{"id":184,"date":"2019-05-02T08:40:17","date_gmt":"2019-05-02T08:40:17","guid":{"rendered":"http:\/\/magazine.diabetesasia.org\/?p=184"},"modified":"2025-04-25T10:34:11","modified_gmt":"2025-04-25T05:04:11","slug":"what-is-type-1-diabetes","status":"publish","type":"post","link":"https:\/\/www.diabetesasia.org\/magazine\/what-is-type-1-diabetes\/","title":{"rendered":"What is type 1 Diabetes?"},"content":{"rendered":"<h2>What is type 1 Diabetes?<\/h2>\n<p>Type 1 diabetes is a disease caused by a lack of insulin. Insulin helps cells in the body convert sugar into energy. When the pancreas cannot make enough insulin, sugar builds up in the blood, causing life-threatening complications. Individuals with type 1 diabetes must take some form of insulin for the rest of their lives. Nutrients in food are changed into a sugar called glucose. Type 1 diabetes affects about 1 in 400 children, adolescents, and young adults under 20. Once diagnosed, type 1 diabetes is a lifelong disease that cannot be cured.<\/p>\n<p><b>Type 1 diabetes<\/b>\u00a0(<b>T1D<\/b>), formerly <b>juvenile diabetes<\/b>, is an\u00a0<a title=\"Autoimmune disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Autoimmune_disease\">autoimmune disease<\/a> that originates when the\u00a0immune system destroys cells that make\u00a0insulin\u00a0(beta cells)<a title=\"Insulin\" href=\"https:\/\/en.wikipedia.org\/wiki\/Insulin\">insulin<\/a>\u00a0(beta cells) are destroyed by the\u00a0<a title=\"Immune system\" href=\"https:\/\/en.wikipedia.org\/wiki\/Immune_system\">immune system<\/a>.<sup id=\"cite_ref-WHO2016_4-5\" class=\"reference\"><\/sup>\u00a0Insulin is a hormone required for the cells to use\u00a0<a class=\"mw-redirect\" title=\"Blood sugar\" href=\"https:\/\/en.wikipedia.org\/wiki\/Blood_sugar\">blood sugar<\/a> for energy, and it helps regulate glucose\u00a0levels in the bloodstream.<sup id=\"cite_ref-NIH2014Type_2-3\" class=\"reference\"><\/sup> Before treatment, this results in\u00a0high blood sugar\u00a0levels in the body. <sup id=\"cite_ref-NIH2014Cau_1-3\" class=\"reference\"><\/sup>The common symptoms of this elevated blood sugar are\u00a0frequent urination,\u00a0increased thirst, hunger, weight loss, and other serious complications.<sup id=\"cite_ref-WHO2016_4-6\" class=\"reference\"><\/sup><sup id=\"cite_ref-10\" class=\"reference\"><\/sup>\u00a0Additional symptoms may include\u00a0blurry vision,\u00a0tiredness, and slow wound healing.<sup id=\"cite_ref-NIH2014Type_2-4\" class=\"reference\"><\/sup> Symptoms typically develop over a short period, often in a matter of weeks.<sup id=\"cite_ref-NIH2014Cau_1-4\" class=\"reference\"><\/sup><\/p>\n<p>The cause of type 1 diabetes is unknown, <sup id=\"cite_ref-WHO2016_4-7\" class=\"reference\"><\/sup>but it is believed to involve a combination of genetic and environmental factors.<sup id=\"cite_ref-NIH2014Cau_1-5\" class=\"reference\"><\/sup>\u00a0The underlying mechanism involves an\u00a0autoimmune\u00a0destruction of the insulin-producing\u00a0beta cells\u00a0in the\u00a0pancreas.<sup id=\"cite_ref-NIH2014Type_2-5\" class=\"reference\"><\/sup>\u00a0Diabetes is diagnosed by testing the sugar or\u00a0glycated hemoglobin\u00a0(HbA1C) level glycated hemoglobin\u00a0(HbA1C) in the blood.<sup id=\"cite_ref-Change2014_6-3\" class=\"reference\"><\/sup><sup id=\"cite_ref-NIH2015Diag_8-1\" class=\"reference\"><\/sup>\u00a0Type 1 diabetes can be distinguished from\u00a0type 2\u00a0by testing for the presence of\u00a0autoantibodies.<sup id=\"cite_ref-Change2014_6-4\" class=\"reference\"><\/sup><\/p>\n<p>There is no known way to prevent type 1 diabetes.<sup id=\"cite_ref-WHO2016_4-8\" class=\"reference\"><\/sup>\u00a0Treatment with\u00a0insulin\u00a0is required for survival.<sup id=\"cite_ref-NIH2014Cau_1-6\" class=\"reference\"><\/sup>\u00a0Insulin therapy is usually given by injection under the skin, but can also be delivered by an insulin pump. <sup id=\"cite_ref-11\" class=\"reference\"><\/sup>A\u00a0diabetic diet\u00a0and exercise are important parts of management.<sup id=\"cite_ref-NIH2014Type_2-6\" class=\"reference\"><\/sup>\u00a0If left untreated, diabetes can cause many complications.