When Should I See My Healthcare Provider If I Have Type 1 Diabetes
If you or your child are experiencing symptoms of Type 1 diabetes, such as extreme thirst and frequent urination, see your healthcare provider as soon as possible.
If you or your child have been diagnosed with diabetes, youll need to see your endocrinologist multiple times a year throughout your life to make sure your diabetes management is working well for you.
When should I go to ER if I have Type 1 diabetes?
If youre experiencing symptoms of diabetes-related ketoacidosis , such as high blood sugar, nausea and vomiting and rapid breathing, get to the nearest emergency room as soon as possible. DKA is life-threatening and requires immediate medical care.
A note from Cleveland Clinic
Being diagnosed with Type 1 diabetes is a life-changing event, but it doesnt mean that you cant live a happy and healthy life. Type 1 diabetes involves constant day-to-day care and management. While itll likely be very overwhelming at first, over time youll get a better grasp on how to manage the condition and how to be in tune with your body.
Be sure to see your endocrinologist and other healthcare providers regularly. Managing Type 1 diabetes involves a team effort youll want both medical professionals and friends and family on your side. Dont be afraid to reach out to them if you need help.
Last reviewed by a Cleveland Clinic medical professional on 03/09/2022.
References
Type 1 Diabetes Causes
Insulin is a hormone that helps move sugar, or glucose, into your body’s tissues. Your cells use it as fuel.
Damage to beta cells from type 1 diabetes throws the process off. Glucose doesnât move into your cells because insulin isnât there to do the job. Instead, it builds up in your blood, and your cells starve. This causes high blood sugar, which can lead to:
- Dehydration. When thereâs extra sugar in your blood, you pee more. Thatâs your bodyâs way of getting rid of it. A large amount of water goes out with that urine, causing your body to dry out.
- Weight loss. The glucose that goes out when you pee takes calories with it. Thatâs why many people with high blood sugar lose weight. Dehydration also plays a part.
- Diabetic ketoacidosis . If your body can’t get enough glucose for fuel, it breaks down fat cells instead. This creates chemicals called ketones. Your liver releases the sugar it stores to help out. But your body canât use it without insulin, so it builds up in your blood, along with the acidic ketones. This mix of extra glucose, dehydration, and acid buildup is known as ketoacidosis and can be life-threatening if not treated right away.
- Damage to your body. Over time, high glucose levels in your blood can harm the nerves and small blood vessels in your eyes, kidneys, and heart. They can also make you more likely to get hardened arteries, or atherosclerosis, which can lead to heart attacks and strokes.
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Official Hba1c Ada Recommendation For Someone With Type 1 Diabetes
The American Diabetes Association recommends an HbA1C of less than 7% for most nonpregnant adults with type 1 diabetes. A lower goal, such as less than 6.5%, may be appropriate for some people who have had diabetes for a shorter amount of time, for younger people, and for those without heart disease. A higher HbA1C goal, such as less than 8%, may be appropriate for people with a history of severe hypoglycemia, a limited life expectancy, advanced diabetes complications, other illnesses, or for whom a lower HbA1C goal is difficult to achieve. Its important that people with diabetes discuss their target blood sugar goals with their health-care provider.
HbA1C levels should be checked between 2 to 4 times per year in people who have diabetes.
Diabetes Complications In Type 1 Diabetes
Over time, high glucose levels can damage nerves, vessels, tissues and organs of the body.
Complications may be:
- nerve damage to feet which can lead to lower limb amputation
- heart and vessel disease and stroke
- gum and tooth disease
- sexual dysfunction in both men and women.
- damage to the nerves that control the automatic functions of the internal organs such as digestion and bowel function, blood pressure and heart rate
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Whats The Difference Between Hyperglycemia And Hypoglycemia
Hypoglycemia is low blood sugar. Hyperglycemia, on the other hand, occurs when blood sugar levels are too high.
Hyperglycemia happens when you dont have enough insulin to handle the sugar. This can be because you:
- took too little insulin
- ate more than you planned
- exercised less than you thought you would
- are already feeling sick or stressed
Symptoms of hyperglycemia include thirst and frequent urination.
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What Is Type 1 Diabetes In Children
Diabetes is a condition in which the body can’t make enough insulin, or can’t use insulin normally. Type 1 diabetes is an autoimmune disorder. The body’s immune system damages the cells in the pancreas that make insulin. Insulin is a hormone. It helps sugar in the blood get into cells of the body to be used as fuel. When glucose cant enter the cells, it builds up in the blood. This is called high blood sugar . High blood sugar can cause problems all over the body. It can damage blood vessels and nerves. It can harm the eyes, kidneys, and heart. It can also cause symptoms such as tiredness.
Type 1 diabetes mellitus is a long-term condition. It may start at any age. Insulin from the pancreas must be replaced with insulin injections or an insulin pump.
There are two forms of type 1 diabetes:
- Immune-mediated diabetes. This is an autoimmune disorder in which the body’s immune system damages the cells in the pancreas that make insulin. This is the most common kind of type 1 diabetes.
- Idiopathic type 1. This refers to rare forms of the disease with no known cause.
What Foods Should You Avoid With Type 1 Diabetes
If you have type 1 diabetes, you should stay away from refined carbohydratesincluding white rice, chips, candy, and cake as well as fried foods, energy drinks, juice, and flavored milks. People with type 1 diabetes may need certain high-sugar foods if their blood sugar dips too low but, otherwise, these items will spike your blood sugar levels to unhealthy highs.
Your best bets for beverages are water, milk, and non-sugar-sweetened beverages like diet soda or Crystal Light, which won’t raise your blood sugar as much as regular sodas or energy drinks.
Stay away from vegetables with added sauces and choose fruits over fruit juice. As for dairy like milk and yogurt, low- and non-fat versions are the best, especially those without added sugar.
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What Are The Signs And Symptoms Of Hyperglycaemia Or Diabetes
Some signs and symptoms of type 1 diabetes are:
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- Infections or thrush that reoccur
- Wounds that are slow healing or wont heal
- Rapid weight loss
If diagnosed and treated with insulin as soon as symptoms occur, a person with type 1 diabetes may not get to the point of feeling very unwell.
If signs and symptoms are missed, and the person does not get medical help early enough, glucose levels will begin to rise dangerously high. When this happens, and the body does not receive insulin, the body starts to break down its own fat stores for energy. The result of fat breakdown is ketones being produced. Ketones are seen in the urine with a urine dipstick test or in the blood via finger prick or a blood test via the vein.
Ketones are an acid. They are toxic when they rise above a certain level in the blood. This acidic state is called diabetic ketoacidosis, or DKA for short, and it results from a lack of insulin. The signs and symptoms of DKA include:
- Signs and symptoms of hyperglycaemia
- Nausea and vomiting
If DKA is not treated promptly it can lead to death.
DKA is preventable in most cases. Some people have DKA by the time they are diagnosed with type 1 diabetes because their symptoms have been mistaken for another condition such as gastroenteritis, causing a delay in treatment.
DKA can develop in people already diagnosed with type 1 diabetes when:
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Causes Of Type 1 Diabetes
Type 1 diabetes is an autoimmune condition, where the immune system mistakes the cells in your pancreas as harmful and attacks them.
Without insulin, your body will break down its own fat and muscle, resulting in weight loss. This can lead to a serious short-term condition called diabetic ketoacidosis. This is when the bloodstream becomes acidic, you develop dangerous levels of ketones in your blood stream and become severely dehydrated.
This results in the body being unable to produce insulin, which is required to move glucose out of the blood and into your cells to be used for energy. This is called Type 1 diabetes.
Read more about the causes of type 1 diabetes
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