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Risk factors

By Mayo Clinic staff

There aren't many known risk factors for type 1 diabetes, though researchers continue to find new possibilities. Some known risk factors include:

  • A family history. Anyone with a parent or sibling with type 1 diabetes has a slightly increased risk of developing the condition.
  • Genetics. The presence of certain genes indicates an increased risk of developing type 1 diabetes. In some cases — usually through a clinical trial — genetic testing can be done to determine if someone who has a family history of type 1 diabetes is at increased risk of developing the condition.
  • Geography. The incidence of type 1 diabetes tends to increase as you travel away from the equator. People living in Finland and Sardinia have the highest incidence of type 1 diabetes — about two to three times higher than rates in the United States and 400 times that of people living in Venezuela.

Possible risk factors for type 1 diabetes include:

  • Viral exposure. Exposure to Epstein-Barr virus, coxsackievirus, mumps virus or cytomegalovirus may trigger the autoimmune destruction of the islet cells, or the virus may directly infect the islet cells.
  • Low vitamin D levels. Research suggests that vitamin D may be protective against type 1 diabetes. However, early intake of cow's milk — a common source of vitamin D — has been linked to an increased risk of type 1 diabetes.
  • Other dietary factors. Omega-3 fatty acids may offer some protection against type 1 diabetes. Drinking water that contains nitrates may increase the risk. Additionally, the timing of the introduction of cereal into a baby's diet may affect his or her risk of type 1 diabetes. One clinical trial found that between ages 3 and 7 months appears to be the optimal time for introducing cereal.

Some other possible risk factors include if your mother was younger than age 25 when she gave birth to you or if your mother had preeclampsia during pregnancy. Being born with jaundice or experiencing a respiratory infection just after you were born are also potential risk factors.

References
  1. Diabetes Mellitus (DM). The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec12/ch158/ch158b.html#sec12-ch158-ch158b-1105. Accessed April 2, 2009.
  2. Standards of medical care in diabetes — 2009. Alexandria, Va.: American Diabetes Association. http://care.diabetesjournals.org/cgi/reprint/32/Supplement_1/S13. Accessed April 1, 2009.
  3. Eisenbarth GS, et al. Pathogenesis of type 1 diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 5, 2009.
  4. Gillespie KM. Type 1 diabetes: Pathogenesis and prevention. Canadian Medical Association Journal. 2006;175. http://www.mdconsult.com/das/article/body/115743848-3/jorg=journal&source=MI&sp=163/jorg=journal&source=MI&sp=16. Accessed Jan. 6, 2009.
  5. Heart disease and stroke statistics — 2009 update. American Heart Association. http://www.americanheart.org/downloadable/heart/123565990943909Heart%20and%20Stroke%20Update.pdf. Accessed April 1, 2009.
  6. Your guide to diabetes: Type 1 and type 2. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/type1and2/index.htm. Accessed April 1, 2009.
  7. What people with diabetes need to know about osteoporosis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Accessed Jan. 9, 2009.
  8. Jovanavic L. Successful pregnancy in women with type 1 diabetes: From preconception through postpartum care. Endocrinology and Metabolism Clinics of North America. 2006;35:79.
  9. Bainbridge KE. Diabetes and hearing impairment in the United States: Audiometric evidence from the National Health and Nutrition Examination Survey, 1999 to 2004. Annals of Internal Medicine. 2008;149:1.
  10. Estimated average glucose, eAG. American Diabetes Association. http://professional.diabetes.org/GlucoseCalculator.aspx. Accessed Jan. 6, 2009.
  11. Pfizer statement on Exubera labeling update in the United States. Pfizer.com. Accessed April 3, 2009.
  12. About omnipod. Omnipod.com. http://www.myomnipod.com/products/. Accessed April 3, 2009.
  13. Symlin (prescribing information). San Diego, Calif.: Amylin Pharmaceuticals; 2008.
  14. Diabetes and women's sexual health. American Diabetes Association. http://www.diabetes.org/type-1-diabetes/women-sexual-health.jsp. Accessed April 3, 2009.
  15. Hypoglycemia. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/hypoglycemia/index.htm. Accessed April 2, 2009.
  16. Diabetes and employment. Alexandria, Va.: American Diabetes Association. http://care.diabetesjournals.org/cgi/content/full/32/Supplement_1/S80. Accessed April 1, 2009.
  17. Robertson RP. Pancreas and islet transplantation in diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Jan. 6, 2009.
  18. Voltarelli J, et al. Autologous nonmyeloablative hematopoietic stem cell transplantation in newly diagnosed type 1 diabetes mellitus. Journal of the American Medical Association. 2007;297:1568.
  19. Havas S, et al. Tight control of type 1 diabetes: Recommendations for patients. American Family Physician. 2006;74:971.
  20. The dangerous toll of diabetes. American Diabetes Association. http://www.diabetes.org/diabetes-statistics/dangerous-toll.jsp. Accessed April 3, 2009.
  21. High blood sugar: Definition, symptoms. Juvenile Diabetes Research Foundation. http://www.jdrf.org/index.cfm?fuseaction=home.viewpage&page_id=EC92D98E-1321-C844-13EB771367A49526. Accessed April 3, 2009.
  22. Smoking. American Diabetes Association. http://www.diabetes.org/type-1-diabetes/smoking.jsp. Accessed April 3, 2009.
  23. TrialNet studies. TrialNet. http://www.diabetestrialnet.org/patientinfo/studies.htm. Accessed April 3, 2009.
  24. Collazo-Clavell ML (expert opinion). Mayo Clinic. Rochester, Minn. April 14, 2009.
  25. International Expert Committee. International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes. Diabetes Care. 2009;32:1.

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June 13, 2009

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