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How can a 21-year-old assess his risk for developing T1D?

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

Patient's Query

Hello doctor,

I have got a question about my little brother. He is 13 years old and has type 1 diabetes. The doctor said it might be genetic, which got me thinking. Does that mean I could get it, too? I am 21 year old, and now I am worried about whether I might have a chance of developing diabetes as well. How would I even know if I am at risk or if I have got it? I have never had any symptoms, but I just want to be sure I am not missing something. It has been tough seeing my brother deal with this, and I do not want to be caught off guard if it could happen to me, too.

Kindly help.

Hello,

Welcome to icliniq.com.

It is understandable to be concerned about your risk of developing type 1 diabetes, especially since it can run in families. Type 1 diabetes is largely influenced by genetics, but not everyone with a family history will develop it.

The condition is caused by an autoimmune response in which the body attacks its insulin-producing cells. While genetics play a role, other factors, like environmental triggers, also contribute.

If you are worried about your risk, plan for tests, including an ultrasound of your abdomen and insulin levels (for prevention). Also, check for FBS (fasting blood sugar), PPBS (post-prandial blood sugar), and HbA1c (hemoglobin A1c) once every six months.

These antibodies can sometimes appear years before symptoms, offering early insight into your risk. However, it is important to know that even with these markers, not everyone will develop the disease.

In terms of symptoms, if you ever experience extreme thirst, frequent urination, unexplained weight loss, or fatigue, these could be signs of diabetes, and you should seek medical advice right away.

However, since you have no symptoms, the best approach is to stay informed, maintain a healthy lifestyle, and get regular check-ups. Knowing your risk can help you stay prepared, but it does not guarantee you will develop type 1 diabetes.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At October 3, 2024
Reviewed AtJune 3, 2025

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