Life Insurance with Type 1 Diabetes: Your Guide to Coverage and Premiums

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16 Minute read

Originally published: May 18, 2023

Life Insurance with Type 1 Diabetes

Talk to one of our experienced advisors today!

16 Minute read
Originally published: May 18, 2023

Life Insurance with Type 1 Diabetes

For individuals living with type 1 diabetes, the quest for life insurance can sometimes feel like navigating a complex maze, filled with higher premiums, stringent health examinations, and potential coverage rejections. However, having a chronic condition like diabetes doesn’t automatically exclude you from obtaining the financial security that life insurance provides.

With a better understanding of how insurance companies assess risk, the benefits of different policy options, and strategies to present your health status in the best light, individuals with type 1 diabetes can successfully secure life insurance coverage.  This guide is designed to demystify the process, provide actionable insights, and illuminate the path to obtaining life insurance for those living with type 1 diabetes.

Overview of Type 1 Diabetes 

Type 1 diabetes, formerly known as juvenile diabetes, is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to allow sugar (glucose) to enter cells to produce energy.

Causes: The exact cause of type 1 diabetes is unknown, but it’s generally understood to be an autoimmune condition. This means that the body’s immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. Genetics may play a role, and exposure to certain viruses might trigger the disease.

Symptoms: The symptoms can come on quickly and may include increased thirst and frequent urination, extreme hunger, unexplained weight loss, fatigue, blurred vision, and slow-healing sores. In severe cases, people might also experience diabetic ketoacidosis, a condition that can be life-threatening if not treated promptly.

Diagnosis: Type 1 diabetes is usually diagnosed in children and young adults, but it can develop at any age. A combination of blood tests is usually used to diagnose the condition, such as glycated hemoglobin (A1C) test, random blood sugar test, fasting blood sugar test, or an autoantibodies test. A urine test may also be used to check for ketones, which are produced when muscle and fat tissue are used for energy because the body doesn’t have enough insulin.

Treatment: Type 1 diabetes is a lifelong condition and requires constant management. People with the disease need to regularly monitor their blood sugar levels, adjust what and when they eat, get regular exercise, and take insulin. Insulin can’t be taken orally, so it’s often administered via injections or through an insulin pump.

Prevention and Complications: There is currently no known way to prevent type 1 diabetes. Over time, type 1 diabetes can affect major organs in your body, including heart, blood vessels, nerves, eyes, and kidneys. Maintaining a normal blood sugar level can dramatically reduce the risk of many of these complications.

Living with type 1 diabetes can be challenging, but advancements in disease management have enabled people with the condition to lead full and healthy lives. It’s critical for individuals with this condition to work closely with their healthcare providers to manage their disease effectively.

Case Study: Emily, the Well-Managed Diabetic

Life Insurance with Type 1 Diabetes Case Study

Emily is a 30-year-old woman who was diagnosed with type 1 diabetes at the age of 7. Despite her early diagnosis, she has been diligent about her diabetes management from the beginning. Emily uses an insulin pump to control her blood glucose levels, and she checks her blood sugar multiple times a day. She visits her endocrinologist regularly and has a consistent record of well-controlled A1C levels.

When Emily applied for life insurance, she was prepared. She had all of her medical records in order, and her medical exam showed that she was in good health, aside from her diabetes. Despite being classified as a higher risk due to her type 1 diabetes, Emily’s meticulous control of her condition and healthy lifestyle (non-smoker, moderate drinker, regular exerciser) resulted in her getting a policy with premiums that were higher than a standard policy, but still reasonable. Emily’s case demonstrates that even with a type 1 diabetes diagnosis, excellent disease management and a healthy lifestyle can result in more favorable insurance terms.

How Does Having Type 1 Diabetes Affect Your Ability to Get Life Insurance?

Having type 1 diabetes can affect your ability to get life insurance in a few ways, but it’s important to note that having this condition does not automatically disqualify you from obtaining a policy.

