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type 1 diabetes

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Q: What causes people with Type 1 diabetes to get bad headaches and migraines?
My little brother has type 1 diabetes and was diagnosed with it at 12 months old and he sometimes get bad migraines. What causes migraines and bad headaches when you have type 1 diabetes?

He is 17 years old and is a big part of me. If something ever happened to him, damn I don’t know what I’d do.
I need some responses here guys.
Thank Tralee, but he already has an insulin pump as do most people with type 1.

A: I have had type 1 since I was 16 yrs old and have had migraines as well . It is because your sugar goes too high and puts excess pressure on your brain cells causing exspansion of them and that is what causes the migraines . I got this info from my dr and also I got a prescription for sumatriptan and it does help but makes you very drowsy and you cannot do anything after that .

Q: Type 1 diabetes and I want to get a breast implant is it safe?
I have type 1 diabetes and I want to get a breast job. Do you think it is ok for me to go through the procedure?

A: It’s safe so long as the medical/nursing staff as completely aware of your condition and take this into consideration when performing the procedure. This means providing you with appropriate IV fluids when you are fasting for surgery, checking your BMs regularly and ensuring you receive your insulin when needed.

Q: How much will Type 1 Diabetes cost me in health expenses in America?
I have Type 1 Diabetes and currently live in the United Kingdom, so my care is free. How much will health care/medication cost me in the United States, if I were to emigrate?

A: I would stay in the UK! It is outrageous living here in the US. I spend $9000 a year and I have great insurance.

My insulin copay per month is $38.
My other prescriptions are $40 a month.
Miscellaneous diabetic expenses cost me over $90 to $100 a month.
I visit my Endo doctor every 3 months at 10 buck a pop.
My cardiologist every 6 months costs me $25.
I’ve been in the ER twice this yr at $50 each time.
The foot doc twice a yr is $25 a visit.
Blood work every 3 months $100.
The diabetic clinic every 3 months $25
My pump supplies cost $50 every few months.
My insulin pump was 9 grand. I paid $50.
I spend a $10 copay per month for insurance.
The drug companies make a fortune on the Diabetics in the US.

Q: What are the chances of my 2 year old daughter to develop type 1 diabetes?
Both my husband and sister in law have type 1 diabetes. My husband develop type 1 diabetes when he was 5 years old, but his identical twin did not. His younger sister developed type 1 diabetes when she was 12 years old.

A: If a father has type 1, the child has a 1 in 17 chance of developing diabetes.
A child has a 1 in 25 chance of developing diabetes if the mother has type 1 and gave birth before the age of 25. Chances are 1 in 100 if the child was born after the mother was 25.
A child has a 1 in 7 chance of developing diabetes if the father has type 2 diabetes and was diagnosed befor the age of 50, chances are 1 in 13 if the father was diagnosed after the age of 50.
If both parents have type 2 diabetes, a child has a 1 in 2 chance of developing the disease.
This is just a tid bit of information that I got out of one of my diabetes magazines recently

Q: What are some psychological characteristics of type 1 diabetes?
Hi.
Are there any psychological characters of type 1 diabetes?
So far I have : Higher risk for eating disorders, depression, and dementia/
What am I missing?

A: Even though type 1 diabetes is an autoimmune disease, I guess quality of life could be decreased in some people who have it. A major diagnosis that is going to affect you for the rest of your life frequently causes depression – both at the time of diagnosis and throughout your life due to dealing with the constant monitoring and care that type 1 diabetes requires.
I recently read a nursing journal article that young females with type one diabetes are at higher risk for anorexia nervosa due to the strict adherence of a ‘diabetic diet’ and it discussed insulin omission with this.

I haven’t heard about the dementia one though – hope you’re not right there!

