if your pancreas does not make enough (or any) insulin, your blood glucose levels will not be controlled, this is called type 1 diabetes. without insulin, your blood glucose levels will get very high after you eat, eventually glucose will be excreted in the urine but because there is so much, you will produce a lot of urine and feel thirsty. without insulin, glucose cannot get into the cells of your body, so you lack energy and feel tired. you break down fats and protein to use as fuel instead, so you lose weight