Skip To Main Content

What is autoimmune Type 1 diabetes (T1D)?

Learn about T1D and what causes it

What is T1D?

Type 1 diabetes is a progressive autoimmune disease. This means that the body’s immune system mistakenly attacks healthy cells in the body. In the case of T1D, the immune system attacks a type of cell in the pancreas called beta cells. Healthy beta cells produce a hormone called insulin which helps your body convert glucose (sugar) from your blood into energy.1

When beta cells are damaged in T1D, they cannot produce enough insulin for your body. Without insulin, the body can’t move sugar from your blood into cells to use for energy, so your blood sugar becomes too high. Overtime, this results in the symptoms of T1D.1–3

Insulin is like a key that unlocks cells to let sugar in.2,4

 

Insulin is like a key that unlocks cells to let sugar in.

Adapted from Healthhub. How diabetes develops.4

What causes T1D?

We don’t know the exact cause of T1D, though there are some things that increase your risk of developing it.1

 

 

You may be at increased risk if you have a family member with T1D.1,3,5,6

If you have a first-degree relative (parent, sibling, or child) with T1D, your risk of developing it increases compared to people without family with T1D. However, many people with T1D don’t have any family with the condition.

 

T1D is not caused by what you eat or drink, but it’s still important to eat a healthy diet to help manage your blood sugar levels.1

You may be at an increased risk if you have other autoimmune diseases, such as:7–10

  • Thyroid disease
  • Coeliac disease
  • Addison’s disease

You may be interested to find out…

The symptoms of Stage 3 T1D

Read more

What are the stages of T1D?

Read more

What is Tzield?

Read more

Tzield is a medicine used to delay the start of Stage 3 Type 1 diabetes. This condition happens when the body cannot make enough insulin on its own and may need insulin injections. This medicine is used in adults and children aged 8 years and older who have Stage 2 Type 1 diabetes.11

If you have any questions on how Tzield works or about your treatment with Tzield, ask your doctor.

This website is not intended to be a substitute for medical advice. Please refer to the Patient information leaflet and the Patient Guide for full safety information. You may have received these items from your doctor already.

 

References:

  1. Diabetes UK. What causes type 1 diabetes. Available at: https://www.diabetes.org.uk/about-diabetes/type-1-diabetes/causes. Accessed: November 2025.
  2. Diabetes UK. What is insulin? Available at: https://www.diabetes.org.uk/about-diabetes/looking-after-diabetes/treatments/insulin/what-is-insulin. Accessed: November 2025.
  3. Diabetes UK. Type 1 diabetes. Available at: https://www.diabetes.org.uk/about-diabetes/type-1-diabetes. Accessed: November 2025.
  4. Healthhub. How diabetes develops. Available at: https://www.healthhub.sg/programmes/diabetes-hub/how-diabetes-develops. Accessed: November 2025.
  5. Breakthrough T1D. Who is at risk for type 1 diabetes? Available at: https://www.breakthrought1d.org/news-and-updates/who-is-at-risk-for-type-1-diabetes/#:~:text=Having%20a%20family%20history%20of%20type%201%20diabetes,who%20have%20no%20family%20members%20with%20the%20disease. Accessed: November 2025.
  6. Besser REJ, Bell KJ, Couper JJ, et al. ISPAD Clinical Practice Consensus Guidelines 2022: Stages of type 1 diabetes in children and adolescents. Pediatr Diabetes. 2022; 23(8): 1175–1187.
  7. Barker JM. Clinical review: Type 1 diabetes-associated autoimmunity: natural history, genetic associations, and screening. J Clin Endocrinol Metab. 2006; 91(4): 1210–1217.
  8. Ludvigsson JF, Ludvigsson J, Ekbom A, et al. Celiac disease and risk of subsequent type 1 diabetes: a general population cohort study of children and adolescents. Diabetes Care. 2006; 29(11): 2483–2488.
  9. Skov J, Kuja-Halkola R, Magnusson PKE, et al. Shared etiology of type 1 diabetes and Hashimoto's thyroiditis: a population-based twin study. Eur J Endocrinol. 2022; 186(6): 677–685.
  10. Edelman SV, Agardh D, Cui N, et al. Risk of new-onset type 1 diabetes in individuals with celiac disease and thyroid disease-An observational study. Diabetes Obes Metab. 2025; 27(8): 4229–4238.
  11. TZIELD® (teplizumab) UK Patient Information Leaflet. Accessed: November 2025.
     

© 2025 Sanofi. All rights reserved. MAT-XU-2501104 (V1.0) | November 2025