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Also
known as: juvenile diabetes, insulin-dependent
diabetes mellitus (IDDM), childhood diabetes,
and ketosis prone diabetes (Note: some of these
terms are now outdated).
Type 1 diabetes accounts for between 5 and 10%
of all diagnosed diabetes in the United States.
Although type 1 diabetes develops most often in
children and young adults (one in every 400-500
children has type 1 diabetes), the disease can
be diagnosed at any age throughout the lifespan,
and is equally distributed among males and females.
Unlike type 2 diabetes, type 1 diabetes is more
common in Caucasians than in those of Latino,
African-American, or other non-Caucasian backgrounds.
Type 1 diabetes is an autoimmune disease that
occurs when the insulin-producing beta cells within
the pancreas are gradually destroyed and eventually
fail to produce insulin. Insulin is a hormone
that helps the body's cells use glucose for energy.
Blood glucose (or blood sugar) is manufactured
from the food we eat (primarily carbohydrates)
and by the liver. If glucose can't be absorbed
by the cells, it builds up in the bloodstream
instead, and high blood sugar is the result. Over
time, the high blood glucose levels of uncontrolled
diabetes can be toxic to virtually every system
of the body.
Because type 1 diabetes is frequently diagnosed
in childhood, it is sometimes referred to as juvenile
diabetes. However, it can develop at any age throughout
adulthood. Early diagnosis is important to prevent
some of the more serious complications of diabetes,
which include heart disease, blindness, high blood
pressure, nerve damage, and kidney failure. In
addition to following an exercise and healthy
eating plan, individuals with type 1 diabetes
require insulin injections.
The causes of type 1 diabetes are complex and
still not completely understood. People with type
1 diabetes are thought to have an inherited, or
genetic, predisposition to the disease. Researchers
believe that this genetic predisposition may remain
dormant until it is activated by an environmental
trigger such as a virus or a chemical. This starts
an attack on the immune system that results in
the eventual destruction of the beta cells of
the pancreas.
There are several subtypes of type 1 diabetes,
including type 1A diabetes, idiopathic diabetes
(type 1B), and latent autoimmune diabetes of adulthood
(LADA). The basic treatment (i.e., insulin injections)
is the same for all. |
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