Q: Does Type 1 diabetes automatically disqualify you from being a police officer?
I am 21 years old and I want to apply to local police agencies in Maryland, particularly Prince George’s County and Howard County. I have had Type 1 Diabetes since I was 13 and I have always had excellent control (a1c between 5.0- 6.0). I have done research on whether diabetes will disqualify me from getting a job and the results seem to be mixed. Any information or links references on the topic would be a huge help.

A: No, it doesn’t. It DOES disqualify you from any of the armed forces though. As an EMT myself, I never had any problems with it.

You would really have to contact the local police or sheriff’s department to find out for sure but I know many diabetics that work in public safety.

EMT

Q: How do I get sponsors to be the youngest runner to cross America and support the cause for diabetes type 1?
I am 14 and I am training to be able to run all the way across the continental US in hopes to set a record and at the same time be able to raise much needed money for the research and hope for a cure for type 1 diabetes, which I have and is on the rise, rapidly. I don’t know where to begin to get this cause started and actually make it worth something. I am hoping for huge contributions to this cause. How should I begin?

A: I love your enthusiasm. Never let diabetes stop you from doing anything !!

Good luck.

Q: What are the best ways to reduce the risk of getting type 1 diabetes?
I’m really scared that I’m going to get type 1 diabetes. I match two of the symtoms of it: extreem hunger and fatigue. Type 1 diabetes runs in my family, my sister, and great grandparents had it.

A: If it runs in your family, you should probably go and get tested for it.
Other symptoms that I experienced include frequent thirst, frequent bathroom visits-like every hour and you feel like you can’t hold it if you want to-, and vomiting after a high carb and high sugar meal-such as a chocolate shake and McDonald’s for me-, and extreme weight loss.
You can go to your doctor so they can check your urine, no blood drawn. Please, don’t wait. DIabetes is very serious but don’t be scared, your doctors can offer all kinds of support.

Q: How do you take care of type 1 diabetes?
I want to know how to take care of type 1 diabetes, when do you check? How often? What is a good eating plan? When can you eat and not eat? When can you have candy and sugar or go off your eating plan? When do you take insulin? How much insulin? Just all the stuff you have to go through to take care of type 1 diabetes, thanks!

A: Insulin lowers the level of glucose in the blood by allowing it to enter your cells to be used for energy. Since people with type 1 can no longer depend upon their pancreas to produce insulin, it must be obtained from injections or an insulin pump every day.

There are a number of insulin preparations available these days. They range from short-acting to long-acting and can be mixed together if your doctor believes this will enable you to achieve better control of your blood glucose. Your doctor will prescribe the type(s) best suited for your situation and the dr. will prescribe your dose and how often you administer your dosage.

Though researchers are searching for additional ways to administer insulin without a needle, such as inhaling it or taking pills, injections are still the only way to get the necessary insulin that people with type 1 need to live.

Meal planning is an important part of managing your type 1 diabetes. The reason you must follow a meal plan is that you have to balance the insulin you take and food you eat. Remember, food increases your glucose levels, insulin brings it down. You always have to consider one when taking the other. And don’t believe the old myth that says you can’t eat anything sweet or you must give up your favorite foods. The truth is, you can eat most anything you want as long as you factor it in to your overall meal plan for any given day.

The best way to get started is to meet with a dietician who will consider your health needs, your lifestyle and your food preferences, including when you can eat and not eat and when you can have candy and sugar, or go off your eating plan, and work them into a personalized meal plan you can live with.

Exercise works in a similar way that insulin does; it reduces the amount of glucose in your blood. It’s not a substitute for insulin but rather an additional healthy way to further lower your glucose.

Another benefit of regular activity is that it helps you achieve your optimal weight. And the closer you are to your target weight, the better your body will use the daily insulin you take. But before starting an exercise routine, consult your doctor. Having type 1 diabetes requires that you give special attention to your blood glucose before your activity, during and after to help prevent a sudden drop in blood glucose levels.

