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Diseases & conditions
Diabetes & hormones

Type 1 diabetes

Type 1 diabetes happens when the body stops making insulin, the hormone that moves sugar from the blood into the cells. It usually starts in children, teenagers or young adults and is not caused by eating sweets. People with type 1 diabetes need insulin every day for life; without it they quickly become dangerously ill.

Symptoms

  • Strong thirst and drinking a lot
  • Passing urine very often; bedwetting in a child who was dry before
  • Weight loss even though eating well
  • Tiredness and weakness
  • Blurred vision
  • Nausea, vomiting, stomach pain and fast breathing (signs of a dangerous emergency)
  • When to see a doctor

    Get medical help quickly if you notice any of these:

    • Vomiting, stomach pain, fast deep breathing or fruity-smelling breath: go to hospital now
    • Severe drowsiness, confusion or unconsciousness
    • Low sugar that does not improve after taking sugar
    • Blood sugar above 300 mg/dL more than once
    • A child with heavy thirst, frequent urine and weight loss who has not been tested

    In an emergency, go to the nearest hospital or clinic straight away.

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    Causes

    • The immune system attacks the cells in the pancreas that make insulin
    • A family history raises the risk a little
    • The exact trigger is not known
    • It is not caused by eating sweets or by anything the parents did

    Prevention

    • Type 1 diabetes cannot be prevented
    • Early diagnosis prevents dangerous illness: test the blood sugar of any child with heavy thirst, frequent urine and weight loss
    • Take insulin every day, even when sick
    • Check blood sugar regularly and always carry sugar or sweets in case of low sugar

    Treatment

    • Insulin injections every day; the type and dose are set by the doctor
    • Checking blood sugar at home with a glucometer
    • Regular meals, and learning how food and activity change blood sugar
    • Knowing how to treat low sugar (a sweet drink or sugar, then food)
    • Regular check-ups of the eyes, kidneys, feet and, in children, growth
    • Never stop insulin on your own, even during illness

    Common questions

    Can my child live a normal life with type 1 diabetes?

    Yes. With daily insulin, regular sugar checks and family support, children with type 1 diabetes can go to school, play sport, marry and have children of their own.

    Can tablets replace insulin in type 1 diabetes?

    No. In type 1 diabetes the body makes no insulin, so the tablets used for type 2 diabetes do not work. Insulin is life-saving and must never be stopped; herbal remedies cannot replace it.

    General information onlyThis guide does not replace an examination by a doctor. Do not start or stop a medicine without a doctor's advice.