How to keep track of high sugar levels in type 1 diabetes?

Question

Hi doctor,

I am a 22-year-old and working in a school as a kindergarten teacher. I recently went through a routine checkup and found out my sugar levels were high A1C was 7.8 percent. I did not get any symptoms relevant to diabetes, but recently I felt tired and increased thirst. I thought it could be due to my work nature. But this is devastating, and my doctor said it could be type 1, but none in my family have diabetes. This is so upsetting. Can you tell me how this is possible and what I should do to keep myself on track? Please help.

Thanks.

Answer 1

I'm sorry to hear about your recent diagnosis, and I understand how upsetting this can be. Let's talk through what's happening and how you can manage it. Firstly, an A1C of 7.8% does indicate that your blood sugar levels have been elevated over the past few months. This could be consistent with diabetes, and the symptoms you're describing (fatigue and increased thirst) are typical signs of high blood sugar but you need to understand that you can control it with good life style changes and lead a perfectly normal life. Secondly, it's more common to see Type 1 diabetes in younger individuals and Type 2 in older individuals or those with certain risk factors, it's important to know that Type 1 diabetes can develop at any age, even without a family history. Type 1 diabetes is an autoimmune condition where the body's immune system mistakenly attacks the insulin-producing cells in the pancreas. Without enough insulin, blood sugar levels rise. Here’s what you should do moving forward: 1. Confirm the Diagnosis: Your doctor may suggest further tests to confirm whether it’s Type 1 diabetes, such as checking for autoantibodies or measuring C-peptide levels. This can help determine the type of diabetes and the best course of treatment. 2. Start Management: If it's Type 1 diabetes, insulin therapy will be essential since your body may not be producing enough insulin on its own. You'll also need to monitor your blood sugar levels regularly. 3. Lifestyle Adjustments: A balanced diet and regular physical activity will be important in managing your blood sugar levels. Your doctor or a dietitian can help you develop a meal plan that works for you. 4. Education and Support: Learning more about diabetes and how to manage it will empower you to take control of your health. There are also support groups and resources available to help you through this journey. 5. Regular Follow-ups: It's important to stay in close contact with your healthcare team to monitor your condition and adjust your treatment plan as needed. I understand this is a lot to take in, but with the right care and support, you can manage your diabetes effectively and continue to lead a fulfilling life.