Diabetes

nhs.uk

Types of diabetes

Common types of diabetes and who they affect Type of diabetes Who it affects

Type 1 diabetes

Often diagnosed in childhood, but you can get it at any age.

It cannot be prevented.

Type 2 diabetes

Some people are at higher risk due to ethnicity, age, living with obesity or overweight.

It can sometimes be prevented or stopped with lifestyle changes and treatment.

Gestational diabetes

Can happen during pregnancy.

You can reduce your risk with lifestyle changes. Gestational diabetes usually goes away after you've given birth.

Symptoms of diabetes

The most common symptoms of diabetes are:

feeling thirsty all the time

peeing more than usual

feeling very tired

losing weight without trying

Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if:

you or your child has any symptoms of diabetes

You can call 111 or

get help from 111 online

. Call 111 if you're asking about a child under 5 years old.

Non-urgent advice: See a GP if you or your child:

have a higher risk of developing diabetes

Not everyone with diabetes has symptoms, so it's important to get checked out.

Causes of diabetes

Diabetes is caused by your body not making enough or any of a hormone called insulin, or the insulin not working properly (insulin resistance).

Insulin helps your body use glucose (sugar) for energy. Without it, the level of glucose in your blood becomes too high.

It's not possible to prevent type 1 diabetes because it's usually caused by a problem with your immune system (autoimmune condition).

You may be more likely to get type 2 or gestational diabetes because of your weight, age, ethnicity, or if other people in your family have it.

You can sometimes reduce your risk of getting type 2 and gestational diabetes by making lifestyle changes such as:

eating a balanced diet

exercising regularly

maintaining a healthy weight

Pre-diabetes (non-diabetic hyperglycaemia)

Some people have blood glucose (sugar) levels above the normal range but not high enough to be diagnosed as having diabetes. This is known as pre-diabetes or non-diabetic hyperglycaemia.

People with pre-diabetes are at greater risk of developing type 2 diabetes, but the risk can be reduced through lifestyle changes.

If you have pre-diabetes, you may be eligible for the

NHS Diabetes Prevention Programme

. This helps people make lifestyle changes and has been shown to help prevent type 2 diabetes.

Treatment for diabetes

The treatment you'll have depends on the type of diabetes you have. You'll be treated by a specialist diabetes team in hospital or at your GP surgery.

Type 1 diabetes treatment

includes taking a medicine called

insulin

for the rest of your life, and regularly checking your blood glucose (sugar) levels.

Type 2 diabetes treatment

and

gestational diabetes treatment

includes lifestyle changes such as eating healthily, exercising and trying to lose weight, and sometimes medicines, such as

metformin

or insulin.

Long-term complications of diabetes

Having diabetes can increase your chance of getting other health problems, including:

heart attack and stroke

kidney problems

nerve damage and foot problems – diabetes can cause damage to nerves (

peripheral neuropathy

)

sight problems – adults and children aged 12 or over will be
offered

diabetic eye screening

every 1 to 2 years

gum disease

Complications can develop over time and are linked to high blood glucose (sugar) levels. Managing your blood glucose well and keeping to your agreed target level can lower your chances of getting complications.