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Screening, staging, and beta cell function preservation strategies in patients with type 1 DM

https://doi.org/10.31549/2542-1174-2025-9-3-80-95

Abstract

This literature review includes an analysis of data from epidemiological studies, meta-analyses, and scientifi c publications on type 1 DM (T1DM). The results of studies assessing the prevalence and incidence of T1DM in various regions of the world, including Russia, are considered. A widespread increase in these indicators in all age groups over the past 10 years was found. An analysis of data on genetic and environmental risk factors for the development of T1DM, including maternal age, obesity, infections, and vitamin D defi ciency is presented. A classifi cation of T1DM stages is considered, refl ecting the continuum of disease development from the appearance of autoantibodies to clinical symptoms. The emphasis is on the preclinical stages of T1DM and the importance of their early diagnosis for potential prevention and delay of disease progression. The need for an integrated approach to the study of T1DM, taking into account the genetic, environmental, and immunological aspects of the disease, is emphasized. Knowledge of risk factors and stages of development of T1DM allows us to develop strategies for early diagnosis and prevention aimed at delay in the progression of the autoimmune process and development of clinical manifestations of T1DM.

About the Authors

L. A. Ruyatkina
Novosibirsk State Medical University
Russian Federation

Lyudmila A. Ruyatkina – Dr. Sci. (Med.), Professor, Department of Emergency Therapy with Endocrinology and Occupational Pathology

52, Krasny prosp., Novosibirsk, 630091



V. M. Anmut
Novosibirsk State Medical University
Russian Federation

Victoria M. Anmut – Clinical Resident, Department of Emergency Therapy with Endocrinology and Occupational Pathology

52, Krasny prosp., Novosibirsk, 630091



M. A. Kovarenko
Novosibirsk State Medical University
Russian Federation

Margarita A. Kovarenko – Cand. Sci. (Med.), Associate Professor, Department of Pediatrics (Faculty of Advanced Training and Professional Training of Physicians)

52, Krasny prosp., Novosibirsk, 630091



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Review

For citations:


Ruyatkina L.A., Anmut V.M., Kovarenko M.A. Screening, staging, and beta cell function preservation strategies in patients with type 1 DM. Journal of Siberian Medical Sciences. 2025;(3):80-95. (In Russ.) https://doi.org/10.31549/2542-1174-2025-9-3-80-95

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ISSN 2542-1174 (Print)