Understanding Diabetes
My son has been diagnosed with type 1 insulin dependent diabetes. Don't worry he is 'okay' now. We've just been discharged from the hospital, after 6 days of support and training. I would like your help understanding the background biological science of diabetes, including how the pancreas functions, how carbohydrates interact with the blood and the movement between high blood sugars to high ketones to incorrect blood ph.
Firstly, I'm sorry to hear about your son's diagnosis, but it's good to hear that he is okay. Diabetes, especially Type 1, is a condition that's deeply rooted in the way our body handles energy, specifically glucose. Let's break it down:
1. The Pancreas: The pancreas is a glandular organ in the digestive system that performs two main functions: it produces enzymes to assist with digestion, and it produces insulin and glucagon - hormones that regulate blood sugar (glucose) levels. The specific cells in the pancreas that produce insulin are known as beta cells.
2. Insulin and Glucose: When you consume food, carbohydrates in the food are broken down into glucose, which is absorbed into the bloodstream. This raises blood glucose levels. In response to rising blood glucose, the beta cells in your pancreas release insulin into the bloodstream. Insulin acts like a key, unlocking cells throughout the body to allow glucose in. This glucose is used by cells to produce energy.
3. Diabetes and Insulin Deficiency: In Type 1 diabetes, an autoimmune reaction causes the body's immune system to attack and destroy the insulin-producing beta cells in the pancreas. This means the body can't produce insulin in response to rising blood glucose levels, so glucose can't get into cells and remains in the bloodstream, leading to high blood glucose levels (hyperglycemia).
4. High Blood Sugars and Ketones: Since glucose can't get into cells, the body starts breaking down fat as an alternative energy source, which produces ketones. High levels of ketones in the blood can lead to diabetic ketoacidosis (DKA), a serious condition where the blood becomes too acidic. Symptoms include frequent urination, high blood glucose levels, high levels of ketones in the urine, nausea or vomiting, abdominal pain, confusion, fruity-smelling breath, and breathing difficulties. DKA is a medical emergency and requires immediate treatment.