There is no clear answer regarding which type of diabetes is worse. Both type 1 and type 2 diabetes can lead to significant health complications such as heart disease, stroke, blindness, and damage to blood vessels. Type 1 diabetes is considered worse than type 2 because it is an autoimmune disease, so there isnt a cure. However, both types of diabetes are manageable, and the better controlled your diabetes is, the lower the risk of reduction in your life expectancy.