Insulin-dependent diabetes mellitus (IDDM) is a chronic disorderthat results from autoimmune destruction of the insulin-producingpancreatic beta cells. Much has been learned during the pastdecade about the underlying genetics, natural history, and pathogenesisof IDDM. In this review, we shall describe some of this newinformation and discuss how it might be used to prevent thedisease.
Epidemiology
IDDM occurs most frequently in persons of northern Europeandescent. Among other racial groups, such as blacks, Native Americans,and Asians, the disease is less common1. The incidence rangesfrom a low of 1 to 2 per 100,000 per year . . . [Full Text of this Article]
Genetics
Pathogenesis and Natural History
Insulitis
Autoantibodies and Metabolic Markers of Disease
Islet-Cell Antigens
Cellular Immunity and Mediators of Inflammation
The Autoimmune Basis of IDDM
Intervention Strategies
Conclusions
Source Information
From the Department of Pathology and Laboratory Medicine, University of Florida College of Medicine, Gainesville.
Address reprint requests to Dr. Atkinson at the University of Florida, JHMHC Box 100275, Gainesville, FL 32610.
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