WHAT TO EXPECT WHEN YOUR EXPECTING… DIABETES TYPE 1 Emily Clark and Franky Onley

THE BIOLOGY Type 1 typically develops before the age of 40 and occurs when the pancreas can no longer produce insulin. The pancreas also contains groups of cells called the islets of Langerhans. These cells release insulin directly into the blood and so are a form of the endocrine gland. Insulin is made in beta cells and glucagon in alpha cells. Type 1 diabetes develops when the person's own immune system destroys the beta cells. As a result, insulin is no longer produced, and blood sugar levels rise. This leads to rapid onset of symptoms for diabetes, including fatigue, unquenchable thirst, weight loss, and the production of large volumes of urine.

DAILY ROUTINES AND A TYPICAL DAY Type 1 diabetes is treated by insulin injections alongside a healthy diet and regular exercise. People with type 1 diabetes are usually required to take up to four injections of insulin every day. These injections of insulin are vital to keep these people alive. People diagnosed with type 1 diabetes usually start with two injections of insulin per day of two different types of insulin and generally progress to three or four injections per day of insulin of different types. The types of insulin used depend on their blood glucose levels. You must count carbohydrates, test blood glucose multiple times a day, developed meal plans, and dealing with various highs and lows (emotionally and physically)

Sugar-sweetened beverages, such as soda, juice and sports drinks should only be consumed when blood sugar is low. Stay away from alcoholic substances; it could make your blood sugar spike. Eat as few starchy food as possible because starches base is a sugar. As a diabetic patient, you should avoid saturated fats as well because you are at risk for heart disease and associated cardiovascular conditions. RESTRICTIONS

MODIFICATIONS TO LIFESTYLE As a newly diagnosed diabetic, you should learn about serving sizes. Because if you go over or under a serving size, the percentages and grams of sugars and fats will be abnormal. You need to choose foods with less carbohydrates, sugars, starches, and fats. Try choosing foods that have less refined sugar and simple carbohydrates. Keep in mind that a sugar-free product may have the same amount of carbohydrate grams as a sugary version. You should get a minimum of 30 minutes of exercise a day. Exercise lowers blood glucose levels, but could also make it rise from adrenaline rush. Therefore, exercise is very important to keeping you healthy.

COPING AND ACCEPTANCE Telling your friends might be hard at first, but you’ll find out that they will like you just the same. People have different ways to cope, but there is a specific type for you! Some types of cope are humor—laughter is the best medicine; relaxation– this helps manage stress overall; denial—you think that when you avoid an issue, it will go away; physical activity—getting fit could also help diabetes; and venting—sometimes you just need to let out the frustrations associated with diabetes. Talk with people who understand how diabetes affects life for you and others around you.

HAVING DIABETES DOESN’T KEEP YOU FROM SUCCESS Nat Strand, the first contestant with diabetes on The Amazing Race, the rugged, exhausting reality- TV competition. Strand was diagnosed with type 1 at the age of 12 but hasn't let that stop her from anything. They won the race, beating out 10 other teams. Crystal Bowersox, though she's had type 1 since she was 6 1/2 years old, she competed on American Idol and was runner-up. She has released her new album, Farmer's Daughter. Nick Jonas, pop star, was diagnosed with type 1 diabetes in 2005, at the age of 13 Charlie Kimball became the first person with diabetes to compete in the Indy 500. Kimball came in 13th out of 33 drivers

WORKS CITED Butler, C. (2011, March). Checking In With Nick Jonas. Retrieved November 2, 2014, from Butler, C. (2011, May). Nat Strand's Amazing Race. Retrieved November 3, 2014, from Butler, C. (2011, September). An Interview With Crystal Bowersox. Retrieved November 2, 2014, from lwt1d lwt1d Butler, C. (2011, October). Charlie Kimball's Dream Drive in the Indy 500. Retrieved November 3, 2014, from html?loc=ContentPage-lwt1d html?loc=ContentPage-lwt1d How Do You Cope? (2014). Retrieved November 2, 2014, from program/News_and_Resources/How_Do_You_Copehttp:// program/News_and_Resources/How_Do_You_Cope Learning to eat well is an important part of managing your diabetes. (2014, January 1). Retrieved November 2, 2014, from exercise/?campaign= &utm_source=google&utm_medium=cpc&utm_term= diabetes lifestyle&utm_campaign=Diet and Recipes&utm_content=Lifestyle Diabetes (Broad)_|mkwid|sv8LkQcqo_dc|pcrid| |pkw| diabetes lifestyle|pmt|b| exercise/?campaign= &utm_source=google&utm_medium=cpc&utm_term= diabetes lifestyle&utm_campaign=Diet and Recipes&utm_content=Lifestyle Diabetes (Broad)_|mkwid|sv8LkQcqo_dc|pcrid| |pkw| diabetes lifestyle|pmt|b| Living With Type 1 Diabetes. (2014). Retrieved November 3, 2014, from diabetes/recently-diagnosed/living-with-type- 1-diabetes.html?loc=lwd-slabnavhttp:// diabetes/recently-diagnosed/living-with-type- 1-diabetes.html?loc=lwd-slabnav Type 1 Diabetes. (2014, January 1). Retrieved November 2, 2014, from basics/type-1/ basics/type-1/