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In type 1 diabetes the immune system erroneously attacks the beta cells that produce insulin in your pancreas. It causes permanent damage, leaving your pancreas unable to produce insulin. Exactly what triggers the immune system to do that isnât clear. Genetic and environmental factors may play a role.
This is because your pancreas doesnât produce any insulin, or not enough insulin, to help glucose enter your bodyâs cells â or the insulin that is produced does not work properly (known as insulin resistance). It is vital for life. 2  Glucose comes from digesting carbohydrate and is also produced by the liver. 3  If you have diabetes, your body cannot make proper use of this glucose so it builds up in the blood and canât be used as fuel.