Type 1 diabetes care
Type 1 diabetes care for teens and adults in Nagpur: insulin planning, monitoring, sick-day rules, diet and support for the whole family.
Medically reviewed by Dr. Ajay V. Kaduskar · Last reviewed 24 October 2026
In type 1 diabetes, the body's immune system destroys the cells in the pancreas that make insulin. It usually begins in childhood, adolescence or early adulthood, but can start at any age. It is not caused by eating sugar or by anything the person or parents did. Insulin is needed every day, for life.
Living well with type 1 diabetes is entirely possible. It takes a good insulin plan, regular monitoring, understanding of food, and a team the family can reach when questions come up.
What type 1 care at Niramay includes
- Diagnosis and education at the start, for the patient and family: what insulin does, how to inject, where to inject, how to store insulin
- Insulin plan matched to meals, school or work, sports and sleep
- Monitoring: glucometer technique and when to test; guidance on continuous glucose monitoring (CGM) sensors
- Carbohydrate awareness: our nutritionist teaches how to estimate carbohydrates in Indian meals and match insulin to them
- Low sugar (hypoglycaemia) plan: recognising and treating lows, and a written plan for school or the workplace
- Sick-day rules: what to do with insulin and testing during fever, vomiting or diarrhoea, and when to come to hospital
- Screening for thyroid problems and coeliac disease, which are more common with type 1 diabetes, and yearly complication checks as advised
- Emotional support: diabetes burnout, fear of lows and teenage struggles with routine are common and treatable. Dr. Prajakta Kaduskar supports teenagers and families when needed.
Warning signs of diabetic ketoacidosis (DKA)
Nausea, vomiting, stomach pain, deep or fast breathing, fruity-smelling breath, extreme tiredness or confusion, and high sugar readings. DKA is an emergency. Go to a hospital emergency department immediately, or call 108 or 112. Never stop insulin during illness, even if not eating.
When to see a doctor
In an emergency
Excessive thirst, frequent urination, weight loss despite eating, vomiting, stomach pain or rapid breathing can mean very high sugar or ketoacidosis and need urgent care - call 108 or go to the nearest emergency department. Routine concerns like frequent lows, growth worries or device problems are best raised at your regular review.
Frequently asked questions
No. People with type 1 diabetes always need insulin. Diet and activity help, but cannot replace insulin.
Yes. With planning around insulin, snacks and testing, children and teenagers with type 1 diabetes can take part in sports, trips and normal school life. We provide a written plan for the school.
If an insulin pump or a continuous glucose monitor (CGM) may suit you, Dr. Ajay explains the options and guides your care.
Yes. People with well-managed type 1 diabetes study, work in almost every profession, marry and have healthy children. Women with type 1 diabetes should plan pregnancy with their doctor in advance.
Sources and further reading
From our Health Library
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Ready to talk to a specialist?
Call 0712 2422214 or +91 84591 41584, message us on WhatsApp, or use the appointment form. Please bring your previous reports and a list of the medicines you take.