Wait, wait, wait, before we begin...are we talking Type 1 or Type 2? Because they're different things, right? Kinda but not really, diabetes is the condition where your body does not produce enough insulin for your needs. The types can be described as:
1: This is the type that needs insulin
injections to manage it.
This is the type that is linked to poor diet and low exercise levels.
So...what's insulin then? Insulin is a hormone that regulates the body's use and storage of fat and glucose (sugar). Most of the body's cells need glucose to work properly. It works by telling the liver, muscle and fat cells to take glucose from the blood.
Type 1 diabetes means the body does not produce enough insulin to
regulate your glucose levels. Without enough insulin the body uses
different sources of energy – these sources (ketones) can lead to
the dangerous condition of ketoacidosis (your body fat has been used
for energy instead of blood glucose – it can turn your blood acidic
and requires immediate medical attention if you think you may have
Type 2 diabetes means the body does not respond to insulin as well as
it once did. It is sometimes called 'Insulin Resistance'. Since it
doesn't work as well, the body responds by producing more to
compensate. If left unchecked, the cells that produce insulin wear
out. Later stages of Type 2 may also need insulin injections as a
Both types of diabetes can be diagnosed through blood/urine tests,
though diabetes management methods differ.
Diabetes – Type 1
1 diabetes starts fairly quickly. You can be diagnosed as a Type 1 as
early as childhood. Type 1 diabetes symptoms include:
feeling very thirsty
peeing more than normal, particularly at night
feeling very tired
losing weight without trying
thrush that keeps coming back
cuts and grazes that are slow to heal
Managing Diabetes – Type 1
1 diabetes can be managed through regular blood glucose tests (your
diabetes nurse will show you how to do this – there are loads of
glucose monitors available in pharmacies and online). Check your
level, apply the amount of insulin you need, then go and live your
life. You will have to attend some courses on diabetes when you are
first diagnosed – just so that you know how to look after yourself.
type 1 diabetes relies on you constantly monitoring your blood
glucose levels (and potentially your ketone levels – depending on
your glucose monitor and your diabetes team's advice).
For more information see the NHS website on Type 1 Diabetes here.
Diabetes – Type 2
2 diabetes tends to develop later in life, at one point it was mainly
over 40's that developed it but
there is a growing trend of younger diagnoses. Type 2 diabetes
Peeing more than usual, particularly at night
Feeling thirsty all the time
Feeling very tired
Losing weight without trying to
Itching around your penis or vagina, or repeatedly getting thrush
Cuts or wounds taking longer to heal
Managing Diabetes Type 2
Type 2 diabetes (often known as Insulin Resistance) can be managed
through diet, activity changes and by medication (not usually insulin
in early years). It's less likely that you will need a blood glucose
monitor initially (great if you're squeamish) and more likely that
you can live simply by managing your diabetes with diet and exercise
alone. Type 2 diabetics can get Hypoglycaemia and Hyperglycaemia same
as Type 1 diabetics – see below section on those for details. You
will have to attend some courses on diabetes when you are first
diagnosed – just so that you know how to look after yourself.
Management of type 2 diabetes generally relies on a good diet and
plenty of exercise to non-medically lower your blood glucose level.
Diet: Luckily for you, you won't have to cut certain food groups like
carbs out completely (WOOHOO!), but you do have to limit them a bit
(aww). You should limit sugars, fats and salts in your diet, no
more snacking between meals and ensure you do not skip any meals
(skipping meals will make you produce even more insulin to get the energy you need). A wide range of food groups, fruit, veg, protein,
dairy, even carbohydrates are all part of a healthy balanced diet and
that is what you are aiming for. You may be referred to a dietician
to help you with this if you're having trouble.
Physical exercise helps lower your blood sugar level. Your diabetes the team will recommend how much exercise you need specifically, but the
average amount advised is 2.5 hours per week. But REJOICE! Exercise
does not mean you have to go jogging or join a gym, exercise just
means 'anything that raises your heart rate' so that includes
walking, climbing stairs, doing more strenuous housework, gardening,
golf, swimming or dancing, this is a great time to start that new
hobby you've been meaning to try, get a friend or family member
involved too for company and fun times.
