Pancreas transplantation is the most complete treatment currently available to maintain blood sugar control for patients with type 1 diabetes, and it involves transplanting a donor pancreas from a donor to a recipient. Islet cell transplantation is an experimental procedure that involves transplanting islet cells from a donor pancreas into the liver of a patient with type 1 diabetes.
Type 1 Diabetes Treatment
1 AnswerPenn Medicine answered
Psychotherapy may improve blood sugar control in teens and adults with poorly controlled type 1 diabetes, especially if blood sugar problems are related to depression. However, more studies are needed to confirm this.
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1 AnswerHealthwise answered
Insulin helps keep your blood sugar level tightly controlled and within a target range. It can be taken by an injection or through an insulin pump.
Usually people who have type 1 diabetes take a combination of types of insulin, such as a long-acting insulin once or twice a day and a rapid-acting insulin before each meal. The amount and type of insulin needed varies for each person.
The amount and type of insulin you need changes over time, depending on age, hormones (such as during rapid growth or pregnancy), and changes in exercise routine. You may need higher doses of insulin during times of illness or emotional stress.
Learn about insulin:
- Know the dose of each type of insulin you take, when you take the doses, how long it takes for each type of insulin to start working (onset), when it will have its greatest effect (peak), and how long it will work (duration).
- Never skip a dose of insulin without the advice of your doctor.
Diabetes: Giving Yourself an Insulin Shot Diabetes: Living With an Insulin Pump
You may also take an amylinomimetic, such as pramlintide (Symlin). This medicine is only used with insulin, but it's given in a separate shot.
ACE and ARB
If small amounts of protein are found when your urine is tested, you may be in the early stage of diabetic nephropathy. You may be given an angiotensin-converting enzyme (ACE) inhibitor or an angiotensin II receptor blocker (ARB).
Talk to your doctor about whether you should take low-dose aspirin. Daily low-dose aspirin (81 milligrams) may help prevent heart problems if you are at risk for heart attack or stroke.
Medicines for other health problems
You may need one or more medicines to lower blood pressure.
You also may need to take medicine to lower your cholesterol.
Treating high blood pressure and high cholesterol may help prevent complications from diabetes.
You may need other medicines if you develop complications, such as kidney disease.
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1 AnswerHealthwise answered
Some complications from type 1 diabetes are treated with surgery. For example, surgery to remove the vitreous gel (vitrectomy) may improve eye disease.
For more information, see:
- Diabetic Retinopathy.
- Diabetic Nephropathy.
- Diabetic Neuropathy.
When insulin isn't enough to keep blood sugar in your target range, a pancreas transplant might be an option. If it's successful, you may no longer have symptoms or need to treat diabetes.
But you may still get complications from diabetes. If you already have complications, they may continue to get worse as time goes on.
The success rate for pancreas transplants is improving because of new surgical techniques and new medicines.
If you get a transplanted pancreas, you must take medicine to keep your body from rejecting the new organ.
A pancreas transplant can be done at the same time as a kidney transplant.
Pancreatic islet cell surgery
Research continues on pancreatic islet cell surgery. It involves inserting a small group of donated pancreas cells (islet cells) through a vein in your liver. After surgery, these cells begin making insulin. If they can make enough, you may no longer need insulin injections.
Because the surgery is simpler than a pancreas transplant, there are usually fewer complications. But you must still take medicine to prevent rejection.
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1 AnswerJennifer Shaw, Nutrition & Dietetics, answered
Although there is a tremendous amount of research in this area, no one really knows what causes juvenile (usually Type I) diabetes, which results when the cells in the pancreas that produce insulin are destroyed. The only way to treat it is to take insulin to meet the body's needs.
1 AnswerAmerican Diabetes Association answeredIf you have type 1 diabetes, one way to find out if you're on track with your treatment is by checking your blood glucose several times a day using a blood glucose meter. Checking your blood glucose will help you make decisions about food, insulin, and physical activity. Most people with type 1 diabetes check several times a day usually before meals and at bedtime.
The ABCs of diabetes are:
- A: the A1C or estimated Average Blood Glucose (eAG)
- B: blood pressure
- C: cholesterol levels
Also, keeping track of your diabetes ABCs will tell you if your treatment is working. Your health care team can also do regular checkups and special tests, such as checking your kidney function and doing a dilated eye exam each year. You need to be clear about treatment goals and what you're willing to do to reach them. For people with type 1 diabetes, keeping your diabetes ABC's as close to normal as possible reduces long-term complications.
Your plan needs to change over time. If you're not reaching your ABC goals, it's time to meet with your health care team and come up with a new plan.
3 AnswersAmerican Diabetes Association answeredThe two goals of type 1 diabetes treatment are to make sure you feel well day-to-day and to prevent or delay long-term health problems, also called complications. The best way to reach those goals is by:
- taking insulin
- planning your meals -- choosing what, how much, and when to eat
- being physically active
Treating diabetes involves more than just managing blood glucose. It also includes treating blood pressure and cholesterol.
3 AnswersHonor Society of Nursing (STTI) answered
The risk for certain types of diabetes, such as type 2 and pre-diabetes, can be reduced with lifestyle changes such as proper diet and regular exercise. However, there is no known cure for type 1 diabetes, sometimes referred to as juvenile diabetes. Research studies and clinical trials are underway to help determine the causes of type 1 diabetes and how this condition can be prevented.
2 AnswersHonor Society of Nursing (STTI) answeredTreatment options for diabetes vary, depending on the type of diabetes involved. However, the four primary factors in any diabetes treatment are weight management, a healthy diet, exercise, and blood glucose monitoring. Everyone diagnosed with Type 1 diabetes will need to take some form of insulin. But, if you have been diagnosed with other types of diabetes, you will only need to take medications such as insulin if diet and exercise are insufficient.
If you manage your diabetes effectively, you can have a long, healthy life. The primary goal of diabetes treatment is to stabilize blood glucose levels. The better your blood glucose is managed, the more positive your treatment outcomes.