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

Oona Kähkönen1,2, Salla Kuusela2,3, Jutta E Laiho4

  • 1Celiac Disease Research Center, Tampere University and Tampere University Hospital, Tampere, Finland.

Diabetes Care
|June 11, 2026
PubMed

Insights

Population screening for type 1 diabetes (T1D) identifies at-risk children who experience milder diagnoses. Early detection through programs like DIPP leads to better health outcomes and reduced T1D complications.

Area of Science:

  • Endocrinology
  • Pediatrics
  • Genetics

Background:

  • Population-based genetic screening for type 1 diabetes (T1D) is gaining interest.
  • Limited data exists on treatment outcomes for individuals identified via screening.

Purpose of the Study:

  • To compare clinical presentation and 1-year treatment outcomes in children with T1D identified through the DIPP screening program versus those diagnosed outside the program.

Main Methods:

  • A cohort of 126 at-risk children from the DIPP study was compared with 440 children diagnosed with T1D outside the screening program.
  • Characteristics at diagnosis and 1-year treatment outcomes were analyzed.

Main Results:

  • DIPP participants showed significantly lower rates of ketoacidosis, dehydration, and intensive care needs.
  • DIPP participants had lower HbA1c levels and insulin requirements at diagnosis and 1-year follow-up.
  • Inpatient stays were shorter for DIPP participants.

Conclusions:

  • Children identified through T1D screening (DIPP) present with milder clinical symptoms at diagnosis.
  • Screening leads to improved glycemic control and reduced insulin needs in the first year post-diagnosis.
Abstract

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