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Type 1 diabetes

Type 1 diabetes – NHS Choices

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Type 1 diabetes 

Introduction 

Teenage diabetes: Chandler’s story

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Chandler has type 1 diabetes. Find out how the condition has affected her life and the lives of those around her.

Media last reviewed: 16/03/2013

Next review due: 16/03/2015

How common is diabetes?

Diabetes is very common, with an increasing number of people being affected by the condition every year.

In 2011, it was estimated that around 366 million people have diabetes worldwide, with this number predicted to grow to 552 million by 2030.

In the UK, more than 1 in 20 people are thought to have either diagnosed or undiagnosed diabetes. About 90% of those affected have type 2 diabetes, with the remaining 10% having type 1 diabetes.

Two friends

Living with diabetes

How to live healthily with diabetes, including advice on diet and lifestyle

Diabetes is a lifelong condition that causes a person’s blood sugar (glucose) level to become too high.

The hormone insulin – produced by the pancreas – is responsible for controlling the amount of glucose in the blood.

There are two main types of diabetes:

  • Type 1 – where the pancreas doesn’t produce any insulin
  • Type 2 – where the pancreas doesn’t produce enough insulin or the body’s cells don’t react to insulin

This topic is about type 1 diabetes. Read more about type 2 diabetes.

Another type of diabetes, known as gestational diabetes, occurs in some pregnant women and tends to disappear following birth.

It’s very important for diabetes to be diagnosed as soon as possible because it will get progressively worse if left untreated.

You should therefore visit your GP if you have symptoms such as feeling thirsty, passing urine more often than usual and feeling tired all the time (see the list below for more diabetes symptoms). 

Type 1 and type 2 diabetes

Type 1 diabetes can develop at any age but usually appears before the age of 40, and especially in childhood. Around 10% of all diabetes is type 1, but it’s the most common type of childhood diabetes. This is why it’s sometimes called juvenile diabetes or early-onset diabetes

In type 1 diabetes, the pancreas (a small gland behind the stomach) doesn’t produce any insulin – the hormone that regulates blood glucose levels. This is why it’s also sometimes called insulin-dependent diabetes.

If the amount of glucose in the blood is too high, it can, over time, seriously damage the body’s organs.

In type 2 diabetes, the body doesn’t produce enough insulin to function properly, or the body’s cells don’t react to insulin. Around 90% of adults with diabetes have type 2, and it tends to develop later in life than type 1.

Diabetes symptoms

The symptoms of diabetes occur because the lack of insulin means that glucose stays in the blood and isn’t used as fuel for energy.

Your body tries to reduce blood glucose levels by getting rid of the excess glucose in your urine.

Typical symptoms include:

  • feeling very thirsty
  • passing urine more often than usual, particularly at night
  • feeling very tired
  • weight loss and loss of muscle bulk

The symptoms of type 1 diabetes usually develop very quickly in young people (over a few days or weeks). In adults, the symptoms often take longer to develop (a few months).

Read more about symptoms of type 1 diabetes.

Causes of type 1 diabetes 

Type 1 diabetes occurs as a result of the body being unable to produce insulin, which moves glucose out of the blood and into your cells to be used for energy.

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, where the bloodstream becomes acidic and you develop dangerous levels of dehydration.

Type 1 diabetes is an autoimmune condition, where the immune system (the body’s natural defence against infection and illness) mistakes the cells in your pancreas as harmful and attacks them.

Read more about the causes of type 1 diabetes.

Treating type 1 diabetes

It’s important that diabetes is diagnosed as early as possible so that treatment can be started.

Diabetes can’t be cured, but treatment aims to keep your blood glucose levels as normal as possible, and control your symptoms to prevent health problems developing later.

If you’re diagnosed with diabetes, you’ll be referred to a diabetes care team for specialist treatment and monitoring.

As your body can’t produce insulin, you’ll need regular insulin injections to keep your glucose levels normal. You’ll be taught how to do this and how to match the insulin you inject to the food you eat, taking into account your blood glucose level and how much exercise you do.

Insulin injections comes in several different forms, with each working slightly differently. Some last up to a whole day (long-acting), some last up to eight hours (short-acting) and some work quickly but don’t last very long (rapid-acting). You’ll most likely need a combination of different insulin preparations.

There are alternatives to insulin injections but they’re only suitable for a small number of patients. They are:

  • insulin pump therapy – where a small device that constantly pumps insulin (at a rate you control) into your bloodstream through a needle that’s inserted under the skin
  • islet cell transplantation – where healthy insulin-producing cells from the pancreas of a deceased donor are implanted into the pancreas of someone with type 1 diabetes (read about the criteria for having an islet transplant)
  • a complete pancreas transplant

Read more about diagnosing diabetes and treating type 1 diabetes.

Complications

If diabetes is left untreated it can cause a number of different health problems. Large amounts of glucose can damage blood vessels, nerves and organs.

Even a mildly raised glucose level that doesn’t cause any symptoms can have damaging effects in the long term.

Read more about the complications of type 1 diabetes.

Living with diabetes

If you have type 1 diabetes, you’ll need to look after your health very carefully. Caring for your health will also make treating your diabetes easier and minimise your risk of developing complications.

For example, eating a healthy, balanced diet and exercising regularly will lower your blood glucose level. Stopping smoking (if you smoke) will also reduce your risk of developing cardiovascular disease.

Read more about living with diabetes.

Page last reviewed: 12/08/2014

Next review due: 12/08/2016

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Comments

The 8 comments posted are personal views. Any information they give has not been checked and may not be accurate.

Jack799 said on 13 June 2014

I’m 16 years of age and I was diagnosed at 11 I just can’t get to grips with diabetes recently I have been putting a lot of weight on and also it is hard for me to carb count

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richardhe said on 03 June 2014

I am type 1 diabetic. Diagnosed at age 72 following flu type illness. I have learned to control my blood glucose level by adjusting dose of insulin. I am very active and I take sweet biscuits out with me whilst jogging to prevent hypoglycaemia. I have read a lot about the pathophysiology of diabetes. However, I can find no explanation as to why the type 1 diabetic metabolism fails to raise blood glucose level (eg. by release from liver) when it falls to 4.0 mM or less. Does anyone have an explanation?

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Tessl said on 06 March 2014

I have only just found this site but have already seen several comments that I can relate too. One young lady is looking for help with her uncontrolled diabetes, I wish her luck, I have found after 44 years that it doesn’t exist. Doctors, consultants and specialist nurses just don’t listen and high blood sugars are what you are causing yourself. If she finds an answer I hope she lets me know as I’m still looking, the only thing I found is that the rise seems to follow my monthly cycle, which no one will accept. The disabled gentleman can try several places who may help. There are social workers at the hospital you attend, The motability society association may help.
Citizens advice should also be of use. Did you also know that a trip to a hospital appointment can be made by ambulance, that must be booked by your GP. Hope that helps

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mrsydb said on 07 February 2014

I am 38 and was diagnosed with the flu about three weeks ago. Following the flu I developed pneumonia, and then bronchitis. Since struggling with the flu and associated complications I was informed that I have developed type 1 diabetes.
Understanding that I have always had a genetic risk for developing the disease after getting through two pregnancies without developing the condition I was quite surprised to develop the condition after catching the flu.

