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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.
Hereâs how itâs supposed to work: Sprinkled throughout the pancreas, tiny collections of beta cells generate the small amount of insulin needed each day, with their production exquisitely calibrated minute-by-minute with blood glucose levels. But in type 1 diabetes, an autoimmune attack seeks and destroys these important but fragile cells.