2 diabetes could expect to live for another 13.2–21.1 years, while the general expectancy would be another 24.7 years. A 75-year-old male with the disease might expect to live for another 4.3–9.6 years, compared with the general expectancy of another 10 years.

Can you test for type 1 diabetes at home?

A person cannot diagnose diabetes using home testing alone. People with unusual readings will need further testing by a doctor. The doctor might carry out fasting tests, oral glucose tolerance tests, HbA1c tests, or use a combination of these methods.

When should you suspect type 1 diabetes?

An A1C level of 6.5% or higher on two separate tests indicates diabetes. Fasting blood sugar test. A blood sample is taken after your child hasn't eaten (fasted) for at least 8 hours or overnight. A fasting blood sugar level of 126 mg/dL (7.0 mmol/L ) or higher suggests type 1 diabetes.

What does untreated diabetes feel like?

Among the signs and symptoms of uncontrolled diabetes are: Extreme fatigue. Frequent urination. Excessive thirst or hunger.

What to do if your child has diabetes?

Parents: Diabetes Care Tips. If you have a young child or teen who is newly diagnosed, they will need help with everyday diabetes care especially at first, such as checking blood sugar, taking insulin, and adjusting levels if they use an insulin pump.

What causes type 1 diabetes?

It isn’t completely clear what causes type 1 diabetes, but we know that diet and lifestyle habits don’t. Type 1 is thought to be the result of an autoimmune response, where your body attacks the cells in your pancreas that make insulin. Insulin is a hormone that acts like a key to let blood sugar into your body’s cells for use as energy. Sometimes infection with a virus seems to trigger the autoimmune response. Many people with type 1 diabetes have family members with type 1, but most don’t.

What happens if your blood sugar is too low?

If your blood sugar spikes very high and your insulin is low, you can develop diabetic ketoacidosis (DKA), a serious complication of diabetes that can be life-threatening.

Why do you need an insulin pump for a child?

Your child’s health care team will give you detailed information about managing your child’s diabetes, but here are some highlights: If your insurance and finances allow, have your child use an insulin pump to lower the risk of low blood sugar and help keep blood sugar levels in range .

How long does it take for blood sugar to stay in range?

Most people with diabetes aim for 70% time in range, or between 16 and 17 hours out of 24.

Why is it important to have steady blood sugar?

Steady blood sugar levels can help you have more energy, better sleep, an easier-to-manage appetite, better focus, and stable moods. If you’re having trouble meeting your target, talk to your doctor or diabetes educator about making changes to your treatment plan so you can stay in range longer and feel better.

How old is too old to get diagnosed with diabetes?

The peak age for being diagnosed with type 1 diabetes is around 13 or 14 years, but people can be diagnosed when they’re much younger (including babies) and older (even over 40).

What is a diabetic emergency?

A diabetic emergency happens when symptoms relating to diabetes overwhelm the body. At this point, home treatment is unlikely to help, and delaying medical care could cause permanent damage or death. Some of the signs that can indicate a serious problem include: chest pain that radiates down the arm.

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

In type 1 diabetes, the immune system destroys the cells that produce insulin. Type 2 diabetes reduces the body’s ability to respond to insulin. Consequently, the body does not produce enough insulin to manage the glucose in the body.

How to maintain blood sugar levels?

Eating healthful, balanced, regular meals: People who use insulin or other medications that lower blood glucose should ask their doctor about what foods to eat, how much, and when, in order to maintain stable blood sugar levels. Small, frequent meals are better than fewer larger meals.

Why does blood sugar drop when you have diabetes?

Hypoglycemia can occur for many reasons, but, in diabetes, it usually stems from the use of insulin or other medications that control blood sugar. Blood sugar levels may drop dangerously low when a person: takes more insulin than they need for their current food intake or exercise levels. consumes too much alcohol.

How many people died from diabetes in 2016?

