The Role of the Diabetes Care and Education Specialist in Screening and Monitoring for Type 1 Diabetes.

Purpose: Diabetes care and education specialists (DCESs) play a crucial role in the early detection and monitoring of type 1 diabetes (T1D) by using their expertise to educate, support, and provide guidance. Because US Food and Drug Administration approved therapies, such as Tzield (teplizumab), provide the opportunity for earlier intervention, DCESs can contribute to better outcomes for those at risk of developing T1D by facilitating participation in clinical trials aimed at prevention and delay of the disease and reducing complications such as diabetes-related ketoacidosis (DKA) at diagnosis.

Scope: DCESs are uniquely positioned to identify individuals at the highest risk of developing T1D, educate them on the benefits of early detection, and provide guidance on monitoring for disease progression. The role of the DCES extends beyond clinical care, involving community outreach, emotional support, and referrals to specialists and clinical trials.

Conclusion: By working within the ADCES7 Self-Care Behaviors Framework^®, DCESs can help individuals and their families understand and navigate the complexities of early-stage T1D to ensure timely care and reduce the risk of DKA. This article emphasizes the critical role the DCES plays in improving access to care, enhancing health outcomes, and supporting the quality of life for individuals with early-stage T1D.