Type 1 Diabetes

A lifelong condition where the body's immune system destroys the cells that make insulin, so blood sugar becomes too high. Insulin is needed every day.

Chronic conditionMetabolicLast updated: 21 October 2026

Quick Summary

Primary Symptoms

Extreme thirst, passing urine often, weight loss, tiredness and blurred vision, often developing over a few weeks.

Common Treatments

Insulin injections or a pump every day, blood sugar monitoring, healthy eating and activity.

Risk Factors

Family history and certain genes. It often starts in childhood or young adulthood but can occur at any age.

Overview

In type 1 diabetes, the immune system attacks the beta cells in the pancreas. Without insulin, sugar can't enter the cells and builds up in the blood.

It isn't caused by diet or lifestyle. With insulin and good management, people with type 1 diabetes can live full, active lives.

Symptoms

Thirst and frequent urination

Including bedwetting in children who were dry.

Weight loss and tiredness

Despite eating normally.

Blurred vision

From high blood sugar.

Diabetic ketoacidosis

Vomiting, tummy pain, deep breathing and drowsiness need emergency care.

Causes & Risk Factors

Biological Causes

An autoimmune reaction destroys insulin-making cells. Genes and possibly viral infections play a part.

Key Risk Factors

  • Family history A parent or sibling with type 1 diabetes.
  • Genes Certain HLA genes increase risk.
  • Age Often diagnosed in children and young adults.

Management & Treatment

01. Insulin

Several injections a day or an insulin pump.

02. Monitoring

Checking blood sugar with a meter or a continuous glucose monitor.

03. Education

Learning to match insulin to food and activity and to manage low sugar.

Frequently Asked Questions

Can type 1 diabetes be prevented?
Not currently.
What is a hypo?
Low blood sugar causing shaking, sweating and confusion. Treat quickly with sugar.
Can children with type 1 play sports?
Yes, with planning around insulin and food.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.