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What is type 1 Diabetes?
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What is type 1 Diabetes?

Type 1 Diabetes

Type 1 Diabetes

What is type 1 Diabetes?

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.

Type 1 diabetes (T1D), formerly juvenile diabetes, is an autoimmune disease that originates when the immune system destroys cells that make insulin (beta cells)insulin (beta cells) are destroyed by the immune system. Insulin is a hormone required for the cells to use blood sugar for energy, and it helps regulate glucose levels in the bloodstream. Before treatment this results in high blood sugar levels in the body. The common symptoms of this elevated blood sugar are frequent urinationincreased thirst, hunger, weight loss, and other serious complications. Additional symptoms may include blurry visiontiredness, and slow wound healing. Symptoms typically develop over a short period, often in a matter of weeks.

The cause of type 1 diabetes is unknown, but it is believed to involve a combination of genetic and environmental factors. The underlying mechanism involves an autoimmune destruction of the insulin-producing beta cells in the pancreas. Diabetes is diagnosed by testing the sugar or glycated hemoglobin (HbA1C) level glycated hemoglobin (HbA1C) in the blood. Type 1 diabetes can be distinguished from type 2 by testing for the presence of autoantibodies.

There is no known way to prevent type 1 diabetes. Treatment with insulin is required for survival. Insulin therapy is usually given by injection under the skin but can also be delivered by an insulin pump. diabetic diet and exercise are important parts of management. If left untreated, diabetes can cause many complications. Complications of relatively rapid onset include diabetic ketoacidosis and nonketotic hyperosmolar coma. Long-term complications include heart diseasestrokekidney failurefoot ulcers, and eye damage. Furthermore, since insulin lowers blood sugar levels, complications may arise from low blood sugar if more insulin is taken than necessary.

Type 1 diabetes makes up an estimated 5–10% of all diabetes cases. The number of people affected globally is unknown, although it is estimated that about 80,000 children develop the disease each year. The number of people involved in the United States is estimated at one to three million. Disease rates vary widely, with approximately one new case per 100,000 per year in East Asia and Latin America and around 30 new cases 100,000 per year in Scandinavia and Kuwait. It typically begins in children and young adults.

Symptoms of type 1 diabetes

The symptoms of Type 1 diabetes are all based on the fact that there is high blood sugar. The symptoms include:

Reason For type 1 diabetes

Cause

The destruction of β-cells causes type 1 diabetesβ-cells – the only cells in the body that produce insulin – 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. In 70–90% of cases, β-cells are destroyed by someone’s immune system for unclear reasons. The best-studied components of this autoimmune response are β-cell-targeted antibodies that begin to develop in the months or years before symptoms arise. Typically someone will first develop antibodies against insulin or the protein GAD65, followed eventually by antibodies against the proteins IA-2IA-2β, and ZNT8. People with more of these antibodies who develop them earlier in life are at higher risk of developing symptomatic type 1 diabetes. The trigger for the development of these antibodies remains unclear. Several explanatory theories have been put forward, and the cause may involve genetic susceptibility, a diabetogenic trigger, and exposure to an antigen. The remaining 10–30% of people with type 1 diabetes have β-cell destruction but no sign of autoimmunity; this is called idiopathic type 1 diabetes and its unknown cause.

treatment Of type 1 diabetes

 

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