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Heidi s said on 09 September 2013

I am a type 1 diabetic. I am finding this site extremely helpful to read. I am very un controlled an in extreme need of some 1to1 help via nurses or specialists. Can anyone advise me on who is best contact as appointments with my doc and such don’t seem to help it sink in on how much my body is being damaged and suffering . And how serious the condition is on my health.

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jonmac said on 20 September 2012

I am 60 years old and was diagnosed as a type 1 diabetic on May 31st this year. It was a bit of a shock but I am now injecting insulin several times a day and carb counting my food intake before each meal. I wish there was a page with more detailed information about coping with diabetes. I am interested in the glycaemic index and wnat to find out more about how to effectively manage my diet.

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timbo1 said on 09 September 2012

I am in my 39th year as a Type 1 diabetic and I am also interested in any answers you get to your questions. It`ll be no help to you but I do sympathise with you and wish you all the best. Sorry I can`t provide the answers you need.
Timbo1

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Dogs life said on 24 July 2012

I have been a type 1 diabetic for 47 years, was involved in a car accident and broke my leg. The break did not heal properly and I am now disabled. How do I get registered as being disabled as I can no longer drive and am reliant on public transport. Is type 1 diabetics considered a disability? Is there a website I can find out this information and can I claim living expenses with from job centre as I am unemployed?

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Insulin-dependent diabetes

Causes of type 1 diabetes

Type 1 diabetes occurs when the body is unable to produce insulin. Insulin is a hormone that is needed to control the amount of glucose (sugar) in your blood.

When you eat, your digestive system breaks down food and passes its nutrients into your bloodstream.

The pancreas (a small gland behind your stomach) usually produces insulin, which transfers any glucose out of your blood and into your cells, where it is converted to energy.

However, if you have type 1 diabetes, your pancreas is unable to produce any insulin (see below). This means that glucose cannot be moved out of your bloodstream and into your cells.

Autoimmune condition

Type 1 diabetes is an autoimmune condition. Your immune system (the body’s natural defence against infection and illness) mistakes the cells in your pancreas as harmful and attacks them, destroying them completely or damaging them enough to stop them producing insulin.

It is not known exactly what triggers the immune system to do this, but some researchers have suggested that it may be due to a viral infection.

Type 1 diabetes is usually inherited (runs in families), so the autoimmune reaction may also be genetic.

If you have a close relative, such as a parent, brother or sister with type 1 diabetes, you have about a 6% chance of also developing the condition. The risk for people who do not have a close relative with type 1 diabetes is just under 0.5%.

Published Date
2012-09-25 16:59:16Z
Last Review Date
2012-08-16 00:00:00Z
Next Review Date
2014-08-16 00:00:00Z
Classification
Diabetes,Gestational diabetes,Type 1 diabetes

Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

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Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

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Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

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Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

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Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

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Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

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Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

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Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

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Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

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Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


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Insulin-dependent diabetes

Complications caused by diabetes

If diabetes is not treated, it can lead to a number of different health problems. High glucose levels can damage blood vessels, nerves and organs.

Even a mildly raised glucose level that does not cause any symptoms can have damaging effects in the long term.

Heart disease and stroke

If you have diabetes, you are up to five times more likely to develop heart disease or have a stroke.

Prolonged, poorly controlled blood glucose levels increase the likelihood of developing atherosclerosis (furring and narrowing of your blood vessels).

This may result in a poor blood supply to your heart, causing angina (a dull, heavy or tight pain in the chest). It also increases the chance that a blood vessel in your heart or brain will become completely blocked, leading to a heart attack or stroke.

Nerve damage

High blood glucose levels can damage the tiny blood vessels of your nerves. This can cause a tingling or burning pain that spreads from your fingers and toes up through your limbs. If the nerves in your digestive system are affected, you may experience nausea, vomiting, diarrhoea or constipation.

Retinopathy

Retinopathy is where the retina (the light-sensitive layer of tissue) at the back of the eye is damaged. Blood vessels in the retina can become blocked or leaky, or can grow haphazardly. This prevents the light from fully passing through to your retina. If it is not treated, it can damage your vision.

The better you control your blood sugar levels, the lower your risk of developing serious eye problems. Having an annual eye check with a specialist (an ophthalmologist or an optometrist) can help pick up signs of a potentially serious eye problem early so that it can be treated. Read about diabetic eye screening.

Diabetic retinopathy can be managed using laser treatment if it is caught early enough. However, this will only preserve the sight you have but will not make it better.

Kidney disease

If the small blood vessels of your kidney become blocked and leaky, your kidneys will work less efficiently.

In rare, severe cases, this can lead to kidney failure and the need for dialysis (treatment to replicate the functions of the kidneys). In some cases, a kidney transplant may be necessary.

Foot problems

Damage to the nerves of the foot can mean that small nicks and cuts are not noticed, which can lead to the development of a foot ulcer. About 1 in 10 people with diabetes get a foot ulcer, which can cause serious infection.

If you develop nerve damage, you should check your feet every day and report any changes to your doctor, nurse or podiatrist. Look out for sores and cuts that do not heal, puffiness or swelling and skin that feels hot to the touch. You should also have a foot examination at least once a year.

Read more about foot care and diabetes.

Sexual dysfunction

In men with diabetes, particularly those who smoke, nerve and blood vessel damage can lead to erection problems. This can usually be treated with medication.

Women with diabetes may experience:

  • a reduced sex drive
  • reduced pleasure from sex
  • vaginal dryness
  • a reduced ability to orgasm
  • pain during sex

If you experience a lack of vaginal lubrication, or you find sex painful, you can use a vaginal lubricant or a water-based gel.

Miscarriage and stillbirth

Pregnant women with diabetes have an increased risk of miscarriage and stillbirth. If your blood sugar level is not carefully controlled during early pregnancy, there is also an increased risk of the baby developing a serious birth defect.

Pregnant women with diabetes will usually have their antenatal check-ups in hospital or a diabetic clinic. This allows doctors to keep a close eye on their blood sugar levels and control their insulin dosage more easily.

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Published Date
2014-06-24 14:45:38Z
Last Review Date
2012-07-16 00:00:00Z
Next Review Date
2014-07-16 00:00:00Z
Classification
Diabetes,Diabetic,Eye,Foot,Healthy eating,Kidney disease,Miscarriage,Stillbirth,Stroke,Type 1 diabetes

Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


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Insulin-dependent diabetes

Diagnosing type 1 diabetes

It is important to diagnose diabetes as early as possible so that treatment can be started.

If you experience the symptoms of diabetes, you should visit your GP as soon as possible. They will ask you about your symptoms and may request a urine and blood test.

Urine and blood tests

Your urine sample will be tested to see whether it contains glucose. Urine does not usually contain glucose, but if you have diabetes, some glucose can overflow through the kidneys and into the urine. Your urine may also be tested for ketones (chemicals) which indicate type 1 diabetes.

