Type 1 diabetes

Identification and Follow-up of At-Risk Children Mitigate Disease Severity and Improve Treatment Outcomes in Type 1 Diabetes

Diabetes CarePublished Cohort study

Authors' conclusion

DIPP participants had a milder clinical presentation at T1D diagnosis, with lower HbA1c levels and lower insulin requirements during the first year.

Study context

Population
Children with T1D diagnosis
Participants
126 vs 440
Exposure
At-risk children followed in Diabetes Prediction and Prevention (DIPP) vs children diagnosed outside the screening program
  • DIPPn = 126
  • Non-DIPPn = 440reference
Outcome
DKA at T1D diagnosis
Follow-up
At diagnosis
Methodological detailsprospective follow-up, population-based genetic screening
  • Prospective follow-up
  • Population-based genetic screening

Main finding

As reported in the abstract

P < 0.05

Observational data: associations, not effects.

Further findings

HbA1c · at diagnosis

HbA1c % DIPP 6.4% · Non-DIPP 11.2%

HbA1c · 1 year

HbA1c % DIPP 7.2% · Non-DIPP 7.7%

Insulin requirement · at diagnosis

Insulin requirement · 1 year

Dehydration, electrolyte imbalances, need for intensive care, inpatient stay · at diagnosis

Significantly less frequent dehydration, electrolyte imbalances and need for intensive care, and shorter inpatient stays, in DIPP vs non-DIPP (P < 0.05)

Original publication

Identification and Follow-up of At-Risk Children Mitigate Disease Severity and Improve Treatment Outcomes in Type 1 Diabetes. Diabetes Care. Published 11 June 2026. doi:10.2337/dc26-0136

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