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Early Detection Pathways in Primary Pediatric Care

Expert insights on how primary pediatric care pathways can help scale early T1D detection, from screening and staging to referral and monitoring.

Learning Objectives

  • Explain why primary pediatric care is key to population-level early detection of T1D in the general population
  • Describe the core steps in a structured screening, referral, and monitoring pathway for early-stage T1D
  • Identify the system-level changes needed to scale early detection within routine care 

Summary

This BR1DGE Talk Show episode explores actions that can be taken at the level of primary pediatric care to better facilitate population-level early detection of type 1 diabetes (T1D). Chantal Mathieu and Loredana Marcovecchio discuss the importance of moving screening beyond family-history-based approaches to integrate it into routine pediatric care. Using the example of a child attending a routine healthcare visit, they outline the key steps in an early-stage T1D pathway, including  islet autoantibody screening, confirmation, staging, referral, monitoring, education, and psychosocial support. The discussion also examines the system-level infrastructure, workforce education, coordination, and specialist support needed to scale early detection safely and reduce diabetic ketoacidosis at the point of clinical (Stage 3) diagnosis. 

Chantal Mathieu

MAT-GLB-2601775 - 1.0 - 09/2026