Treatment FAQ

what treatment and therapy is currently availabe for type 1 diabetes

by Miss Marianna Howell IV Published 3 years ago Updated 2 years ago

The current standard-of-care for T1D is exogenous insulin replacement therapy. Recent developments in this field include the hybrid closed-loop system for regulated insulin delivery and long-acting insulins.May 3, 2019

Medication

Type 1 diabetes

  • Diagnosis. Glycated hemoglobin (A1C) test. ...
  • Treatment. The goal is to keep your blood sugar level as close to normal as possible to delay or prevent complications.
  • Lifestyle and home remedies. Careful management of type 1 diabetes can reduce your risk of serious — even life-threatening — complications.
  • Coping and support. ...
  • Preparing for your appointment. ...

Nutrition

While type 1 diabetes can be controlled, decades of research still have not produced a permanent cure. People define such a cure in different ways. An ideal cure would be to eliminate the cause, but a more realistic prospect is to achieve normal blood sugars without the need for injected insulin.

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With all the research on diabetes and advances in diabetes treatments, it's tempting to think someone has surely found a diabetes cure by now. But the reality is that there is no cure for diabetes -- neither type 1 diabetes nor type 2 diabetes. (Although lifestyle changes can achieve remission in type 2 diabetes in some cases.)

What are all the treatment options for Type 1 diabetes?

  • maintaining a moderate weight
  • reducing stress and improving mood
  • increasing energy levels
  • helping joints and flexibility
  • improving cholesterol levels
  • reducing blood pressure

Is there a permanent cure for diabetes type 1?

Are We close to a cure for Type 1 diabetes?

What you should know about treating Type 1 diabetes?

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 is GLP-1 in diabetes?

GLP-1 is a hormone of the incretin system that is secreted upon food intake. A marked uptake has been seen in the use of GLP-1 RAs in type 2 diabetes due to their pleiotropic glucose-dependent effects that improve glycaemic control and reduce body weight [90].

What are some strategies to help beta cells?

Correspondingly, beta cell rescue strategies are being pursued, which include antigen vaccination using, for example, oral insulin or peptides, as well as agents with suggested benefits on beta cell stress, such as verapamil and glucagon-like peptide-1 receptor agonists.

Does pramlintide help with postprandial glucose?

In type 1 diabetes, pramlintide has been shown to improve postprandial glucose levels to some extent [72]. Its clinical use has been limited, arguably because of the modest efficacy alongside the occurrence of side effects, such as nausea and, most importantly, postprandial hypoglycaemia. Metformin.

Is type 1 diabetes more likely to cause cardiovascular disease?

The all-cause mortality risk is around threefold higher for the individual with type 1 diabetes than for the general population [2–4, 26], and type 1 diabetes has been shown to be linked to cardiovascular outcomes more than any other disease, including type 2 diabetes [2].

Is type 1 diabetes asymptomatic?

In its early stage (Stage 1), type 1 diabetes is usually asymptomatic; however, the development of autoimmunity is often detectable in early life, with circulating autoantibodies targeting insulin or other proteins, such as GAD65, insulinoma-associated protein 2 (IA­2) or zinc transporter 8 (ZNT8) [5].

Does metformin help with diabetes?

However, partly because of its ameliorating effect on insulin resistance, metformin has been somewhat promising in managing the disease, especially in children and adolescents, as well as in obese people with type 1 diabetes, with studies indicating reduced insulin requirements and body weight reduction [73–75].

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 ...

How does type 1 diabetes work?

By Editor. Central to the treatment of type 1 diabetes is to keep a balance of the right amount of insulin to keep blood glucose levels from being either too high or too low. 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 ...

How does insulin work?

As a result, insulin needs to be taken by injection or another delivery means such as by infusion with an insulin pump. Insulin is a hormone in the body that helps to move glucose out of the blood and into cells for energy.

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 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.

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 you produce insulin on your own?

Type 1 diabetes completely damages the pancreas, an organ responsible for making insulin. For that reason, persons with type 1 diabetes cannot produce any insulin on their own. Every patient with type 1 diabetes depends on injections of insulin so that glucose can be used as energy in the body.

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.

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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