this post was submitted on 29 Feb 2024
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It’s really easy to understand diabetes but it’s not something a lot of people grasp quickly if it doesn’t affect them.
First, when you eat carbohydrates they are converted into sugar by the body. Your cells want that sugar, but they don’t want too much. Too much sugar in the blood can damage blood vessels, leading to all sorts of issues ranging from annoying to fatal.
Insulin is like UPS, it delivers the sugar to the cells, also facilitating its entry into the cells. Normal people’s pancreas release an appropriate amount of insulin to match the amount of sugar in your blood and keep your blood sugar in a safe range (70-120, guidance on this varies this is not medical advice).
Type 1: Pancreas is damaged, often by the body’s immune system, and can no longer produce insulin. It’s genetic, and it doesn’t usually present after adolescence. The only treatment for type 1 is insulin. If you don’t have a pump you take a 24-hour insulin for a baseline and then a short-acting insulin for your meals. You usually have a carbohydrate to insulin ratio. 1 unit of insulin to 15g carbs is pretty common for a starting point. If you have a pump it just releases a slow drip of insulin as a base and then you program your ratio for meals.
Type 2: Your cells become insulin resistant and your pancreas responds by upping the amount of insulin it produces. Eventually it can’t keep up and your blood sugar rises. There is a period of time where you can avoid developing type 2 with diet changes. There is a period of time where you can just take pills. The final stage is using insulin injections like a type 1.
Finally, insulin is really expensive (or was, I think there’s legislation lowering prices in my state). The retail price without insurance of 2 insulins, needle tips, and blood testing supplies can easily be $1200/month. That’s the price you pay to eat without dying as a type 1.
I’m just a simple guy but if making that much money off people who literally have no other choice isn’t evil I’m not sure what is. Do we deserve to be able to eat? Tough call I guess.