If your urine contains glucose, a blood test can be used to confirm the diagnosis of diabetes. A sample of your blood will be taken in the morning, before you have had anything to eat, and it will be tested to measure your blood glucose levels.

If your blood glucose levels are not high enough for your GP to diagnose diabetes, you may need to have an oral glucose tolerance test (OGTT). This is also sometimes referred to as a glucose tolerance test (GTT).

After drinking a glucose drink, samples of your blood will be taken every half an hour, for two hours. The samples will be tested to find out how your body is dealing with the glucose.

Published Date
2012-09-25 16:59:38Z
Last Review Date
2012-07-16 00:00:00Z
Next Review Date
2014-07-16 00:00:00Z
Classification
Blood glucose measurement,Blood tests,Diabetes,Diabetic,Gestational diabetes,Type 1 diabetes,Urine,Urine tests

Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


dcsimg

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Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


dcsimg

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NHS Choices Syndication

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Insulin-dependent diabetes

Introduction

Diabetes is a lifelong condition that causes a person’s blood sugar (glucose) level to become too high.

The hormone insulin – produced by the pancreas – is responsible for controlling the amount of glucose in the blood.

There are two main types of diabetes:

  • Type 1 – where the pancreas doesn’t produce any insulin
  • Type 2 – where the pancreas doesn’t produce enough insulin or the body’s cells don’t react to insulin

This topic is about type 1 diabetes. Read more about type 2 diabetes.

Another type of diabetes, known as gestational diabetes, occurs in some pregnant women and tends to disappear following birth.

It’s very important for diabetes to be diagnosed as soon as possible because it will get progressively worse if left untreated.

You should therefore visit your GP if you have symptoms such as feeling thirsty, passing urine more often than usual and feeling tired all the time (see the list below for more diabetes symptoms). 

Type 1 and type 2 diabetes

Type 1 diabetes can develop at any age but usually appears before the age of 40, and especially in childhood. Around 10% of all diabetes is type 1, but it’s the most common type of childhood diabetes. This is why it’s sometimes called juvenile diabetes or early-onset diabetes

In type 1 diabetes, the pancreas (a small gland behind the stomach) doesn’t produce any insulin – the hormone that regulates blood glucose levels. This is why it’s also sometimes called insulin-dependent diabetes.

If the amount of glucose in the blood is too high, it can, over time, seriously damage the body’s organs.

In type 2 diabetes, the body doesn’t produce enough insulin to function properly, or the body’s cells don’t react to insulin. Around 90% of adults with diabetes have type 2, and it tends to develop later in life than type 1.

Diabetes symptoms

The symptoms of diabetes occur because the lack of insulin means that glucose stays in the blood and isn’t used as fuel for energy.

Your body tries to reduce blood glucose levels by getting rid of the excess glucose in your urine.

Typical symptoms include:

  • feeling very thirsty
  • passing urine more often than usual, particularly at night
  • feeling very tired
  • weight loss and loss of muscle bulk

The symptoms of type 1 diabetes usually develop very quickly in young people (over a few days or weeks). In adults, the symptoms often take longer to develop (a few months).

Read more about symptoms of type 1 diabetes.

Causes of type 1 diabetes 

Type 1 diabetes occurs as a result of the body being unable to produce insulin, which moves glucose out of the blood and into your cells to be used for energy.

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, where the bloodstream becomes acidic and you develop dangerous levels of dehydration.

Type 1 diabetes is an autoimmune condition, where the immune system (the body’s natural defence against infection and illness) mistakes the cells in your pancreas as harmful and attacks them.

Read more about the causes of type 1 diabetes.

Treating type 1 diabetes

It’s important that diabetes is diagnosed as early as possible so that treatment can be started.

Diabetes can’t be cured, but treatment aims to keep your blood glucose levels as normal as possible, and control your symptoms to prevent health problems developing later.

If you’re diagnosed with diabetes, you’ll be referred to a diabetes care team for specialist treatment and monitoring.

As your body can’t produce insulin, you’ll need regular insulin injections to keep your glucose levels normal. You’ll be taught how to do this and how to match the insulin you inject to the food you eat, taking into account your blood glucose level and how much exercise you do.

Insulin injections comes in several different forms, with each working slightly differently. Some last up to a whole day (long-acting), some last up to eight hours (short-acting) and some work quickly but don’t last very long (rapid-acting). You’ll most likely need a combination of different insulin preparations.

There are alternatives to insulin injections but they’re only suitable for a small number of patients. They are:

  • insulin pump therapy – where a small device that constantly pumps insulin (at a rate you control) into your bloodstream through a needle that’s inserted under the skin
  • islet cell transplantation – where healthy insulin-producing cells from the pancreas of a deceased donor are implanted into the pancreas of someone with type 1 diabetes (read about the criteria for having an islet transplant)
  • a complete pancreas transplant

Read more about diagnosing diabetes and treating type 1 diabetes.

Complications

If diabetes is left untreated it can cause a number of different health problems. Large amounts of glucose can damage blood vessels, nerves and organs.

Even a mildly raised glucose level that doesn’t cause any symptoms can have damaging effects in the long term.

Read more about the complications of type 1 diabetes.

Living with diabetes

If you have type 1 diabetes, you’ll need to look after your health very carefully. Caring for your health will also make treating your diabetes easier and minimise your risk of developing complications.

For example, eating a healthy, balanced diet and exercising regularly will lower your blood glucose level. Stopping smoking (if you smoke) will also reduce your risk of developing cardiovascular disease.

Read more about living with diabetes.

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Published Date
2014-09-12 13:28:32Z
Last Review Date
2014-08-11 00:00:00Z
Next Review Date
2016-08-11 00:00:00Z
Classification
Blood,Diabetes,Diabetic,Gestational diabetes,Healthy eating,Hyperglycaemia,Insulin,Obesity,Stomach,Type 1 diabetes


NHS Choices Syndication

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Insulin-dependent diabetes

Living with type 1 diabetes

Look after your feet

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

Regular eye tests

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

Pregnancy

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

Get educated

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

Diabetes and your child

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

Talk to others

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

Financial support and benefits

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

Published Date
2014-01-23 16:36:15Z
Last Review Date
2012-07-16 00:00:00Z
Next Review Date
2014-07-16 00:00:00Z
Classification
Diabetes,Diabetes UK,Diabetic,Disability (living with),Getting active,Healthy eating,Hyperglycaemia,Hypoglycaemia,Insulin,Long-term management,National Institute for Health and Clinical Excellence,Type 1 diabetes

Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

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How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

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Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


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Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

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Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

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Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

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Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

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Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

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Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

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Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

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  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


dcsimg

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Type 1 diabetes – NHS Choices

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Type 1 diabetes 

Introduction 

Teenage diabetes: Chandler’s story

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Chandler has type 1 diabetes. Find out how the condition has affected her life and the lives of those around her.

Media last reviewed: 16/03/2013

Next review due: 16/03/2015

How common is diabetes?

Diabetes is very common, with an increasing number of people being affected by the condition every year.

In 2011, it was estimated that around 366 million people have diabetes worldwide, with this number predicted to grow to 552 million by 2030.

