Type 1 diabetes

Relative maternal protection against type 1 diabetes: A combined analysis of 5 observational studies

J Clin Endocrinol MetabPublished Combined analysis of 5 observational studies with random-effects meta-analysis

Pooled result · Individuals with T1D with an affected mother vs fatherResult — go to the resultOdds ratio 0.55 95% CI 0.48–0.64

Authors' conclusion

Our analyses suggest intrauterine exposure to maternal type 1 diabetes is associated with long-lasting relative protection against offspring type 1 diabetes, which is independent of genetic susceptibility as measured by T1D-GRS2.

Study context

Population
Individuals with T1D diagnosed aged 0 to 88 years with an affected parent, 5 observational studies
Participants
11,475 individuals5 observational studies
Comparison
Affected mother vs affected father
Outcome
Proportion of individuals with T1D with affected mothers vs fathers

Pooled result

As reported in the abstract

Individuals with T1D with an affected mother vs father

Odds ratio

0.55

95% CI 0.48–0.64

P < 0.0001

Affected mothervs Affected father
OR 0.55 (95% CI 0.48–0.64); P < 0.0001

Further pooled results

OutcomeOR (95% CI)P value
Affected mothervs father, individuals diagnosed as adults (>18 years)0.63 (0.43–0.91)P = 0.01
Affected mothervs father, maternal diagnosis preceding offspring birth0.51 (0.37–0.70)P < 0.001
Affected mothervs father, parental diagnosis after offspring birth0.97 (0.69–1.38)P = 0.87
OutcomeP value
T1D-GRS2P = 0.25

T1D-GRS2

T1D-GRS2 similar between individuals with affected mothers and fathers

Original publication

Relative maternal protection against type 1 diabetes: A combined analysis of 5 observational studies. J Clin Endocrinol Metab. Published 10 March 2026. doi:10.1210/clinem/dgag103

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