• Exposure to endocrine disrupting chemicals (EDCs) is increasingly recognized as a potential risk factor for type 1 diabetes (T1DM), with mechanisms involving immune dysregulation, oxidative stress, and epigenetic changes.
• Bisphenol A, pesticides, and heavy metals are among the most studied EDCs, with epidemiological and animal evidence supporting their role in T1DM pathogenesis.
• Current research faces challenges including inconsistent exposure assessment methods, unclear dose-response relationships, and population heterogeneity, necessitating standardized approaches.
• Future studies should focus on identifying critical exposure windows and employing multi-omics integration to develop preventive strategies for T1DM.
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