Type 1 Diabetes Mellitus

Type 1 diabetes mellitus is an autoimmune condition, where the body is incapable of producing enough insulin to control blood glucose levels. It results in reduced or no production of insulin, as the body’s immune system attacks the cells in the pancreas. This condition can be managed by Insulin therapy only.

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Kindly guide how to reduce the insulin units in insulin dependent diabetes.

Query: Hello doctor, I am 42 years old with type 1 diabetes for the last 21 years. I am also on dialysis thrice a week, and my insulin requirement increasing day by day. I was taking 8 units per meal four years ago, but now I am having 40 units per meal. Kindly guide how to decrease the insulin units.  Read Full »


Dr. Saumya Mittal

Diabetologist, Family Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. The fact remains that you are probably having insulin-dependent diabetes. In this case, your sugars will rise. This is because the pancreas produces a lesser and lesser amount of insulin on their own. As that happens, the need for insulin will keep climbing. There a...  Read Full »

I am type 1 diabetic and had diarrhea with lime green tint. Could this be diabetic enteropathy?

Query: Hello doctor, I have type 1 diabetes at 27 years old (diagnosed around eight years). Recently I was somewhat nauseous, and today diarrhea with a lime green tint. I read about diabetic enteropathy, but this is the first time I feel like it could be diabetic-related diarrhea mostly because I had not ...  Read Full »


Dr. Srinivas Morampudi

Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Diabetic enteropathy is not diagnosed after a single episode of diarrhea. Usually, it is chronic and intermittent with regular bowel movements in between. Constipation can also be present. Diarrhea can occur during the night. There are other causes for acute diarrhea...  Read Full »

A 11-year-old patient has both type 1 and 2 diabetes. Is there any treatment available for this?

Query: Hello doctor, The patient is 11 years old, and right from birth, he is suffering from type 1 and 2 diabetics. Initially, he was on injection and now on tablets every day. As per the doctor, his pancreas is not working from his birth. Can you please let me know if there is any treatment available for...  Read Full »


Dr. Shaikh Sadaf

Diabetologist, Endocrinologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Yes, there is a procedure called pancreatic transplant. It must be taking place in your place as well. You can click on the individual hospital website and check if they have a pancreatic transplant facility, but it could be very expensive. But let me tell you one th...  Read Full »

Please explain how the best Insulin treatment is selected for a diabetic patient.

Query: Hi doctor, I have few questions which I would like to ask a professional. As I am not able to find the answers by myself, I would love to hear from a practicing professional. How is the best Insulin treatment (syringe, pen, pump and pod) selected for a type 1 diabetes patient? Generally, how long ...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. Rather than the best way, we consider more convenient and economical ways for the patient. The best is always an Insulin pump, but it is costly and requires continued patient education. Injecting Insulin into the same site will cause damage to the fat tissue which resu...  Read Full »

Why do I feel lethargic and tired?

Query: Hi doctor, I feel lethargic, tired and lost a few kilograms of weight. I had an HCP test done. I want you to see it and help me.  Read Full »


Dr. Saumya Mittal

Diabetologist, Family Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have read your message. From the report (attachment removed to protect patient identity), I feel significant are as follows. You have uncontrolled diabetes. At age of 30, it is likely to be type 1 diabetes and you need to start Insulin injection. Meet a local diabe...  Read Full »

Is it safe to fast if I have type 1 diabetes?

Query: Hello doctor, I have diabetes type 1. My age is 18 years and I am taking Mixtard insulin twice a day. In the morning, I inject 14 units and in the evening I inject 6 units. I want to fast for religious purposes. Can I?  Read Full »


Dr. Shaikh Sadaf

Diabetologist, Endocrinologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. The patients with type 1 diabetes are advised not to fast. However, if you are healthy and having a good blood sugar control, then you can reverse the dose of insulin as in, take the night dose in the morning and morning dose at night and fast. Be prepared for break...  Read Full »

My fingers are numb and my feet have a burning sensation. What could it be?

Query: Hello doctor, I am a 19-year-old male. A week ago my thumb became numb below the fingernail. It was numb for two days and this went away. Now my left middle finger and the ring finger are numb and my right thumb feels sore. I also have a burning sensation in the feet, sometimes it feels like t...  Read Full »


Dr. Nazma Parveen

Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I have read through your question and I would like to tell you that peripheral neuropathy can happen in a patient with diabetes which does present in the form of burning sensation in the feet and neuropathic pain. At your age, type 1 diabetes that is insulin-depende...  Read Full »

Am I type 1 or type 2 diabetic? How can I treat my hypoglycemia too?

Query: Hello doctor, My doctor whom I had been visiting discontinued her practice. I found a new doctor with whom I am having problems. The doctor diagnosed me with diabetes 24 years ago when I was 39. I was tried on a couple of different types and dosages of pills, but I cannot remember the names an...  Read Full »


Dr. Shaikh Sadaf

Diabetologist, Endocrinologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you indeed have type 1 diabetes. Regarding your hypoglycemia, I would suggest that you decrease the dose of NovoLog (insulin aspart injection) by two units in the morning and night. Your k...  Read Full »

My 4-year-old diabetic son has high lipid panel and BUN. Should I be worried?

Query: Hello doctor, My son is 4 years old and he has been diagnosed with type 1 diabetes one year ago. He has a high lipid panel. Comprehensive metabolic panel, lipid panel, T4 free, and thyroid have been done. Reports have been attached herewith.  His A1C is 7.2. He uses Omnipod and Dexcom. He uses...  Read Full »


Dr. Swaraj S W

Diabetologist, Endocrinologist

Answer: Hello, Welcome to icliniq.com. It is not something that one should be worried about. Triglycerides are high when the sugars are high and when sugars settle, the triglycerides also settle. Do not panic. Blood urea nitrogen is just above and it is not significant. For more information consult an end...  Read Full »

How can I reduce the pain around Insulin injection site?

Query: Hi doctor, I am suffering from type 1 diabetes. My HbA1c is too high. I have been on Insulin for around seven years now, and I am trying to lower it. I have a few questions. I keep getting Insulin bumps and lumps every time I choose the abdomen for an injection site. How can I ensure adequate insuli...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hello,Welcome to icliniq.com.Let us go step wise just like your concerns.The best way for avoiding lumps, bumps, and pain due to repeated Insulin injections is by learning the proper technique for injecting yourself. Please meet a local doctor to learn the same.Also, keep changing the injection site...  Read Full »

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