The only way you can confidently know what your blood glucose level is at any given time is to test it. Regular testing will help you identify high and low levels before serious problems could develop. When testing is performed on a regular basis, it helps you assess how well you are balancing your insulin therapy, meal planning and exercise to manage your diabetes. These test results will also provide valuable information for your doctor to help make adjustments to your overall care plan.

Fortunately, there are many small, pocket-sized blood glucose monitoring devices that will check your glucose levels in seconds using only a small drop of blood. Many of these devices also allow you to download your results to your computer to make graphs and charts of your readings to help spot trends or trouble spots.

You can purchase these blood glucose monitors at your local pharmacy. But your better option is to talk with your healthcare provider who may be able to get you one along with a small number of test strips for free. The companies that manufacture glucose monitors supply physicians and diabetes educators with monitors hoping they will pass them to their patients. Other options include asking your pharmacist about discounts or rebate coupons or call the manufacturer directly. But getting any monitor, find out whether your insurance will cover the meter and strips. Some insurance companies will only cover particular meters.

Hope this helps.

Q: What happens if i am diagnosed with type 1 diabetes?
Will I have to go to the hospital if I am diagnosed with type 1 diabetes? If so, what will i do there? Will they just teach me how to control my diabetes? Will they just monitor me? Will they do anything that hurts to me besides insulin injections, and checking my blood sugar?

A: i’m not quite sure why you’re asking this if you haven’t even been diagnosed. did your doctor tell you he suspects you have t1? there is no way that a doctor would tell you that and then simply send you home without insulin or education. you don’t even know if you have it, you don’t claim to have any symptoms, and yet you’re jumping to conclusions. take it one step at a time instead of freaking out over this. oh, and you DON’T need a catheter unless you are severely ill, unconscious, or physically unable to void on your own. stop obsessing over this…it’s not healthy!

Q: Can I test for type 1 diabetes using things I have at home?
I’ve just been told I may have diabetes [I wasn't told what type but it must be type 1 because I'm only 16 and I have a BMI of 18.5 so I'm obviously not overweight, so it has to be type 1]. I can’t see my doctor for another week, and I really need to know. I can’t order anything online, and I live too far from any drugstores to be able to get there. Is there anything I can do?

A: Was the somebody, that told you that you may have diabetes, a member of
the medical profession? That can be a very mean thing to do, telling
someone they have a medical problem, without having the knowledge
to back it up. Look how you’ve worried and it is highly likely that you
do not have it. Remain calm and see your dr. next week. If you have it,
you will have it all your life and you will learn to manage it. Don’t be
fearful.

Q: Is there an environmental factor to developing type 1 diabetes?
I know that there is for sure when it comes to type 2 diabetes because if a person’s weight is kept in check, he/she will have a better chance of not developing diabetes. But what about type 1 diabetes?

A: Environmental factors that have been implicated:

-Viruses
-Exposure to gluten, soy, and casein (these food proteins can possibly stimulate the autoimmune response in those prone to Type 1 diabetes). Casein (milk protein) studies are being done right now to see if avoiding casein in infant formula will reduce the risk of Type 1 diabetes in infants with the known susceptibility genes. The study is called ‘TRIGR’.
-A lack of Omega 3 EFA and Vitamin D. Recent studies have come out confirming that Omega 3 is protective against Type 1 diabetes, as is Vitamin D. High Vitamin D and Omega 3 levels decrease risk, but do not eliminate it entirely of course.
-Stress, trauma, accidents, illness, and/or pregnancy also seem to cause a shift in immune function that can trigger the disease in people prone to it.
-Some medications have been linked to Type 1 diabetes, although there is usually no conclusive proof in most cases.

All cases of *autoimmune* Type 1 diabetes require an interaction between genes that make them susceptible AND an environmental trigger. Note that there may be *many* possible triggers, and one may need any number of combinations to develop the disease depending on their genes. Different genes may even have different triggers. Also, some people may have so much genetic susceptibility that they will develop the disease from virtually *any* trigger no matter what.

