What is type 1 diabetes?
Your body changes
most of the food you eat into a form of sugar (also called
glucose). Insulin is a hormone that allows this sugar to
enter all the cells of your body and be used as energy. A
person who has type 1 diabetes can't make insulin. Without
insulin, sugar builds up in the blood and can damage
internal organs, the nervous system and blood vessels.
Type 1 diabetes is also called insulin-dependent diabetes.
It is sometimes called juvenile diabetes because it is
usually discovered in children and teenagers, but adults may
also have it.
What
problems can type 1
diabetes cause?
People with type 1
diabetes are more likely
to have heart disease,
stroke, kidney failure,
high blood pressure,
blindness, nerve damage
and gum disease. These
things happen 2 to 4
times more often in
people with diabetes
than in people without
diabetes. When you have
type 1 diabetes, blood
may not move as well
through your legs and
feet. If left untreated,
this condition can
become very serious and
lead to amputation (removal)
of your feet. Untreated
type 1 diabetes can
cause a person to go
into a coma. It can even
kill you. The good news
is that treatment can
help prevent these
problems
How
can these problems be
prevented?
To help prevent these
problems, follow your
doctor's advice about
diet and exercise. Also,
carefully follow your
doctor's instruction for
taking your insulin. You
shouldn't smoke, and you
should keep your blood
pressure and cholesterol
at healthy levels. If
you do all of these
things, your risk of
problems from diabetes
can be cut by more than
75 percent.
What
should I eat?
The best diet for people
with type 1 diabetes is
low in fat, low in salt
and low in added sugars.
It has lots of complex
carbohydrates (like
whole-grain breads,
cereals and pasta),
fruits and vegetables.
This diet will help you
control your blood sugar
level, as well as your
blood pressure and
cholesterol levels. It’s
also important to watch
your portion size so you
can maintain a healthy
weight.
How
do I control my blood
sugar level?
People with type 1
diabetes take insulin to
keep their blood sugar
level as close to normal
as possible. Your doctor
will explain how and
when you should take
insulin.
Many people with type 1
diabetes take short-acting
insulin before each
meal. You can adjust the
amount of insulin you
take for each meal based
on how many
carbohydrates you eat.
Counting the
carbohydrates in your
food can help you plan
your meals, especially
if you take insulin. If
you eat the same amount
of carbohydrates at each
meal, you can keep your
blood sugar from getting
too high or too low.
Your dotor can teach you
how to count the
carbohydrates you
consume in each meal and
adjust your insulin dose
accordingly.
To keep their blood
sugar levels from rising
during the night, most
people with type 1
diabetes need to take an
intermediate-acting
insulin before they go
to sleep. Your doctor
will work with you to
determine the right
amount of insulin for
you to take with meals
and at bedtime.
How
will I know if my blood
sugar level is too high?
The best way to monitor
your blood sugar level
is to test it at least 3
times each day,
including at bedtime.
What
should I do if my blood
sugar level is too high?
If your blood sugar
level goes higher than
it should, you may need
to take an extra dose of
short-acting insulin to
return your blood sugar
to the normal range.
Your doctor can tell you
how much insulin you
need to take to lower
your blood sugar level.
What
are the signs of low
blood sugar?
People who take insulin
may have times when
their blood sugar level
is too low. This low
blood sugar is called
hypoglycemia. Signs of
hypoglycemia include the
following:
- Feeling tired
for no reason
- Yawning a lot
- Being unable to
speak or think
clearly
- Losing muscle
coordination
- Sweating
- Twitching
- Having seizures
- Suddenly feeling
like you’re going to
pass out
- Becoming very
pale
If you have any of the
problems listed above,
eat or drink something
sweet, such as fruit
juice, regular (not diet)
soda or candy, right
away.
Be sure you teach your
friends, work colleagues
and family members how
to treat hypoglycemia,
because sometimes you
may need their help.
Also, keep a supply of
glucagon at home.
Glucagon is another
medicine you inject in a
shot. It will raise your
blood sugar level. If
you are unconscious or
can’t eat or drink,
another person can give
you a shot of glucagon.
This will bring your
blood sugar level back
to normal.
How
else can I prevent
complications?
The tips below can help
you stay healthy if you
have type 1 diabetes:
- Keep your blood
pressure below
130/85 mm Hg.
- Keep your
cholesterol level
under 200 mg.
- Take care of
your feet and check
them every day for
signs of infection.
- Have an eye exam
every year to check
your vision.
- See your dentist
twice a year to
check your teeth and
gums.
Can I
live a normal life with
diabetes?
Yes, you can live a
normal life. Remember,
many successful athletes
and people in all
professions have type 1
diabetes. You can stay
healthy if you do what
it takes to control
diabetes.