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Review
. 2023 Nov 17;108(12):3067-3079.
doi: 10.1210/clinem/dgad328.

Screening and Prevention of Type 1 Diabetes: Where Are We?

Kimber M Simmons  1 , Emily K Sims  2
Affiliations
Review

Screening and Prevention of Type 1 Diabetes: Where Are We?

Kimber M Simmons et al. J Clin Endocrinol Metab. .

Abstract

A diagnosis of type 1 diabetes (T1D) and the subsequent requirement for exogenous insulin treatment is associated with considerable acute and chronic morbidity and a substantial effect on patient quality of life. Importantly, a large body of work suggests that early identification of presymptomatic T1D can accurately predict clinical disease, and when paired with education and monitoring, can yield improved health outcomes. Furthermore, a growing cadre of effective disease-modifying therapies provides the potential to alter the natural history of early stages of T1D. In this mini review, we highlight prior work that has led to the current landscape of T1D screening and prevention, as well as challenges and next steps moving into the future of these rapidly evolving areas of patient care.

Keywords: pediatric; prevention; screening; type 1 diabetes.

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Figures

Figure 1.
Figure 1.
Risk of progression to type 1 diabetes (T1D) after seroconversion to islet autoantibody positivity (24).
Figure 2.
Figure 2.
TrialNet pathway to prevention monitoring protocol (27).
See this image and copyright information in PMC

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