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Blood test aims to detect type 1 diabetes earlier in children

Ensuring a healthy childhood: As part of the EDENT1FI project, more than 7,500 children in Saxony have already been screened for early type 1 diabetes.
Tested early, better protected: A simple blood test can detect type 1 diabetes in children before the disease breaks out. © Veerle Scheppers Photography
From: Wissensland
A blood test using just a few drops of blood could help prevent severe diabetic crises in children. Researchers at TU Dresden and Carl Gustav Carus University Hospital are involved in a European project to detect type 1 diabetes before symptoms appear. So far, 100,000 children have been screened.

The disease often begins long before anyone notices. A European research project therefore aims to detect type 1 diabetes in children at an earlier stage — using a simple blood test. So far, 100,000 children and adolescents have already been screened, more than 7,500 of them in Saxony.

The project is called EDENT1FI and has been running since 2023. It brings together researchers from 27 partner organizations in 13 European countries. In Dresden, scientists at the Center for Regenerative Therapies Dresden (CRTD) at TU Dresden and at Carl Gustav Carus University Hospital are involved. Their goal is to detect type 1 diabetes in children before the first symptoms appear.

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What is behind type 1 diabetes?

In type 1 diabetes, the body’s own immune system attacks the cells in the pancreas that produce insulin. Insulin is essential because it regulates blood sugar. People who can no longer produce it themselves depend on injections or an insulin pump for the rest of their lives. This autoimmune attack often begins early in life, usually years before the first symptoms appear.

This is exactly where screening comes in. During screening — a targeted preventive test — a few drops of blood are examined for so-called islet autoantibodies. These antibodies indicate that the immune system is already active against the insulin-producing cells. “By identifying children with an early stage of type 1 diabetes, severe metabolic imbalances can largely be avoided, while new therapeutic approaches can be developed jointly across Europe,” explains Dr Gita Gemulla, a pediatric diabetologist at Dresden University Hospital.

Early detection - better support

A positive test does not immediately mean insulin injections or a pump. Children who test positive are monitored regularly. Families receive advice and support, and they have time to prepare. Since January 2026, a drug has even been available in Europe that can delay the onset of the disease: teplizumab. It is approved for children aged eight and older who have been diagnosed with early-stage type 1 diabetes but have not yet developed clinical disease. Those who are unaware of their condition cannot make use of this window of opportunity.

“Reaching 100,000 screened children is an important milestone for the diagnosis of early-stage type 1 diabetes,” says Prof. Chantal Mathieu, co-coordinator of EDENT1FI. “This success shows how international collaboration can transform care for people with type 1 diabetes.” A total of 220,000 children and adolescents across Europe are expected to be screened. The screening rate has already reached around 6,500 participants per month.

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