Ziegler, A.-G. ; Bonifacio, E.* ; Powers, A.C.* ; Todd, J.A.* ; Harrison, L.C.* ; Atkinson, M.A.*
Type 1 diabetes prevention: A goal dependent on accepting a diagnosis of an asymptomatic disease.
Diabetes 65, 3233-3239 (2016)
Type 1 diabetes, a disease defined by absolute insulin deficiency, is considered a chronic autoimmune disorder resulting from the destruction of insulin-producing pancreatic b-cells. The incidence of childhood-onset type 1 diabetes has been increasing at a rate of 3%-5% per year globally. Despite the introduction of an impressive array of therapies aimed at improving disease management, no means for a practical cure exist. This said, hope remains high that any of a number of emerging technologies (e.g., continuous glucose monitoring, insulin pumps, smart algorithms), alongside advances in stem cell biology, cell encapsulation methodologies, and immunotherapy, will eventually impact the lives of those with recently diagnosed or established type 1 diabetes. However, efforts aimed at reversing insulin dependence do not address the obvious benefits of disease prevention. Hence, key stretch goals for type 1 diabetes research include identifying improved and increasingly practical means for diagnosing the disease at earlier stages in its natural history (i.e., early, presymptomatic diagnosis), undertaking such efforts in the population at large to optimally identify those with presymptomatic type 1 diabetes, and introducing safe and effective therapeutic options for prevention.
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Publication type
Article: Journal article
Document type
Scientific Article
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Keywords
Antibody Standardization Program; Islet Autoantibodies; Children; Risk; Ketoacidosis; Adolescents; Progression; Childhood; Insulin; Assays
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Language
english
Publication Year
2016
Prepublished in Year
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2016
ISSN (print) / ISBN
0012-1797
e-ISSN
1939-327X
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Volume: 65,
Issue: 11,
Pages: 3233-3239
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American Diabetes Association
Publishing Place
Alexandria, VA.
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Reviewing status
Peer reviewed
POF-Topic(s)
30201 - Metabolic Health
Research field(s)
Helmholtz Diabetes Center
PSP Element(s)
G-502100-001
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Erfassungsdatum
2016-11-21