Type 1 Diabetes - Topic Overview

Type 1 Diabetes
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What causes type 1 diabetes?

The body makes insulin in beta cells, which are in a part of the pancreas called the islet (say "EYE-let") tissue. Type 1 diabetes starts because the body destroys the beta cells. Experts don't know why this happens.

Some people have a greater chance of getting type 1 diabetes, because they have a parent, brother, or sister who has it. But most people with the illness don't have a family history of it.

Other things that increase the risk of getting type 1 diabetes are being white and having islet cell antibodies in the blood.

What are the symptoms?

Symptoms of diabetes are:

  • Being very thirsty.
  • Urinating a lot.
  • Losing weight without trying.
  • Being hungrier than usual (sometimes).
  • Blurry eyesight.

These symptoms usually appear over a few days to weeks. Sometimes people notice symptoms after an illness, such as the flu. They may think that the diabetes symptoms are because of the flu, so they don't seek medical care soon enough.

If a person waits too long to get medical care, he or she may get symptoms of diabetic ketoacidosis. Symptoms of this problem include:

  • Flushed, hot, dry skin.
  • Not feeling hungry.
  • Belly pain.
  • Vomiting.
  • A strong, fruity breath odor.
  • Fast and shallow breathing.
  • Restlessness, drowsiness, or trouble waking up.
  • Confusion.

How is type 1 diabetes diagnosed?

A doctor asks questions about the person's health and does a physical exam. A blood test measures the person's glucose.

Some people are diagnosed with type 1 diabetes because they have symptoms of diabetic ketoacidosis.

How is it treated?

Treatment for type 1 diabetes focuses on keeping blood sugar levels within a target range. A person with type 1 diabetes needs to:

  • Take insulin through daily shots or an insulin pump.
  • Eat a healthy diet that spreads carbohydrate throughout the day.
  • Check blood sugar levels several times a day.
  • Get regular exercise.

When a small child has diabetes, the parents have the responsibility for blood sugar control. As the child grows, he or she can take over more of the diabetes care.

Treatment may change based on the results of daily home blood sugar tests and other tests or exams.

Can type 1 diabetes be prevented?

There is no way to prevent type 1 diabetes. But studies are being done to find ways to prevent or delay diabetes in people who are most likely to get it.

Tight control of blood sugar and blood pressure can help people with type 1 diabetes prevent or delay problems with their eyes, kidneys, heart, blood vessels, and nerves.

Frequently Asked Questions

Learning about type 1 diabetes:

Being diagnosed:

Getting treatment:

Ongoing concerns:

Living with type 1 diabetes:

By: Healthwise Staff
Medical Review: John Pope, MD - Pediatrics
David C.W. Lau, MD, PhD, FRCPC - Endocrinology
Last Revised: September 14, 2010

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