In the UK, more than 1 in 20 people are thought to have either diagnosed or undiagnosed diabetes. About 90% of those affected have type 2 diabetes, with the remaining 10% having type 1 diabetes.

Two friends

Living with diabetes

How to live healthily with diabetes, including advice on diet and lifestyle

Diabetes is a lifelong condition that causes a person’s blood sugar (glucose) level to become too high.

The hormone insulin – produced by the pancreas – is responsible for controlling the amount of glucose in the blood.

There are two main types of diabetes:

  • Type 1 – where the pancreas doesn’t produce any insulin
  • Type 2 – where the pancreas doesn’t produce enough insulin or the body’s cells don’t react to insulin

This topic is about type 1 diabetes. Read more about type 2 diabetes.

Another type of diabetes, known as gestational diabetes, occurs in some pregnant women and tends to disappear following birth.

It’s very important for diabetes to be diagnosed as soon as possible because it will get progressively worse if left untreated.

You should therefore visit your GP if you have symptoms such as feeling thirsty, passing urine more often than usual and feeling tired all the time (see the list below for more diabetes symptoms). 

Type 1 and type 2 diabetes

Type 1 diabetes can develop at any age but usually appears before the age of 40, and especially in childhood. Around 10% of all diabetes is type 1, but it’s the most common type of childhood diabetes. This is why it’s sometimes called juvenile diabetes or early-onset diabetes

In type 1 diabetes, the pancreas (a small gland behind the stomach) doesn’t produce any insulin – the hormone that regulates blood glucose levels. This is why it’s also sometimes called insulin-dependent diabetes.

If the amount of glucose in the blood is too high, it can, over time, seriously damage the body’s organs.

In type 2 diabetes, the body doesn’t produce enough insulin to function properly, or the body’s cells don’t react to insulin. Around 90% of adults with diabetes have type 2, and it tends to develop later in life than type 1.

Diabetes symptoms

The symptoms of diabetes occur because the lack of insulin means that glucose stays in the blood and isn’t used as fuel for energy.

Your body tries to reduce blood glucose levels by getting rid of the excess glucose in your urine.

Typical symptoms include:

  • feeling very thirsty
  • passing urine more often than usual, particularly at night
  • feeling very tired
  • weight loss and loss of muscle bulk

The symptoms of type 1 diabetes usually develop very quickly in young people (over a few days or weeks). In adults, the symptoms often take longer to develop (a few months).

Read more about symptoms of type 1 diabetes.

Causes of type 1 diabetes 

Type 1 diabetes occurs as a result of the body being unable to produce insulin, which moves glucose out of the blood and into your cells to be used for energy.

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, where the bloodstream becomes acidic and you develop dangerous levels of dehydration.

Type 1 diabetes is an autoimmune condition, where the immune system (the body’s natural defence against infection and illness) mistakes the cells in your pancreas as harmful and attacks them.

Read more about the causes of type 1 diabetes.

Treating type 1 diabetes

It’s important that diabetes is diagnosed as early as possible so that treatment can be started.

Diabetes can’t be cured, but treatment aims to keep your blood glucose levels as normal as possible, and control your symptoms to prevent health problems developing later.

If you’re diagnosed with diabetes, you’ll be referred to a diabetes care team for specialist treatment and monitoring.

As your body can’t produce insulin, you’ll need regular insulin injections to keep your glucose levels normal. You’ll be taught how to do this and how to match the insulin you inject to the food you eat, taking into account your blood glucose level and how much exercise you do.

Insulin injections comes in several different forms, with each working slightly differently. Some last up to a whole day (long-acting), some last up to eight hours (short-acting) and some work quickly but don’t last very long (rapid-acting). You’ll most likely need a combination of different insulin preparations.

There are alternatives to insulin injections but they’re only suitable for a small number of patients. They are:

  • insulin pump therapy – where a small device that constantly pumps insulin (at a rate you control) into your bloodstream through a needle that’s inserted under the skin
  • islet cell transplantation – where healthy insulin-producing cells from the pancreas of a deceased donor are implanted into the pancreas of someone with type 1 diabetes (read about the criteria for having an islet transplant)
  • a complete pancreas transplant

Read more about diagnosing diabetes and treating type 1 diabetes.

Complications

If diabetes is left untreated it can cause a number of different health problems. Large amounts of glucose can damage blood vessels, nerves and organs.

Even a mildly raised glucose level that doesn’t cause any symptoms can have damaging effects in the long term.

Read more about the complications of type 1 diabetes.

Living with diabetes

If you have type 1 diabetes, you’ll need to look after your health very carefully. Caring for your health will also make treating your diabetes easier and minimise your risk of developing complications.

For example, eating a healthy, balanced diet and exercising regularly will lower your blood glucose level. Stopping smoking (if you smoke) will also reduce your risk of developing cardiovascular disease.

Read more about living with diabetes.

Page last reviewed: 12/08/2014

Next review due: 12/08/2016

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Comments

The 8 comments posted are personal views. Any information they give has not been checked and may not be accurate.

Jack799 said on 13 June 2014

I’m 16 years of age and I was diagnosed at 11 I just can’t get to grips with diabetes recently I have been putting a lot of weight on and also it is hard for me to carb count

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richardhe said on 03 June 2014

I am type 1 diabetic. Diagnosed at age 72 following flu type illness. I have learned to control my blood glucose level by adjusting dose of insulin. I am very active and I take sweet biscuits out with me whilst jogging to prevent hypoglycaemia. I have read a lot about the pathophysiology of diabetes. However, I can find no explanation as to why the type 1 diabetic metabolism fails to raise blood glucose level (eg. by release from liver) when it falls to 4.0 mM or less. Does anyone have an explanation?

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Tessl said on 06 March 2014

I have only just found this site but have already seen several comments that I can relate too. One young lady is looking for help with her uncontrolled diabetes, I wish her luck, I have found after 44 years that it doesn’t exist. Doctors, consultants and specialist nurses just don’t listen and high blood sugars are what you are causing yourself. If she finds an answer I hope she lets me know as I’m still looking, the only thing I found is that the rise seems to follow my monthly cycle, which no one will accept. The disabled gentleman can try several places who may help. There are social workers at the hospital you attend, The motability society association may help.
Citizens advice should also be of use. Did you also know that a trip to a hospital appointment can be made by ambulance, that must be booked by your GP. Hope that helps

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mrsydb said on 07 February 2014

I am 38 and was diagnosed with the flu about three weeks ago. Following the flu I developed pneumonia, and then bronchitis. Since struggling with the flu and associated complications I was informed that I have developed type 1 diabetes.
Understanding that I have always had a genetic risk for developing the disease after getting through two pregnancies without developing the condition I was quite surprised to develop the condition after catching the flu.

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Heidi s said on 09 September 2013

I am a type 1 diabetic. I am finding this site extremely helpful to read. I am very un controlled an in extreme need of some 1to1 help via nurses or specialists. Can anyone advise me on who is best contact as appointments with my doc and such don’t seem to help it sink in on how much my body is being damaged and suffering . And how serious the condition is on my health.