<sup id=\"cite_ref-WHO2016_4-9\" class=\"reference\"><\/sup>\u00a0Complications of relatively rapid onset include\u00a0diabetic ketoacidosis\u00a0and\u00a0nonketotic hyperosmolar coma.<sup id=\"cite_ref-Change2014_6-5\" class=\"reference\"><\/sup>\u00a0Long-term complications include\u00a0heart disease,\u00a0stroke,\u00a0kidney failure,\u00a0foot ulcers, and eye damage.<sup id=\"cite_ref-WHO2016_4-10\" class=\"reference\"><\/sup>\u00a0Furthermore, since insulin lowers blood sugar levels, complications may arise from\u00a0low blood sugar\u00a0if more insulin is taken than necessary.<sup id=\"cite_ref-Change2014_6-6\" class=\"reference\"><\/sup><\/p>\n<p>Type\u00a01 diabetes makes up an estimated 5\u201310% of all <a href=\"https:\/\/en.wikipedia.org\/wiki\/Type_1_diabetes#cite_note-Lancet06-9\">diabetes cases<\/a>.<sup id=\"cite_ref-Lancet06_9-1\" class=\"reference\"><\/sup>\u00a0The number of people affected globally is unknown, although it is estimated that about 80,000 children develop the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Type_1_diabetes#cite_note-Change2014-6\">disease each year<\/a>. The number of people involved in the United States is estimated at one to three million.<sup id=\"cite_ref-Change2014_6-8\" class=\"reference\"><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><\/sup> Disease rates vary widely, with approximately one new case per 100,000 per year in <a title=\"East Asia\" href=\"https:\/\/en.wikipedia.org\/wiki\/East_Asia\">East Asia<\/a>\u00a0and\u00a0Latin America and around 30 new cases per 100,000 per year in <a title=\"Scandinavia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Scandinavia\">Scandinavia<\/a>\u00a0and\u00a0<a title=\"Kuwait\" href=\"https:\/\/en.wikipedia.org\/wiki\/Kuwait\">Kuwait<\/a>.<sup id=\"cite_ref-13\" class=\"reference\"><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><\/sup>\u00a0It typically begins in children and young adults.<sup id=\"cite_ref-NIH2014Cau_1-7\" class=\"reference\"><\/sup><\/p>\n<h2>Symptoms of type 1 diabetes<\/h2>\n<p>The symptoms of Type 1 diabetes are all based on the fact that there is high blood sugar. The symptoms include:<\/p>\n<ul class=\"warning\">\n<li>Extreme thirst<\/li>\n<li>Frequent urination<\/li>\n<li>Lethargy, fatigue, and drowsiness<\/li>\n<li>Blurred vision<\/li>\n<li>Sudden weight loss<\/li>\n<li class=\"last-child\">Increased appetite, hunger<\/li>\n<\/ul>\n<h2>Reason for type 1 diabetes<\/h2>\n<ul>\n<li>The exact cause of type 1 diabetes is unknown. But in most people with type 1 diabetes, the body&#8217;s\u00a0<b>immune<\/b> system, which normally fights harmful bacteria and viruses, when a virus invades the body, the immune system produces antibodies that fight the infection. <b>T cells<\/b> are in charge of making the antibodies, which also help fight the virus. However, if the virus has some of the same antigens as the <b>beta cells\u2014<\/b>the cells that make insulin in the pancreas\u2014then the T cells can turn against the beta cells. The T cell products (antibodies) can destroy the beta cells, and once all the beta cells in your body have been destroyed, you can\u2019t produce enough insulin. \u2014 mistakenly destroys insulin-producing (islet) cells in the pancreas. Genetics and environmental factors appear to play a role in this process.<\/li>\n<li>Before anyone can get Type 1 diabetes, they need to have a genetic background, even though there may be no one in the family with diabetes.<\/li>\n<\/ul>\n<h2><span id=\"Cause\" class=\"mw-headline\">Cause<\/span><\/h2>\n<p>The destruction of\u00a0\u03b2-cells causes type 1 diabetes\u03b2-cells \u2013 the only cells in the body that produce insulin \u2013 and the consequent progressive insulin deficiency. Without insulin, the body cannot respond effectively to increases in blood sugar. Due to this, people with diabetes have persistent hyperglycemia.<sup id=\"cite_ref-FOOTNOTEKatsarouGudbj\u00f6rnsdottirRawshaniDabelea20171_21-0\" class=\"reference\"><\/sup> In 70\u201390% of cases, \u03b2-cells are destroyed by someone&#8217;s immune system for unclear reasons.