Type 1 Diabetes: Recently Diagnosed - Treatment Overview
Chronic illnesses such as diabetes take a toll on your
energy and emotions. It's normal to feel down sometimes. But if you feel
seriously overwhelmed, tearful, and not yourself, you may be suffering from
depression. Talk to your doctor if you feel depressed.
Medicine, counseling, and other support can help you.
How often will I see my doctor?
At first, you will
keep in close touch with your doctor while you are trying to find the right
dose of insulin that best keeps your blood sugar levels within your target
range. After your blood sugar levels are staying within this range, you will see your doctor about every 3 to 6 months. During these checkups,
your doctor will evaluate and adjust your treatment. You will also start having
exams and tests that check your blood sugar control and monitor your condition
on a regular basis.
After you have had diabetes for 3 to 5 years,
you will start having
yearly exams and tests to watch for signs of
complications, particularly eye and kidney damage. If your child has diabetes,
this testing should begin at
What if I have diabetic ketoacidosis?
blood sugar level was very high at the time you were diagnosed with diabetes,
you may have been treated for
diabetic ketoacidosis. This life-threatening condition
can happen to you again if you do not take enough insulin, have a severe
infection or other illness, or become severely
dehydrated. Treatment for diabetic ketoacidosis
requires hospitalization and includes:
- Fluids given through a vein (intravenous, or IV), to replace
body fluids lost from dehydration and to correct the
- Frequent monitoring of blood pressure, heart rate (pulse),
breathing rate (respirations), and level of consciousness.
- Frequent blood tests for glucose and
- Insulin given through the IV fluid. After blood sugar
levels are closer to your target range and you are no longer dehydrated, you
can have insulin injected under the skin (subcutaneous).
Will I need treatment during the honeymoon period?
If your blood sugar levels return to the normal range soon after
diagnosis, you are in what is called the "honeymoon period." This is a time
when the remaining insulin-producing cells in your
pancreas are working harder to supply enough insulin
for your body. Treatment during this time may include:
- Keeping in close touch with your doctor.
- Testing your blood sugar level frequently to see whether it
- Taking very small amounts of insulin or no insulin. Even though
you may not need insulin, some doctors prefer that you take small doses of
insulin daily throughout the honeymoon period. This may decrease the stress on
the pancreas. It may also help prevent your child with diabetes from thinking
that the disease is gone.
What To Think About
When your child has diabetes