How does adult onset Type I diabetes work? Is it “burnout” of the body’s ability to make insulin? Why isn’t it noticed sooner? Does good lifestyle prevent symptom development?
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The total cause is unknown, there are strong links between gluten and dairy ingestion being a factor to the point where type 1 diagnosis is supposed to be followed up with a test for celiac disease (rates of celiac disease are much higher for type 1s than average.) It is not something people are just born with but something triggers the immune system to attack itself and with certain genes and whatever environmental combination causes the body to attack it’s pancreas.
You can’t notice it sooner because you don’t have it until it happens. You can’t fully prevent it because the true full cause is unknown. There are steps parents can take to reduce the risk of future autoimmune diseases for newborns to 2 years based on some theories (avoid cesarean section if possible, keep antibiotics to a minimum, minimize viral infection, breastfeed if possible)
Certain viral infections like some enteroviruses have associations. But it’s really hard to measure the total cause of a disease that you cannot induce nor can you ethically induce even if you could.
Ex wife has it. If you’re willing to take your diet and exercise seriousness to a high enough level and you have the privilege of CGMs and pumps then management can be achieved pretty reasonably. If you suffer from serious food cravings and don’t take it seriously it can be very bad. But hope objectively exists especially if we can get the cost of insulin in USA down.
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