Here’s how it might impact your application:

  1. Underwriting Considerations: Life insurance companies determine your eligibility and premiums based on the level of risk they perceive. This process is known as underwriting. If you have type 1 diabetes, underwriters will carefully evaluate your condition. They’ll be interested in when you were diagnosed, how well you’ve managed your blood sugar levels, whether you have any related complications (like heart disease, kidney disease, or eye problems), your overall lifestyle, and other health factors.
  2. Premiums: If you are approved for coverage, your premiums may be higher than for someone of the same age and gender who does not have type 1 diabetes. This is because insurance companies often classify applicants with this condition as a higher risk due to potential health complications associated with the disease.
  3. Policy Types and Coverage: Depending on the severity and control of your diabetes, you might find that some types of life insurance are more accessible than others. For example, term life insurance (which covers you for a specific period) might be easier to obtain than whole life insurance (which covers you for life and accumulates cash value).
  4. Possible Rejection: In some severe cases, such as when the diabetes is poorly managed or there are serious complications, an insurance company might decline to offer coverage.

That being said, the life insurance market varies widely, and different providers may offer different terms or see your situation in a different light. It’s always beneficial to shop around and consider talking to a financial advisor or insurance specialist. Plus, maintaining good control of your diabetes and leading a healthy lifestyle can significantly increase your chances of getting favorable terms on a life insurance policy.

How Does Type 1 Diabetes Impact Life Insurance Premiums?

Life insurance premiums are primarily determined based on risk assessment, where insurers take into account various factors like age, gender, lifestyle habits, and most notably, overall health condition. When it comes to type 1 diabetes, it’s considered a significant variable due to its chronic nature and potential to cause various health complications such as heart disease, stroke, kidney damage, and more. As a result, individuals with type 1 diabetes may face higher premiums compared to those without this condition. However, it’s important to note that the management and control of diabetes are also closely examined. Those who demonstrate a consistent history of well-managed diabetes, regular check-ups, and a healthy lifestyle might have a better chance of receiving more favorable terms on their premiums. It’s this complex interplay between the condition, its management, and the individual’s overall health that shapes the impact of type 1 diabetes on life insurance premiums.

The Life Insurance Application Process

The life insurance application process typically involves several steps designed to assess the risk profile of the applicant. Here is a general overview:

Life insurance process includes: the initial application, a medical exam, review of medical records, underwriting, the underwriting and policy decision, and policy delivery
  1. Initial Application: The first step in the application process involves filling out a detailed form. The application will request information about your personal details, lifestyle habits, medical history, family health history, and occupational risks.
  2. Insurance Medical Exam: Most life insurance policies require a medical examination. This is typically performed by a paramedical professional at no cost to the applicant, and often can be done at your home or workplace. The exam may include measurements of height, weight, blood pressure, and pulse, as well as blood and urine samples.
  3. Review of Medical Records: Insurance companies often request medical records from your doctors to verify the information provided in the application and gain more insight into your health history.
  4. Underwriting: This is where the insurance company evaluates the risk of insuring you. The underwriter will review your application, medical exam results, and medical history. If you have a condition like type 1 diabetes, the underwriter may also consider the duration of your condition, how well it’s managed, and whether there are any related complications.
  5. Policy Issuance and Premium Determination: Based on the underwriting process, the insurance company will decide whether to issue a policy and at what cost. If approved, you’ll be placed in a risk class that determines your premiums. You’ll then receive a policy offer, which you can accept and pay for to put the coverage in effect.
  6. Policy Delivery: Once the first premium is paid, the insurance policy is considered “in force,” and the physical or electronic policy document is delivered to the policy owner.

Remember that each insurance company might have its own unique processes, and the steps may vary slightly. For people with type 1 diabetes or other health conditions, working with an experienced insurance agent or broker can be helpful in navigating the process.

How Can Someone With Type 1 Diabetes Prepare for a Life Insurance Medical Exam?

The medical exam is a significant part of the life insurance application process, and individuals with type 1 diabetes can take several steps to prepare and ensure that the examination reflects their health in the best possible light.