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jonmac said on 20 September 2012

I am 60 years old and was diagnosed as a type 1 diabetic on May 31st this year. It was a bit of a shock but I am now injecting insulin several times a day and carb counting my food intake before each meal. I wish there was a page with more detailed information about coping with diabetes. I am interested in the glycaemic index and wnat to find out more about how to effectively manage my diet.

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timbo1 said on 09 September 2012

I am in my 39th year as a Type 1 diabetic and I am also interested in any answers you get to your questions. It`ll be no help to you but I do sympathise with you and wish you all the best. Sorry I can`t provide the answers you need.
Timbo1

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Dogs life said on 24 July 2012

I have been a type 1 diabetic for 47 years, was involved in a car accident and broke my leg. The break did not heal properly and I am now disabled. How do I get registered as being disabled as I can no longer drive and am reliant on public transport. Is type 1 diabetics considered a disability? Is there a website I can find out this information and can I claim living expenses with from job centre as I am unemployed?

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Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


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Insulin-dependent diabetes

See what the doctor sees with Map of Medicine

The Map of Medicine is used by doctors throughout the NHS to determine the best treatment options for their patients. NHS Choices offers everyone in England exclusive and free access to this cutting-edge internet resource, which lets you see exactly what your doctor sees.

The information in the Map has been approved by the UK’s leading clinical experts, is based on the best available clinical evidence, and is continually updated. To take advantage of this unique resource go to:

Map of Medicine: diabetes

Map of Medicine: type 1 diabetes mellitus in children and adolescents 

Published Date
2011-09-11 16:19:32Z
Last Review Date
2009-08-02 00:00:00Z
Next Review Date
2011-08-02 00:00:00Z
Classification
Diabetes

Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


dcsimg

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Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

back to top

Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

back to top

Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

back to top

Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

back to top

Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


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Insulin-dependent diabetes

Symptoms of type 1 diabetes

The main symptoms of diabetes that are common to type 1 and type 2 are:

  • feeling very thirsty
  • urinating frequently, particularly at night
  • feeling very tired
  • weight loss and loss of muscle bulk (in type 1 diabetes)

Symptoms of type 1 diabetes can develop quickly, over weeks or even days. Other symptoms include:

  • itchiness around the vagina or penis, or regular bouts of thrush (a yeast infection)
  • blurred vision that is caused by the lens of your eye changing shape 
  • cramps 
  • skin infections

Vomiting or heavy, deep breathing can also occur at a later stage. This is a dangerous sign and requires immediate admission to hospital for treatment. 

Hypoglycaemia (low blood glucose)

If you have diabetes, your blood glucose levels can become very low. This is known as hypoglycaemia (or a “hypo”), and happens because any insulin in your body has moved too much glucose out of your bloodstream.

In most cases, hypoglycaemia occurs as a result of taking too much insulin, although it can also develop if you skip a meal, exercise very vigorously or drink alcohol on an empty stomach.

Symptoms of a “hypo” include:

  • feeling shaky and irritable
  • sweating
  • tingling lips
  • feeling weak
  • hunger
  • nausea (feeling sick)

A hypo can be brought under control simply by eating or drinking something sugary.

If a hypo is not brought under control it can lead to confusion, slurred speech and unconsciousness. If this occurs, you will need to have an emergency injection of a hormone called glucagon. This hormone increases the glucose in your blood.

Read more about hypoglycaemia.

Hyperglycaemia (high blood glucose)

As diabetes occurs as a result of your body being unable to produce any, or enough, insulin to regulate your blood glucose, your blood glucose levels may become very high. This happens because there is no insulin to move glucose out of your bloodstream and into your cells to produce energy.

If your blood glucose levels become too high, you may experience hyperglycaemia. The symptoms of hyperglycaemia are similar to the main symptoms of diabetes, but they may come on suddenly and severely. They include:

  • extreme thirst
  • a dry mouth 
  • blurred vision
  • drowsiness
  • a need to pass urine frequently 

Left untreated, hyperglycaemia can lead to diabetic ketoacidosis, which is a serious condition where the body breaks down fat and muscle as an alternative source of energy. This leads to a build-up of acids in your blood, which can cause vomiting, dehydration, unconsciousness and even death.

Read more about hyperglycaemia.

When to seek urgent medical attention

You should seek urgent medical attention if you have diabetes and you develop:

  • a loss of appetite
  • nausea or vomiting (feeling or being sick)
  • a high temperature
  • stomach pain
  • fruity smelling breath, which may smell like pear drops or nail varnish (others will usually be able to smell it but you will not) 

Further information:

Published Date
2012-09-25 16:58:56Z
Last Review Date
2012-07-16 00:00:00Z
Next Review Date
2014-07-16 00:00:00Z
Classification
Diabetes,Diabetic,Dietary treatment,Gestational diabetes,Hyperglycaemia,Hypoglycaemia,Insulin,Nausea,Symptoms and signs,Thirst,Type 1 diabetes,Type 2 diabetes,Weight loss

Diabetes, type 1 – Living with – NHS Choices

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Diabetes, type 1 – Living with 

Living with type 1 diabetes 

If you have type 1 diabetes, you will need to look after your health very carefully.

Caring for your health will make treating your diabetes easier and minimise your risk of developing complications.

Regular reviews

Because type 1 diabetes is a long-term condition, you will be in regular contact with your diabetes care team. Developing a good relationship with the team will enable you to freely discuss your symptoms or any concerns that you have.

The more they know, the more they can help you. Your GP or diabetes care team will also need to check your eyes, feet and nerves regularly because they can also be affected by diabetes.

HbA1c test

You should be tested each year to see how well your diabetes is being controlled over the long-term.

A blood sample will be taken from your arm and a test known as the HbA1c test carried out. It measures how much glucose is in the red blood cells, and gives your blood glucose levels for the previous 2-3 months.

The HbA1c target for most people with diabetes is below 48 mmol/mol. There’s evidence to show that this level can reduce the risk of complications, such as nerve damage, eye disease, kidney disease and heart disease.

An HbA1c of less than 58 mmol/mol is recommended for those at risk of severe hypoglycaemia (an abnormally low level of blood glucose).

The Diabetes UK website has more information about the HbA1c test.

Healthy eating

It is not true that if you have diabetes you will need to eat special diet. Eat a healthy diet that is high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

Different foods will affect you in different ways, so it is important to know what to eat and when to get the right amount of glucose for the insulin you are taking. A diabetes dietitian can help you work out a dietary plan that can be adapted to your specific needs.

It’s fine for people with diabetes to eat carbs. Your dietitian will explain to you  ‘carb counting’ – matching your insulin requirement with the volume of carbohydrates that you eat or drink. Read advice from Diabetes UK about carb counting & insulin adjustment.

Regular exercise

As physical activity lowers your blood glucose level, it is very important to exercise regularly if you have diabetes.

Like anyone else, you should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity, such as cycling or fast walking, every week. However, before starting a new activity, speak to your GP or diabetes care team.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet to keep your blood glucose level steady.

Do not smoke

If you have diabetes, your risk of developing a cardiovascular disease, such as a heart attack or stroke, is increased.

