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Diabetes, explained simply

How glucose and insulin work - and what happens in diabetes.

What is diabetes?

Everything we eat - rice, bread, fruits, or sweets - eventually breaks down into glucose, the body’s main source of energy. To use glucose, the body needs a key called insulin, a hormone made by the pancreas that moves glucose from the blood into cells.
In diabetes, this process doesn’t work properly:
  • The body doesn’t make enough insulin (Type 1), or
  • The body doesn’t respond well to insulin (Type 2).

When this happens, glucose stays in the bloodstream, leading to high blood sugar. Over time, this can affect the heart, eyes, kidneys, and nerves if not managed well.

Further reading

  • What is diabetes? (deep dive)
  • Insulin 101: how it works

Types at a glance

Type 1 diabetes

  • Autoimmune - very little or no insulin.
  • Needs insulin from outside (injections/pump).
  • Often in children/young adults (any age possible).

Type 2 diabetes

  • Insulin resistance + gradual insulin decline.
  • Most common; influenced by genes & lifestyle.
  • Managed with habits, meds and sometimes insulin.

Gestational diabetes

  • High sugars during pregnancy.
  • Usually resolves after delivery.
  • Raises future Type 2 risk for mother & child.

LADA (Type 1.5)

  • Autoimmune diabetes in adults; slower onset.
  • May look like Type 2 at first.
  • Often needs insulin over time.

Deep dives by type

  • Type 1 basics & management
  • Type 2: insulin resistance & treatment
  • Honeymoon phase in Type 1

Signs & symptoms

Early recognition helps you get the right tests and care sooner. Common symptoms include:

Frequent urination
Passing urine more often, especially at night.
Increased thirst
Feeling very thirsty, dry mouth.
Unexplained weight loss
Losing weight without trying.
Tiredness/fatigue
Low energy, feeling worn out.
Blurred vision
Vision changes, trouble focusing.
Slow wound healing
Cuts/sores taking longer to heal.
Frequent infections
Skin, dental, urinary or fungal infections.
Tingling/numbness
Pins & needles in hands/feet.

Related reads

  • Why blurry vision happens (diabetic eye disease)
  • Living with visual impairment & T1D
  • Law of small numbers

Why diagnosis matters

Finding diabetes early helps you act early - so you can avoid complications, choose the right treatment, and feel better day-to-day. Even “prediabetes” is a nudge to make changes that can delay or prevent Type 2.

Start treatment sooner
Prompt care helps bring sugars down and protects your eyes, kidneys, nerves and heart.
Choose the right plan
Your team can tailor food, activity, meds/insulin, and monitoring to your needs.
Catch prediabetes
Lifestyle changes at this stage can delay or prevent Type 2 diabetes.
Identify the type
Distinguishing Type 1, Type 2 or LADA guides safe therapy - especially insulin needs.
Plan safely
Important for surgery, infections, pregnancy, and other life events.
Prevent emergencies
Very high sugars can be dangerous. Early care reduces the risk of DKA/HHS.

Common diagnostic ranges

Typical cut-offs used in many guidelines (units: mg/dL for glucose, % for HbA1c). Your clinician may confirm on a separate day or use additional tests.

TestNormalPrediabetesDiabetes
Fasting plasma glucose (FPG)< 100100–125≥ 126
2-hr post-meal / OGTT< 140140–199≥ 200
HbA1c (%)< 5.75.7–6.4≥ 6.5

* Random plasma glucose ≥ 200 mg/dL with classic symptoms can also diagnose diabetes. Results should be interpreted by a healthcare professional.

Testing & lab guides

  • How to test blood sugars on a glucometer
  • Checklist for routine diabetes tests

Managing diabetes

Good care balances daily habits, monitoring, and the right treatment plan. Small, consistent steps make a big difference over time.

Food & carb awareness

Focus on balanced plates, fiber, protein, and portion sizes. Learn how carbs affect your glucose.

Activity & movement

Aim for regular movement - walking, strength, or yoga. Even short bouts help improve insulin sensitivity.

Monitoring sugars

Use a glucometer or CGM to spot patterns and adjust. Check fasting and 2-hour post-meal values.

Meds & insulin

Take medicines as prescribed. If you use insulin, match doses to food, activity, and targets.

Stress & sleep

Stress and poor sleep can raise sugars. Build simple routines - wind-down time, breathing, light activity.

Regular check-ups

Yearly eyes, kidneys, feet, lipids, and BP checks help prevent complications or catch them early.

Typical glucose targets

Targets are personalised-these are common goals for many adults with diabetes. Your clinician may set different goals.

Fasting (FPG)
80–130 mg/dL
2-hr post-meal
< 180 mg/dL
HbA1c
≤ 7% (individualised)

* Always confirm with your healthcare provider, especially for pregnancy, older adults, or other special situations.

Popular how-tos

  • Hypoglycaemia: prevent & treat
  • Diabetic eye disease (what to know)
  • How to test with a glucometer
  • Exercise & diabetes
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Resources

  • Tips, ICR, ISF, correction dose calculation formulae for day to day management
  • How to test on a glucometer
  • Sick day management
  • Hypo treatment guide
  • Injection techniques
  • Good to share with people who don't understand/know different types of diabetes
  • Routine diabetes tests
  • Insulin can't be skipped for T1, it's life & why alternate therapy doesn't work
  • Diabetes technology articles
  • Food, low carb articles
  • Basal testing
  • Diabetes on a budget

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