However, the CDC state that diabetes, or complications related to it, is still the seventh most frequent form of death in the U.S., and it was responsible for nearly 25 deaths in every 100,000 in 2016. Hypoglycemia (low blood sugar), hyperglycemia (high blood sugar), diabetic ketoacidosis (DKA), greater susceptibility to infections, ...

What to do if you lose consciousness?

If they lose consciousness, any bystander should call 911 and ask for emergency medical help. If a person experience regular hypoglycemia despite following the treatment plan, or if changes in blood sugar level occur suddenly in response to a medication change, they should see a doctor.

What are the symptoms of hypoglycemia?

The warning signs of hypoglycemia include: confusion, dizziness, and nausea. feeling hungry. feeling shaky, nervous, irritable or anxious. sweating, chills, and pale, clammy skin. rapid heartbeat. weakness and tiredness. tingling in the mouth area. headaches.

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.

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) ...

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.

How to check blood sugar?

Recognize the signs of high or low blood sugar and what to do about it. Give yourself insulin by syringe, pen, or pump. Monitor your feet, skin, and eyes to catch problems early. Buy diabetes supplies and store them properly.

How long does it take for diabetes to show symptoms?

Type 1 diabetes symptoms can develop in just a few weeks or months. Once symptoms appear, they can be severe. Some type 1 diabetes symptoms are similar to symptoms of other health conditions.

What are the complications of diabetes?

Hypoglycemia and Diabetic Ketoacidosis. These 2 conditions are common complications of diabetes, and you’ll need to know how to handle them. Meet with your doctor for step-by-step instructions. You may want to bring a family member with you to the appointment so they learn the steps too.

Who manages diabetes?

Unlike many health conditions, diabetes is managed mostly by you, with support from your health care team (including your primary care doctor, foot doctor, dentist, eye doctor, registered dietitian nutritionist, diabetes educator, and pharmacist), family, teachers, and other important people in your life.

What tests are needed to determine if you have type 1 diabetes?

If blood sugar testing indicates diabetes, your doctor will likely recommend additional tests to distinguish between type 1 diabetes and type 2 diabetes because treatment strategies differ by type. These additional tests include: Blood tests to check for antibodies that are common in type 1 diabetes. Urine or blood tests to check ...

How to help a diabetic child with diabetes?

Encourage your child to get at least 60 minutes of physical activity daily or, better yet, exercise with your child. Make physical activity part of your child's daily routine.

What is the recommended A1C level for a child?

The American Diabetes Association generally recommends an A1C of 7.5 or lower for all children and teens.

How to treat diabetes in children?

Treatment for type 1 diabetes includes: Taking insulin. Carbohydrate counting. Frequent blood sugar monitoring.

What does A1C mean in a child?

This test indicates your child's average blood sugar level for the past three months. An A1C level of 6.5 percent or higher on two separate tests indicates diabetes. Fasting blood sugar test. A blood sample is taken after your child fasts overnight.

What to do if your child's blood sugar is high?

If your child's blood sugar is higher than the target range, follow your child's diabetes treatment plan or check with your child's doctor. High blood sugar levels don't come down quickly, so ask your doctor how long to wait until you check your child's blood sugar again.

What is the best way to deliver insulin?

There are several options for insulin delivery, including: Fine needle and syringe. This looks like a shot you might get in a doctor's office, but with a much thinner needle. Insulin pen with fine needle. This device looks like an ink pen, except the cartridge is filled with insulin. An insulin pump.

What to do if you have diabetes while pregnant?

What you can do: Call their doctor, then get them to the emergency room or urgent care. Having diabetes of any type while you're pregnant -- type 1, type 2, or gestational -- raises the odds of preeclampsia, a serious condition related to high blood pressure that can put the mom's and baby's health in danger.

What to do when someone passes out from hypoglycemia?

When someone passes out from hypoglycemia, it's a medical emergency. Don't try to give them food or liquid -- they could choke. You, or someone who knows how, should give them a glucagon shot -- not insulin! -- to raise their blood sugar to a safer level. Then call 911.

