This page will be regularly updated with any developments and new resources and guidance related to MONITORING patients who are identified as having Early-Stage T1 Diabetes.
BSPED Publications and Pathway
UK Recommendations Publication (September 2025) includes the screening and monitoring pathway – UK best practice recommendations for children and young people <18years with pre-stage 3 type 1 diabetes, on behalf of the British Society for Paediatric Endocrinology and Diabetes (BSPED)
BSPED Screening and Monitoring Pathway, PDF for download – BSPED screening and monitoring pathway
Other Publications
Managing adults with screen-detected islet autoantibody positivity (October 2026) – Managing adults with screen-detected islet autoantibody positivity: a pragmatic framework
From Screening to Delivery of Disease- Modifying Therapy (March 2026) – From Screening to Delivery of Disease- Modifying Therapy: Real World Follow- Up of Children With Early- Stage Type 1 Diabetes
Practical, stage‐specific recommendations for early‐stage T1D care (March 2026) – Advancing Early‐Stage Type 1 Diabetes Care: Future Focused Pathways for Identification, Screening, Diagnosis, and Monitoring
Monitoring
Patients identified with Stage 1 or Stage 2 Type 1 Diabetes should be monitored using a structured programme led by specialist diabetes services, including periodic HbA1c testing and glucose monitoring, dietetic and psychology support, education regarding hyperglycaemia and DKA, and escalation of monitoring as progression risk increases.
Resources are also available specifically for Dietitians and Psychologists are also in development and will be posted on pages within this section of the website that can be found here.
Work in Development for monitoring EST1D
For Commissioning and Trust Management (specifically for monitoring)
Standards of care criteria for monitoring of patients with Early-Stage T1 Diabetes are in development and will be shared here when available.
For HCPs
- Online training which will include modules on monitoring (The training is being developed by BSPED and supported by Sanofi)
- Guidance for managing nutrition
- Guidance for providing Psychological support
- Competency framework for healthcare professional training
For Patients and Families
- The DigiBete Early-Stage T1 Diabetes App will be published and available very soon for families of patients identified as having early-stage T1 diabetes