  1. Manage Blood Sugar Levels: Consistently managing blood sugar levels is crucial for individuals with type 1 diabetes. Ensure that your blood glucose levels are well-controlled in the weeks and days leading up to your exam.
  2. Prepare Medical Records: Be ready to provide a comprehensive medical history, including the details of your diabetes diagnosis and management. This might include your most recent A1C levels, information about any diabetes-related complications, and records of regular check-ups.
  3. Maintain a Healthy Lifestyle: Leading a healthy lifestyle can improve many of the factors that the life insurance medical exam will test for. Regular exercise, a balanced diet, proper hydration, adequate sleep, and avoiding harmful habits such as smoking or excessive alcohol consumption can all contribute to better overall health and a more favorable exam result.
  4. Medication Compliance: Be consistent with your prescribed medications, not only for managing your diabetes but also for any other conditions you may have. Insurers will want to see that you’re taking necessary steps to manage your health.
  5. Avoid Stress and Get Rest: Try to avoid stressful activities and get a good night’s sleep before the exam. Stress and lack of sleep can have a temporary impact on various health metrics, including blood pressure and heart rate.
  6. Schedule Exam for Optimal Time: If possible, schedule the exam for a time of day when your blood sugar levels are most stable, typically in the morning.
  7. Fast If Required: The insurance company may ask you to fast for a period before the exam, typically 8-12 hours. Make sure to follow these instructions carefully.
  8. Be Honest: Always be honest during the application process, including during the medical exam. Misrepresenting your health status can lead to the cancellation of your policy or denial of a claim later on.

Remember, while preparation can help improve the outcomes of your medical exam, long-term healthy habits and consistent management of your diabetes will have the greatest impact on your life insurance premiums and coverage.

Exploring Alternative Life Insurance Options for Individuals with Type 1 Diabetes

Individuals with type 1 diabetes seeking life insurance may find that traditional policies present challenges, such as higher premiums or even denial of coverage. However, alternative forms of life insurance can offer viable solutions. Group life insurance policies, often provided by employers, typically do not require a medical examination and offer coverage to all employees, regardless of health conditions. While the coverage amount might be lower than a personal policy, this can be a valuable option for individuals with type 1 diabetes. Another option is guaranteed issue life insurance, a type of policy that doesn’t require a medical exam and offers guaranteed acceptance. Although these policies tend to have higher premiums and lower death benefits, they can provide essential coverage, especially for individuals who might struggle to obtain a traditional policy due to their health status. Lastly, there’s simplified issue life insurance, which doesn’t require a medical exam but does involve a series of health-related questions. Approval isn’t guaranteed as with guaranteed issue policies, but it can be easier to qualify for than traditional life insurance. Each of these alternatives carries its own advantages and disadvantages, and it’s crucial for applicants to thoroughly research and consider their personal circumstances and coverage needs when choosing a life insurance policy.

Beneficial Riders and Policy Features for Life Insurance Applicants with Type 1 Diabetes

Individuals with type 1 diabetes seeking life insurance might benefit from considering certain policy riders or features tailored to their unique needs. A rider is an additional benefit that can be added to a basic life insurance policy, usually for an extra cost. One such rider that could be especially beneficial is a Critical Illness Rider, which provides a lump-sum benefit if the insured is diagnosed with a specified critical illness, potentially including complications from diabetes. This payout can be used to cover medical expenses, home modifications, or other costs associated with the illness. Another potentially beneficial rider is the Disability Income Rider, which provides a monthly income if the policyholder becomes disabled and is unable to work. Given that diabetes can lead to certain disabilities, this rider might provide additional security. A Waiver of Premium Rider, which waives the policy premiums if the insured becomes totally disabled, is another option that could be beneficial. Remember, not all insurers offer these riders, and terms can vary greatly, so it’s important to carefully review any policy additions to understand their benefits and costs. Consulting with an experienced insurance agent can also provide valuable guidance in navigating these options.

