What causes type 1 diabetes?

Type 1 diabetes (T1D) is an autoimmune condition where the pancreas stops producing insulin due to the immune system attacking the beta cells, which produce insulin. Research is ongoing to identify what causes this attack—and how to stop it.

Type 1 diabetes risk factors

Genes and family history

Certain genes increase the likelihood of an individual developing T1D, as can a family history of the condition. If you have an immediate family member with type 1 diabetes, your chances of developing the condition are 1 in 20, which is 15 times higher than the general population.


Environmental triggers

Environmental factors, including viruses, are another factor behind T1D onset. Some researchers believe that certain viruses may specifically target beta cells, and as the body’s immune response tries to combat these viruses, it may mistakenly attack and damage the beta cells.


Immune response

Once T1D is triggered, the body starts attacking the beta cells, which produce insulin. This attack can be detected through biochemical signs called autoantibodies, which appear well before any symptoms of type 1 diabetes are observed. As the immune system continues to attack and destroy more beta cells, insulin production decreases, leading to abnormal blood-sugar levels. Eventually, the number of destroyed beta cells becomes so high, and insulin production drops so low, that symptoms start to appear.

Type 1 diabetes diagnosis statistics

1 in 20

People with a first-degree relative with type 1 diabetes who will also develop the condition

85%

Percentage of diagnoses in people who have no family members with the disease

10-14

The age at which most type 1 diabetes diagnoses occur

T1D cannot be prevented through diet or exercise

It is important to understand that type 1 diabetes is not caused by diet. However, certain dietary factors might be involved in the development of type 2 diabetes.

Similarly, the risk of a type 1 diabetes diagnosis is not influenced by factors such as lifestyle, activity level, or socioeconomic status.

More T1D basics

Young woman managing type 1 diabetes using technology for health monitoring, outdoors, combining health management with daily life, using insulin pump

Common warning signs of type 1 diabetes


Therapies for treating T1D


Types of insulin and administration methods


Tests and other factors that lead to a type 1 diabetes diagnosis


Answers to your questions about type 1 diabetes


Statistics on T1D in the U.S. and around the world