Management of type 2 diabetes relies more on lifestyle changes,
especially at early stages. Some people have found they can reverse
their diabetes symptoms by going on a low-carb or low-calorie diet
but you should always talk to your diabetes team or dietician first
BEFORE starting something like that, as low-calorie diets can make
Hypoglycemia more likely.
Many doctors advise the 'Alphabet Strategy' for diabetes management
for either type. The Alphabet Strategy (or ABCDEFG Plan) focuses on 7
key areas to help manage your diabetes:
Advice – Stop smoking, aim for 5 portions of fruit and veg per day, exercise regularly, lose weight, plan journeys around your insulin doses and meals and don't drink too much.
Blood Pressure – High blood pressure can increase the chances of complications check regularly, reduce your salt intake and be sure to take your medication regularly.
Cholesterol – A fat in the blood that can cause blockages leading to heart problems and strokes. A healthy diet, exercise, and medication can reduce cholesterol.
Diabetes Control – A good glucose target is 4-7. Monitor regularly, take your medication regularly as prescribed.
Eyes – Diabetes can damage your eyes, get tested yearly to prevent blindness.
Feet – Diabetes can cause numb/cold feet and foot ulcers, check them daily for injuries or blisters as you may not feel them and they could get infected – treat immediately.
Guardian Drugs – Recommended by your diabetes team – aspirin/ACE inhibitors/statins – to reduce your risk of heart attacks, stroke, eye or kidney problems – take as prescribed.
Working together these 7 form a practical way to look after your health while living with diabetes.
What happens if you don't look after yourself?
they don't look after themselves properly diabetics of both types run
the risk of Hypoglycemia (blood glucose levels too low) or Hyperglycaemia (blood glucose
levels too high).
(or Hypo) can start very quickly after you: delay
not eating enough carbohydrates in your last meal, do lots of exercises
without having the right amount of carbohydrates or reducing your
insulin dose, take too much insulin, drink alcohol on an empty
Symptoms of a
Hypo: sweating, being anxious or irritable, feeling hungry,
difficulty concentrating, blurred sight, clumsiness, slurred speech,
confusion, trembling, feeling shaky and loss of consciousness
(fainting). The best treatment you can give yourself? A small handful
of Jelly Babies! Then wait 10 minutes, check your blood glucose
again, then more sweets if you need them.
(or Hyper) can lead to ketoacidosis, a potentially life-threatening condition that may require hospitalisation to treat. Hypers can be
triggered by: being stressed, being unwell, being less active, not
having enough insulin for the carbohydrate you have eaten. Treatment
is: take the medication your doctors advised for this (Insulin or
Symptoms of a
Hyper: feel very thirsty, pee more than normal, feel tired all the
time, lose weight without trying, have blurred vision, dry mouth,
confusion, abdominal pain, weakness and having fruity-smelling
the outside a Hypo can look a little like you're drunk. Make sure
your family and work colleagues (especially the first aider and those
you work with most often) know the symptoms as well. Hypers
are just as dangerous as Hypos, both can leave you in comas and both
have the potential to cause serious (even fatal) issues.
Management of diabetes, of either type, as with the management of any long term condition requires regular medical check-ups, drug reviews and blood glucose tests. It needs you to look after yourself and pay attention to what your body needs. Your diabetes team will be able to help you and if you need further support, there are 1001 tips on 'how to manage diabetes' online on sites such as www.diabetes.co.uk and www.diabetes.org.uk.
2 diabetes - NHS (www.nhs.uk)
1 diabetes - About type 1 diabetes - NHS (www.nhs.uk)
1 Diabetes - Symptoms, Causes, Treatment
and Diabetic Blood Sugar Level Ranges - Blood Sugar Levels for
and exercise | Getting active | Diabetes UK
diets | Diabetes UK