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What tests check T1D risk at 37 with family history?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 37 years old, and I have a family history of type 1 diabetes, but so far, I have not had any issues with it. I am worried about whether I can develop type 1 diabetes at this age. If it can happen, is there anything I can do to prevent it? Should I be undergoing any specific screenings right now to monitor my risk? Should I be following up with you regularly to stay on top of any potential issues? I know it is a very serious health issue, so I wanted to stay away from it.

Please help.

Answered by Dr. Sugandh Garg

Hi,

Welcome to icliniq.com.

I understand your concern.

Though type 1 diabetes most commonly develops in childhood or adolescence, it can occur at any age, including adulthood. This is referred to as latent autoimmune diabetes in adults (LADA) or adult-onset type 1 diabetes. Unlike type 2 diabetes, LADA typically occurs when the immune system attacks insulin-producing beta cells in the pancreas.

Risk factors are:

  1. Having a family history of type 1 diabetes.

  2. Specific genes like HLA-DR3 (human leukocyte antigen (HLA) class II antigen) or HLA-DR4 (human leukocyte antigen (HLA) class II, DR beta 4) are linked to a higher risk of type 1 diabetes.

  3. Viral infections.

  4. Dietary factors.

Unfortunately, there is no way to prevent type 1 diabetes because it is an autoimmune condition. However, you can do the following to stay healthy:

1. Maintain a healthy weight.

2. Focus on a balanced diet.

3. Regular physical activity.

4. Avoid smoking.

5. Manage stress.

Since you have a family history, screening for type 1 diabetes-related antibodies and glucose levels can help assess your risk:

1. Autoantibody testing is a test for islet cell antibodies.

2. Fasting blood sugar and HbA1c (glycated hemoglobin).

3. C-peptide Levels: This measures how much insulin your body is producing, helping differentiate between type 1 and type 2 diabetes.

Get physically examined by an endocrinologist. Common symptoms include:

  1. Increased thirst or urination.

  2. Unexplained weight loss.

  3. Fatigue or blurry vision.

I hope this information helps you.

Revert in case of queries.

Wishing you continued good health.

Get well soon.

Answered byDr. Sugandh Garg

Medically reviewed byiCliniq medical review team

Published At December 1, 2024
Reviewed AtMay 26, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugandh Garg
Dr. Sugandh Garg

Internal Medicine

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