Tips to Finding Affordable Coverage 

A few general strategies that can be applied to find insurance companies that may be more accommodating to individuals with type 1 diabetes include: 

  1. Work with an Independent Insurance Broker: Independent brokers are not tied to a single insurance company. They can help navigate through different insurance providers to find the ones with the most favorable underwriting standards for people with type 1 diabetes.
  2. Look for Specialized Providers: Some insurance companies or brokers might specialize in providing coverage for ‘high-risk’ individuals or those with chronic conditions like diabetes. They are often more experienced in navigating the complexities of these situations.
  3. Consider No-Medical Exam Policies: No-medical exam policies, such as guaranteed issue or simplified issue life insurance, can be easier for people with chronic conditions to qualify for, although premiums may be higher and coverage amounts might be lower.

Remember, maintaining good control of diabetes and leading a healthy lifestyle can significantly improve your chances of getting favorable terms on a life insurance policy.


Living with type 1 diabetes certainly presents unique challenges when it comes to securing life insurance. However, it’s important to remember that despite these obstacles, getting covered is not impossible. Even though insurance companies may view diabetes as a higher risk, a well-managed condition, a healthy lifestyle, and regular medical care can significantly improve your insurability. Alternatives such as group life insurance, guaranteed issue policies, or simplified issue policies can also provide valuable options when traditional life insurance seems less accessible. Additionally, certain policy riders and features can offer beneficial protection tailored to your needs. Working with an experienced insurance agent or broker can provide guidance and support in navigating the intricacies of life insurance with type 1 diabetes. Your diabetes doesn’t define you, and it doesn’t have to dictate your ability to secure the life insurance coverage you need to protect your future and the future of your loved ones.

Frequently Asked Questions (FAQs) about Life Insurance with Type 1 Diabetes

Yes, you can get life insurance if you have type 1 diabetes, although it may be more challenging and possibly more expensive than for someone without the condition. The terms of the policy and the premiums will depend on various factors, including how well you manage your diabetes.

Individuals with type 1 diabetes typically face higher premiums for life insurance due to the increased health risks associated with the condition. The exact increase will depend on several factors, such as the age of diagnosis, how well the diabetes is controlled, overall health, lifestyle habits, and the presence of any diabetes-related complications.

Yes, you can still get life insurance if you have complications from type 1 diabetes, but it may be more difficult and costly. Insurance companies will consider the severity and control of your complications. Certain severe complications could lead to a decline in some cases.

Generally, yes. Life insurance companies look favorably upon individuals who demonstrate a consistent history of well-controlled diabetes. This indicates you’re less likely to suffer severe complications, which reduces their risk.

Yes, it’s sometimes possible to improve your insurance rates if your health significantly improves after your policy is issued. This would generally involve demonstrating improved control of your diabetes, improved lifestyle habits, or improved overall health. It’s best to discuss this possibility with your insurance provider or broker.

Be ready to provide detailed information about your diabetes, including when you were diagnosed, what medications you take, how you manage your blood sugar, and what your latest A1C levels are. Also, prepare information about any diabetes-related complications you’ve experienced, as well as overall lifestyle habits, such as diet and exercise.

While it’s possible to be denied traditional life insurance because of type 1 diabetes, it’s not always the case. The decision will depend on several factors, including how well the condition is managed, your overall health, and the insurance company’s underwriting guidelines. If denied, you might still have options such as a guaranteed issue policy or a group policy through an employer.

Find a solution for what you’re looking for

While type 1 diabetes can complicate the process of obtaining life insurance, with diligent management of the condition, exploration of various coverage options, and assistance from experienced professionals, it is certainly possible to secure the financial protection you and your family need. At Protect Your Wealth, we work with and compare policies and quotes from the best life insurance companies in Canada to ensure the best solution for you and your needs. We provide expert life insurance solutions, including no medical life insurance, critical illness insurance, term life insurance, and permanent life insurance to build the best package to give you the protection you need. 

To schedule a consultation about your income protection goals, or if you have any questions about insurance in Ontario or Canada, please contact Protect Your Wealth or call us at 1-877-654-6119 to talk to an advisor today! We’re proudly based out of Hamilton, and service clients anywhere in Ontario, British Columbia and Alberta including areas such as Kingston, Brampton, Red Deer, and Burnaby.

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