There are cases of “Type 1″ diabetes that are not autoimmune, and can be caused by direct trauma to the pancreas, a virus acting directly on the pancreas (no autoimmunity), or secondary to a disease like Cystic Fibrosis. These cases are referred to as “Type 1B”, “Idiopathic”, or “Secondary” diabetes.

There is also the KIR6.2 genetic mutation, which causes some cases of neonatal (infant) diabetes. This is sometimes mistakenly diagnosed as autoimmune Type 1 diabetes and treated with insulin. Kids with this mutation actually can use oral diabetes medication. This form of diabetes is strictly due to genetics (no trigger and no way to prevent it), and VERY rare.

The study listed in answer above refers to a lack fo sleep and shift work as pertaining to Type 2 diabetes. Often the above leads to an increase in insulin resistance, more fast food consumption, and less exercise. 99% of of studies and media are referring to Type 2 diabetes unless it specifically says otherwise. Type 2 diabetes is often linked to lifestyle and modifiable factors.

Type 1 diabetes is not caused by poor diet, junk food, lack of exercise, obesity, etc.

In other words, yes there are environmental factors associated with Type 1 diabetes, but as of now it is not a preventable disease by any known means.

Q: Is type 1 diabetes hereditary? What are the chances of passing it to your kids?
I’ve dated a girl who is Type 1 diabetic and has several health problems. It has crossed my mind that if I end up marrying her, maybe my kids would have diabetes. Her dad has diabetes and her great uncle died by diabetes as a child several years ago. If I ended up having kids with her, what are the chances of passing the disese to them?

A: A lot depends on several variables in the affected genes: http://www.genetichealth.com/dbts_genetics_of_type_1_diabetes.shtml

In other words, no easy or reliable way to quantify it other than the risk is there.

Q: What affect could dislocating a shoulder have on a person with type 1 diabetes?
My friend and I are trying to role play a scene and her character (a detective with diabetes) just dislocated his shoulder. My character is a doctor and I wanted my response to be as medically accurate as possible. Could someone who knows more about diabetes tell me how a trauma like this might affect a person with type 1 diabetes?

A: The only possible connection between injury and type 1 diabetes is that a significant injury may mildly elevate glucose over a short period of time. The injury in and of itself will not alter long-term diabetic control. Opioids – to treat pain – do not affect blood glucose. It is very rare for a dislocated shoulder to become infected and in fact in the absence of penetration through the skin I am not aware of a single case. Your response as a physician would be very straight-forward and not really affected by this person’s type 1 diabetes. You must obtain adequate pain control in order to ‘reduce’ the shoulder which means to move it back into place. After this the pain should virtually disappear although a few days of anti-inflammatory non-steroidal pain medications may be advised. May the muse of theater make you a master thespian. I wish you the very best of health and in all things may God bless.

Q: Does anyone know if Type 1 diabetes is hereditary?
My partner has Type 1 diabetes (the insulin dependent -non lifestyle dependent sort) and we are planning on having a child. Is this hereditary and is there anything that can be done to stop or lower the chances of it being passed down?

A: Amount the various factors for Diabetes Type 1, hereditary reasons are also one of the factor but this can not be ATTRIBUTED FULLY TO DIABETES.

Type-1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to convert sugar (glucose) into energy. Although type 1 diabetes can develop at any age, it typically appears during childhood or adolescence.

Type 1 Diabetes – Results from the failure of the body to produce insulin, the hormone that, unlocks the cells of the body, allowing glucose to enter and fuel them. It is estimated that 5 to 10 per cent of Americans who are diagnosed with diabetes have Type 1 diabetes.

Various factors may contribute to type 1 diabetes, including genetics and exposure to certain viruses. Despite active research, type 1 diabetes has no cure. But advances in blood sugar monitoring and insulin delivery have simplified the daily routine of managing type 1 diabetes. With proper treatment, people who have type 1 diabetes can expect to live long, healthy lives.. -

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