What is it called when you have too much insulin?

Hypoglycemia. This is what doctors call low blood sugar. It happens when someone has too much insulin compared with glucose in their blood. Sometimes hypoglycemia is called "insulin shock.". It's more common for people with type 1 diabetes, but people with type 2 diabetes who take insulin and other medicines to control blood sugar can get it, too. ...

How do you know if your blood sugar is low?

Most people with diabetes can tell when their blood sugar is low because of early warning signs like shakiness and hunger. They need to treat hypoglycemia as soon as possible to stop it from getting severe, which can lead to a seizure or a diabetic coma. Some people don't know when their blood sugar is low.

Why do people with diabetes run into trouble?

People with diabetes can run into trouble if their levels of blood sugar and insulin are out of balance. Usually they can take steps to correct what's going on and stop the symptoms.

How to tell if you have high ketones?

Trouble breathing. Feeling woozy, confused, or passing out. If someone has early signs, encourage them to test their pee with a ketone test kit. If their ketones are high, they should call their doctor. If they have serious signs, take them to the emergency room or urgent care right away.

What is the term for a person who doesn't have enough insulin?

Diabetic ketoacidosis, or DKA, is a life-threatening emergency caused when you don't have enough insulin and your liver has to break down fat into ketones for energy, but too fast for the body to handle. A buildup of ketones can change your blood chemistry and poison you. You could fall into a coma.

Overview

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.

Insulin

If your body is no longer producing enough insulin, you’ll need to take insulin every day to help regulate your blood sugar. Because glucose levels can fluctuate, people with type 1 diabetes usually need to check their blood sugar throughout the day to determine how much insulin they need to take.

Metformin

Metformin is an oral medication that is often prescribed to people with type 2 diabetes to help them control their glucose levels. This medication does not increase insulin in the body. Instead, it lowers glucose production, and also helps insulin work more effectively.

Medications

Your doctor might prescribe other medications, such as blood pressure medication, cholesterol-lowering medications, or aspirin. These medications don’t treat the diabetes itself, but help reduce the risk of other health problems that can be related to diabetes, such as hypertension, cardiovascular disease, and kidney problems.

Artificial Pancreas

An artificial pancreas is a medical device that mimics the work of a real pancreas by monitoring your blood sugar levels and releasing insulin automatically. Instead of checking your glucose levels and injecting yourself throughout the day, you wear a sensor under your skin, a continuous glucose monitor, and an insulin pump.

Islet Cell Transplantation

Islet cell transplantation is a procedure that takes healthy insulin-producing cells from a donor pancreas, and transplants them into a person with type 1 diabetes.

Pancreas Transplant

In some cases, doctors can take a healthy transplant from a deceased donor, and transplant it into the body of someone with type 1 diabetes. While this procedure can restore the body’s natural insulin production, it’s also risky, because the medications you have to take to prevent your body from rejecting the pancreas can have serious side effects.

What to do if you suspect you have diabetes?

If you suspect you may have diabetes, make an appointment with your doctor. They will want to know: You should also have a list of questions to ask your doctor regarding your warning signs or the condition itself. Your doctor will ask you questions about your symptoms and may decide to run some tests.

How to manage diabetes?

If you have type 1 diabetes you’ll need to manage your glucose levels by matching your insulin to your diet and activity.

What are the signs of diabetes type 2?

You may be diagnosed with diabetes because you go to the doctor for: persistent infections or a slow-healing wound.

What are the warning signs of diabetes?

The various types of diabetes may have similar or different warning signs. Some general warning signs of diabetes are: extreme thirst.

Why do you need insulin if you have diabetes?

If you have type 1 diabetes, you will need to take insulin for the rest of your life. That’s because your body doesn’t produce insulin.

How long does it take to get a glucose test?

