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Data report · October 2026

The Seasons of Type 1 Diabetes in Kids

Type 1 diabetes doesn't take holidays, but it does have seasons. Children are diagnosed more often in winter, A1C drifts up in the cold months, and parents' questions follow the school and camp calendar. We combined published research with three years of US search data to map the year — and what to do in each month.

January
peak month for new type 1 diagnoses in US children; June is the lowest
0.44–0.67
percentage-point A1C gap between winter and late summer in one study of 589 schoolchildren
+65%
diabetes camp searches in June, versus their yearly average

What the Research Shows

Diagnoses peak in winter

The US SEARCH for Diabetes in Youth study, which tracked new cases at five centers from 2002 to 2018, found a statistically significant yearly pattern in type 1 diabetes diagnoses: the most children were diagnosed in January and the fewest in June. The same study found type 1 incidence in US youth rising by about 2% a year.

The pattern isn't unique to the US. A WHO-backed analysis of more than 31,000 children in 53 countries found a seasonal pattern in 42 centers, most of which peaked in winter and dipped in summer — though not every center showed it, and the cause is still unknown. Proposed explanations include seasonal viral infections and changes in activity and routine.

A1C runs higher in winter

In a three-year study of 677 children with type 1 diabetes in Poland, A1C in schoolchildren was lowest in August and September and highest in November, December and February. The winter–summer gap was 0.44 to 0.67 percentage points, and it tracked the weather: warmer, sunnier months went with lower A1C. Preschoolers didn't show the pattern. The study was observational, so it shows a link, not a cause — but it's a useful reason not to over-read one winter A1C result.

What Parents Search, Month by Month

Average US search volume in each calendar month from October 2023 to September 2026, as an index where 100 is the query's own yearly average.

Search JanFebMarAprMayJunJulAugSepOctNovDec
diabetes camp 891031101201211651347865757070
diabetes 504 plan 93101998894476316016313310256
ketotic hypoglycemia 1031241021089910010013492638590
type 1 diabetes symptoms 97107105108949096949810311693
signs of diabetes in kids 107104969896108106103107939390
type 1 diabetes snacks for school 11815215311395708311967837176
below average 100 = yearly average above average

The cycles repeat year after year. Below, three searches are each indexed to their own three-year average so they can share one scale: camp searches rise every spring and peak in June, 504 plan searches jump every August and September, and general type 1 symptom searches peak every November.

Show data table
Monthdiabetes campdiabetes 504 plantype 1 diabetes symptoms
Oct 2387135103
Nov 237087115
Dec 23676389
Jan 24869097
Feb 24116104111
Mar 24117115109
Apr 2412098108
May 241195594
Jun 241875589
Jul 241526694
Aug 2476205100
Sep 244922597
Oct 2463173102
Nov 2468150122
Dec 24695493
Jan 258811693
Feb 2593120105
Mar 25103123101
Apr 2511699111
May 2511814092
Jun 251494390
Jul 251218899
Aug 257614390
Sep 257016598
Oct 257590103
Nov 257369111
Dec 25745298
Jan 269474100
Feb 2610080105
Mar 2611160106
Apr 2612466104
May 261268896
Jun 261594491
Jul 261293594
Aug 268113292
Sep 26759999

The Year at a Glance: A Calendar for Families

January

  • US type 1 diagnoses in children peak this month (SEARCH for Diabetes in Youth).
  • "Signs of diabetes in kids" searches run 7% above average.
What to do
  • Know the warning signs: thirst, frequent urination or new bedwetting, weight loss, tiredness.
  • If you see them, ask for a same-day blood sugar or urine test.
Why fast diagnosis prevents DKA →

February

  • Diabetes camp searches start climbing (index 103).
  • Ketotic hypoglycemia searches hit their second-highest month (index 124).
What to do
  • Look into diabetes camps now — popular sessions fill before summer.
  • Winter bugs are common: check your sick-day supplies and ketone strips.
Sick-day rules →

March

  • Camp searches keep rising (index 110).
What to do
  • Spring sports start: plan snacks and insulin adjustments for practice days.
Exercise and blood sugar →

April

  • Camp searches at 120.
What to do
  • Book camp and confirm the camp's diabetes staffing and CGM policy.
Camps and sleepovers →

May

  • End of the school year.
What to do
  • Ask the school what it needs for next year — updated orders and forms are easier now than in August.
The 504 plan guide →

June

  • Diabetes camp searches peak (65% above average).
  • US type 1 diagnoses in children are at their lowest (SEARCH).
What to do
  • Heat damages insulin: keep it out of hot cars and direct sun.
Travel and insulin storage →

July

  • A1C tends to fall through summer in school-age children (Mianowska et al.).
What to do
  • Long active days mean more lows — pack extra fast-acting sugar.
Lows you might miss →

August

  • 504 plan searches surge (index 160) and ketotic hypoglycemia searches peak (index 134).
  • A1C is lowest in late summer (Mianowska et al.).
What to do
  • Meet the school nurse, update the Diabetes Medical Management Plan, and train staff before day one.
Setting up a 504 plan →

September

  • 504 plan searches stay high (index 163).
What to do
  • Check in after the first weeks: is the plan actually being followed at school?
What a 504 plan should cover →

October

  • Flu season begins.
What to do
  • CDC advises a flu vaccine for children with diabetes, ideally by the end of October. Ask whether the shot or nasal spray is right for your child.
Managing illness →

November

  • National Diabetes Awareness Month: general "type 1 diabetes symptoms" searches peak (16% above average).
  • A1C starts its winter rise (Mianowska et al.).
What to do
  • A good month to share warning signs with family, teachers and coaches.
Explaining diabetes →

December

  • A1C is among its highest in winter (Mianowska et al.).
  • Holidays bring irregular meals and late nights.
What to do
  • Expect higher numbers; plan for party food and travel rather than aiming for perfect.
Understanding A1C →

Methodology

Research findings come from the published studies listed below; we report their results as published and did not re-analyze their data. Search data is Ahrefs' estimated monthly US search volume, October 2023 to September 2026 (pulled October 12, 2026). Seasonal indexes average each calendar month across three years and divide by the query's overall monthly average. Small queries (504 plan and school snacks, roughly 30–150 searches a month) are noisy — read their pattern, not individual values. The full search dataset and methods are in our parent search data report.

Limitations: search volume measures interest, not illness. Seasonal research comes from specific populations (US, Poland, and an international registry) and may not match every region, especially in the Southern Hemisphere, where the seasons are reversed.

Sources

  1. Wagenknecht LE, et al. Trends in Incidence of Youth-Onset Type 1 and Type 2 Diabetes, 2002–2018: Results from the US Population-Based SEARCH for Diabetes in Youth Study. Lancet Diabetes & Endocrinology, 2023.
  2. Mianowska B, et al. HbA1c levels in schoolchildren with type 1 diabetes are seasonally variable and dependent on weather conditions. Diabetologia, 2011.
  3. Moltchanova EV, Schreier N, Lammi N, Karvonen M. Seasonal variation of diagnosis of Type 1 diabetes mellitus in children worldwide. Diabetic Medicine, 2009;26:673–678.
  4. Centers for Disease Control and Prevention. Flu and children.

You're welcome to use these findings and charts with credit and a link to this page (CC BY 4.0).