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Type 1 Diabetes Mellitus

Also Known As: Type 1 Diabetes, Juvenile Diabetes (older term), Insulin-Dependent Diabetes Mellitus (IDDM), Autoimmune Diabetes
System: Endocrine System, Heart and Vascular System, Nervous System, and Urinary System
Autoantibodies:
  • GAD (glutamic acid decarboxylase) antibodies

  • IA-2 antibodies

  • Insulin autoantibodies (IAA)

  • ZnT8 antibodies
    These confirm autoimmune involvement and help distinguish Type 1 from Type 2 diabetes.

Primary Organ or Body Part Affected: Pancreas (specifically insulin-producing beta cells in the islets of Langerhans)
Acceptance as Autoimmune: Confirmed
Type 1 Diabetes Mellitus

What is Type 1 Diabetes Mellitus?

Type 1 diabetes is a chronic autoimmune condition in which the body’s immune system attacks and destroys the insulin-producing beta cells in the pancreas. Without insulin, the body can’t properly regulate blood sugar (glucose), leading to dangerously high levels.

People with Type 1 diabetes need daily insulin therapy to survive. It usually starts in childhood or young adulthood, but it can occur at any age.

What are the signs and symptoms of Type 1 Diabetes Mellitus?

  • Frequent urination (polyuria)

  • Excessive thirst (polydipsia)

  • Increased hunger (polyphagia)

  • Unexplained weight loss

  • Fatigue or weakness

  • Blurred vision

  • Irritability or mood changes

  • Fruity-smelling breath (a sign of diabetic ketoacidosis)

  • Slow-healing sores or frequent infections

In children, symptoms can come on suddenly and may be mistaken for a flu-like illness.

What are the causes of Type 1 Diabetes Mellitus?

T1DM is caused by an autoimmune reaction that destroys insulin-producing cells in the pancreas. The exact trigger is unknown, but contributing factors include:

  • Genetics – certain genes (like HLA types) increase risk

  • Environmental triggers – viral infections (e.g., enteroviruses)

  • Autoimmune dysfunction – the immune system mistakes healthy beta cells for invaders

Diagnosis

Diagnosis is made through blood tests:

  • Fasting blood glucose or random glucose test

  • Hemoglobin A1C (average blood sugar over 2–3 months)

  • C-peptide test (to check insulin production—low in T1DM)

  • Autoantibody tests (to confirm autoimmune cause)

Treatment

There is no cure, but with the right treatment, people can live long, healthy lives:

  • Daily insulin therapy (injections or pump)

  • Frequent blood glucose monitoring or continuous glucose monitor (CGM)

  • Carbohydrate counting and balanced diet

  • Regular exercise

  • Stress management

  • Glucagon emergency kits for severe hypoglycemia

Prognosis

  • With proper treatment and lifestyle adjustments, people with T1DM can live full, active lives

  • Complications can occur without good blood sugar control, including:

    • Eye problems (retinopathy)

    • Kidney damage

    • Nerve damage

    • Heart disease

  • Ongoing support and monitoring help reduce risks

Prevalence

  • Affects about 1.6 million people in the U.S.

  • Can occur at any age, but most are diagnosed in children, teens, or young adults

  • Slightly more common in Caucasians and those with family history

Citations

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