Types of Diabetes

Diabetes is a group of metabolic diseases in which blood glucose levels are too high over a prolonged period. Understanding the type is key to effective management.

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Type 1 Diabetes

An autoimmune condition where the body's immune system attacks and destroys insulin-producing beta cells in the pancreas. People with Type 1 require lifelong insulin therapy. It can develop at any age and is not caused by lifestyle factors.

Learn more at Diabetes Australia
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Type 2 Diabetes

The most common form, accounting for around 85–90% of all cases. The pancreas still produces insulin but the body does not use it effectively (insulin resistance). It is strongly associated with lifestyle factors such as diet, physical inactivity and obesity, but genetics also play a role.

Learn more at Diabetes Australia
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Gestational Diabetes

Occurs during pregnancy when hormones produced by the placenta can block the action of insulin. It typically resolves after birth but increases the risk of developing Type 2 diabetes later in life for both mother and child. Affects approximately 15% of pregnancies in Australia.

Learn more at Diabetes Australia

What Causes Diabetes?

The causes of diabetes vary by type. Understanding your risk factors is the first step in prevention and early detection.

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Genetics & Family History

Having a first-degree relative with Type 1 or Type 2 diabetes significantly increases your risk. Multiple gene variants are associated with susceptibility, particularly for Type 2 diabetes in people of Aboriginal and Torres Strait Islander, Pacific Islander, South Asian and East Asian backgrounds.

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Diet & Lifestyle

A diet high in refined carbohydrates, saturated fats and added sugars, combined with physical inactivity, contributes to obesity and insulin resistance. These are the primary modifiable risk factors for Type 2 diabetes.

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Overweight & Obesity

Excess body weight — particularly abdominal (visceral) fat — is one of the strongest risk factors for Type 2 diabetes. Fat around the midsection can interfere with insulin signalling and promote chronic inflammation. Even modest weight loss (5–10%) can significantly reduce risk.

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Autoimmune Response (Type 1)

In Type 1 diabetes, the immune system mistakenly attacks insulin-producing beta cells in the pancreas. Environmental triggers such as viral infections may initiate this process in genetically susceptible individuals, though the exact mechanism is still being researched.

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Pre-Diabetes & Metabolic Syndrome

Pre-diabetes occurs when blood glucose levels are higher than normal but not yet at diabetic levels. Without intervention, it often progresses to Type 2 diabetes. Metabolic syndrome — a cluster of conditions including high blood pressure, high blood sugar and abnormal cholesterol — markedly elevates risk.

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Age, Sleep & Other Factors

Risk of Type 2 diabetes increases with age (especially after 45). Chronic poor sleep and high stress levels raise cortisol, impacting blood sugar control. Polycystic ovary syndrome (PCOS), certain medications (such as corticosteroids) and previous gestational diabetes also increase risk.

Common Symptoms of Diabetes

Many people with Type 2 diabetes have no symptoms initially. If you experience several of the following, speak with your GP promptly.

💧Excessive thirst
🚽Frequent urination
😴Unusual fatigue
🌀Blurred vision
Slow wound healing
🦶Tingling in hands / feet
🏋️Unexplained weight loss
🤢Nausea or vomiting

⚠️ If you are concerned, use the Diabetes Australia Risk Assessment Tool or visit your GP for a simple blood glucose test.

Treatment Options

There is no one-size-fits-all approach to diabetes treatment. Modern medicine offers a wide range of evidence-based options tailored to each individual.

💉 Insulin Therapy

Essential for all people with Type 1 diabetes and many with Type 2. Available as rapid-acting, short-acting, intermediate-acting and long-acting formulations. Delivered via injection pen, syringe or continuous insulin pump (CSII). The NDSS subsidises insulin and supplies for eligible Australians.

💊 Oral & Injectable Medications

Metformin remains the first-line medication for most people with Type 2 diabetes. Newer classes — SGLT2 inhibitors (e.g. empagliflozin) and GLP-1 receptor agonists (e.g. semaglutide) — offer significant cardiovascular and kidney-protective benefits. Always discuss options with your doctor or endocrinologist.

📡 Continuous Glucose Monitoring (CGM)

CGM devices such as the FreeStyle Libre and Dexcom G7 measure glucose in real-time, alerting users to highs and lows. The Australian Government CGM Initiative provides subsidised access for eligible people with Type 1 diabetes.

🥗 Medical Nutrition Therapy

Working with an Accredited Practising Dietitian (APD) is one of the most effective treatments for Type 2 diabetes. A tailored eating plan can significantly reduce HbA1c, improve cholesterol and support weight management.

🏃 Structured Physical Activity

Exercise improves insulin sensitivity and lowers blood glucose. Australian guidelines recommend at least 150 minutes of moderate-intensity aerobic exercise per week, plus resistance training twice weekly. An Exercise Physiologist can create a safe, personalised program.

🔬 Emerging Therapies

Research into artificial pancreas systems (closed-loop insulin delivery), beta cell transplantation, stem cell therapies and immunotherapy for Type 1 is progressing rapidly. The JDRF Australia funds cutting-edge Type 1 research.

