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Type 1 and Type 2 diabetes

Diabetes

Greg Foot explains the difference between Type 1 and Type 2 diabetes and the role insulin plays in controlling glucose levels

is a condition where the blood levels cannot be controlled effectively.

There are two types of diabetes - Type 1 and Type 2.

Type 1 diabetes

Type 1 diabetes is a disorder in which the pancreas stops producing enough insulin.

This can be detected from an early age. It is characterised by uncontrolled high blood glucose levels and it can be controlled by injecting insulin.

A range of tools used for monitoring and treating diabetes

It can be treated by injecting . The extra insulin causes the liver to convert glucose into glycogen, which reduces the blood glucose level.

People with Type 1 diabetes have to monitor their blood sugar levels throughout the day. Their levels of physical activity and their affect the amount of insulin needed.

They can help to control their blood glucose level by being careful with their diet, and eat foods that will not cause large increases in blood sugar level, and by exercising, which can lower blood glucose levels due to increased in the muscles.

Type 2 diabetes

In Type 2 diabetes the person's body cells no longer respond to insulin produced by the pancreas. It is more common in older people. It can be managed by eating a controlled diet and an exercise regime.

Type 2 diabetes can also be controlled using insulin injections to increase the levels of insulin so that the body responds to it. However, this is not effective in the long term, unlike with Type 1 diabetes.

Carbohydrate is digested into glucose, which raises the overall blood glucose level. There is a between rising levels of in the general population and increasing levels of Type 2 diabetes.

The correlation between obesity and type 2 diabetes
Figure caption,
Changes in obesity and Type 2 diabetes

Question

Use the graph to describe the patterns in this data.

Comparing Type 1 and Type 2 diabetes

Type 1Type 2
CausePancreas stops making insulinBody no longer responds to its own insulin (though pancreas will still make it)
ConsequenceBlood glucose levels remain too highBlood glucose levels remain too high
Use of insulin injectionsPuts insulin into the bloodstream as the person cannot make insulinIncreases the amount of insulin in the blood to levels that will cause a response
Use of exerciseExercise causes glucose to be used up in respiration so lowers blood glucose levelsExercise causes glucose to be used up in respiration so lowers blood glucose levels
Use of dietPerson should avoid eating foods that are high in sugarPerson should eat a carbohydrate controlled diet
Age of onsetYounger childrenOlder people
Cause
Type 1Pancreas stops making insulin
Type 2Body no longer responds to its own insulin (though pancreas will still make it)
Consequence
Type 1Blood glucose levels remain too high
Type 2Blood glucose levels remain too high
Use of insulin injections
Type 1Puts insulin into the bloodstream as the person cannot make insulin
Type 2Increases the amount of insulin in the blood to levels that will cause a response
Use of exercise
Type 1Exercise causes glucose to be used up in respiration so lowers blood glucose levels
Type 2Exercise causes glucose to be used up in respiration so lowers blood glucose levels
Use of diet
Type 1Person should avoid eating foods that are high in sugar
Type 2Person should eat a carbohydrate controlled diet
Age of onset
Type 1Younger children
Type 2Older people