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Editorial
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Volume 328:729-731 March 11, 1993 Number 10
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A Defective Beta-Cell Glucose Sensor as a Cause of Diabetes

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Non-insulin-dependent diabetes mellitus (NIDDM) is characterized by insulin resistance and abnormal beta-cell function. The underlying cause is probably the combined effects of a Western lifestyle (corpulence and sedentary behavior) and as-yet-unidentified susceptibility genes1. However, in an unusual form of NIDDM, known as maturity-onset diabetes of the young, insulin resistance is usually not present, raising the likelihood that deficient insulin production is the culprit. Within the past year, as part of the search for candidate genes in NIDDM -- discussed only two months ago in the Journal2 -- mutations of glucokinase, the putative glucose sensor of the beta cell, have . . . [Full Text of this Article]

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