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Type 1 Diabetes

Introduction to Type 1 Diabetes

  • Diabetes is a chronic metabolic disorder characterized by high levels of glucose (sugar) in the blood.

  • It occurs due to defects in insulin production, insulin action, or both.

  • Insulin is a hormone produced by the pancreas that helps glucose enter cells to be used for energy.

  • Previously known as juvenile diabetes or insulin-dependent diabetes.

  • An autoimmune condition where the body's immune system attacks and destroys the insulin-producing beta cells in the pancreas.

  • Leads to a complete lack of insulin production.

Causes

  1. Genetic Factors

  • Certain genes increase the risk of developing type 1 diabetes.

  1. Environmental Factors

  • Viral infections or other environmental triggers may initiate the autoimmune response.

Symptoms

  • Frequent urination (polyuria)

  • Excessive thirst (polydipsia)

  • Extreme hunger (polyphagia)

  • Unintended weight loss

  • Fatigue and weakness

  • Blurred vision

  • Irritability and mood changes

  • Ketoacidosis: A serious condition with symptoms like nausea, vomiting, abdominal pain, and confusion.

Pathophysiology of Type 1 Diabetes:

Pathophysiology of Type 1 Diabetes

Pathophysiology of Type 1 Diabetes

  1. Autoimmune Destruction

  • The immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas.

  1. Insulin Deficiency

  • Without insulin, glucose cannot enter cells for energy, leading to high blood glucose levels.

Diagnosis

  1. Fasting Blood Glucose Test: Elevated blood glucose levels after fasting.

  2. A1C Test: Measures average blood glucose levels over the past 2-3 months.

  3. Random Blood Glucose Test: Elevated glucose levels at any time.

  4. Autoantibody Tests: Presence of specific autoantibodies associated with type 1 diabetes.

Treatment

  1. Insulin Therapy: Lifelong insulin injections or an insulin pump.

  2. Blood Glucose Monitoring: Regular monitoring to manage blood glucose levels.

  3. Healthy Eating: Balanced diet with attention to carbohydrate intake.

  4. Regular Physical Activity: Helps control blood glucose levels and overall health.

  5. Education and Support: Diabetes education programs for self-management skills.

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