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  • Diabetes Type 1 handbook

Diabetes Type 1 handbook

Type 1 diabetes is a lifelong condition that causes a person’s blood glucose (sugar) level to become too high. This can make you feel unwell in the short term and can, over time, seriously damage your organs.

Type 1 diabetes happens because the pancreas doesn’t produce insulin. Insulin is the hormone responsible for controlling the amount of glucose in your blood. You can find out more about Type 1 Diabetes at Type 1 diabetes | NHS inform and  Type 1 diabetes | Diabetes UK

Or watch the video below.

Signs and symptoms of Type 1: Common Diabetes Symptoms:

  • Going to the toilet a lot, especially at night
  • Being really thirsty
  • Feeling more tired than usual
  • Losing weight without trying to
  • Genital itching or thrush
  • Blurred eyesight
  • Increased hunger

These symptoms can affect anyone - adult or child. We sometimes call them the 4 Ts:

  1. toilet,
  2. thirsty
  3. thinner
  4. tired

Find out more about symptoms at Diabetes UK. 

If you have symptoms of diabetes, it’s important to seek medical advice urgently and ask for a blood test for diabetes. Find out more about getting tested for diabetes at Diabetes UK.

Diabetes and steroids

A short (or long) term course of steroids for other medical conditions such as Asthma, Arthritis, Lupus, Chemotherapy, Organ transplant or Inflammatory bowel disease.

Conditions can be treated with different steroids and differing doses. In general, the higher the dose of steroids, the more significant rise in your blood glucose levels. This is called steroid induced hyperglycaemia. 

If you are prescribed steroids, ensure you monitor your blood glucose levels closely (at least 4 times per day and before meals). If you have been prescribed steroids and are unsure how to alter tour insulin, please contact the Diabetes Centre (01592 648001)

Tips for living with Diabetes

Tip 1: Sign up to My Diabetes

 My Way to gain access to your own test results, clinical letters and your treatment plan.

Homepage | Information  

Instructions for Yoti sign in

Click here for instructions on how to sign in on a computer using the QR code option via Yoti

Mydiabetesmyway

Tip 2: Know your Numbers

You have to decide what target blood glucose range is appropriate for you. For most patients we are aiming for:

Before breakfast: 5-7mmol/L
Before a meal: 4-7 mmol/L
Before bed: 6-8 mmol/L

Sometimes we might decide a different blood glucose target range for you e.g. during pregnancy or if you are having problems with hypoglycaemia. If you are unsure of what blood glucose target is appropriate for you - just ask your healthcare professional. 
 
When you come to clinic your HbA1c will be checked, this is a measure of the amount of glucose sticking to your red blood cells and indicates your overall diabetes control over the past few months. This helps guided your management. 

The general target for HbA1c is less than 53mmol/mol. This target is just a suggestion and may vary depending on circumstances. Visit the Healthzone app (Fife Diabetes Type 1) for more information

Know The Numbers

Tip 3: Is Diabetes affecting your mood?

Being given a diagnosis of diabetes can come as a shock. There are lots of different emotions associated with this new diagnosis and there are lots of people out there to support you.

Talk to your family, friends and healthcare team if you need some help or more information. Diabetes and mental health I What can help I Diabetes UK or the Healthzone app (Fife Diabetes Type 1) for more information.

Mental health support and resources: Long Term conditions
woman staring thoughtful

Tip 4: Exercise & Diabetes

Physical activity is important for healthy living. If you have diabetes, it is important to understand that this can affect your blood glucose levels and how you can plan around this. Visit www.runsweet.com  or the Healthzone app (Fife Diabetes Type 1) for more information

Adobestock 357616695 Runners In Park

Tip 5: Driving & Diabetes

You need to tell the DVLA that you have a diagnosis of Type 1 diabetes. Find out more at Diabetes and your driving licence | DVLA laws | Diabetes UK or the Healthzone app (Fife Diabetes Type 1) for more information

Adobestock 557879237 Driver

Tip 6: Online Educational Resources

My Diabetes, My Way: 

eLearning | Information Site

On this site, you will find eLearing courses including the following:

  • Understanding Type 1 Diabetes
  • Growing up with Diabetes
  • Living with Type 1 Diabetes
  • Carbohydrate Counting

Bertie Online

BERTIE Online is a diabetes education course that teaches people with type 1 diabetes (or their carers) how to manage insulin doses, compared to carbohydrate intake:

BERTIE Online | Know Diabetes

Mydiabetesmyway

Information on Healthzone App

You can find out more information and keep up to date by downloading the Healthzone App. To access: Search 'Health Zone' in the App Store or on Google Play. Then search for 'Fife Adult Type 1 Diabetes' Make sure you allow permissions and notifications. 

Healthzone App (3)
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