What are the triggers of Diabetes Type 1?

Doctor's Answers 2

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Dr Juliana Latif

General Practitioner, Aesthetic

Currently, we do not know of any specific triggers of Type 1 Diabetes, other than the fact that it has a very strong family link.

It is what we call an auto-immune disease, whereby one’s immune system produces “auto-antibodies” to attack and destroy cells in the pancreas which produce insulin. This leads to very little or no insulin production at all.

Due to the lack of insulin production, the body is unable to utilise the sugar efficiently, leading to a “hyperglycaemic or high glucose” state. Onset is usually very young in life and Type 1 Diabetes makes up about 5 to 10% of all diabetic cases.

In contrast, Type 2 Diabetes makes up the majority of diabetic cases and is due to the pancreas not making enough insulin or the body being unable to utilise the insulin efficiently. Onset is usually in the middle-aged group and is generally linked to overweight and obesity and in patients with a
family history of diabetes.

Photo of Dr Wenus Ho
Dr Wenus Ho

Aesthetic, General Practitioner

Currently, we do not know the specific triggers of Type 1 Diabetes. It is an auto-immune disease whereby one’s immune system produces “auto-antibodies” to destroy cells in the pancreas which produce insulin. We do know that it has a strong family link.

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Why are my eyes getting worse in spite of well controlled diabetes?

Thank you for your question. First of all, congrats on improving your diabetic control! Dropping your Hba1c from 9% to 5. 9% is an amazing conscientious effort on your part. 1. What I could not understand is that, how come my blood sugar was well control (5. 9%) but yet there is a deterioration in my eye condition? With too well controlled sugars, you can certainly get tingling sensations which is related to low blood sugar, or hypoglycaemia. It’s your body’s way of telling you that you need to eat.

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Answered By

Human

How does TCM treat diabetes?

Truth to be told, diabetes cannot be found in ancient TCM literatures. However, a condition called “Xiao Ke” (Wasting-Thirst) was mentioned in the Yellow Emperor’s Classic of Internal Medicine written in Han Dynasty (黄帝内经), which has records of the following symptoms: frequent thirst, excessive hunger, sweet-tasting urine, and weight loss. Doesn’t it sound exactly like the diabetes that we know? Therefore, diabetes may be treated under “Xiao Ke” which arises due to a deficiency in body fluids with production of dry heat.

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