<sup id=\"cite_ref-FOOTNOTEKatsarouGudbj\u00f6rnsdottirRawshaniDabelea20171_21-1\" class=\"reference\"><\/sup>\u00a0The best-studied components of this autoimmune response are \u03b2-cell-targeted antibodies that begin to develop in the months or years before symptoms arise. <sup id=\"cite_ref-FOOTNOTEKatsarouGudbj\u00f6rnsdottirRawshaniDabelea20171_21-2\" class=\"reference\"><\/sup>Typically, someone will first develop antibodies against insulin\u00a0or the protein\u00a0GAD65, followed eventually by antibodies against the proteins\u00a0IA-2,\u00a0IA-2\u03b2, and ZNT8. People with more of these antibodies who develop them earlier in life are at higher risk of developing symptomatic type 1 diabetes.<sup id=\"cite_ref-FOOTNOTEKatsarouGudbj\u00f6rnsdottirRawshaniDabelea2017&quot;Epidemiology&quot;_22-0\" class=\"reference\"><\/sup>\u00a0The trigger for the development of these antibodies remains unclear.<sup id=\"cite_ref-FOOTNOTEKatsarouGudbj\u00f6rnsdottirRawshaniDabelea2017&quot;Introduction&quot;_23-0\" class=\"reference\"><\/sup> Several explanatory theories have been put forward, and the cause may involve genetic susceptibility, a diabetogenic trigger, and exposure to an antigen.<sup id=\"cite_ref-knip2005_24-0\" class=\"reference\"><\/sup> The remaining 10\u201330% of people with type 1 diabetes have \u03b2-cell destruction but no sign of autoimmunity; this is called <a title=\"Idiopathic disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Idiopathic_disease\">idiopathic<\/a> type 1 diabetes, and its cause.<sup id=\"cite_ref-FOOTNOTEKatsarouGudbj\u00f6rnsdottirRawshaniDabelea20171_21-3\" class=\"reference\"><\/sup><\/p>\n<h2>Treatment of type 1 diabetes<\/h2>\n<p><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/2\/28\/Main_symptoms_of_diabetes.png\/310px-Main_symptoms_of_diabetes.png\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Monitoring Blood Glucose Level Regularly<\/li>\n<li>The beta cells repairing herbs enhance the function of the pancreas rather than pressurizing the already damaged pancreas.<\/li>\n<li>People with type 1 diabetes who have a kidney transplant from a donor may also be offered a pancreas transplant simultaneously. Pancreas transplants are complicated operations and, like other types of major surgery, there&#8217;s a risk of complications<\/li>\n<li>Avoid dangerous spikes and dips in their blood sugar.<\/li>\n<li>Exercise helps move sugar into your cells without using insulin, so it&#8217;s an important way to help <a href=\"https:\/\/www.diabetesasia.org\/magazine\/could-family-disturbance-affects-type-1-diabetes\/\">manage your<\/a> diabetes.<\/li>\n<li>\u00a0Your diet should favor non-starchy veggies like greens, carrots, and broccoli. You must limit carbohydrates like potatoes, pasta, beans, and sweets like cake. Get your protein from lean, low-fat sources like chicken, fish, beans, and legumes.<\/li>\n<\/ul>\n<p>For Type 1 Diabetes markers Screening, visit: https:\/\/en.szyhlo.com<\/p>\n<p>https:\/\/en.szyhlo.com\/cmscontent\/Autoimmune-Diseases-363.html<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is type 1 Diabetes? Type 1 diabetes is a disease caused by a lack&#8230;<\/p>\n","protected":false},"author":2,"featured_media":6399,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3389],"tags":[35,33,32,196],"class_list":["post-184","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-type-1-diabetes-2","tag-beta-cell","tag-treatment-type-1-diabetes","tag-type-1-diabetes","tag-type-1-definition"],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.diabetesasia.org\/magazine\/wp-content\/uploads\/2019\/05\/What-Is-Type1-diabetes-cr.jpg?fit=350%2C227&ssl=1","jetpack_sharing_enabled":true,"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/posts\/184","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/comments?post=184"}],"version-history":[{"count":5,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/posts\/184\/revisions"}],"predecessor-version":[{"id":9192,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/posts\/184\/revisions\/9192"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/media\/6399"}],"wp:attachment":[{"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/media?parent=184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/categories?post=184"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.diabetesasia.org\/magazine\/wp-json\/wp\/v2\/tags?post=184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}