Type 1 diabetics can develop "double diabetes"

Patients with type 1 diabetes can develop "double diabetes"

Around seven million diabetics live in Germany. About five percent of them have type 1 diabetes. These patients must be treated with insulin in any case. However, you should also pay attention to a healthy lifestyle, otherwise there is a risk that you will develop "double diabetes".

Seven million Germans suffer from diabetes

According to health experts, around seven million people with diabetes live in Germany. 95 percent of them have type 2 diabetes. In a large number of these patients, the disease can be controlled well even without medication. What is important here is a healthy lifestyle with a balanced diet and sufficient exercise. Type 1 diabetes, however, must always be treated with insulin. But type 1 diabetics also have to pay attention to an active lifestyle. Otherwise there is a risk that you will develop “double diabetes”.

Therapy has made great strides

As the nonprofit organization diabetesDE - German Diabetes Aid writes in a current release, the treatment of type 1 diabetes has made great strides in recent decades.

Thanks to modern insulin, the intensified conventional insulin and pump therapy as well as new methods of blood sugar control, those affected no longer have to adhere to strict time and quantity specifications when eating and taking insulin.

And bans are also a thing of the past: people with type 1 diabetes are basically allowed to eat everything, like healthy people with metabolism.

However, you should pay attention to a balanced diet and an active lifestyle. Sweets and high-calorie foods should be the rule at a young age, exceptions and daily physical activity, the experts advise.

Because, like more and more children and adolescents with healthy metabolism in western industrialized countries, young people with type 1 diabetes are increasingly overweight or even obese.

Like people with type 2 diabetes, they too can develop insulin resistance and, as a result, develop “double diabetes”.

No special diets prescribed

Basically, neither type 1 nor type 2 diabetes requires special diets or certain foods are prohibited.

"Sugar is also not prohibited, but people with metabolic health and people with type 1 or type 2 diabetes should not consume more than 25 grams per day," explains Professor Haak, board member of diabetesDE - German Diabetes Aid and chief physician at the Diabetes Center Mergentheim.

Because sugar consists of quickly digestible carbohydrates and ensures a rapid rise in blood sugar. High blood sugar levels have to counteract patients with type 1 diabetes with individually adjusted insulin doses.

"Correct dosing is not always easy because numerous factors influence blood sugar levels," explains the diabetologist. Insulin intake too high could then result in hypoglycaemia.

In addition, foods that cause blood sugar levels to rise sharply are often not only very high in sugar, but also high in fat and therefore very high in calories.

"Obesity now also affects many young people with type 1 diabetes," says Professor Haak.

Balanced diet and active lifestyle

"People with type 1 diabetes who are overweight have less stable blood sugar levels and need more insulin," explains Dr. rer. medic. Nicola Haller, Deputy CEO of diabetesDE - German Diabetes Aid.

In the long run, insulin resistance such as type 2 diabetes can result, which can eventually lead to “double diabetes”.

It is now also known that children of mothers with type 1 diabetes are more often overweight.

A possible cause is believed to be that temporarily high blood sugar levels in the womb have a long-term effect on the child's metabolism and can later promote the development of a metabolic syndrome.

"People with type 1 diabetes should therefore prevent overweight and strong blood sugar fluctuations with a balanced diet and an active lifestyle," advises Nicola Haller, who is also chairwoman of the board of the Association of Diabetes Counseling and Training Professions in Germany (VDBD) and diabetes consultant at the Vincentinum medical center in Augsburg is. (ad)

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