Chances are you or someone you know has diabetes. So, you may recognize the terms type 1, type 2 or gestational diabetes since that’s how we’ve traditionally categorized the variations of this condition. This overview of the different types of diabetes can help you gain more control over your — or your loved ones — condition.
Diabetes Type 1
If you have type 1 diabetes, your body’s pancreas doesn’t make the insulin your body needs to get glucose (blood sugar) from your bloodstream to your body’s cells. So, it’s critical to manage your insulin therapy and diet closely. You may be prescribed slow-acting insulin to help regulate your glucose levels between meals and fast-acting insulin to regulate your glucose levels after meals.
While type 1 diabetes often begins in childhood, it typically has adult-onset. You may be at an increased risk for type 1 diabetes if you have a family history or have been exposed to a virus that may trigger type 1.
Symptoms can be severe and life-threatening, and may include:
- Bed-wetting in children who’ve never wet the bed before
- Blurred vision
- Excessive thirst
- Extreme hunger
- Frequent urination
- Mood changes and irritability
- Unintended weight loss
- Weakness and fatigue
Type 2 Diabetes
Type 2 diabetes accounts for the majority of people on the diabetes spectrum and means your body is insulin resistant (your pancreas still makes insulin but your cells no longer respond the way they should). Your pancreas increases insulin production trying to force your cells to work.
Type 2 diabetes has serious health complications. Your endocrinologist will work closely with you to help you best manage your condition — ensuring:
- You’re prescribed (and correctly take) several medications including slow- and fast-acting insulin
- Use a glucose monitor and test strips for daily testing of your blood sugar before and after meals
- Achieve and maintain a healthy weight using a diabetes-friendly diet and run routine lab tests
You may be at risk for type 2 diabetes if you:
- Are African American, Hispanic /Latino American, American Indian, Alaska Native
- Are over age 45
- Are overweight
- Don’t get enough physical activity
- Have a parent, sister or brother with diabetes type 2
- Have been diagnosed as pre-diabetic
- Have had gestational diabetes
Common symptoms include blurry vision, dry mouth, extreme thirst and hunger, fatigue, frequent urination, headaches and unexplained weight loss.
Pregnancy may cause you to become insulin resistant, resulting in high sugar levels. But since gestational diabetes doesn’t commonly have any symptoms, testing for it is a routine part of your prenatal care. It usually happens during weeks 24-28 of pregnancy, but your obstetrician may test you sooner if he thinks you’re at increased risk.
You may be at risk for gestational diabetes if you:
- Are African American, Hispanic /Latino American, American Indian, Alaska Native, Native Hawaiian or Pacific Islander
- Are older than 25
- Are overweight
- Gave birth to a baby weighing over 9 pounds
- Had gestational diabetes with a previous pregnancy
- Have polycystic ovary syndrome
Treatment of your gestational diabetes means keeping all prenatal appointments and following the treatment plan prescribed by your obstetrician. This may include checking your blood sugar, eating healthy meals created by your obstetrician or dietitian, staying active (follow your doctor’s guidelines) and having your baby’s growth and development checked at prenatal examinations.
Luckily, having gestational diabetes doesn’t mean you’ll have diabetes after your pregnancy.
Treatments for Diabetes
Your Primary Care Physician will serve as your centralized care manager with your endocrinologist (the specialist that treats diabetes), a registered dietitian or nutritionist, eye doctor, foot doctor, dentist, diabetes educator and pharmacist. Failing to treat diabetes of any type can cause blindness, stroke, heart disease, nerve damage, amputations of limbs and kidney failure.
No matter which type of diabetes you may have, the tests used to diagnose diabetes are:
- Oral Glucose Tolerance Tests (OGTT) compare your blood sugar before and after you drink a sugary solution. A result of 140 or above suggests you have pre-diabetes and a result over 200 shows you have diabetes.
- A1C (A-One-C) Tests measure your average blood sugar over the past two to three months. Pre-diabetes is indicated if your result is over 5.7, and a result of over 6.5 shows diabetes.
- Fasting Plasma Glucose (FPG) Tests measure your blood sugar after you’ve fasted for at least eight hours. A result over 100 shows pre-diabetes and a result over 126 indicates diabetes.
Call the Member Experience Center at 855-747-7476 so we can help you schedule one of these important screenings.