Diabetes Type 1 and Symptoms
Diabetes Type 1:
Type
1 diabetes is a condition in which your pancreas does not produce insulin, a
hormone. Your
body needs to maintain proper blood sugar levels. After you eat foods that
contain carbohydrates, chemicals in your small intestine break them down into
single sugar molecules called glucose.
Next,
the cells lining your small intestine absorb the glucose,
which passes
into the bloodstream. When the blood reaches your pancreas, beta cells inside the
pancreas detect the rising glucose levels. The beta cells release
insulin into your bloodstream to reduce glucose levels and to keep your blood glucose in a
healthy range. Most
cells of the body have certain receptors on their surface that bind to the circulating
insulin. Insulin
acts like a key in a lock to open up the cell so that the circulating glucose can get
inside the cell. Now, your cell can use the glucose to produce the energy it
needs to function properly. If you have type 1 diabetes, your pancreatic beta cells lose
their ability to produce insulin, resulting in high blood
glucose levels and other complications.
In
type 1 diabetes, your immune system, specifically your white blood cells,
mistake your pancreatic beta cells for foreign invaders. In an autoimmune response,
your white blood cells secrete autoantibodies that destroy your own beta
cells. As
a result, your pancreas produces little or no insulin.
Without insulin,
glucose cannot get into your cells, so they are starved for the calories
they should be
receiving from glucose. In addition, the glucose level builds up in
your
bloodstream, resulting in a condition called hyperglycemia.
Common
symptoms of hyperglycemia in type 1 diabetes include:
excessive
hunger, excessive thirst, frequent urination, unexplained weight loss, fatigue,
weakness, irritability, and blurry vision.
If hyperglycemia is not treated, you can become severely
ill. Because you don't have enough insulin circulating in your blood, your
cells can't use glucose for energy. As a result, your body breaks down your fat
and protein stores as an alternative source of energy. As fat breakdown
continues, certain byproducts, known as ketone bodies, accumulate in the blood,
resulting in a condition called ketosis. When ketones build up to dangerously
high levels, a life-threatening condition called diabetic ketoacidosis results.
If your blood glucose remains high over time, long term
health problems can occur such as atherosclerosis, blindness, nerve damage, and
kidney disease. If you have type 1 diabetes, your goal is to keep your blood
glucose within a normal range. This is done through a combination of proper
insulin replacement, monitoring your blood glucose, and just as importantly,
eating a healthy diet and getting regular exercise. Because your pancreas no
longer produces insulin, you will need to take insulin to replace what your
body should be making. A licensed healthcare professional can train you to
inject the insulin just under the skin. You will need to give yourself
injections several times each day, and rotate injection sites to avoid tissue
damage and absorption problems.
Another
way to get insulin is through an insulin pump, which is attached to your body and
delivers insulin through a tube implanted just under your skin. You will need
to check the level of glucose in your blood several times a day with a
glucometer. To do this, you will prick your finger with a small needle called a
lancet, and place a drop of blood in the glucometer. Knowledge of your blood
glucose level allows you to adjust your insulin dose, calories you eat during
meals, and physical activity. You will need to eat a healthy diet and get
regular exercise to manage your glucose level and reduce your risk of
cardiovascular disease.

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