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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.
1 Biguanide. 2  This type of medication helps your body use insulin more effectively and may also reduce the amount of blood sugar made by the liver. 3  Sulfonylurea. 4  Drugs in this class cause certain cells in your pancreas to make more insulin.