As well as increasing this risk further, smoking also increases your risk of many other serious smoking-related conditions, such as lung cancer.

If you want to give up smoking, your GP will be able to provide you with advice, support and treatment to help you quit.

Limit alcohol

If you have diabetes, drink alcohol in moderation (if you drink), and never drink alcohol on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended daily alcohol limit is three-to-four units for men and two-to-three units for women.

Keeping well

People with a long-term condition, such as type 1 diabetes, are encouraged to get a flu jab each autumn to protect against flu (influenza). An anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia, is also recommended.

Want to know more?

Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Want to know more?

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Regular eye tests show

If you have type 1 diabetes, have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long time (hyperglycaemia). If it is not treated, retinopathy can eventually cause blindness.

Want to know more?

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Pregnancy  show

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team.

A planned pregnancy enables you to make sure your blood sugar levels are as well controlled as possible before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of pregnancy, to reduce the risk of the baby developing serious birth defects.

In addition to this, you should:

  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start. Read more about diabetes in pregnancy.

Want to know more?

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Get educated show

You will be best equipped to manage your diabetes if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) strongly recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

This gives people the best chance of developing the skills they need to effectively treat their diabetes, maintain their glucose levels close to normal and help prevent long-term complications. It also reduces the risk of developing hypoglycaemia.

Structured patient education

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 1 diabetes, there is a national patient education programme called the DAFNE (Dose Adjustment For Normal Eating).

DAFNE is a skills-based course in which people with type 1 diabetes learn how to adjust their insulin dose to suit what they eat, rather than having to eat to match their insulin doses.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

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Diabetes and your child show

For any parent whose child is diagnosed with a life-long, chronic condition, the tough job of parenting becomes even tougher.

Although having type 1 diabetes involves coming to terms with the diagnosis, getting used to treatment and making changes to everyday life, your child can still lead a normal and healthy life.

Diabetes UK Care Advisor Libby Dowling offers her advice to parents of children with diabetes:

  • Get the knowledge: make sure you understand what diabetes is, what blood glucose targets are and what your child should aim for, and how insulin or insulin pumps work. Don’t be afraid to ask your care team any questions you want. No question is a silly question, and it’s more than likely they’ve heard it before. Ask your care team for relevant leaflets about diabetes that you can take away.
  • Get the skills: make sure you’re confident about the practical aspects of your child’s care. Know how to inject or manage a pump, monitor blood glucose, treat hypos, provide a healthy, balanced diet and know how illness, such as colds or fever, can affect your child’s blood glucose levels. 
  • Know what care to expect: your child has the right to be treated by a specialist paediatric diabetes team, not just in a general paediatric clinic. You should also have access to a paediatric diabetes specialist nurse (PDSN). Ask for the contact numbers of your care team in case of an emergency.
  • Get emotional support and start talking: feelings of depression, guilt or anger are normal, so talk to your healthcare team or ask to see a psychologist for you or your child. Ask to meet another family or go on a Diabetes UK family support weekend. Meeting other families and knowing that you’re not alone always helps. 
  • Work with your child’s school and teachers: agree on a healthcare plan for your child with the school and your PDSN. This should cover who gives injections and monitors blood glucose and when and whether a private area is available if your child isn’t comfortable injecting in front of their classmates. Other things to consider include sharps disposal, sweet snacks in case of hypos, PE and other sporting activities. School is a big part of a child’s life so take the time to ensure your child’s head teacher, teachers and classmates are educated and involved. 
  • Make sure life goes on: allow yourself and your child to experience normal daily routines. If your child used to spend afternoons or sleepovers at friends’ houses, ensure that this still happens. You can’t be with your child 24 hours a day, so share responsibility and allow your family and friends to help. If you have other children, make sure they get your attention too. Don’t rule out sweets completely. Diabetes means low sugar, not no sugar.

Want to know more?

back to top

Talk to others show

Many people find it helpful to talk to others in a similar position, and you may find support from a group for people with diabetes.

Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

The Diabetes UK website enables you to find your local diabetes support group. If you want to contact a trained counsellor directly, you can phone Diabetes UK’s care line on 0845 120 2960 or email careline@diabetes.org.uk.

The Juvenile Diabetes Research Foundation (JDRF) also holds regular local events.

Want to know more?

back to top

Financial support and benefits  show

If your diabetes is controlled by medication, you are entitled to free prescriptions and eye examinations.

Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact the condition has on their life.

The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau (CAB) can check whether you are getting all of the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to give you advice about filling in the forms.

Want to know more?

back to top

  • show glossary terms

Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Healthy living with diabetes

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Diabetes and your child

If your child is diagnosed with diabetes you may feel overwhelmed, angry or worried. A diabetes care team can help

Travelling with diabetes

Guide including diet, travelling with medicines, vaccines, insurance and air travel advice

Diabetes and pregnancy

How type 1 and type 2 diabetes can affect you and your baby. Plus gestational (pregnancy) diabetes

//

Find local services


Diabetes type I
GP
Information and support for metabolic conditions
Weight loss support groups


dcsimg

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Insulin-dependent diabetes

Treating type 1 diabetes

Insulin treatment

As type 1 diabetes occurs because your body cannot produce any insulin, you will need regular insulin treatment to keep your glucose levels normal.

Insulin comes in several different preparations, each of which works slightly differently. For example, some last up to a whole day (long-acting), some last up to eight hours (short-acting) and some work quickly but do not last very long (rapid-acting). Your treatment may include a combination of these different insulin preparations.

Insulin injections

In most cases of type 1 diabetes, you will need to have insulin injections. Insulin must be injected because if it were taken as a tablet, it would be broken down in your stomach, just like food, and would be unable to enter your bloodstream.

When you are first diagnosed, your diabetes care team will help you with your insulin injections, before showing you how and when to do it yourself. They will also show you how to store your insulin and dispose of your needles properly.

Insulin injections are either given with a syringe or an injection pen, which is also known as an insulin pen or auto-injector. Most people need two-to-four injections a day. Your GP or diabetes nurse may also teach one of your close friends or relatives how to inject the insulin properly.

Insulin pump therapy

Insulin pump therapy is an alternative to injecting insulin. An insulin pump is a small device that holds insulin and is about the size of a pack of playing cards.

The pump is attached to you by a long, thin piece of tubing, with a needle at the end, which is inserted under your skin. Most people insert the needle into their stomach, but you could also insert it into your hips, thighs, buttocks or arms.

The pump allows insulin to flow into your bloodstream at a rate that you can control. This means you no longer need to give yourself injections, although you will need to monitor your blood glucose levels very closely to ensure you are receiving the right amount of insulin.

Insulin pump therapy can be used by adults, teenagers and children (with adult supervision) who have type 1 diabetes. However, it may not be suitable for everyone. Your diabetes care team may suggest pump therapy if you often have low blood glucose (hypoglycaemia).

Want to know more?

Monitoring blood glucose

Monitoring your blood glucose levels

An important part of your treatment is to make sure that your blood sugar level is as normal and stable as possible.

You will be able to manage this using insulin treatment and by eating a healthy diet, but you will also have to regularly check your blood glucose levels to make sure they are not too high or too low.

