Delaying the Onset of Type 1 Diabetes

January 19, 2026
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Welcome!
Thanks for stopping by.
Today I’m sharing information about Tzield (pronounced T-Zield), a groundbreaking medication
that can delay the onset of Type 1 diabetes.
I’ve been living with Type 1 since 1982, when I was a high school senior. Back then, I asked the
nurse how long I’d have diabetes — she didn’t have an answer.
Now, for those who may be at risk, there’s finally some good news.

� What is Tzield?

  • FDA Approved: November 2022
  • Manufacturer: Sanofi (since 2023, made in Washington State)
  • Purpose: Protects pancreatic beta cells from immune attack to delay Type 1 diabetes
    onset
  • Not for: People with Type 2 diabetes

    � Who Might Be Eligible?
    Tzield may be prescribed if:
    ✅ You do not have typical symptoms of Type 1 diabetes
    ✅ You have two or more diabetes-related antibodies (immune system attacking beta cells)
    ✅ You have abnormal blood sugar levels caused by ongoing beta cell loss

    � Effectiveness
  • Tzield: Delays onset by ~4 years
  • Placebo: ~2 years
    That’s two extra years of living without full Type 1 diabetes.

    � How Treatment Works
  • One 14-day course of IV infusions
  • Each infusion: 30 min to 4 hrs
  • Dosage ramps up over time
  • If a dose is missed, treatment picks up where you left off
    ⚠ Possible Side Effects
  • Leukopenia – Low white blood cell count
  • Lymphopenia – Low lymphocyte count (increased infection risk)
  • Rash
  • Headache

    � Note: If lymphopenia develops, treatment may be stopped.

    � Cost & Insurance (as of 7/30/25)
  • Tzield: ~$193,900 per 14-day treatment
  • Annual Type 1 diabetes care: Several thousand to tens of thousands of dollars
    Coverage options:
  • Many insurance plans cover Tzield
  • Medicare Part B covers teplizumab-mzwv
  • Patient support: Tzield Compass Program

    � Other Research
  • Baricitinib – being studied for preserving beta cell function in newly diagnosed Type 1
    diabetes

    � Important Disclaimer
    This blog is informational only and not medical advice. Always consult your doctor before
    making health decisions.
    While I work to ensure accuracy, errors are possible. Use this information at your own risk.

    � Interested in advertising here? Contact me!
    ✍ Author:
    Julie – Living with Type 1 diabetes since 1982.
    Passionate about sharing resources and research for those at risk.

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