Children with Diabetes
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Type 1 Diabetes 101

New to T1D? Start here. We'll break down what Type 1 Diabetes is, how it's managed, and where you can go for deeper learning.

What is Type 1 Diabetes?

Type 1 Diabetes is an autoimmune condition where the pancreas stops producing insulin. This happens because the immune system mistakenly attacks the insulin-producing cells (beta cells) in the pancreas. Without insulin, glucose (sugar) can't enter the cells and builds up in the bloodstream, which is dangerous.

Important: Type 1 is not caused by diet or lifestyle. It's not preventable, and it's not your fault. It just happensβ€”and millions of people manage it well every day.

Type 1 vs Type 2

Type 1 is autoimmune; Type 2 involves insulin resistance. Different causes, different management.

Read Comparison β†’

Symptoms

Increased thirst, frequent urination, fatigue, weight loss. Usually come on suddenly.

Learn More β†’

Diagnosis

Blood tests (A1C, glucose, antibodies). Usually diagnosed at emergency with DKA.

Diagnosis Guide β†’

Blood Sugar Basics

Understanding Glucose

Glucose is your body's fuelβ€”it comes from the food you eat. Normally, your pancreas releases insulin to help cells absorb glucose and use it for energy. With Type 1, your pancreas doesn't make insulin, so you have to take it artificially.

Your goal is to keep blood sugar in a healthy range: typically 80-130 mg/dL before meals and under 180 mg/dL after meals (though targets vary by age and individual).

Hypoglycemia (Low Blood Sugar)

Below 70 mg/dL. Symptoms: shaking, sweating, racing heart, anxiety, confusion, hunger.

Treatment: 15g quick carbs

  • β€’ 4 oz fruit juice
  • β€’ 4-5 glucose tablets
  • β€’ 1 tablespoon honey
  • β€’ 5-6 hard candies

Hyperglycemia (High Blood Sugar)

Above 180 mg/dL. Symptoms: thirst, frequent urination, fatigue, headache.

Treatment: More insulin + fluids

  • β€’ Take insulin as directed
  • β€’ Drink water
  • β€’ Check for ketones if very high
  • β€’ Contact doctor if prolonged

Insulin & Delivery Methods

Types of Insulin

  • Rapid-ActingCovers meals. Works in ~15 min. Examples: Humalog, NovoLog, Apidra.
  • Long-ActingBackground insulin. Works for ~24 hours. Examples: Lantus, Levemir, Tresiba.
  • NPH (Intermediate)Less common now. Peaks at ~4-8 hours.
Insulin Comparison Guide β†’

Delivery Methods

  • Insulin InjectionsPens or syringes. Multiple daily injections (MDI) typical.
  • Insulin PumpSmall device that delivers insulin continuously + boluses for meals.
  • Artificial PancreasNewer systems (iLet, Tandem Control-IQ) automate insulin delivery.
Insulin Pump Reviews β†’

Monitoring Your Blood Sugar

Blood Glucose Meter (BGM)

Traditional testing: prick finger, place drop on strip, get reading in seconds. Needed to confirm lows and assess trends.

Meter Comparison β†’

Continuous Glucose Monitor (CGM)

Small sensor worn on skin. Reads glucose every 5-15 minutes. Sends data to phone/pump. Game-changer for many.

CGM Buying Guide β†’

Carb Counting (Carbohydrate Counting)

Insulin dosing is based on the carbs you eat. Learning to count carbs is essential.

How It Works

  • β€’ Look up carb content of foods
  • β€’ Add up total carbs in your meal
  • β€’ Use your insulin-to-carb ratio to calculate dose
  • β€’ Example: 1 unit covers 10g carbs

Resources

A1C & Your Goals

A1C (Hemoglobin A1C) is a blood test that shows your average blood sugar over the last 3 months. It's the key metric your doctor uses to assess diabetes control.

<5.7%
Normal (non-diabetic)
~6.5%
Excellent control (T1D)
7-9%
Good control
>9%
Area for improvement

Note: Goals vary by age and individual circumstances. Talk to your healthcare team about your personal A1C target.

Long-Term Complications (And Why Control Matters)

With good blood sugar control, you can prevent or delay these complications:

Retinopathy

Eye damage. Preventable with good control + regular eye exams.

Nephropathy

Kidney damage. Preventable with good control + blood pressure management.

Neuropathy

Nerve damage (usually feet). Preventable with good control + foot care.

Heart Disease

Increased risk. Preventable with good control + exercise + healthy diet.

Diabetic Ketoacidosis (DKA)

Life-threatening. Prevented by taking insulin daily (missing doses = risk).

Hypoglycemia

Immediate danger. Managed with awareness, glucose testing, and carb counting.

The good news: Many people with T1D live long, healthy lives without complications by staying engaged with their care.