Oral glucose tolerance (OGTT): This test takes 2 to 3 hours. Your blood glucose levels are tested initially and then repeated at intervals for 2 hours after consuming a specific sweet drink. Random plasma glucose test: You can have this test any time and do not need to be fasting.

How do you know if you have type 1 diabetes?

Type 1 diabetes is generally diagnosed in children and young adults, though it can occur at any age. A child may experience these additional symptoms: sudden, unintentional weight loss. wetting the bed after a history of being dry at night. a yeast infection in a prepubescent girl.

What is the closest thing to a cure for type 1 diabetes?

The closest thing to a cure for type 1 diabetes is a pancreas transplant. However, this is risky surgery to perform and those who receive transplants must take potent immunosuppressant drugs for the rest of their lives to keep their bodies from rejecting the new organ.

Why does Type 1 diabetes happen?

Type 1 diabetes may develop in children or adults when the immune system turns on itself and destroys cells in the pancreas that are responsible for producing insulin. It is considered an autoimmune disease. Why this happens is still unclear to researchers, but the three most likely culprits appear to be:

What are the symptoms of the body starving for glucose?

Frequent thirst. Fatigue or mood changes. It’s easy to understand these symptoms when you realize that the body is starving for glucose. Hunger, weight loss, and fatigue are symptoms of the body’s inability to use glucose for energy.

How many blood tests are there for diabetes?

There are three standard blood tests typically used to diagnose type 1 and type 2 diabetes. You may be diagnosed with type 1 diabetes if you meet one of the following criteria

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

In type 1, insulin production diminishes and may cease altogether. In type 2, the pancreas continues to make insulin, but it is not enough to keep the glucose in balance. It’s also possible that the pancreas is making adequate amounts of insulin, but the body uses it poorly (called insulin resistance ), most often because the person is overweight. The vast majority of those who have been diagnosed with diabetes have type 2.

How many people get type 1 diabetes?

It is estimated that about 15,000 children and teens in the United States are diagnosed with type 1 each year.

What are the symptoms of diabetes in children?

Symptoms of the disease in children often looks like: Frequent bed-wetting. Weight loss.

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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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Diagnosis

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Treatment

  • Careful management of type 1 diabetes can reduce your risk of serious — even life-threatening — complications. Consider these tips: 1. Make a commitment to manage your diabetes.Take your medications as recommended. Learn all you can about type 1 diabetes. Make healthy eating and physical activity part of your daily routine. Establish a relationship with a diabetes educator, and …
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Clinical Trials

  • Diabetes can affect your emotions both directly and indirectly. Poorly controlled blood sugar can directly affect your emotions by causing behavior changes, such as irritability. There may be times you feel resentful about your diabetes. People with diabetes have an increased risk of depression and diabetes-related distress, which may be why many diabetes specialists regularly include a s…
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Lifestyle and Home Remedies

  • If you suspect that you or your child might have type 1 diabetes, get evaluated immediately. A simple blood test can let your doctor know if you need further evaluation and treatment. After diagnosis, you'll need close medical follow-up until your blood sugar level stabilizes. A doctor who specializes in hormonal disorders (endocrinologist) generally coordinates diabetes care. Your h…
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Coping and Support

  • There are several blood tests for type 1 diabetes in children. These tests are used to diagnose diabetes and to monitor diabetes management: 1. Random blood sugar test.This is the primary screening test for type 1 diabetes. A blood sample is taken at a random time. A blood sugar level of 200 milligrams per deciliter (mg/dL), or 11.1 millimoles per liter (mmol/L), or higher, along wit…
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Preparing For Your Appointment

  • Treatment for type 1 diabetes includes: 1. Taking insulin 2. Monitoring blood sugar 3. Eating healthy foods 4. Exercising regularly You'll work closely with your child's diabetes treatment team — health care provider, certified diabetes care and education specialist, and registered dietitian. The goal of treatment is to keep your child's blood suga...
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