Managing Diabetes Every Day

Effective diabetes management is a whole-of-life approach. Small, consistent actions make the greatest difference over time.

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Monitor Your Blood Glucose Regularly

Whether using a traditional glucometer or a CGM sensor, tracking your glucose levels helps you understand how food, activity, stress and medication affect your body. Aim for target ranges set by your diabetes care team — typically 4–8 mmol/L fasting.

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Take Medications as Prescribed

Never skip doses or adjust insulin without guidance. Use reminder apps or a daily pill organiser. Speak with your pharmacist or GP if you experience side effects — alternatives are often available.

3

Foot Care & Routine Health Checks

Inspect your feet daily for cuts, blisters or changes in skin. Annual complications screening should include: eye examination (retinal photography), kidney function (eGFR & urine ACR), nerve assessment and cholesterol / blood pressure checks. Regular dental care is also important.

4

Manage Stress & Mental Health

Stress hormones raise blood glucose. Diabetes distress and burnout are common and valid experiences. Mindfulness, peer support and speaking with a psychologist experienced in chronic illness can all help. Ask your GP for a Mental Health Care Plan for subsidised sessions.

5

Stay Connected to Your Diabetes Care Team

Your team may include a GP, endocrinologist, diabetes educator, dietitian, podiatrist, ophthalmologist and exercise physiologist. NDSS-registered Australians can access free or subsidised services via NDSS Support Services.

Eating Well with Diabetes

There is no single "diabetes diet" — it's about choosing nutritious, whole foods that help maintain stable blood glucose levels and support overall health. Always work with an Accredited Practising Dietitian for personalised advice.

Foods to Include & Enjoy

🥦Non-starchy vegetables
🫐Low-GI fruits (berries, apples)
🐟Oily fish (salmon, sardines)
🥚Eggs & lean poultry
🫘Legumes & lentils
🌾Wholegrains (oats, quinoa)
🥑Avocado & healthy fats
🥜Unsalted nuts & seeds
🫒Extra-virgin olive oil
🥛Low-fat dairy / Greek yoghurt
🍠Sweet potato (in moderation)
🌿Herbs & spices (no salt)
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Foods to Limit or Avoid

🥤Sugary drinks & juice
🍭Lollies, chocolates & sweets
🍞White bread & refined flour
🍟Deep-fried foods
🥓Processed meats
🎂Pastries, cakes & biscuits
🍚White rice & white pasta
🧂High-sodium packaged foods
🍺Alcohol (limit significantly)
🧃Flavoured milks & yoghurts
🥔Chips & salty snacks
🍦Ice cream & frozen desserts

🍽️ Sample Daily Meal Plan

Meal Example Why It Helps
Breakfast Rolled oats with blueberries, chia seeds & a handful of walnuts Low-GI oats for sustained energy; antioxidants from berries
Morning Snack Small apple with 2 tbsp natural almond butter Fibre + healthy fat slows glucose absorption
Lunch Grilled salmon on a large salad with olive oil & lemon dressing Omega-3s, minimal carbohydrate, high satiety
Afternoon Snack Greek yoghurt (no added sugar) with a sprinkle of pumpkin seeds Protein & probiotics; low glycaemic impact
Dinner Chicken stir-fry with lots of vegetables & a small serve of quinoa Balanced plate — protein, fibre, complex carbs
Dessert (optional) A small bowl of mixed berries with a dollop of ricotta Satisfies sweet craving with minimal glucose spike

💡 Always discuss dietary changes with your healthcare team. Carbohydrate counting or the use of the Glycaemic Index (GI) may be recommended. For more information, visit GI Symbol Program or Dietitians Australia.

Australian Diabetes Organisations

These reputable Australian and international organisations provide free, evidence-based information and support services.

Diabetes Australia

Australia's peak body for all people affected by diabetes

Provides advocacy, education, research funding and practical support for over 1.5 million Australians living with diabetes.

diabetesaustralia.com.au
NDSS

National Diabetes Services Scheme

Government-funded program providing subsidised products and support services to registered Australians with diabetes.

ndss.com.au
ADEA

Australian Diabetes Educators Association

The peak professional body for diabetes educators. Use their online directory to find a credentialled diabetes educator near you.

adea.com.au
JDRF Australia

Juvenile Diabetes Research Foundation

Funds world-leading research into Type 1 diabetes treatments and a cure. Also provides support resources for children, adults and families.

jdrf.org.au
Healthdirect

Australian Government Health Information

Free, trusted health information and a nurse helpline available 24/7. A good first point of call for questions about symptoms or treatment.

healthdirect.gov.au
Dietitians Australia

Find an Accredited Practising Dietitian

All APDs can assist with diabetes meal planning. Many appointments are covered by Medicare (with a GP referral) or private health insurance.

dietitiansaustralia.org.au

We're Here to Help

Have a question about diabetes management, or want to share a resource? Fill in the form and our team will respond within 2 business days. Please note: We do not provide individual medical advice.

Diabetes Helpline
1300 136 588 (Diabetes Australia)
Emergency
Call 000 or visit your nearest ED for urgent medical issues

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