Screening for complications of Type 1 Diabetes


October 4th, 2022

Screening for complications of Type 1 Diabetes

1. Why is it important to screen for complications of T1D?

Screening for risk factors and complications starts at the diagnosis of diabetes. Even though complications rarely occur in children and in teenagers, screening is important because detecting complications at an early stage allows for actions to help slow their progression.
Learn how often a person with diabetes needs to be screened for diabetes complications and what you can expect from each test and screening.

2. Screening every 3 months.

A diabetes care team needs to regularly check:

  • Weight & Height in order to measuring if the one affected with diabetes is a healthy weight and can achieve optimal growth
  • HbA1c test: HbA1c is the average blood glucose level for the last 3 months. It’s important to make sure it is under 7.5% (58 mmol/L)

Many health facilities are not able to provide regular HbA1c tests for all people with Type 1 Diabetes. Diabetics should try to get an HbA1c test at least once a year.

3. Yearly screening.

The diabetics care team will provide with an appointment to check the most common complications and will advise more frequent testing and interventions if they discover any problems.

    • Blood pressure in order to check any hypertension which can affect the blood vessel and heart
    • Eye screening: the visual acuity will be checked and if there is any development of retinopathy, cataract or glaucoma
    • Foot screening: feet will be checked in details with questions and physical examination
    • Kidney function: from an urine and blood sample, the albumin and creatinine levels will be analysed to measure how well kidneys are working
    • Blood lipid: from a blood test the cholesterol level will be analysed to make sure the levels are normal


HelloType1 content is based on published, internationally recognised guidelines and then reviewed by local experts to ensure it fits local context. The translation is based on simplified English language to ensure it conveys the safest and clearest possible message in regional languages. Basic insulin and blood glucose testing access is still an issue in the South-East Asia region and our chief aim is to address this. HelloType1 content is not intended to replace the advice of individual healthcare professionals but as a collaborative tool to help them improve the outcomes of disadvantaged people with Type 1 Diabetes in the region.

HelloType1 content is curated for the topics using information only taken from accredited sources such as the International Diabetes Foundation (IDF) and the International Society for Paediatric and Adolescent Diabetes (ISPAD).

This content is then reviewed and adapted by a panel consisting of healthcare experts (e.g. endocrinologist, nutritionist, diabetes nurse, psychologist) and members of the South-East Asia T1D communities, helping ensure the information is appropriate in a local context.

Writers of HelloType1 content:
Anne-Charlotte Ficheroulle, Pharmacist, Digital Innovation Manager at A4D
Charlotte O’Brian Gore, Research assistant ImmunoEngineering, King’s College. UK

Content Reviewers – healthcare professionals:
Dr. May Ng, Paediatric Endocrinologist, Chief Medical Advisor A4D, UK
Dr. Yeow Toh Peng, Endocrinologist, Malaysia
Dr Jaturat Petchkul, Paediatric Endocrinologist, Thailand
Dianna Culbertson, Physician Assistant T1D care, US
Prof Dr Malene Iv, Endocrinologist, Kantha Bopha Hospital, Cambodia
Steffen Tange, Consultant Psychology, Denmark
Soe Nyi Nyi, Nutritionist, Myanmar
Lucas Lim, Dietician, Malaysia

Content Reviewers – people with Type 1 Diabetes:
Jerry Gore, Co-Founder A4D, Mountaineer, UK
Diana Maynard, T1D advocate, UK
Emelyne Carmen Ho, College Student, Malaysia
Molly Seal, College Student, UK

Content Reviewers – parents with T1D child:
Samantha Seal, Teacher, Thailand
Kim Than, Deputy Country Director – Plan International, Cambodia

Read more

Type 1 Diabetes & eye complication

Type 1 Diabetes & eye complication

Type 1 Diabetes & foot complication

Type 1 Diabetes & foot complication

Type 1 Diabetes & kidney complication

Type 1 Diabetes & kidney complication


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