Type 1 diabetes mellitus

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This metabolic disease is characterised by a lack of insulin, which causes high levels of glucose in the blood.

Insulin is necessary for the body's cells to use glucose as an energy source. The deficit is caused by the destruction of pancreatic beta cells responsible for producing this hormone. The exact cause is unknown, but it is believed to be a combination of genetic predisposition and environmental factors that trigger an autoimmune response.

High blood glucose levels cause three main symptoms: increased thirst (polydipsia), increased urination (polyuria), and increased appetite (polyphagia).

Diagnosis is made through clinical and analytical means, including the determination of glucose levels in the blood.

The goal of treatment is to lower blood sugar levels and prevent diabetic ketoacidosis. Treatment involves intermittent or continuous subcutaneous insulin injections using an implantable pump.

Bibliographic references
  1. Lynne L Levitsky. Epidemiology, presentation, and diagnosis of type 1 diabetes mellitus in children and adolescents. UpToDate. Marzo 2016
  2. Lynne L Levitsky. Management of type 1 diabetes mellitus in children and adolescents UpToDate. Diciembre 2015
  3. Rewers A. Presence of diabetic ketoacidosis at diagnosis of diabetes mellitus in youth: the Search for Diabetes in Youth Study. Pediatrics 2008; 121:e1258.
  4. Klingensmith GJ. Diabetic ketoacidosis at diabetes onset: still an all too common threat in youth. J Pediatr 2013; 162:330.
  5. Alvin C. Powers. Diabetes mellitus: diagnóstico, clasificación y fisiopatología. Harrison. Principios de Medicina Interna, 19e. Capítulo 417
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Blood glucose levels over 200 mg/dL


    Blood sugar level is 250 mg/dL / 13.9 mmol/L or higher


    Thirst


    Passing large amounts of urine


    Weight loss over the last 4-8 weeks

Pre-hospital care recommendations

Maintain hydration of 2 litres per day.
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