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What is the difference between type 1 and type 2 diabetes?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have severe palpitations if I climb the stairs or do any heavy work. Is there any chance for me to get type 1 diabetes? What is type 1 diabetes and who will get that? What are insulin-dependent and non-insulin-dependent diabetes? Can you please explain this in simple terms?

Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern.

Palpitations (feeling your heart pounding or racing) when you climb stairs or do heavy work can have various causes, including issues with the heart's rhythm (arrhythmias), cardiovascular conditions, or even anxiety. Discussing these symptoms with a healthcare professional to determine the exact cause and receive appropriate evaluation and treatment is important.

Type 1 diabetes:

What is type 1 diabetes?

Type 1 diabetes is a chronic condition in which the pancreas produces little insulin. Insulin is a hormone that regulates blood sugar (glucose) levels in the body. Without enough insulin, glucose can not enter cells to be used for energy, leading to high blood sugar levels.

Who gets type 1 diabetes?

Type 1 diabetes often develops in childhood or adolescence, but it can occur at any age. It is an autoimmune condition, which means the body's immune system mistakenly attacks the insulin-producing cells in the pancreas. The exact cause is not fully understood, but genetics and environmental factors play a role.

Insulin-dependent versus non-insulin-dependent (type 1 versus type 2 diabetes):

Insulin-dependent: Type 1 diabetes is also called insulin-dependent diabetes because people with this type of diabetes require daily insulin injections or the use of an insulin pump to survive. Since their pancreas does not produce insulin, they must replace it artificially.

Non-insulin-dependent: Type 2 diabetes is often called non-insulin-dependent diabetes. In this type, the pancreas initially produces insulin, but the body's cells become resistant to its effects or the pancreas does not produce enough insulin to maintain normal blood sugar levels. Treatment may involve lifestyle changes, oral medications, and sometimes insulin injections if the condition progresses.

To summarize:

Type 1 diabetes: Pancreas produces little to no insulin due to autoimmune destruction of insulin-producing cells. Requires insulin injections for treatment.

Type 2 diabetes: Insulin resistance or insufficient insulin production. Treatment may involve lifestyle changes, medications, and sometimes insulin.

If you are concerned about diabetes or your symptoms, please get evaluated by your family physician, or feel free to follow up with me. So that we can evaluate your symptoms, conduct necessary tests, and provide you with a personalized treatment plan. Early detection and management can greatly improve outcomes for both diabetes and other health concerns.

I hope this information helps you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At August 28, 2024
Reviewed AtAugust 28, 2024

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