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Clinical Screening Tool

Type 1 Diabetes
Complication Screening

A structured screening questionnaire based on ADA and ISPAD guidelines to help you identify gaps in your T1D complication monitoring. This is not a diagnostic tool — it helps you have a more informed conversation with your endocrinologist.

Based on ADA 2024 Standards NABL-Certified Lab Network Home Sample Collection 100+ Cities

Glycemic Management

HbA1c targets, monitoring practices, insulin regimen, hypoglycemia awareness

Kidney (Nephropathy)

ADA: annual urine albumin + eGFR screening after 5yr duration or age 11

Cardiovascular

ADA: annual lipid panel; T1D carries 2-4x cardiovascular disease risk

Nerve (Neuropathy)

ADA: annual comprehensive foot exam; screen for peripheral + autonomic neuropathy

Autoimmune Comorbidities

ADA/ISPAD: screen for thyroid (15-30% prevalence) + celiac (4-9%) in T1D

Eye (Retinopathy)

ADA: dilated eye exam within 5yr of diagnosis, then annually

Guideline-Based

Questions derived from ADA and ISPAD complication screening recommendations

6 Clinical Domains

Glycemic control, nephropathy, cardiovascular, neuropathy, autoimmune, retinopathy

Personalized Results

Risk flags mapped to specific lab tests available for home collection

Privacy First

Your responses are confidential and not shared with third parties

Medical Disclaimer: This screening tool is for informational purposes only. It does not constitute medical advice, diagnosis, or treatment. Always consult your endocrinologist or healthcare provider for personalized diabetes management.

Type 1 Diabetes Complication Screening — Book Blood Tests at Home

Type 1 Diabetes requires lifelong monitoring to prevent and manage complications affecting the kidneys, heart, nerves, eyes, and other organ systems. The American Diabetes Association (ADA) recommends a structured screening schedule that includes regular HbA1c testing, annual lipid panels, urine albumin screening, thyroid function tests, and dilated eye examinations.

Our free screening tool evaluates your current monitoring practices across 6 clinical domains — glycemic management, nephropathy, cardiovascular risk, neuropathy, autoimmune comorbidities, and retinopathy — and identifies areas where additional lab testing may be recommended. All recommended tests are available for home collection through Truemark Health's NABL-certified lab network.

ADA-Recommended Screening Schedule for T1D

TestFrequencyWhen to Start
HbA1cEvery 3 monthsAt diagnosis
Lipid PanelAnnuallyAt diagnosis, age 11+
Urine Albumin (ACR)Annually5 years after diagnosis or age 11
Serum Creatinine / eGFRAnnually5 years after diagnosis or age 11
TSH (Thyroid)Every 1–2 yearsAt diagnosis
Celiac Screening (tTG-IgA)At diagnosis, then as neededAt diagnosis
Dilated Eye ExamAnnuallyWithin 5 years of diagnosis
Comprehensive Foot ExamAnnuallyAt diagnosis for adults

Warning Signs T1D Patients Should Not Ignore

Frequently Asked Questions

What blood tests should a Type 1 Diabetic get regularly?

ADA recommends HbA1c every 3 months, annual lipid panel, annual urine albumin-to-creatinine ratio (ACR) and eGFR for kidney function, periodic TSH for thyroid, and celiac screening at diagnosis. Additional tests include fasting blood glucose, C-peptide, vitamin B12, and comprehensive metabolic panels depending on your complications profile.

How is Type 1 Diabetes different from Type 2?

Type 1 Diabetes is an autoimmune condition where the immune system destroys insulin-producing beta cells in the pancreas. Unlike Type 2, it is not caused by lifestyle factors and requires lifelong insulin therapy. T1D patients also have significantly higher risk of autoimmune comorbidities like thyroid disease (15-30%) and celiac disease (4-9%).

What is HbA1c and why is it critical for T1D?

HbA1c (glycated hemoglobin) measures your average blood sugar over the past 2-3 months. For T1D patients, ADA recommends a target below 7% for most adults. Each 1% reduction in HbA1c lowers microvascular complication risk by approximately 37%. Testing every 3 months helps track long-term glycemic control.

Can Type 1 Diabetes cause kidney damage?

Yes. Diabetic nephropathy is the leading cause of end-stage renal disease worldwide. ADA recommends annual screening with urine albumin and eGFR after 5 years of T1D diagnosis or from age 11. Early detection through microalbumin testing allows intervention that can reverse early kidney damage.

Why do T1D patients need thyroid tests?

T1D patients have a 15-30% lifetime risk of developing autoimmune thyroid disease (Hashimoto's or Graves'). ADA recommends TSH screening at T1D diagnosis and every 1-2 years thereafter. Undiagnosed thyroid dysfunction can worsen glycemic control and cause fatigue, weight changes, and other symptoms.

What is diabetic neuropathy and how is it screened?

Diabetic neuropathy is nerve damage caused by prolonged high blood sugar. It can be peripheral (tingling, numbness in hands/feet) or autonomic (affecting digestion, heart rate, bladder). ADA recommends annual screening with a comprehensive foot exam. Blood tests like Vitamin B12 can identify deficiencies that worsen neuropathy.

Can I book T1D blood tests at home through Truemark Health?

Yes. Truemark Health offers home sample collection for all T1D-related blood tests including HbA1c, kidney function tests (KFT), lipid panel, thyroid profile (TSH, T3, T4), celiac markers, and comprehensive metabolic panels. We operate across 100+ cities in India with NABL-certified partner labs.

Is this screening tool a substitute for a doctor's consultation?

No. This screening tool is for informational purposes only and is designed to help you identify potential gaps in your T1D complication monitoring. It does not constitute medical advice, diagnosis, or treatment. Always consult your endocrinologist or healthcare provider for personalized diabetes management decisions.

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