Adult filling syringe with insulin while with a doctor.

Understand diabetes causes, prevention and care

One in three adults are prediabetic and do not know it. See if you are at risk.

Overview

What is diabetes and what causes it?

Diabetes is a disease that causes people to have too much sugar in their blood. This happens when people aren’t producing insulin in their bodies or their body doesn’t respond to insulin. This hormone is needed to break down sugar in the blood stream (also known as glucose). Too much glucose can be toxic, so it is a serious condition.

Being overweight, consuming an unhealthy diet, age and family history are the main risk factors for diabetes. If you had gestational diabetes, or diabetes while pregnant, you’re more at risk of getting diabetes as well.

The difference between Type 1 and Type 2 diabetes

  • Type 1 diabetes is a disorder where the body doesn’t produce insulin. People with Type 1 diabetes usually have symptoms starting in childhood, so you sometimes hear it called childhood diabetes or juvenile diabetes.
  • Type 2 diabetes occurs when the body does not respond to insulin and there is too much sugar in the bloodstream. Type 2 diabetes is usually the result of unhealthy diet, obesity and/or lack of exercise.  

Type 2 diabetes was known as adult onset diabetes because it affected people later in life. It is now also affecting children. This is concerning because it’s a preventable disease.

You can prevent or control diabetes

  • Make changes to your diet to help you lose weight or maintain a healthy weight
  • Exercise regularly. Exercise actually consumes the sugar in your blood, so you don’t need as much insulin
  • Take the medicine your doctor has prescribed to control your diabetes

Screenings or tests help diagnose diabetes

There are several tests to diagnose diabetes. They all measure the levels of sugar, or glucose, in the body.

  • Fasting blood glucose test
  • Hemoglobin A1C test
  • Oral glucose tolerance test

How often you should be tested for diabetes depends on your risk factors. For people age 45 or older it’s recommended every three years. Your doctor may recommend screenings more frequently.

What are the treatments for diabetes?

If making changes to your diet and exercise aren’t enough, you may need medicine. Your doctor may prescribe medicine to control your diabetes or insulin therapy.

Know the signs

Diabetes symptoms and complications

There are several symptoms of diabetes. If you’re experiencing any of these symptoms, you should see a doctor. Complications from diabetes are serious when left untreated.

Symptoms of diabetes

  • Blurred vision
  • Thirst
  • Frequent urination
  • Low energy or fatigue
  • Itchiness or numbness in the hands and feet

Potential complications

  • Damage to the retina of the eye, which may lead to blindness
  • Kidney damage
  • Heart attack
  • Stroke
  • Nerve damage, leading to numbness or pain in the hands and feet

Programs

Diabetes prevention or support

Even though 1 in 3 adults in the United States has prediabetes,** it can still feel like you’re alone. There are programs available that give you the support you need to prevent or control diabetes. 

Diabetes Prevention Program

A diabetes prevention program is available now and at no cost in 2024 to most Blue Cross members.* Get in-person and virtual help preventing or delaying Type 2 diabetes for an entire year. The goal is to learn healthy habits and lose at least 5 percent of your weight. 

Confirm eligibility with customer service.

Omada - Diabetes prevention

Take steps toward keeping diabetes and heart disease at bay.

You'll get access to tools, education, health coaching and online peer groups.

Available for certain plans.

Omada - Diabetes support

You'll get support and tools to help you reach a healthier weight, monitor blood glucose and feel in control of your health.

  • Certified diabetes educator
  • Connected devices
  • Interactive lessons

Available for certain plans.

Case management

Health condition support

A free program designed to help members with complex, catastrophic and specialty conditions navigate the healthcare system. 

Call 1-855-312-9107 to speak with a Health Care Advocate.

*There is no member cost share for DPP for fully insured employer-provided plan members beginning with their 2024 plan renewal. Self-insured plans (benefits set by an employer) may choose to offer no-cost DPP coverage for their own workforce. Members can work with their employer's HR department or call Blue Cross customer service to learn more.

**CDC (November 2023) https://www.cdc.gov/diabetes/data/statistics-report/index.html- Opens in a new window

***Not all plans offer Omada. Some members may not have access to this program. Please contact customer service at the phone number on the back of your Blue Cross ID card to verify your coverage.

The Omada program is from Omada Health, Inc., an independent company providing a digital intensive behavioral counseling program.