Doctor's Orders: The risk of amputations and blindness are almost gone for people living with Type 1 diabetes

If you can try to normalize blood glucose, you can prevent or delay diabetes complications. So there are two ways that we can do this in Type 1 diabetes. One is to give multiple daily injections of longer-acting or basal insulin, usually once a day, and then giving rapid-acting insulin before every meal to prevent the blood sugar from rising after eating. So these individuals are treated with four injections a day typically.

The other way is with an insulin pump that delivers rapid-acting insulin continuously throughout the day by a continuous infusion, a catheter that’s placed under the skin. Then you supplement insulin at meals to prevent the rise in blood sugar after meals. Now we have what we call hybrid closed loop insulin pumps which will communicate with a continuous glucose monitor device to automatically deliver insulin throughout the day.

Treatment of Type 1 diabetes is not just about the insulin, but also how to monitor blood glucose, because that’s changed dramatically over recent years. We’ve gone from self-monitoring of blood glucose by doing finger pricks to continuous glucose monitoring. It’s improved the quality of life of people with diabetes dramatically because you can get a continuous profile of your glucose.I think people with Type 1 diabetes now should be very optimistic about their future.

When I first started practising, we would see people with diabetes ravaged by complications, whether it is the amputations or blindness, cardiovascular disease, heart failure. And now with modern interventions, and not just insulin, but treating cholesterol and blood pressure, we can prevent these complications. It’s been very gratifying that we’ve dramatically reduced the rates of these severe complications.

DiabetesCanada healthing_ca lmchealthcare

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