Exercise, illness, stress, drinking alcohol, taking other medicines and, for women, changes to your hormone levels during your monthly period can all affect your blood sugar levels.

In most cases, you will need to check your blood glucose levels at home using a simple finger prick blood test. You may need to do this up to four or more times a day, depending on the type of insulin treatment you are taking. Your diabetes care team will talk to you about your ideal blood glucose level.

The normal blood sugar level is 4.0-7.0 mmol/l before meals and less than 9.0 mmol/l two hours after meals. Mmol/l means millimoles per litre, and it is a way of defining the concentration of glucose in your blood.

Find out how to test your glucose levels.

Having your blood glucose levels checked

As well as monitoring your blood glucose levels every day, your GP or diabetes care team will also carry out a special blood test every two-to-six months. This will show how stable your glucose levels have been over the past 6-12 weeks, and how well your treatment plan is working.

This additional blood test is known as the HbA1c test. Unlike the finger prick test that measures blood sugar at a single time, the HbA1c test gives an idea of blood glucose levels over time. 

It measures the amount of haemoglobin, which is the oxygen-carrying substance in red blood cells that has glucose attached to it. A high HbA1c level may indicate that your blood glucose level is consistently high and that your diabetes treatment plan needs to be altered.

Want to know more?

Treating hypoglycaemia (low blood glucose)

Hypoglycaemia can occur when your blood glucose level becomes very low. It is likely that you will develop hypoglycaemia from time to time.

Mild hypoglycaemia (or a ‘hypo’) can make you feel shaky, weak and hungry, and can be controlled by eating or drinking something sugary, such as a fizzy drink (not a diet version), sugar cubes or raisins. You may also be able to take pure glucose, in the form of a tablet or fluid, if you need to control the symptoms of a hypo quickly.

If you develop severe hypoglycaemia, you can become drowsy and confused, and you may even lose consciousness. If this occurs, you will need to have an injection of glucagon into your muscle or glucose into one of your veins. Glucagon is a hormone that quickly increases your blood glucose levels.

Your diabetes care team may show several of your family members and close friends how to inject the glucagon or glucose, should you need it.

Once you begin to come round, you will need to eat something sugary when you are alert enough to do so. If you lose consciousness as a result of hypoglycaemia, there is a risk that it could happen again within a few hours, so you will need to rest afterwards and have someone with you.

If the glucagon injection into your muscle does not work and you are still drowsy or unconscious 10 minutes after the injection, you will need urgent medical attention.

You will need to have another injection of glucagon straight into a vein, which must be given by a trained healthcare professional.

If you have type 1 diabetes, it is recommended that you carry identification with you so that people will be aware of the problem if you become hypoglycaemic.

Islet transplantation

Some people with type 1 diabetes may benefit from a fairly new procedure known as islet transplantation. It involves implanting healthy islet cells from the pancreas of a deceased donor into the pancreas of someone with type 1 diabetes.

In 2008, a government-funded islet transplant programme was introduced, and the procedure is now available through the NHS for people who satisfy certain criteria (see below).

You may be suitable for an islet transplant if you:

  • have had two or more severe hypos within the last two years and you have a poor awareness of hypoglycaemia
  • have a working kidney transplant, severe hypos and poor hypoglycaemia awareness, or poor blood glucose control even after receiving the best medical treatment

You may not be suitable for an islet transplant if you:

  • weigh over 85kg (13st 5.4lb)
  • have poor kidney function
  • need a lot of insulin – for example, over 50 units a day for a 70kg (11st) person

An islet transplant is a minor, low-risk procedure that is carried out under local anaesthetic.

The procedure has been shown to be effective at reducing the risk of severe hypos. So far, the results of islet transplants carried out in the UK have shown a significant reduction in the number of hypos, from 23 per person per year before transplantation to less than one per person per year afterwards.

Want to know more?

Treating hyperglycaemia (high blood glucose)

Hyperglycaemia can occur when your blood glucose levels become too high. It can happen for several reasons, such as eating too much, being unwell or not taking enough insulin.

If you develop hyperglycaemia, you may need to adjust your diet or your dose of insulin to keep your glucose levels normal. Your diabetes care team will be able to advise you about the best way to do this.

If hyperglycaemia is not treated, it can lead to diabetic ketoacidosis, where the body begins to break down fats for energy instead of glucose, resulting in a build-up of acids in your blood.

This is very serious and if it is not addressed quickly it can cause unconsciousness and, eventually, death. Read more about the symptoms of diabetic ketoacidosis.

If you develop diabetic ketoacidosis, you will need urgent hospital treatment. You will be given insulin directly into a vein (intravenously). If you are dehydrated, you may also need to have other fluids given by a drip, including salt solution and potassium.

Want to know more?

Other treatments

Type 1 diabetes can lead to long-term complications. If you have type 1 diabetes, you have an increased risk of developing heart disease, stroke and kidney disease. To reduce the chance of this, you may be advised to take:

Diabetic kidney disease is identified by the presence of small amounts of a protein called albumin in your urine. It is often reversible if treated early enough.

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Published Date
2013-05-28 11:00:56Z
Last Review Date
2012-07-16 00:00:00Z
Next Review Date
2014-07-16 00:00:00Z
Classification
ACE inhibitors,Diabetes,Diabetes clinics,Diabetes UK,Diabetic,Healthy eating,Hyperglycaemia,Hypoglycaemia,Insulin,Type 1 diabetes

Diabetes, type 1 – Treatment – NHS Choices

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Diabetes, type 1 – Treatment 

Treating type 1 diabetes  

There is no cure for diabetes, so treatment aims to keep your blood glucose levels as normal as possible and to control your symptoms to prevent health problems developing later in life.

If you have been diagnosed with diabetes, you will be referred for specialist treatment from a diabetes care team. They will be able to explain your condition in detail and help you to understand your treatment. They will closely monitor your condition to identify any health problems that may occur.

Care standards for diabetes

The aim of treating diabetes is to help people with the condition control their blood glucose levels and minimise the risk of developing future complications.

The Department of Health has set out national standards for NHS organisations and professionals covering diabetes care and prevention. The Diabetes National Service Framework was developed by diabetes clinical experts and patients with diabetes. Good diabetes care includes:

  • access to information and appropriate support for people with type 1 diabetes, including access to a structured education programme, such as DAFNE (Dose Adjustment for Normal Eating)
  • an agreed care plan, helping all people with diabetes to manage their care and lead a healthy lifestyle, including a named contact for their care
  • information, care and support to enable all people with diabetes to control their blood glucose, maintain an acceptable blood pressure and minimise other risk factors for developing complications
  • access to services to identify and treat possible complications, such as screening for diabetic retinopathy (where high blood glucose levels damage the retina at the back of the eye) and specialised foot care
  • effective care for all people with diabetes admitted to hospital, for whatever reason

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Insulin treatment hide

As type 1 diabetes occurs because your body cannot produce any insulin, you will need regular insulin treatment to keep your glucose levels normal.

