It’s not easy to live with T1D. It requires constant monitoring of your blood sugar levels throughout the day to make sure they don’t get too high or too low. Many things can throw them off, including getting sick, what you eat, and even exercising. You also must take insulin, whether in daily injections or using an insulin pump, to stay alive. Sometimes you need other medications, such as pramlintide, to help control your blood sugar; it is also given by injection.1
One option that more and more people with T1D are opting for is an artificial pancreas system. It is a “closed loop” system that monitors your blood sugar around the clock and releases insulin or glucagon (a type of sugar) as needed to keep your blood sugar levels stable.2
In addition to taking insulin and any other medicines you may need, you can manage your diabetes by taking care of yourself. That means following a specific meal plan, staying physically active, and managing stress.2
Diabetes can affect every part of your life. People with T1D report feeling anxious, depressed, isolated, and frustrated. Working with a therapist can help you deal with these feelings, as well as reaching out to support groups, either in person or online.2
In addition to your primary care doctor and, possibly, an endocrinologist, you should also work with other medical professionals, including3:
Diabetes nurse educators can help educate you about managing your condition.
Optometrists and ophthalmologists. People with diabetes have a higher risk of eye diseases that can cause blindness, making regular eye exams critical.
Registered dietitians can help you with your nutrition.
Podiatrists. People with T1D have a high risk of nerve damage to the feet that can lead to ulcers and even amputations. Regular screening is key and be sure to get immediate treatment for any foot injuries.
Pharmacists can help with medication management to ensure safe and effective use.
Dentists. High blood sugar can lead to gum disease and other oral health issues.
Nephrologists. Kidney disease is a major complication of T1D over time. You will need to see a nephrologist if blood tests start to show problems with your kidneys.
Mental health professionals can help you cope with the stress of having a chronic disease.
If you are receiving teplizumab, you can include an infusion nurse as part of your team.
