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Type 1 or Type 2 diabetes: Which carries more risk and why?

Kanikka Malhotra, a consultant dietician and diabetes educator, says, “Type 1 and Type 2 diabetes are quite different.”

The key differences between Type 1 and Type 2 diabetes, and why both need careful careThe key differences between Type 1 and Type 2 diabetes, and why both need careful care (Source: Freepik)

Diabetes is one of the most pressing health concerns today, affecting millions of people worldwide. While many are familiar with the condition, there is often confusion about its two major forms: Type 1 and Type 2. Both involve problems with how the body manages blood sugar, but the causes, progression, and long-term risks differ significantly.

Type 1 diabetes usually develops early in life and is linked to the body’s immune system attacking insulin-producing cells. Type 2 diabetes, on the other hand, is far more common and is often associated with lifestyle factors, though genetics also plays a role. What complicates the picture further is that both types can lead to serious health complications if not managed properly.

This often raises an important question: which type of diabetes is more dangerous, and why? To help clarify, we spoke to an expert.

Key differences between Type 1 and Type 2 diabetes in terms of causes, management, and long-term risks

Kanikka Malhotra, a consultant dietician and diabetes educator, tells indianexpress.com, “Type 1 and Type 2 diabetes are quite different. Type 1 happens when the body’s immune system attacks insulin-making cells, so people need insulin every day, usually from a young age. Type 2 often develops later and happens because the body doesn’t use insulin well, usually linked to being overweight or inactive.” 

She adds that managing Type 2 often starts with eating better, moving more, and sometimes taking pills or insulin. Both types can lead to serious problems like heart or kidney damage if not managed well. But Type 1 can cause sudden emergencies like diabetic ketoacidosis, while Type 2 problems usually build up more slowly over time.

Which type of diabetes carries more risks?

Malhotra says, “When people ask which diabetes is ‘more dangerous,’ it really depends. Type 1 can be risky in the short term because missing insulin can cause a dangerous condition quickly. Type 2 may feel less urgent at first, but if ignored, it can silently cause serious health problems like heart attacks or vision loss.” 

So, she explains that Type 1 needs careful daily insulin management, and Type 2 needs early lifestyle changes and good control to avoid long-term harm.

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With proper care and lifestyle management, how much can the risks associated with both Type 1 and Type 2 diabetes be reduced?

With good care, Malhotra notes, people with both types of diabetes can significantly reduce their risks and live well. Regularly checking blood sugar, taking medicines as needed, and eating healthily are key. Staying active, not smoking, and managing stress also help protect the heart and kidneys.

“Regular doctor visits and blood work can catch problems early, so they don’t get worse. The

most important thing is staying consistent and reaching out for professional support when needed, this makes a huge difference in staying healthy and feeling good every day,” concludes Malhotra.

DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.

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  • diabetes Type 1 diabetes type 2 diabetes type II diabetes
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