Insulin comes in several different preparations, each of which works slightly differently. For example, some last up to a whole day (long-acting), some last up to eight hours (short-acting) and some work quickly but do not last very long (rapid-acting). Your treatment may include a combination of these different insulin preparations.

Insulin injections

In most cases of type 1 diabetes, you will need to have insulin injections. Insulin must be injected because if it were taken as a tablet, it would be broken down in your stomach, just like food, and would be unable to enter your bloodstream.

When you are first diagnosed, your diabetes care team will help you with your insulin injections, before showing you how and when to do it yourself. They will also show you how to store your insulin and dispose of your needles properly.

Insulin injections are either given with a syringe or an injection pen, which is also known as an insulin pen or auto-injector. Most people need two-to-four injections a day. Your GP or diabetes nurse may also teach one of your close friends or relatives how to inject the insulin properly.

Insulin pump therapy

Insulin pump therapy is an alternative to injecting insulin. An insulin pump is a small device that holds insulin and is about the size of a pack of playing cards.

The pump is attached to you by a long, thin piece of tubing, with a needle at the end, which is inserted under your skin. Most people insert the needle into their stomach, but you could also insert it into your hips, thighs, buttocks or arms.

The pump allows insulin to flow into your bloodstream at a rate that you can control. This means you no longer need to give yourself injections, although you will need to monitor your blood glucose levels very closely to ensure you are receiving the right amount of insulin.

Insulin pump therapy can be used by adults, teenagers and children (with adult supervision) who have type 1 diabetes. However, it may not be suitable for everyone. Your diabetes care team may suggest pump therapy if you often have low blood glucose (hypoglycaemia).

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Monitoring blood glucose show

Monitoring your blood glucose levels

An important part of your treatment is to make sure that your blood sugar level is as normal and stable as possible.

You will be able to manage this using insulin treatment and by eating a healthy diet, but you will also have to regularly check your blood glucose levels to make sure they are not too high or too low.

Exercise, illness, stress, drinking alcohol, taking other medicines and, for women, changes to your hormone levels during your monthly period can all affect your blood sugar levels.

In most cases, you will need to check your blood glucose levels at home using a simple finger prick blood test. You may need to do this up to four or more times a day, depending on the type of insulin treatment you are taking. Your diabetes care team will talk to you about your ideal blood glucose level.

The normal blood sugar level is 4.0-7.0 mmol/l before meals and less than 9.0 mmol/l two hours after meals. Mmol/l means millimoles per litre, and it is a way of defining the concentration of glucose in your blood.

Find out how to test your glucose levels.

Having your blood glucose levels checked

As well as monitoring your blood glucose levels every day, your GP or diabetes care team will also carry out a special blood test every two-to-six months. This will show how stable your glucose levels have been over the past 6-12 weeks, and how well your treatment plan is working.

This additional blood test is known as the HbA1c test. Unlike the finger prick test that measures blood sugar at a single time, the HbA1c test gives an idea of blood glucose levels over time. 

It measures the amount of haemoglobin, which is the oxygen-carrying substance in red blood cells that has glucose attached to it. A high HbA1c level may indicate that your blood glucose level is consistently high and that your diabetes treatment plan needs to be altered.

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Treating hypoglycaemia (low blood glucose) show

Hypoglycaemia can occur when your blood glucose level becomes very low. It is likely that you will develop hypoglycaemia from time to time.

Mild hypoglycaemia (or a ‘hypo’) can make you feel shaky, weak and hungry, and can be controlled by eating or drinking something sugary, such as a fizzy drink (not a diet version), sugar cubes or raisins. You may also be able to take pure glucose, in the form of a tablet or fluid, if you need to control the symptoms of a hypo quickly.

If you develop severe hypoglycaemia, you can become drowsy and confused, and you may even lose consciousness. If this occurs, you will need to have an injection of glucagon into your muscle or glucose into one of your veins. Glucagon is a hormone that quickly increases your blood glucose levels.

Your diabetes care team may show several of your family members and close friends how to inject the glucagon or glucose, should you need it.

Once you begin to come round, you will need to eat something sugary when you are alert enough to do so. If you lose consciousness as a result of hypoglycaemia, there is a risk that it could happen again within a few hours, so you will need to rest afterwards and have someone with you.

If the glucagon injection into your muscle does not work and you are still drowsy or unconscious 10 minutes after the injection, you will need urgent medical attention.

You will need to have another injection of glucagon straight into a vein, which must be given by a trained healthcare professional.

If you have type 1 diabetes, it is recommended that you carry identification with you so that people will be aware of the problem if you become hypoglycaemic.

Islet transplantation

Some people with type 1 diabetes may benefit from a fairly new procedure known as islet transplantation. It involves implanting healthy islet cells from the pancreas of a deceased donor into the pancreas of someone with type 1 diabetes.

In 2008, a government-funded islet transplant programme was introduced, and the procedure is now available through the NHS for people who satisfy certain criteria (see below).

You may be suitable for an islet transplant if you:

  • have had two or more severe hypos within the last two years and you have a poor awareness of hypoglycaemia
  • have a working kidney transplant, severe hypos and poor hypoglycaemia awareness, or poor blood glucose control even after receiving the best medical treatment

You may not be suitable for an islet transplant if you:

  • weigh over 85kg (13st 5.4lb)
  • have poor kidney function
  • need a lot of insulin – for example, over 50 units a day for a 70kg (11st) person

An islet transplant is a minor, low-risk procedure that is carried out under local anaesthetic.

The procedure has been shown to be effective at reducing the risk of severe hypos. So far, the results of islet transplants carried out in the UK have shown a significant reduction in the number of hypos, from 23 per person per year before transplantation to less than one per person per year afterwards.

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Treating hyperglycaemia (high blood glucose) show

Hyperglycaemia can occur when your blood glucose levels become too high. It can happen for several reasons, such as eating too much, being unwell or not taking enough insulin.

If you develop hyperglycaemia, you may need to adjust your diet or your dose of insulin to keep your glucose levels normal. Your diabetes care team will be able to advise you about the best way to do this.

If hyperglycaemia is not treated, it can lead to diabetic ketoacidosis, where the body begins to break down fats for energy instead of glucose, resulting in a build-up of acids in your blood.

This is very serious and if it is not addressed quickly it can cause unconsciousness and, eventually, death. Read more about the symptoms of diabetic ketoacidosis.

If you develop diabetic ketoacidosis, you will need urgent hospital treatment. You will be given insulin directly into a vein (intravenously). If you are dehydrated, you may also need to have other fluids given by a drip, including salt solution and potassium.

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Other treatments show

Type 1 diabetes can lead to long-term complications. If you have type 1 diabetes, you have an increased risk of developing heart disease, stroke and kidney disease. To reduce the chance of this, you may be advised to take:

Diabetic kidney disease is identified by the presence of small amounts of a protein called albumin in your urine. It is often reversible if treated early enough.

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Page last reviewed: 17/07/2012

Next review due: 17/07/2014

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Find out how your local NHS manages diabetes care

Diabetes blood test

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In this video, an expert explains what the diabetes blood test is used for, and why the reporting system changed in 2009.

Media last reviewed: 20/02/2013

Next review due: 20/02/2015

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